红外耳温测与儿童的直肠温度测相比:一个系统的审查
Jean V Craig1, Gillian A Lancaster, Stephen Taylor
1University of Liverpool, Institute of Child Health, Alder Hey Children's Hospital, Liverpool L12 2AP, UK.
Lancet (London, England)
|September 21, 2002
概括
红外耳温度计可以提供快速的温度读数,但不能准确地估计儿童的直肠温度. 广泛的协议限制表明,耳朵温度测量对于精确的体温评估是不可靠的.
科学领域:
- 儿科 儿科 儿科
- 医疗器械 医疗器械
- 临床测热仪临床测热仪
背景情况:
- 红外耳温计是一种常见的,快速的方法,用于测量儿童的体温,由于易于访问.
- 与既有方法相比,人们对耳朵温度测量的准确性和可靠性存在担忧.
研究的目的:
- 在儿科患者群体中系统评估直肠和红外耳温测量之间的一致性.
- 为了确定红外耳温测能否提供核心体温的可靠近似值.
主要方法:
- 一项系统性审查和对44项研究的元分析,比较了5935名儿童的直肠 (参考) 和红外耳朵 (测试) 温度.
- 通过基于红外耳温度计模式的子组分析来探索异质性.
主要成果:
- 汇总的平均温度差异 (直肠减去耳朵) 是0.29°C, 95%的范围很大 (-0.74到1.32°C).
- 差异因耳朵温度计模式而异,但在所有组中都存在显著的异质性.
- 来自31个比较 (4441名儿童) 的数据被纳入了元分析.
结论:
- 尽管平均差异很小,但广泛的共识范围表明红外耳温计并不是儿童直肠温度测量的准确替代品.
- 这些发现表明,红外耳温计与准确的体温评估的参考方法缺乏足够的一致性.
相关概念视频
Equipments Used to Measure Body Temperature
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Temperature Measurement Sites
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Assessing Body Temperature - Tympanic membrane
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...


