ROCKALL评分在判断上消化道出血预后中的意义  

Significance of Rockall score in judging prognosis of upper gastrointestinal bleeding

作　　者：孙娟[1] 

机构地区：[1]蚌埠医学院第二附属医院消化内科,安徽蚌埠233040

出　　处：《淮海医药》2013年第6期486-487,共2页Journal of Huaihai Medicine

摘　　要：目的评价ROCKALL评分在判断上消化道出血预后中的价值。方法对我院收治的118例急性上消化道出血患者进行回顾性分析,获取Rockall评分,评价Rockall危险性评分在判断急性上消化道出血预后的价值和意义。结果低危组无死亡;中危组有1例死亡;高危组有8例死亡。高危组的病死率为47.05%,与低危组相比较,差异具有统计学意义(χ2=58.85,P<0.01)。高度危险组的病死率显著高于中度危险组,差异具有统计学意义(χ2=52.33,P<0.01)。结论临床Rockall积分系统能够较好的对患者预后进行分级,并能很好地筛选出高危险度患者。Rockall危险性积分的高低可作为急性上消化道出血的危险性评估指标,对急性上消化出血患者的预后具有良好的预示及筛选作用。Objective To evaluate Rockall score value in judging prognosis of upper gastrointestinal bleeding. Methods 118 cases of patients with acute upper gastrointestinal bleeding in our hospital were retrospectively analyzed. Their Rockall scores were collected and evaluated so as to judge the risk value and significance in prognosis of the disease. Results No death occurred in the low-risk group. One death was reported in the moderate group and 8 in the high risk group. Case fatality rate in the high-risk group was 47.05 %. Compared with the low risk group, the difference had statistical significance （ x^2 val- ue：58.85 ,P 〈 0. 01 ）. Case fatality rate in the high-risk group was significantly higher than the moderate risk group. The difference was of statistical significance （ x^2 value ：52.33 ,P 〈 0. 01 ）. Conclusion Clinical Rockall score system can better rank the prognosis of patients and can filter out those with high risk. Rockall scores can serve as prognosis indicators for high and low risk assessment for acute upper gastrointestinal bleeding.

关 键 词：上消化道 出血 预后 Rockall危险性评分 

分 类 号：R573.2[医药卫生—消化系统]