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液晶体温计在识别术后成年患者核心体温变化趋势方面的准确性欠佳。

Inaccuracy of liquid crystal thermometry to identify core temperature trends in postoperative adults.

作者信息

Vaughan M S, Cork R C, Vaughan R W

出版信息

Anesth Analg. 1982 Mar;61(3):284-7.

PMID:7199842
Abstract

In 71 adult postsurgical patients, simultaneous measurement of core (tympanic membrane) and shell (liquid crystal adhesive temperature strip) cutaneous temperature was assessed on admission and every 15 minutes throughout the recovery room stay. Tympanic membrane sensors were inserted into the ear and adhesive temperature strips were applied to the forehead. Although temperature strip temperatures on admission to the recovery room were correlated significantly with tympanic membrane temperatures on admission to the recovery room (r = 0.61, p less than 0.001), subsequent readings 15, 30, 45, and 60 minutes after admission demonstrated decreasing correlation coefficients. Moreover, changes in temperature strip temperatures over the first 15, 30, and 45 minutes of monitoring in the recovery room did not correlate significantly with changes in tympanic membrane temperatures over the same time period. These data suggest that shell temperature (temperature strip) is not a reliable or valid trend indicator of core temperature (tympanic membrane) in postanesthetic adults.

摘要

在71名成年术后患者中,入院时以及在整个恢复室停留期间每15分钟同时测量核心体温(鼓膜温度)和体表体温(液晶粘性温度条)。将鼓膜传感器插入耳朵,并将粘性温度条贴在前额。虽然进入恢复室时温度条温度与进入恢复室时的鼓膜温度显著相关(r = 0.61,p小于0.001),但入院后15、30、45和60分钟的后续读数显示相关系数逐渐降低。此外,在恢复室监测的前15、30和45分钟内温度条温度的变化与同一时间段内鼓膜温度的变化没有显著相关性。这些数据表明,在麻醉后的成年人中,体表温度(温度条)不是核心体温(鼓膜温度)的可靠或有效的趋势指标。

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引用本文的文献

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J Clin Monit Comput. 2008 Aug;22(4):309-14. doi: 10.1007/s10877-008-9134-z. Epub 2008 Aug 13.
2
Does forehead liquid crystal temperature accurately reflect "core" temperature?额头液晶温度能准确反映“核心”温度吗?
Can J Anaesth. 1990 Sep;37(6):659-62. doi: 10.1007/BF03006486.
3
Propofol for anesthesia in a patient susceptible to malignant hyperthermia.丙泊酚用于恶性高热易感患者的麻醉。
Anesth Prog. 1991 May-Jun;38(3):96-8.