The Clinical Research Of Temperature Measurement On Different Parts Of Patients In Cardiac Surgical Intensive Care Unit

ObjectiveThrough the research temperature of neck, axillary, scapular, back of chest, waist and the rectal, compare the temperature of the different parts and time of patients in Cardiac Surgical Intensive Care Unit, compare the temperature of the different parts of patients with the rectal temperature in cardiac surgical intensive care unit, compare the correlation of temperature of the different parts with the rectal temperature of patients, and explore the best measurement. Choose the accurate and convenient methods, in different situation, to improve the temperature measurement and eliminate the influence of the temperature measurement for cardiac and circulation.Method1. In110patients, ages newborn to age1,33, measuring neck temperature, axillary temperature, scapular temperature, back of chest temperature, waist temperature and the rectal temperature;1to75years,77cases, measuring axillary temperature, scapular of back temperature, waist temperature and the rectal temperature. Required parts of the measuring temperature, measuring lmin and3min temperature in the rectal, each of the remaining parts of body temperature measurement of5min and lOmin. To cooling patients, we should measure patient’s body temperature after30min and60min.2. All data using SPSS13.0software package for statistical analysis, data description using x±s, measurement data were compared different part using two samples t test, the same part comparison using paired sample t test, with a=0.05for the test, P<0.05for the difference is statistically significant, P<0.01for the difference is important statistically significant. The site measurement results and rectal temperature related compared with Pearson correlation analysis.Results1. The measurement results in the neck, axillary, scapular and waist between5min and10min indicates an important statistical signification (P<0.01).The measurement results in the neck between5min and10min indicates an important statistical signification (P<0.01). There was no statistically signification between the lmin measurement and3min measurement in the rectal (P>0.05).2. Comparison of neck body temperature measurement results of10min and the rectal temperature measurement results of5min, the difference was statistically significant (P<0.01). Comparison of axillary, scapular, waist, back of chest temperature and the rectal temperature, their results are significantly different(P>0.05).3. On14days-1year old patients, comparison of neck temperature, axillary temperature, scapular temperature, back of chest temperature and back of waist temperature and the rectal temperature, correlation coefficients are0.934.0.853.0.742.0.658.0.646; children over the age of1and adult, comparison of axillary temperature, scapular temperature, back of chest temperature and back of waist temperature and the rectal temperature, correlation coefficients are0.666.0.751.0.837.0.755.4. On the implementation of cooling in patients after cooling, there was important statistically signification between measurement results of30min and60min’(P>0.05). Conclusion1. Neck, axillary, scapular, back of chest, waist and the rectal is commonly used to measure body temperature position in Cardiac Surgical Intensive Care Unit, the measurement results are significantly different from the rectal temperature. For neck, axillary, scapular, back of chest and waist these measurement parts, suitable time is10min; and rectal temperature measurement time1min as appropriate.2. Neck, axillary, scapular, back of chest, waist and the rectal is commonly used to measure body temperature position in Cardiac Surgical Intensive Care Unit, the measurement results are significantly different from the rectal temperature.3. On14days-1year old infants and young children, the best temperature measurement site is the neck. On children over the age of1and adult, optimum temperature site should be chest of back site.4. On the implementation of cooling in patients after cooling,30min and60min temperature are significantly different, patients’temperature should be measured again at the end of cooling60min.5. On patients of early return to ICU, poor heart function, peripheral circulation cool patients and rewarming of patient is not good, each part of body temperature is difference from the rectal temperature. The rectal temperature close to the center temperature, the rectal temperature should be measured about these patients.