大手术后无线连续下和核心温度测量的比较
Anders Blom Nathansen1, Jesper Mølgaard1, Christian Sylvest Meyhoff2,3
1Department of Anesthesiology, Center for Cancer and Organ Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2200 Copenhagen, Denmark.
连续的关温度监测显示了与核心温度相比的偏差,特别是当手臂被绑架时. 这项研究验证了其在术后患者中的使用,为未来的监测系统设计提供了信息.
科学领域:
- 医疗器械 医疗器械
- 临床监测 临床监测
- 术后护理 术后护理
背景情况:
- 温度是检测诸如感染之类的并发症的关键重要标志.
- 连续无线关温度监测是可行的,但缺乏临床验证.
研究的目的:
- 根据黄金标准,临床验证连续的下体温监测.
- 评估术后患者下腔温度测量的准确性和可靠性.
主要方法:
- 在40名主要腹部术后患者的下温度与尿囊温度的比较.
- 监测温度50分钟,收集间歇性额头和 tympanic 读数.
- 分析了关温度的变化和测量地点之间的平均偏差.
主要成果:
- 与膀温度相比,5分钟后的轴心温度平均偏差为-1.0°C,20分钟后的平均偏差为-0.6°C.
- 上臂绑架导致关温度大幅下降 (-1.6°C).
- 与中心或膀温度相比,时间和鼓膜温度显示出最小的偏差.
结论:
- 轴心温度监测显示了与核心温度相对的时间依赖偏差.
- 臂部运动显著影响关温度读数,需要校正因子.
- 这些发现支持使用和设计纠正的连续关温度监测系统.
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