物理降温后腋温、背部体温与鼻温间的对比研究

Comparison between axillary,back and endonasal temperature after Physical cooling

目的研究长期卧床发热患者冰敷物理降温后,腋温与背部体温及鼻温的差异。方法回顾分析2009年11月～2011年7月入住本院长期卧床腋温≥38.5℃的110例患者均行冰敷物理降温,冰敷后60分钟复测腋温、背部体温和鼻温。对比分析降温后患者腋温与鼻温、背温与鼻温及腋温与背温的差异。结果冰敷降温后各组患者鼻温与腋温、鼻温与背部体温差异有统计学意义(P<0.01),超高热组患者腋温与背部体温差异无统计学意义(P>0.05)。中热组和高热组腋温与背部体温对比有统计学意义(P<0.01)。结论长期卧床的发热患者冰敷物理降温后,以腋温复测时可能会造成体温偏低的误判。

Objective To observe differences among axillary, back and endonasal temperature before and after ice compress were per- formed for pyrexia patients lying in bed for a long period. Methods From November 2009 to July 2011, a total of 110 pyrexia patients ad- mitted in the hospital who were lying in bed for a long period were analyzed retrospectively. All patients whose axillary temperature were e- qual to or exceed 38.5℃ were cared with ice compress. The patients＇ axillary,back and endonasal temperature were measured once again in 60 minutes after ice compress were performed. The axillary, back and endonasal temperature values were analyzed after ice compress per- formed. Results There were significant differences （ P 〈 0.01 ） between endonasal and axillary, endonasal and back temperature. Neverthe- less, there were no significant differences （ P 〉 0.05 ） of axillary and back temperature after ice compress were performed in uhrahyperpyrexia patients. There were no significant differences between axillary and back temperature before ice compress was performed（ P 〉 0.05 ）in mod- erate -grade pyrexia and hyperpyrexia patients, however, there were significant differences after ice compress were performed（ P 〈 O. 05 ）. Conclusion Axillary temperature may be lower than patients＇ real temperature after ice compress were performed for those lying in bed for a long period of time.