对手术期间患者的不同体温测量方法的评估
Ariane Souza do Nascimento1,2, Cassiane de Santana Lemos3, Fernanda Baratojo Biachi4
1Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
周围红外时间温度计在手术期间测量患者体温是不可靠的. 中央皮肤和食道/鼻温度计是相当的,并推用于检测手术期间的低温.
科学领域:
- 麻醉学 麻醉学
- 手术患者监测手术患者监测
- 医疗温度计测量 医学温度计
背景情况:
- 准确的手术期间温度监测对于患者的安全至关重要.
- 有各种不同的温度计方法,但它们在手术期间的可靠性各不相同.
- 外围红外时间温度计越来越多地使用,需要与中央方法进行验证.
研究的目的:
- 为了比较外围红外时间温度计与中心皮肤和食道/鼻温度计的可靠性.
- 评估这些方法的准确性,以检测手术患者的手术内低温症.
主要方法:
- 一项纵向研究涉及99名接受选择性腹部癌症手术的成年患者.
- 使用外围红外时温度计,中央皮肤温度计和食道/鼻温度计进行了重复的温度测量.
- 计算了类内相关系数以评估测量一致性.
主要成果:
- 在外围时和中心皮肤温度计之间发现了较低的相关性 (ICC=0.0324).
- 周围时温度计显示与食道/鼻温度计的负相关性 (ICC=-0.138).
- 在中央皮肤和食道/鼻温度计之间观察到很高的相关性 (ICC=0.744).
结论:
- 对于手术期间的温度监测,不建议使用外围红外时间温度计.
- 中央皮肤温度计和食道/鼻温度计对于检测手术内低温是相当的.
- 中心温度计方法在手术过程中提供可靠的温度评估.
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