Goic Joana B, Reineke Erica L, Drobatz Kenneth J
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.
J Am Vet Med Assoc. 2014 May 15;244(10):1170-5. doi: 10.2460/javma.244.10.1170.
To compare rectal versus axillary temperatures in dogs and cats.
Prospective observational study.
94 dogs and 31 cats.
Paired axillary and rectal temperatures were measured in random order with a standardized method. Animal signalment, initial complaint, blood pressure, blood lactate concentration, and variables associated with vascular perfusion and coat were evaluated for associations with axillary and rectal temperatures.
Axillary temperature was positively correlated with rectal temperature (ρ = 0.75 in both species). Median axillary temperature (38.4°C [101.1°F] in dogs, and 38.4°C [101.2°F] in cats) was significantly different from median rectal temperature in dogs (38.9°C [102.0°F]) but not in cats (38.6°C [101.5°F]). Median rectal-axillary gradient (difference) was 0.4°C (0.7°F; range, -1.3° to 2.3°C [-2.4° to 4.1°F]) in dogs and 0.17°C (0.3°F; range -1.1° to 1.6°C [-1.9° to 3°F]) in cats. Sensitivity and specificity for detection of hyperthermia with axillary temperature were 57% and 100%, respectively, in dogs and 33% and 100%, respectively, in cats; sensitivity and specificity for detection of hypothermia were 86% and 87%, respectively, in dogs and 80% and 96%, respectively, in cats. Body weight (ρ = 0.514) and body condition score (ρ = 0.431) were correlated with rectal-axillary gradient in cats.
Although axillary and rectal temperatures were correlated in dogs and cats, a large gradient was present between rectal temperature and axillary temperature, suggesting that axillary temperature should not be used as a substitute for rectal temperature.
比较犬猫的直肠温度与腋窝温度。
前瞻性观察研究。
94只犬和31只猫。
采用标准化方法随机测量配对的腋窝温度和直肠温度。评估动物的特征、初始主诉、血压、血乳酸浓度以及与血管灌注和被毛相关的变量与腋窝温度和直肠温度的相关性。
腋窝温度与直肠温度呈正相关(两种动物的ρ均为0.75)。犬的腋窝温度中位数(38.4℃[101.1°F])和猫的腋窝温度中位数(38.4℃[101.2°F])与犬的直肠温度中位数(38.9℃[102.0°F])有显著差异,但与猫的直肠温度中位数(38.6℃[101.5°F])无显著差异。犬的直肠-腋窝温度梯度中位数(差值)为0.4℃(0.7°F;范围为-1.3°至2.3℃[-2.4°至4.1°F]),猫为0.17℃(0.3°F;范围为-1.1°至1.6℃[-1.9°至3°F])。犬用腋窝温度检测体温过高的敏感性和特异性分别为57%和100%,猫分别为33%和100%;检测体温过低的敏感性和特异性在犬中分别为86%和87%,在猫中分别为80%和96%。猫的体重(ρ = 0.514)和体况评分(ρ = 0.431)与直肠-腋窝温度梯度相关。
虽然犬猫的腋窝温度与直肠温度相关,但直肠温度与腋窝温度之间存在较大梯度,提示腋窝温度不应替代直肠温度。