Greyling G, Viljoen M J, Joubert G
Departement Huisartskunde Fakulteit Gesondheidswetenskappe Universiteit van die Oranje Vrystaat.
Curationis. 2000 Sep;23(3):54-61.
The purpose of the study was to measure the axillary temperature at three, six and nine minutes in a hundred children between the ages of one and twelve years who were selected in a non-random deliberate way, and to compare the measurements with the tympanic membrane temperature (golden standard) which was measured in the test persons at the same time. The results were described by sensitivity, specificity, limits of agreement, and predictive values. From some of the findings of the research it is apparent that the axillary temperature reading increased after measurement of three, six and nine minutes. A maximum temperature reading was reached after three minutes in only 9% of the test persons, in 25% after six minutes and in 66% after nine minutes. From the findings it is clear that the ranges that were used influenced the sensitivity of the measurements, and it would appear that the range 35.5 degrees C to 37.2 degrees C was the best range to measure pyrexia in the age group one to 12 years. The 9-minute measurement then had the highest sensitivity. However, the specificity of measurement in this range was lower. The conclusion was drawn that axillary temperature measurement is an acceptable method, with certain reservations, to use as screening method for pyrexia in emergency divisions or clinics.
本研究的目的是对100名年龄在1至12岁之间的儿童进行非随机刻意选择，测量其在3分钟、6分钟和9分钟时的腋窝温度，并将测量结果与同时在受试对象身上测量的鼓膜温度（金标准）进行比较。结果用灵敏度、特异性、一致性界限和预测值来描述。从该研究的一些发现中可以明显看出，在测量3分钟、6分钟和9分钟后，腋窝温度读数升高。仅9%的受试对象在3分钟后达到最高温度读数，6分钟后为25%，9分钟后为66%。从这些发现中可以清楚地看出，所使用的温度范围会影响测量的灵敏度，并且对于1至12岁年龄组，35.5摄氏度至37.2摄氏度的范围似乎是测量发热的最佳范围。9分钟测量时灵敏度最高。然而，该范围内测量的特异性较低。得出的结论是，腋窝温度测量是一种可接受的方法，但有一定保留意见，可作为急诊科或诊所发热筛查的方法。
