| 尤伟,范小羽.膀胱温在重症监护室的应用优势研究分析[J].上海护理,2021,21(2): |
| 膀胱温在重症监护室的应用优势研究分析 |
| Analysis of the advantages of bladder temperature in intensive care unit |
| DOI： |
| 中文关键词: 重症监护 血液温度 膀胱温度 腋温 亚低温治疗 护理 |
| 英文关键词:Intensive care Blood temperature Bladder temperature Axillary temperature Sublow temperature therapy,Care |
| 基金项目:自贡市科学技术和知识产权局 |
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| 中文摘要: |
| 目的 比较急危重症患者膀胱温度、腋温与血液温度之间的相关性，寻找一种经济、适合临床推广适用的急危重症患者体温监测方法。方法 对2017年12月-2019年12月就诊于我院EICU的30例行PICCO2监测的急危重症患者，采用同期自身对照方法，使用测温导尿管测量膀胱温度，水银温度计测量腋温，分别与PICCO2测得的血液温度做对比，比较三种测量结果间的差异性和相关性；另外选取参与本次实验的患者中，若有测得血液温度低于35℃的情况时，则收集相关患者此时间段的三种体温值进行分析，对比三种测温方式结果。结果:腋温在35-42℃与膀胱温度、血液温度差值无统计学意义（P>0.05），30位患者的腋温中位数为37.1（36.5,37.8），膀胱温度中位数37.2（36.5，37.8），血液温度中位数37.2（36.5，37.8），参与本次实验的患者中，有16位患者出现血液温度低于35℃的情况，当患者体温低于35℃时，三种体温值间存在差异，且差异有统计学意义（P<0.01），16位患者的腋温中位数为35.1（35.0,35.5），膀胱温度中位数34.3（33.9，34.6），血液温度中位数34.3（33.8，34.6）。结论：三种测温方式总体差异性较小，而当体温值在35℃以下时，或当患者在亚低温治疗时，膀胱温度与血液温度相关性更好，此时重症监护室选择测量膀胱温度来代替腋温和血液温度是一种可行的、有效的方式。 |
| 英文摘要: |
| Objective to compare the correlation between bladder temperature, axillary temperature and blood temperature in critically ill patients, and to find an economical and suitable method for monitoring the body temperature of critically ill patients. Methods from December 2017 to December 2019, 30 patients with acute and critical illness monitored by PICCO2 in our hospital were treated with PICCO2. Bladder temperature and axillary temperature were measured by temperature catheter and mercury thermometer, respectively, and the differences and correlation among the three measurements were compared with those measured by PICCO2. In addition, if there were patients participating in this experiment, if there were any patients involved in the experiment, the differences and correlation among the three measurement results were compared. When the blood temperature was lower than 35 ℃, the three body temperature values of the related patients were collected and analyzed, and the results of the three temperature measurement methods were compared. Results: there was no significant difference between axillary temperature and bladder temperature and blood temperature (P > 0.05). The median axillary temperature, bladder temperature and blood temperature were 37.1 (36.5, 37.8), 37.2 (36.5, 37.8) and 37.2 (36.5, 37.8) respectively. Among the patients involved in this experiment, 16 patients had blood temperature below 35 ℃. At 35 ℃, there were significant differences among the three body temperature values (P < 0.01). The median axillary temperature, bladder temperature and blood temperature were 35.1 (35.0, 35.5), 34.3 (33.9, 34.6) and 34.3 (33.8, 34.6) respectively. Conclusion: the overall difference of the three methods of temperature measurement is small, but when the body temperature is below 35 ℃, or when the patient is treated with mild hypothermia, the correlation between bladder temperature and blood temperature is better. It is feasible and effective for intensive care unit to choose to measure bladder temperature instead of axillary temperature and blood temperature. |
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