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[儿童的额温、腋温及鼓膜温度测量]

[FRONTAL, AXILLARY AND TYMPANIC TEMPERATURE MEASUREMENTS IN CHILDREN].

作者信息

Antabak Anko, Sisko Jerko, Romić Ivan, Papes Dino, Pasini Miran, Haluzan Damir, Bogović Marko, Medancić Suzana Srsen, Cavar Stanko, Luetić Tomislav, Fuchs Nino, Andabak Matej, Prlić Ivica, Curković Selena

出版信息

Lijec Vjesn. 2016 Jan-Feb;138(1-2):30-3.

Abstract

The purpose of this study was to compare the results of body temperature measurements obtained by standard axillary thermometers with the results of infrared tympanic and frontal skin thermometry in afebrile children. This study comprises a single-center, prospective comparison trial. A total of 345 afebrile children aged 4 to 16 years hospitalized in the pediatric surgery department for elective surgery were included. One thousand axillary, tympanic and frontal measurements were obtained and compared. We used two different infrared thermometers in this study; one type measured the tympanic temperature, the other the temperature on the forehead. The axillary temperature measured with the glass thermometer was set as the standard. Each patient was exposed to a constant environmental temperature for a minimum of 10 min before simultaneous temperature measurements. The mean-frontal temperature 36.9 ± 0.38 °C was equal to the axillary temperature 36.9 ± 0.16 °C. The mean tympanic temperature was 36.3 ± 0.98 °C. The mean difference between the tympanic and axillary temperatures was -0.4 °C. The tympanic temperature had a threefold greater dispersion than frontal and a fivefold greater dispersion than axillary temperature. The results of this study suggest that the axillary temperature measured with glass thermometer has the least dispersion. Somewhat less reliable is the frontal temperature measured with infrared thermometer. The least reliable is tympanic temperature measurement.

摘要

本研究的目的是比较标准腋温计测量的体温结果与红外鼓膜和额头皮肤测温法在无发热儿童中的测量结果。本研究为单中心前瞻性比较试验。纳入了345名4至16岁因择期手术而入住小儿外科的无发热儿童。共进行了1000次腋温、鼓膜温度和额头温度的测量并进行比较。本研究中使用了两种不同的红外温度计;一种测量鼓膜温度,另一种测量额头温度。以玻璃温度计测量的腋温作为标准。在同时测量体温前,每位患者需在恒定环境温度下暴露至少10分钟。额头平均温度为36.9±0.38℃,与腋温36.9±0.16℃相等。鼓膜平均温度为36.3±0.98℃。鼓膜温度与腋温的平均差值为-0.4℃。鼓膜温度的离散度比额头温度大三倍,比腋温大五倍。本研究结果表明,玻璃温度计测量的腋温离散度最小。用红外温度计测量的额头温度可靠性稍低。最不可靠的是鼓膜温度测量。

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