红外线体温计与水银体温计在骨科患者测温中的对比研究
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摘要
目的比较应用红外线体温计与水银体温计测量骨科患者体温的测量结果差异。方法选取2017年9月—12月骨科住院患者,共计测量体温1 070人次。采用自身对照方法,试验组应用红外线体温计测量额部、颈部,对照组应用水银体温计测量腋温,分别分析正常体温受试者与发热受试者3个部位之间的测量结果差异。结果正常体温受试者额温与腋温测量值差异无统计学意义(P>0.05),颈温与额温、腋温测量值差异有统计学意义(P<0.01)。发热受试者颈温与额温、腋温测量值差异无统计学意义(P>0.05),额温与腋温测量值差异有统计学意义(P<0.05)。结论在保证恰当的测量条件下,对于正常体温受试者,使用红外线体温计测额温可以取代水银体温计进行腋温测量;对于发热受试者,推荐临床中使用水银体温计。
Objective To compare the effect of infrared thermometer and mercury thermometer in body temperature assessment among orthopedic patients. Methods Patients had been hospitalized for treatment of orthopedic diseases between September 2017 and December 2017 were included in the study, with totally 1070 assessment times of body temperature during hospitalization. A self-controlled study was conducted, in which forehead temperature and jugular temperature were evaluated by infrared thermometer, and the axillary temperature was evaluated by mercury thermometer. The outcomes of three different measurement sites were compared among normal patients and those with fever. Results There was no significant difference between forehead temperature and axillary temperature among normal patients(P>0.05), but was significantly different between jugular temperature and forehead temperature, and between jugular temperature and axillary temperature(P<0.01). In those patients with fever, there was no significant difference in measurement outcomes among three measurement sites(P>0.05), and with significant difference between forehead temperature and axillary temperature(P<0.05). Conclusion For normal subjects, the infrared thermometer is more accurate than mercury thermometer in measurement of the axillary temperature. For fever subjects, a mercury thermometer is still recommended for clinical practice.
Objective To compare the effect of infrared thermometer and mercury thermometer in body temperature assessment among orthopedic patients. Methods Patients had been hospitalized for treatment of orthopedic diseases between September 2017 and December 2017 were included in the study, with totally 1070 assessment times of body temperature during hospitalization. A self-controlled study was conducted, in which forehead temperature and jugular temperature were evaluated by infrared thermometer, and the axillary temperature was evaluated by mercury thermometer. The outcomes of three different measurement sites were compared among normal patients and those with fever. Results There was no significant difference between forehead temperature and axillary temperature among normal patients(P>0.05), but was significantly different between jugular temperature and forehead temperature, and between jugular temperature and axillary temperature(P<0.01). In those patients with fever, there was no significant difference in measurement outcomes among three measurement sites(P>0.05), and with significant difference between forehead temperature and axillary temperature(P<0.05). Conclusion For normal subjects, the infrared thermometer is more accurate than mercury thermometer in measurement of the axillary temperature. For fever subjects, a mercury thermometer is still recommended for clinical practice.
引文
[1] 苟菊香,周倩.非接触式红外线额温枪与水银体温计测量结果比较[J].华西医学,2016,31(5):961-962.
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[10] 周丽娜,肖文,朱宏伟.长期卧床老年病人腹股沟温与腋温对照研究[J].护理研究,2015,29(6B):2168-2169.
[11] 田君鹏,王庆芬,陈浩,等.水银体温计和红外额温计使用对比分析[J].医疗卫生装备,2016,37(10):112-113.
[12] 胡敬梅.临床护士对汞危害的认知及防范意识调查[J].中华护理教育,2013,10(4):179-180.
[13] 吴晓春,高翠玲,王伟.我国水银体温计的使用现状及对策分析[J].医疗卫生装备,2017,38(4):140-142.
[14] 张莉萍,龚月香,金学勤.12家医疗机构体温计使用现状调查[J].中国护理管理,2014,14(6):648-650.
[2] 郭子云,甘长虹,杨娟.非接触式电子体温计与水银体温计在临床应用中的比较[J].中华全科医学,2015,13(8):1360-1361.
[3] 李蓉竞,李饶,袁岚.非接触式红外线额温计与水银体温计临床使用的对比研究[J].华西医学,2016,31(11):1899-1901.
[4] 李争华,许瑞华.非接触式红外线额温计与水银体温计的临床测量值比较[J].护士进修杂志,2014,29(4):360-361.
[5] 周娴,赵梅珍,燕群美.红外线测温仪测量人迎穴温度的可行性探讨[J].护理学杂志,2012,27(9):11-12.
[6] 高梦雨,郑儒君,刘玲.红外额式体温计与水银体温计在成年发热病人中的应用研究[J].护理研究,2014,28(10C):3808-3810.
[7] 龚月香,张莉萍,金学勤.无汞体温计的应用与研究进展[J].中国医药导报,2015,12(1):158-164.
[8] 冯金华,聂孟珍,李卡,等.ICU患者红外线耳温仪与水银体温计测量体温的差异性与相关性[J].实用医学杂志,2015,31(12):2066-2067.
[9] 郭振华,王建荣,滑霏,等.ICU患者体温测量方法现状分析[J].解放军护理杂志,2014,31(7):19-22.
[10] 周丽娜,肖文,朱宏伟.长期卧床老年病人腹股沟温与腋温对照研究[J].护理研究,2015,29(6B):2168-2169.
[11] 田君鹏,王庆芬,陈浩,等.水银体温计和红外额温计使用对比分析[J].医疗卫生装备,2016,37(10):112-113.
[12] 胡敬梅.临床护士对汞危害的认知及防范意识调查[J].中华护理教育,2013,10(4):179-180.
[13] 吴晓春,高翠玲,王伟.我国水银体温计的使用现状及对策分析[J].医疗卫生装备,2017,38(4):140-142.
[14] 张莉萍,龚月香,金学勤.12家医疗机构体温计使用现状调查[J].中国护理管理,2014,14(6):648-650.