在怀孕32周以下的早产婴儿中,直肠和腹入口温度,前性研究
Shaimaa Halabi1,2, Rana Almuqati1, Amenah Al Essa1
1Neonatal Intensive Care Department, King Abdulaziz Medical City-Riyadh, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Frontiers in pediatrics
|July 22, 2024
概括
在早产婴儿中,直肠温度测量比股温度更准确,特别是那些低温的婴儿. 虽然相关,但下阅读显示出显著的变异性,使直肠测量对于新生儿重症监护室 (NICU) 的有效热调节至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科热调节 儿科热调节
- 临床测量精度 临床测量精度
背景情况:
- 准确的核心体温监测对于早产婴儿至关重要,特别是在新生儿重症监护室 (NICU).
- 之前的研究表明,根据测量地点,温度读数的变化,需要进一步调查脆弱的早产人口.
研究的目的:
- 评估和比较早产婴儿 (<32周怀孕) 在新生儿重症监护室 (NICU) 入院时的直肠和腹温度测量的准确性.
- 通过使用数字温度计来确定直肠和腹温度读数之间的相关性和一致性.
主要方法:
- 一项前性,观察性,单中心研究,涉及80名早产婴儿 (<32周怀孕).
- 同时使用数字温度计进行了直肠和腹温度测量.
- 统计分析包括皮尔森相关系数 (R) 和布兰德-阿尔特曼方法,以评估两个测量地点之间的关系和一致性.
主要成果:
- 在直肠和关温度 (p<0.001) 之间发现了强烈的正相关性 (R=0.915).
- 平均直肠温度 (36.6°C) 显著高于平均关温度 (36.4°C) (p=0.012).
- 布兰德-阿尔特曼分析显示,平均差异很小 (0.1°C),但一致度极大 (-0.7°C至+0.6°C),表明显著的变化,特别是在低温婴儿中.
结论:
- 尽管存在很强的相关性,但广泛的共识界限突出显示了早产婴儿的直肠和关温度之间的显著变化.
- 结肠直肠温度测量显示出更高的准确性,并推用于评估低温早产婴儿的核心体温.
- 使用直肠测量进行准确的热评估对于新生儿重症监护室 (NICU) 设置的有效管理和改善临床结果至关重要.
相关概念视频
01:14Temperature Measurement Sites
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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...
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01:27Assessing Body Temperature - Rectal
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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:
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Step 2: Position the patient in a side-lying position to better visualize the rectal...
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01:14Assessing Body Temperature - Axilla
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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
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01:19Assessing Body Temperature - Temporal Artery
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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...
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...
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01:14Assessing Body Temperature - Oral
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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...
736
01:14Assessing Body Temperature - Tympanic membrane
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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...
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