急性上消化道出血Rockall评分系统的应用及与预后的关系

目的]探讨急性上消化道出血（AUGIB）患者Rockatl危险性积分的应用及其与预后的关系。方法]114例于2011年2月至2013年2月间接诊的AUGIB患者进行Rockall危险性积分评分，并分为低危组（≤2分）、中危组（3～4分）和高危组（≥5分），比较住院期间及电话随访出院30天内各组患者输血、再出血和死亡事件发生率差异。结果]114例患者中，列入低危组29例（25．44％）、中危组45例（37．47％）、高危组40例（35．09％）；低危组、中危组、高危组输血率分别为3．45％、24．44％、42．50Yoo（组间比较X2=13．56，P〈0．01），再出血率分别为6．89％、15．56％、30．00％（组间比较X2=6．38，P〈O．05），病死率分别为0％、2．22％、15．00％（组间比较X2=25．67，P〈0．001），组间比较均差异有统计学意义。结论]Rockall危险性积分对AUGIB患者预后有较强预测价值，适合作为判断AUGIB预后和制定治疗措施的依据。

Application of Rockall scoring system and relationship with prognosis in patients with acute upper gastrointestinal bleeding

Objective]To explore the application of Rockall risk score and it＇s relationship with clinical prognosis in patients with acute upper gastrointestinal bleeding （AUGIB）. l-Methods]The total of 114 pa- tients with AUGIB admitted from February 2011 to February 2013 were accepted Rockall risk score, and divided into the low risk group （≤ 2 scores）,medium risk group （3-4 scores） and high risk group （≥ 5 scores）. The differences of rate of blood transfusion, rehaemorrhagia and death among the three groups at hospitalization and telephone follow-up within 30 days after discharge were compared. Results] Patients in low risk group was 25.44% （29 cases）, in medium risk group was 37. 47% （45 cases）, and in high risk group was 35.09% （40 cases）. The rate of blood transfusion（3. 45%,24.44% and 42. 50%, X2= 13.56, P 〈0.01） ,the rehaemorrhagia rate （6.89%,15.56%,30.00%,Z2 26.38,P〈0.05）and the mortality （0%, 2.22%, 15% ,x2= 25.67, P〈0. 001 ）among the three groups had significant difference. Conclusion]The Rockall risk score has a strong predictive value for the prognosis of patients with AUGIB, and it＇s suitable as a basis for judging the prognosis and treatment in patients with AUGIB.