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围手术期颞动脉、口腔及腋窝温度测量结果的一致性

Agreement between temporal artery, oral, and axillary temperature measurements in the perioperative period.

作者信息

Barringer Lynn B, Evans Cheryl W, Ingram Lori L, Tisdale Patrice P, Watson Susan P, Janken Janice K

机构信息

Presbyterian Hospital Matthews, Charlotte, NC, USA.

出版信息

J Perianesth Nurs. 2011 Jun;26(3):143-50. doi: 10.1016/j.jopan.2011.03.010.

Abstract

This study examined agreement in temperature readings preoperatively and postoperatively between temporal artery and electronic oral/axillary thermometers as well as the seconds required to obtain temperature readings across the three measuring modes. Using a repeated measures design, 86 adult subjects had temporal artery, oral, and axillary temperatures taken upon admission to the surgical area and upon admission to the PACU. Findings indicated best agreement both preoperatively and postoperatively between the oral mode of the electronic thermometer and the temporal artery thermometer, followed by agreement between oral and axillary modes of the electronic thermometer, and the least agreement between the temporal artery and axillary readings. Seconds to temperature measurement was significantly different both preoperatively and postoperatively, with temporal artery measurement the fastest, followed by oral and then axillary. Results support the use of the temporal artery thermometers as an alternative for perioperative noninvasive temperature monitoring.

摘要

本研究检测了术前及术后颞动脉体温计与电子口腔/腋下体温计之间的温度读数一致性,以及三种测量模式下获取温度读数所需的时间。采用重复测量设计,86名成年受试者在进入手术区域时和进入麻醉后监护病房时分别测量了颞动脉、口腔和腋下温度。结果表明,术前及术后电子体温计的口腔模式与颞动脉体温计之间的一致性最佳,其次是电子体温计的口腔模式与腋下模式之间的一致性,而颞动脉与腋下读数之间的一致性最差。测量温度所需的时间在术前和术后均有显著差异,颞动脉测量最快,其次是口腔测量,然后是腋下测量。结果支持使用颞动脉体温计作为围手术期无创体温监测的替代方法。

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