老年人急性上消化道出血后危险性积分的应用  

The application of a risk scoring system after acute upper gastrointestinal hemorrhage in the elderly

作　　者：刘诗[1] 邹开芳[1] 侯晓华[1] 易粹琼[1] 

机构地区：[1]同济医科大学附属协和医院消化内科,武汉市430022

出　　处：《中华老年医学杂志》2000年第1期10-12,共3页Chinese Journal of Geriatrics

摘　　要：目的　探讨危险性积分系统在老年人急性上消化道出血中的应用价值。　方法　采用Rockall危险性积分系统回顾性分析我院 3 0 0例急性上消化道出血患者再出血和死亡的危险性。　结果　 1 4 0例老年患者总积分〔( 4.3± 1 .9)分〕稍大于 1 60例非老年患者〔( 2 .9± 2 .2 )分〕。老年患者再出血率 ( 2 5.0 % )和病死率 ( 2 2 .1 % )明显高于非老年患者 (分别为 1 4 .4 %和 1 1 .9% ,P<0 .0 5) ;两组再出血率和病死率随积分增高而增高。　结论　对老年急性上消化道出血患者采用此积分系统 ,有利于临床早期预测出血后危险性 ,以期指导临床治疗。Objective To evaluate the application of a risk scoring system in the elderly with acute upper gastrointestinal hemorrhage. Methods Using a numerical risk scoring system, 300 patients with acute upper gastrointestinal (GI) hemorrhage were reviewed for rebleeding and death. Results The overall score in 140 elderly patients (4 3±1 9) was slightly higher than that in 160 non elderly patients (2 9±2 2). The elderly patients had higher overall rebleeding rate (25 0%) and mortality rate (22 1%) than the rate in non elderly patients (14 4% and 11 9% respectively). The rebleeding and mortality rate increased as the risk score increased in the two groups. Conclusions The risk scoring system is applicable to predict early risk of rebleeding and mortality as well as guide clinical treatment in the elderly patients with upper GI hemorrhage.

关 键 词：危险性评估 上消化道出血 老年人 

分 类 号：R573.2[医药卫生—消化系统]