使用持续温度监测早期检测术后感染:一项前性临床试验
Lars Schäfer1, Franziska Dickel2, Karl Strohmayer3
1Department of Surgery, Medical University of Graz, Graz, Styria, Austria. larschaefr@web.de.
Journal of clinical monitoring and computing
|December 5, 2025
概括
与间歇性红外温度计相比,使用可穿戴贴片的持续温度监测显著改善了手术患者的发烧检测,使得早期的感染诊断和干预成为可能.
科学领域:
- 医疗器械 医疗器械
- 传染病监测 传染病监测 传染病
- 术后护理 术后护理
背景情况:
- 手术后感染对手术患者构成重大风险.
- 早期发现发烧对于及时干预和改善结果至关重要.
- 传统的间歇温度计方法在检测微妙的温度变化方面可能存在局限性.
研究的目的:
- 为了比较使用可穿戴贴片的连续关温度监测与间歇性红外温度计用于早期检测术后感染的有效性.
- 评估持续监测对临床干预和患者结果的影响.
主要方法:
- 一项前性单中心研究,涉及103名手术患者,在11个月内进行监测.
- 使用SteadyTemp®贴片连续监测关温度,与常规红外温度计进行了比较.
- 主要结果:发烧检测率 (≥38.0°C);次要结果:与实验室值和临床干预措施的相关性.
主要成果:
- 连续监测检测到93.9%的病例发烧,而红外温度计检测到只有36.4%.
- 该贴片在15/16名需要调整抗生素治疗的患者中发现了发烧,而在7/16名红外温度计患者中发现了发烧.
- 持续监测检测出所有5名因疑似感染而接受手术干预的患者发烧,而使用红外温度计的2/5患者发烧.
结论:
- 与间歇性红外温度计相比,使用可穿戴贴片的连续部温度监测提供了优越的发烧检测.
- 这种增强的检测有助于更早地识别发烧事件,及时对手术患者进行临床干预.
- 持续监测显示,有望改善术后感染监测和患者管理.
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