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测量婴儿体温:“宝贝检查”之争中的科学与社会禁忌

Taking babies' temperatures: science versus social taboos in battle over Baby Check.

作者信息

Handysides S

机构信息

British Medical Journal, London.

出版信息

BMJ. 1993 Sep 11;307(6905):673-5. doi: 10.1136/bmj.307.6905.673.

DOI:10.1136/bmj.307.6905.673
PMID:8401058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1678998/
Abstract

Baby Check, a scoring system for assessing the severity of illness in babies under 6 months old, has not met with the success its developers expected. The inclusion of rectal temperature in the assessment was strongly opposed by the Royal College of Midwives, which refused to alter its view despite evidence of the safety and accuracy of rectal thermometry. British parents appear not to like rectal thermometers either. Most other medical bodies have supported Baby Check and the reason for midwives' opposition may have more to do with professional pique at not being consulted than clinical wisdom.

摘要

“婴儿健康检查”是一种用于评估6个月以下婴儿疾病严重程度的评分系统,但并未取得其开发者预期的成功。皇家助产士学院强烈反对在评估中纳入直肠温度,尽管有证据表明直肠测温法的安全性和准确性,但该学院仍拒绝改变其观点。英国父母似乎也不喜欢直肠体温计。大多数其他医学机构都支持“婴儿健康检查”,助产士反对的原因可能更多地与未被咨询而产生的职业不满有关,而非临床智慧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/9b57fa721345/bmj00038-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/0ee7b1d0eefa/bmj00038-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/cf6a33d070ab/bmj00038-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/6ccc419250e2/bmj00038-0046-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/9b57fa721345/bmj00038-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/0ee7b1d0eefa/bmj00038-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/cf6a33d070ab/bmj00038-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/6ccc419250e2/bmj00038-0046-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0f/1678998/9b57fa721345/bmj00038-0047-a.jpg

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1
Taking babies' temperatures: science versus social taboos in battle over Baby Check.测量婴儿体温:“宝贝检查”之争中的科学与社会禁忌
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引用本文的文献

1
Babies' rectal temperature. Is a rectal temperature always necessary.婴儿的直肠温度。直肠温度总是必要的吗?
BMJ. 1993 Oct 16;307(6910):1005. doi: 10.1136/bmj.307.6910.1005-b.

本文引用的文献

1
Parents' perceptions of taking babies' rectal temperature.父母对给婴儿测量直肠温度的看法。
BMJ. 1993 Sep 11;307(6905):660-2. doi: 10.1136/bmj.307.6905.660.
2
Field trials of the Baby Check score card: mothers scoring their babies at home.婴儿检查评分卡的现场试验:母亲在家中为婴儿评分。
Arch Dis Child. 1991 Jan;66(1):106-10. doi: 10.1136/adc.66.1.106.
3
Baby Check: a scoring system to grade the severity of acute systemic illness in babies under 6 months old.婴儿检查:一种用于评估6个月以下婴儿急性全身性疾病严重程度的评分系统。
Arch Dis Child. 1991 Jan;66(1):100-5. doi: 10.1136/adc.66.1.100.
4
Axillary and rectal temperature measurements in infants.婴儿腋下及直肠温度测量
Arch Dis Child. 1992 Jan;67(1):122-5. doi: 10.1136/adc.67.1.122.
5
Taking infants' temperatures.测量婴儿体温。
BMJ. 1992 Apr 11;304(6832):931-2. doi: 10.1136/bmj.304.6832.931.