主动脉夹层患者两侧腋温监测的临床研究  

Study on clinical significance of measuring aortic dissection patient,s bilateral axillary temperature

作　　者：张义辉[1] 何平[2] 贾平[1] 

机构地区：[1]四川省人民医院,四川成都610072 [2]四川省人民医院护士学校

出　　处：《护士进修杂志》2010年第7期645-646,共2页Journal of Nurses Training

摘　　要：目的探讨主动脉夹层患者两侧腋温的差异,为治疗和护理提供正确的依据。方法采用自身对照法,遵医嘱每小时一次对7例主动脉夹层患者两侧腋窝体温进行监测,比较两侧体温的差异。结果患者患侧腋温低于健侧腋温,两侧体温差异有显著意义(P<0.01),病情越重,两侧温差越大。结论为主动脉夹层患者监测腋温时,应两侧同时监测。健侧腋温更能准确反映主动脉夹层患者的体温,健患侧腋温差能间接准确反映患者动脉内膜破口的扩展进程。Objective To prove the temperature difference between patients＇ left axillary and right axillary and ob tain accurate axillary temperature in order to offer true evidence for treating and nuring. Method Applied a self-control study on 7 patients with aortic dissection were selected and their left axillary temperature and right axillary temperature were monitored every one hour until 48 hours. The axillary temperature of healthy side was used as reference group and the axillary temperature of suffering side was used as experimental group. The temperature differ ence between the two sides was compared. Result There was significant difference between the axillary temperature of the two groups（P〈0.05）. Conclusion The axillary temperature of healthy side was more exact than that of suffering side and the bilateral axiltary temperature should be measured for Aortic Dissection （AD） patients simultaneously.

关 键 词：主动脉夹层 腋温 监测 

分 类 号：R472[医药卫生—护理学]