与肺动脉温度相比,非侵入性温度计的准确性和精度:一个横截面研究
Rafael Lima Rodrigues de Carvalho1, Mariana Avendanha Victoriano2, Camila Claúdia Campos3
1Adjunct Professor, Nursing School, Universidade Federal da Bahia (UFBA), Salvador (BA), Brazil.
非侵入式温度计在重症监护病房 (ICU) 监测患者体温时具有可接受的准确性. 与肺动脉测量相比,耳膜和口腔方法是最可靠的准确温度读数.
科学领域:
- 关键护理医学 关键护理医学
- 生物医学工程 生物医学工程
- 临床测热仪临床测热仪
背景情况:
- 精确的温度监测在重症监护室 (ICU) 中至关重要.
- 侵入性核心温度测量方法带有重大风险.
- 为了患者的安全,需要可靠的非侵入性温度监测技术.
研究的目的:
- 评估四种非侵入性温度测量技术的准确性和精度.
- 将非侵入性方法与肺动脉温度 (黄金标准) 进行比较.
主要方法:
- 在ICU中进行重复测量的横截面临床研究.
- 从肺动脉,关,口腔,部和耳膜部位的同时记录温度.
- 布兰德-阿尔特曼分析用于评估测量之间的一致性.
主要成果:
- 所有四种非侵入性方法都显示出可接受的准确性和精度,与肺动脉温度相比,在0.5°C的值内.
- 耳膜 (-0.21°C,0.44°C) 和口腔 (-0.30°C,0.37°C) 方法显示出比和动脉方法更好的一致性.
- 口腔和耳膜测量在患有非正常热温度的患者中保持了准确性.
结论:
- 评估的非侵入性温度计适用于ICU的临床使用.
- 耳膜和口腔温度测量是肺动脉温度测量的最可靠的非侵入性替代方案.
- 这些发现支持使用特定的非侵入性方法来更安全地监测患者的体温.
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