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一种新型红外耳温计在心脏手术患者中的准确性。

The accuracy of a new infrared ear thermometer in patients undergoing cardiac surgery.

作者信息

Bock Matthias, Hohlfeld Uta, von Engeln Kristine, Meier Peter A, Motsch Johann, Tasman Abel J

机构信息

Department of Anesthesiology, University of Heidelberg, Germany.

出版信息

Can J Anaesth. 2005 Dec;52(10):1083-7. doi: 10.1007/BF03021609.

Abstract

PURPOSE

To evaluate the equivalency of the prototype of a new infrared ear thermometer (IRT 4000) in comparison to the temperature measurements of a pulmonary artery catheter (PAC) and a continual contact probe on the tympanic membrane.

METHODS

After approval by the local Ethics Committee, 26 (six female and 20 male) patients undergoing elective cardiac surgery were included in a single center open trial. During surgery, temperature measurements were recorded with the IRT 4000 in the left ear, and with a tympanic contact probe in the right ear, as well as with a PAC as reference. Measurements with the infrared ear thermometers and continual PAC values were recorded every six minutes.

RESULTS

The average temperature measured with the IRT 4000 was 0.08 degrees C above the temperature of the PAC (95% confidence interval from -0.44-0.61 degrees C).

CONCLUSION

Infrared ear thermometers 4000 temperature readings accurately reflect body core temperature and correlate well with the invasive PAC. Infrared ear thermometers may present a clinically useful alternative to the pulmonary artery thermometry for the measurement of core temperature in the perioperative setting or in the intensive care unit.

摘要

目的

评估一种新型红外耳温计(IRT 4000)原型与肺动脉导管(PAC)和鼓膜持续接触探头所测温度的等效性。

方法

经当地伦理委员会批准,26名(6名女性和20名男性)择期心脏手术患者纳入一项单中心开放试验。手术期间,用IRT 4000测量左耳温度,用鼓膜接触探头测量右耳温度,并以PAC作为对照。每隔6分钟记录一次红外耳温计测量值和持续的PAC值。

结果

IRT 4000所测平均温度比PAC温度高0.08摄氏度(95%置信区间为- 0.44至0.61摄氏度)。

结论

IRT 4000的耳温读数能准确反映体核温度,与侵入性PAC相关性良好。在围手术期或重症监护病房测量核心温度时,红外耳温计可能是肺动脉测温法临床上有用的替代方法。

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