首页|Rockall与Blatchford评分系统对急性上消化道出血的评分效果比较研究

Rockall与Blatchford评分系统对急性上消化道出血的评分效果比较研究

扫码查看
目的分析比较Rockal 与Blatchford评分系统对急性上消化道出血的评分效果,探讨其临床适用性。方法选择2011年10月-2012年12月我院86例急性上消化道出血患者,分别采用Rockal 与Blatchford评分系统进行危险积分的评分,并进行危险级别的分组。观察在临床救助过程中实际的危险分类,与两种评分方法进行参照。结果 Blatchford危险性评分中2分以下的人数少于Rockal 评分组的人数,差异有统计学意义,其他积分情况两种评分方法无明显差异;Rockal 依照相关评分标准,将患者分为高危、中危、低危组,Blatchford评分系统将患者分为低危和中高危组,临床治疗中发现86例患者中,较为容易处理的患者为59例,而难处理的患者为27例,与Blatchford评分所进行的分组参考相当。结论 Blatchford危险性评分系统较适合临床救助分类方法,同时联合Rockal 评分方法可以很好地进行低危人群的划分,两者结合进行共同探讨,可指导临床实施较快的救助方案。
A comparative effectiveness research of Rockall and Blatchford scoring system for evaluating acute upper gastrointestinal bleeding
Objective To analyze Rockall and Blatchford scoring system for evaluating acute upper gastrointestinal bleeding score results. Methods 86 cases of patients with acute upper gastrointestinal bleeding were selected, respectively using Rockall and Blatchford risk score system scored and grouped the patients by risk scores. Also observed the actual classification in the clinical course of rescue with two kinds of scoring methods for reference. Results The number of groups of Blatchford risk score of 2 points or less fewer than the Rockall’s, the differences were statistically significant the other two kinds of risk score was no significant difference; Rockall score in accordance with the relevant criteria, patients were divided into high-risk, medium risk, low risk group, Blatchford scoring system were divided into low-risk and high-risk groups, 86 patients in the clinical treatment were relatively easy to deal with 59 cases, and with 27 patients were refractory, and was similar with Blatchford score. Conclusions Blatchford risk scoring system is more suitable for clinical classification methods, and combined with Rockall scoring method can be good for low-risk population division.

Rockall scoreBlatchford scoreAcute upper gastrointestinal bleeding

马松炎、徐永辉、曹辉琼、刘旭华

展开 >

516002 广东省惠州市第三人民医院消化内科

Rockal评分 Blatchford评分 急性上消化道出血

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(12)
  • 13
  • 3