临床新生儿体温背部测量方法可行性探究.docVIP

临床新生儿体温背部测量方法可行性探究【摘要】目的 探讨新生儿体温背部测量法的科学性及开行性。方法 分别对100例新生儿体温进行7,10,30min的腋窝、颌下、背部3种测量,与同时进行的3min肛门测量的体温值进行对照比较。结果 新生儿体温背部测量法与其他部位测量法相同时间内所测体温值差异无统计学意义,P0.05。背部测量法7,10,30min与肛门测量法(3min)所得的体温值比较,均P0.05,差异无统计学意义。使用辐射抢救台和暖箱保温的患儿背部测量体温7,10min与肛门测量法所得的体温值比较均P0.05,差异无统计学意义。而30min的腋窝测量法和颌下测量法与肛门测量法所得的体温值比较则P0.05,差异无统计学意义。结论 新生儿体温背部测量法可以与腋窝测量法、颌下测量法一样应用于护理量较大的临床新生儿科,背部测量法能较准确获得新生儿的真实体温,不受辐射抢救台和暖箱使用的影响,既可以避免患儿受凉,又可减轻护士工作量,值得临床应用和推广。 【关键词】新生儿 体温 背部测量法 探测时间 中图分类号:R473.72 文献标识号:A文章编号:1005-0515(2010)09-023-02 【Abstract】Objective The study aimed to discuss the scientific property and feasibility of back measurement of neonates temperature.Methods Three measurement methods(axillary,under the jaw and the back)were adopted to measure the temoerature for 100 neonates for 7,10 and 30 minutes.The tempera-ture measured by rectum for 3 minutes was set as the control.Results Temperature by back measure-ment was not different from that measured by other methods in the same time period,P0.05.Temperature by back measurement for 7,10 and 30 minutes was not different from that measured by rectum for 3 minutes,P0.05.Temperature by back measurement for 7,10 minutes for neonates using radiation rescue plat form and warm case was not defferent from that measured by rectum,P0.05 Temperature measured by axillary and under the jaw for 30 minutes was different from that measued by recturm,P0.05.Conclusions Back measurement of temperature as well as by axillary and the jaw could be used in pediatric department .It could accurately obtain the real temperature of neonates and was not influenced by radiation rescue platform and warm case.Besides ,it reduced the workload of nurses and was safe,effective,simple,practical and worth applying widely in clinic. 【Key words】Neonate;Temperature;Back measurement;Detection 在新生儿科护理工作中,临床上新生儿测量体温的常见部位有肛门、腋窝、颌下、背部。而实际工作中由于颌下、背部体温测量方便、安全,此2种方法运用越来越多。作者采用肛门测量法、腋窝测量法、颌下测量法、背部测量法分别对7,10,30min的体温值进行新生儿自身对照研究,旨在为新生儿体温背部测量法的可行性及测量时间提供科学依据,现报道如下. 资料与方法 1、一