Darm R M, Hecker R B, Rubal B J
J Post Anesth Nurs. 1994 Jun;9(3):144-9.
Critical measurement of patient body temperature in the PACU is an important parameter in patient management. Failure to achieve minimal acceptable body temperature standards has been associated with physiological derangement, the application of additional therapy, and prolonged PACU stays. Newer methods to monitor temperature have been introduced into the PACU that have been touted to be adequate for detecting clinically significant changes in temperature. This study compares skin core temperature-corrected liquid crystal thermography, axillary electronic, and oral electronic thermistor readings with temperatures obtained by infrared tympanic membrane thermometry in 215 PACU patients. Regression analysis suggests that when compared with tympanic temperature, the oral method is more accurate and has greater precision than either the liquid crystal or axillary methods. That the incidence of hypothermia depends on the method chosen to assess body temperature is a significant nursing implication.
在麻醉后护理单元（PACU）对患者体温进行严格测量是患者管理中的一个重要参数。未能达到最低可接受体温标准与生理紊乱、额外治疗的应用以及在PACU停留时间延长有关。已将更新的体温监测方法引入PACU，这些方法据称足以检测临床上显著的体温变化。本研究比较了215例PACU患者经皮肤核心温度校正的液晶热成像、腋下电子体温计和口腔电子热敏电阻读数与红外鼓膜温度计测得的体温。回归分析表明，与鼓膜温度相比，口腔测量方法更准确，且比液晶或腋下测量方法具有更高的精度。体温过低的发生率取决于所选择的评估体温的方法，这对护理工作具有重要意义。
