红外耳温计的临床应用观察

Clinical Applying of Infra-red Ear Thermometer

为了解红外耳温计的临床应用情况 ,随机抽取普通组 10 0例 (口温 37.5℃以下 ) ,观察口温、腋温及耳温变化 ;再随机抽取发热组5 0例 (口温 37.5℃以上 ) ,对其早、中、晚耳温、口温进行比较。结果 :普通组耳温平均值均高于口温和腋温 ,符合体核温度高于体表温度的理论 ;发热组早、中、晚耳温均高于口温 ,但无统计学意义 (P >0 .0 5 )。提示 :耳温能进一步反映体核温度 ,测温时间短 ,特别适用于不合作、昏迷。

To understand the clinical use of infra-red ear thermometer, 100 afebrile cases (oral temperature less than 37.5℃)were selected randomly as afebrile group. Another 50 febrile cases (oral temperature higher than 37.5℃)were selected as febrile group. Oral, axillary, and auricular temperature were taken in the morning, at noon, and in the evening respectively. Results showed that among 100 afebrile cases, the average auricular temperature was higher than both oral and axillary temperature, which is consistent with the theory of body nucleus temperature higher than body surface temperature. In febrile group, auricular temperature was higher than oral temperature in the morning, at noon, and in the evening. But there was no statistical difference (P>0.05). Suggested that auricular temperature may reflect the body nucleus temperature, it spend shorter time to take, and it can also decrease the cross infection. It is particularly applicable to those uncooperative, with coma, restless, and post-surgical ICU patients.