围术期鼻温与口腔温度监测的对比分析

目的比较围术期口腔温度和鼻咽温度的差异。方法收集2016年6-7月收治的手术患者，手术时间≤90min，共40例，同时监测术前及手术开始后15min、30min、45min和60min的口腔温度和鼻咽温度。结果术前及手术开始后15min、30min、45min和60min的口腔温度分别为（36．60±0．41）℃、（3656±0．40）℃、（36．44±0．38）℃、（36．26±0．39）℃、（36．32±0．40）℃，术前及手术开始后15min、30min、45min和60min的鼻咽温度分别为（36．62±0．45）℃、（3654±0．44）℃、（36．50±0．42）℃、（36．34±0．41）℃、（3636±0．42）℃，围术期口腔温度与鼻咽温度差异无统计学意义（P〉0．05）。结论围术期监测口腔温度可代替鼻咽温度的监测，同时避免探头损伤鼻黏膜造成鼻出血的风险，可安全用于围术期体温监测。

Objective To evaluate the difference between oral temperature and nasopharynx temperature during operation. Methods A total of 40 patients in our hospital were isolated from June 2016 to July 2016, the operation dme was not more than 90 minutes, at the time of before incision, 15 min, 30min, 45min and 60min after operation time, oral temperature and nasopharynx temperature were measured. Results At the time of before incision, 15 min, 30min, 45min and 60min after operation time, oral temperatures were （ 36.60 ±0.41 ） ℃, （ 36.56 ± 0.40 ） ℃, （36.44±0.38） ℃, （36.26±0.39） ℃ and （36.32±0.40） ℃, nasopharynx temperatures were （36.62±0.45） ℃, （36.54±0.44） ℃, （ 36.50 ±0.42 ） ℃, （ 36.34 ± 0.41 ） ℃ and （ 36.36 ± 0.42 ）℃.There was no significant differences between oral temperature and nasopharynx temperature. Conclusion Oral temperature can replace nasopharyngeal temperature and avoid the risk of nasal bleeding due to the injury of nasal mucosa, so it is safe for perioperative temperature monitoring.