Rockall危险性积分对急性上消化道出血患者临床预后的预测价值

目的:探讨Rockall危险性积分对急性上消化道出血(AUGIH)患者临床预后的预测价值。方法:选择2012年1月至2014年1月我院收治的120例AUGIH患者,依据Rockall评分标准对患者相关临床资料进行收集,并计算其Rockall危险性积分评分,记录患者再出血率及死亡率。结果:120例AUGIH患者中,低危组39例(32.5%)、中危组72例(60.0%)、高危组9例(7.5%)。高危组患者再出血率及死亡率分别为33.3%和22.2%,均明显高于中危组16.7%和15.3%,比较差异具有统计学意义(P0.05)。结论:Rockall评分系统可作为AUGIH患者预后预测的重要指标,对急诊AUGIH预后的判断具有重要临床意义。

Value of Rockall Score in Prediction of Clinical Prognosis for Patients with Acute Upper Gastrointestinal Hemorrhage

Objective:To explore the value of rockall score in prediction of clinical prognosisfor patients with acute upper gastrointestinal hemorrhage (AUGIH).Methods:A total of 120 patients with AUGIH, admitted to the Fifth Affiliated Hospital of Xinjiang Medical University from January 2012 to January 2014, were selected. The clinical data of patients were collected according to the Rockall score standard, the Rockall risk scores of the patients were calculated,and the rebleeding and death rates of the patients were recorded .Results:Among the 120 patients with AUGIH, 39 cases (32.5%) belonged to low risk group, 72 cases (60%), medium risk group and 9 cases (7.5%), high risk group. The rebleeding(33.3%) and mortality(22.2%) in the high-risk group were, significantly higher than that(16.7%) and that(15.3%) in mediumrisk groups, with significant difference (P<0.05).Conclusion:Rockall scoring systemcan be used as an important index in the prediction of clinical prognosis for patients with AUGIH, which has a significant clinical significance for judging the prognosis of emergency AUGIH patients.