比較耳溫槍和傳統體溫測量法之正確性

Accuracy of Infrared Ear Thermometry and Traditional Body Temperatures for Medical Intensive Care Unit Patients

張玉珍(Yu-Jeng Chang) ； 賀倫息(Lun-Hui Ho) ； 黃慈心(Tzu-Hsin Huang) ； 黃崇游(Chung-Chi Huang)

《護理雜誌》 47卷2期 (2000/04) Pp. 53-63

https://doi.org/10.6224/JN.47.2.53

摘要

This study was performed to compare the measurements of tympanic temperature, conventional rectal and axillary temperatures with the measurement of pulmonary artery (PA) temperature. The study also investigated the effect of ice pillows on the measurement of tympanic temperature. Thirty-two critical patients requiring PA pressure monitoring were enrolled. Axillary, rectal and tympanic temperatures were recorded sequentially every 4 to 8 hours. PA temperatures were recorded through a PA catheter after completion of the above three kinds of temperature measurement. The means of difference between PA temperature and other temperatures checked were 0.1 ± 0.4 °C for tympanic, 0.4 ± 0.4°C for rectal, and 0.8 ± 0.4°C for axillary temperature. There was significant correlation between PA temperature and all three other temperatures (r = 0.94 between PA and tympanic, r = 0.94 between PA and rectal, and r = 0.92 between PA and axillary temperature). There was no significant discrepancy between the differences of PA and tympanic temperatures in patients with or without use of ice pillows. In conclusion, the measurement of tympanic temperature may reflect core temperature more accurately than conventional methods. It is noninvasive, easy to use, and can effect rapid measurements (a few seconds). It can effectively reduce nursing time, so that its extensive application in clinical nursing is warranted.

關鍵字

體溫 ； 肺動脈血溫 ； 紅外線耳膜溫度計 ； 玻璃水銀溫度計

並列摘要

This study was performed to compare the measurements of tympanic temperature, conventional rectal and axillary temperatures with the measurement of pulmonary artery (PA) temperature. The study also investigated the effect of ice pillows on the measurement of tympanic temperature. Thirty-two critical patients requiring PA pressure monitoring were enrolled. Axillary, rectal and tympanic temperatures were recorded sequentially every 4 to 8 hours. PA temperatures were recorded through a PA catheter after completion of the above three kinds of temperature measurement. The means of difference between PA temperature and other temperatures checked were 0.1 ± 0.4 °C for tympanic, 0.4 ± 0.4°C for rectal, and 0.8 ± 0.4°C for axillary temperature. There was significant correlation between PA temperature and all three other temperatures (r = 0.94 between PA and tympanic, r = 0.94 between PA and rectal, and r = 0.92 between PA and axillary temperature). There was no significant discrepancy between the differences of PA and tympanic temperatures in patients with or without use of ice pillows. In conclusion, the measurement of tympanic temperature may reflect core temperature more accurately than conventional methods. It is noninvasive, easy to use, and can effect rapid measurements (a few seconds). It can effectively reduce nursing time, so that its extensive application in clinical nursing is warranted.

並列關鍵字

body temperature ； pulmonary artery blood temperature ； infrared tympanic thermometer ； mercury-in-glass thermometer