新生儿体温背部测量方法的可行性研究

Stuty on Feasibility of Back Temterature of Neonate

目的:探讨新生儿背部测量方法的可行性和科学性。方法:分别对120例新生儿体温进行7、10分钟的腋窝、颌下、背部、腹部4种测量,与同时进行的3分钟肛门测量的体温值进行对照比较。结果:新生儿体温背部测量法与其他部位测量法相同时间内所测体温值差异无统计学意义,P>0.05。背部测量法7、10与肛门测量法(3分钟)所得的体温值比较,均P>0.05,差异无统计学意义。使用辐射抢救台和暖箱保温的患儿背部测量体温7、10分钟与肛门测量法所得的体温值比较均P>0.05,差异无统计学意义。结论:新生儿体温背部测量法可以与腋窝测量法、颌下测量法、腹部测量法一样应用于护理量较大的临床新生儿科,背部测量法能较准确获得新生儿的真实体温,不受辐射抢救台和暖箱使用的影响,既可以避免患儿受凉,又可减轻护士工作量,安全有效,方便实用,值得临床应用和推广。

Objective： To discuss the scientific property and feasibility of back measurement of neonates temperature. Methods： Four measurement methods（axillary, under the jaw, the back and abdominal）were adopted to measure the temoerature for 120 neonates for 7, 10 minutes. The tempera-ture measured by rectum for 3 minutes was set as the contrOl. Results ： Temperature by back measure-merit was not different from that measured by other methods in the same time period, P〉0.05. Temperature by back measurement for 7, 10 and 30 minutes was not different from that measured by rectum for 3 minutes, P〉0.05. Temperature by back measurement for 7, 10 minutes for neonates using radiation rescue plat form and warm case was not defferent from that measured by rectum, P〉0.05 Temperature measured by axillary and under the jaw for. Conclusion： Back measurement of temperature as well as by axillary and the jaw could be used in pediatric department and could accurately obtain the real temperature of neonates and was not influenced by radiation rescue platform and warm case. Besides, it could reduce the workload of nurses and wassafe, effective, simple, practical and worthapplyingwidelyinclinic.