Summers S
J Post Anesth Nurs. 1991 Dec;6(6):420-5.
Body temperature in postanesthesia patients is considered to be an important vital sign; yet, measurement sites may vary from oral to axillary and rectal to tympanic membrane. The reviewed literature indicated that axillary and rectal temperatures are measures of shell temperature and esophageal and tympanic temperatures are measures of core temperature. This study compared temperatures measured with axillary mercury-in-glass and electronic thermometers with those measured by tympanic and esophageal thermometers in 96 postanesthesia patients. Analysis of the data using paired t test indicated there was no significant difference between the esophageal and tympanic temperatures; however, significant differences were found between mercury and electronic axillary temperatures. Analysis of variance indicated no significant difference between the axillary temperatures as measured by mercury and electronic methods in the arm extended on an arm board during surgery. Further studies are needed using a larger, randomly selected sample to validate this study's findings.
麻醉后患者的体温被视为一项重要的生命体征;然而,测量部位可能从口腔到腋窝、直肠到鼓膜各不相同。综述文献表明,腋窝和直肠温度是体表温度的测量指标,而食管和鼓膜温度是核心温度的测量指标。本研究比较了96例麻醉后患者使用腋窝水银体温计和电子体温计测得的温度与使用鼓膜体温计和食管体温计测得的温度。使用配对t检验对数据进行分析表明,食管温度和鼓膜温度之间没有显著差异;然而,水银体温计和电子体温计测得的腋窝温度之间存在显著差异。方差分析表明,手术期间在臂板上伸展手臂时,水银法和电子法测得的腋窝温度之间没有显著差异。需要使用更大的随机抽样样本进行进一步研究,以验证本研究的结果。