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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(P<0.05)。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。
Objective: To investigate the predictive value of Rockall risk score in clinical prognosis of patients with acute upper gastrointestinal hemorrhage (AUGIH). Methods: A total of 120 AUGIH patients admitted to our hospital from January 2012 to January 2014 were selected. Relevant clinical data were collected according to Rockall score. The Rockall risk score was calculated and the rate of rebleeding and mortality were recorded . Results: Among 120 patients with AUGIH, 39 (32.5%) were in the low risk group, 72 (60.0%) in the intermediate risk group and 9 (7.5%) in the high risk group. The rates of rebleeding and mortality in high-risk group were 33.3% and 22.2%, respectively, which were significantly higher than those in middle-risk group (16.7% and 15.3%, respectively). The difference was statistically significant (P <0.05). Conclusion: The Rockall scoring system can be used as an important prognostic indicator in AUGIH patients, and has an important clinical significance in judging the prognosis of AUGIH patients.