Chu A, Burnham R S
University of Alberta, Canada.
Paraplegia. 1995 Aug;33(8):476-9. doi: 10.1038/sc.1995.104.
Tympanic temperature measurements in the able bodied have been well studied and validated in previous investigations. This validation has not been studied in individuals with high spinal cord injuries where autonomic control is different above and below the level of the lesion, which makes the accuracy of this measurement for core body temperature questionable. In this correlational study we look at the reliability and validity of tympanic temperature measurement in individuals with high spinal cord injuries in comparison to oral and rectal temperature measures. The rectal measurement proved to be the most reliable with an r value of 0.975 overall. The oral was minimally better than the tympanic with r values of 0.88 and 0.86, respectively. The validity of the oral measure in predicting changes in the rectal temperature (gold standard) was slightly better than the tympanic with r values of 0.88 and 0.77, respectively. Both the oral and tympanic measures accurately reflected changes in the rectal (core) temperature.
在之前的研究中，对健康人的鼓膜温度测量已经进行了充分的研究和验证。但对于高位脊髓损伤患者，由于损伤平面上下的自主神经控制不同，尚未对这种测量方法进行验证，这使得这种测量核心体温的准确性受到质疑。在这项相关性研究中，我们将高位脊髓损伤患者的鼓膜温度测量与口腔和直肠温度测量进行比较，观察其可靠性和有效性。直肠测量被证明是最可靠的，总体r值为0.975。口腔测量略优于鼓膜测量，r值分别为0.88和0.86。口腔测量在预测直肠温度（金标准）变化方面的有效性略优于鼓膜测量，r值分别为0.88和0.77。口腔和鼓膜测量均能准确反映直肠（核心）温度的变化。
