红外耳温计在内儿科使用价值与细节探讨

Study on the Application Value and Details of Infrared Thermometer in Pediatric Department of Lnternal Medicine

目的探讨红外耳温计在内儿科使用价值与细节。方法收集2012年6月-2014年6月内儿科患者220例,能采用传统水银温度计测定腋温、口腔温、直肠温的同时采用红外线耳温计测定鼓膜温度。每组根据口腔温再分为高热以及超高热组、中等热组、低热组、正常温组。结果通过对研究对象的耳温、腋温、口腔温、直肠温分析,发现4种测温结果差异具有统计学意义(P<0.05)。但直肠温与口温、腋温、耳温结果仍高度相关(相关系数分别为0.998,0.996和0.989)。进一步比较发现,在高热以及超高热组、中等热组、低热组、正常温组四个组别里,中等热组、低热组的耳温与口腔温度无明显相关性(相关系数分别为0.552和0.627)。结论红外耳温计可替代水银温度计在内儿科中测量体温,虽然会更安全更省时,但仍需改进。

Objective To explore the application value and details of infrared thermometer in pediatric department of internal medicine. Methods A total of 220 patients who were admitted in our hospital from June 2012 to June 2014 were involved. The aural temperature of each child was measured using ear thermometers and the results were compared to their corresponding oral, axillary and rectal temperatures taken with conventional mercury in glass thermometer. Results The aural, oral, axillary and rectal temperatures showed significant differences （P〈0.05）. There was significant correlation between rectal temperatures and oral, axillary and aural temperatures（the correlation coefficients were 0.998,0.996 and 0.989, respectively）. Further comparision found that there was no significant correlation between aural and oral temperatures in the group of mild or moderate fever group（the correlation coefficients were 0.552 and 0.627, respectively）. Conclusion As a more efficient and secure clinical method for temperature measurement, ear thermometers can replace mercury thermometers, but it still need to be improved in further clinical pratice.