嬰兒肛溫與耳溫的比較
余俊賢 林麗娟1 許郁文2
台北市立婦幼綜合醫院小兒科 護理科2 輔英醫學技術學院護理系1

摘要
目的︰為了評估在三個月以下的嬰兒,由紅外線耳溫計測量的耳溫與由水銀溫度計測量的肛溫之間的相關性。病人與方法︰我們使用兩種不同廠牌的紅外線耳溫計( Diatek 9000, Diatek Inc.CA. USA;及Thermoscope 2001, Biotek Inc. Taiwan ) 連續測量195個年齡介於一天至三個月大的嬰兒 ( 94個男嬰、101個女嬰;平均年齡21.9±23.0天 ) 的右耳的耳溫,與同時測量的肛溫作比較。結果︰我們發現Diatek 9000測量的耳溫平均比肛溫高出0.3℃,而Thermoscope 2001測量的耳溫則平均比肛溫低0.4℃;不同廠牌的耳溫計測量的耳溫平均可以差到0.7℃;這些測量上的差距均已達到統計學上有意義的差異。結論︰在三個月以下的嬰兒,由紅外線耳溫計所測得的耳溫與肛溫之間的差異仍大,因此這個年齡層的體溫測量仍以肛溫為宜。如果使用紅外線耳溫計,則應該配合臨床狀況,謹慎的判讀測量的結果。(慈濟醫學2001; 13:81-85)

關鍵語:嬰兒,紅外線耳溫計,肛溫
收文日期:89年5月19日,修改日期:89年7月10日,接受日期:90年5月10日
抽印本索取及聯絡地址:台北市福州街12號 台北市立婦幼綜合醫院小兒科 余俊賢醫師
 


回目錄

 

A Comparison of Aural and Rectal Temperature Measurements in Young Infants
Chun-Hsien Yu, Li-Chuan Lin1, Yu-Wen Shi2
Department of Pediatrics, Department of Nursing2, Taipei Municipal Women and Children Hospital, Taipei, Taiwan; Department of Nursing1, Foo Yin Institute of Technology, Kaohsiung, Taiwan

ABSTRACT
Objective: To evaluate the agreement between rectal temperature and aural temperature obtained by two brands of infrared tympanic thermometers in young infants. Patients and Methods: The rectal and aural temperatures were measured in 195 infants (mean age 21.9 days old, range 1 day to 3 months). The rectal temperatures were measured with a rectal mercury-glass thermometer, while the aural temperatures were obtained from the right ears using infrared tympanic thermometers (Diatek 9000, Diatek Inc. CA. USA; and Thermoscope 2001, Biotek Inc. Taiwan). Results: The mean differences between rectal and aural temperature measurements and between different-brand measurements were all statistically significant (Diatek 9000 vs rectal, mean difference = 0.30℃±.40℃, 95% CI: 0.23℃ ~ 0.34℃, p < 0.001; Thermoscope 2001 vs rectal, mean difference = -0.40℃± 0.30℃, 95% CI: -0.43℃ ~ - 0.34℃, p < 0.001; Diatek 9000 vs Thermoscope 2001, mean difference = 0.70℃± 0.40℃, 95% CI: 0.61℃ ~ 0.72℃, p < 0.001). Conclusions: The agreement between the rectal and aural temperatures using infrared tympanic thermometers in young infants is not clinically acceptable. When managing a young infant with suspicion of infection, using the rectal temperature is better. Otherwise one should interpret the aural temperature obtained by infrared tympanic thermometers carefully and keep alert to the clinical condition. (Tzu Chi Med J 2001; 13:81-85)

Key words: rectal temperature, infrared tympanic thermometer, infancy

Received: May 19, 2000, Revised: July 10, 2000, Accepted: May 10, 2001
Address reprint requests and correspondence to: Dr. Chun-Hsien Yu, Department of Pediatrics, Taipei Municipal Women and Children Hospital, 12, Fu Chou Street, Taipei, Taiwan
 


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