红外耳温计测量老年人体温准确性的Meta分析  

Meta-analysis on accuracy of infrared ear thermometer in measuring the temperature of the elderly

作　　者：赵丽群[1,2] 李映兰[1] ZHAO Li-qun;LI Ying-lan(Xiangya Nursing School,Central South University,Changsha 410013,China;Human Resources Department,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅护理学院,湖南长沙410013 [2]中南大学湘雅医院人力资源部,湖南长沙410008

出　　处：《中国感染控制杂志》2020年第10期926-931,共6页Chinese Journal of Infection Control

摘　　要：目的系统评价红外耳温计测量老年人体温的准确性。方法计算机检索PubMed、Cochrane图书馆、Embase、中国期刊全文数据库(CNKI)、维普中文科技期刊数据库以及万方数据库中1988-2019年关于红外耳温计测量老年人体温准确性的文献,正在进行的研究通过ClinicalTrials.gov进行搜索。严格按照纳入和排除标准筛选文献,提取资料,评价纳入研究的偏倚风险,使用Stata12.0软件进行统计分析。结果最终纳入8篇文献,其中3篇有体温正常组和发热组患者体温均数和标准差,1篇有发热组耳温与腋温数据的比较,4篇仅有正常组耳温与腋温数据的比较;5篇文献比较了左耳与右耳耳温的数据。Meta分析结果显示,耳温与腋温比较,体温正常组、发热组差异均无统计学意义(均P>0.05);左耳与右耳耳温比较,差异无统计学意义(P>0.05)。结论红外耳温计准确性良好,可作为确定老年人初始温度的最佳筛选工具。Objective To systematically evaluate the accuracy of infrared ear thermometer in measuring the temperature of the elderly.Methods Literatures about the accuracy of infrared ear thermometer in measuring temperature of the elderly from 1988 to 2019 were retrieved from PubMed,Cochrane Library,Embase,China National Knowledge Infrastructure(CNKI),VIP Database and Wanfang Database,ngoing studies were searched through ClinicalTrials.gov.Literatures were screened according to the strict inclusion and exclusion criteria,data were extracted,bias risk of included literatures was evaluated,Stata12.0 software was adopted to perform analysis.Results Eight literatures were included in analysis,including 3 literatures which had the mean and standard deviation of temperature in patients in normal temperature group and fever group,1 literature compared data about ear temperature and axillary temperature in fever group,4 literatures only compared data about ear temperature and axillary temperature in normal group;5 literatures compared the data of left ear and right ear temperature.Meta-analysis showed that there was no significant difference in ear temperature and axillary temperature in both normal temperature group and fever group(both P>0.05);there was no significant difference between left ear temperature and right ear temperature(P>0.05).Conclusion The accuracy of infrared ear thermometer is good,and it can be used as the best screening tool to determine the initial temperature of the elderly.

关 键 词：红外耳温计 老年人体温 准确性 META分析 

分 类 号：R47[医药卫生—护理学]