AIMS65评分系统在急性非静脉曲张上消化道出血患者中应用  

The applications of AIMS65 scoring system in acute non-variceal upper gastrointestinal bleeding

作　　者：刘旭[1] 郭晓钟[1] 李宏宇[1] 邵晓冬[1] 刘涵 LIU Xu,GUO Xiao-zhong,LI Hong-yu,SHAO Xiao-dong,LIU Han(Department of Gastroenterology,The General Hospital of Shenyang Military Command,Shenyang 110016,Chin)

机构地区：[1]沈阳军区总医院消化内科,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2018年第3期132-134,共3页Trauma and Critical Care Medicine

摘　　要：目的评估AIMS65评分系统对急性非静脉曲张上消化道出血(ANVUGIB)患者的治疗、预后的预测准确度,探讨其临床应用价值。方法收集自2017年1月至2018年1月因急性非静脉曲张上消化道出血在沈阳军区总医院消化内科治疗的218例患者的临床资料。采用AIMS65评分系统进行评分、分组。比较高危组和低危组在输血情况、治愈好转率、病死率、重症监护天数、住院天数及住院费用等方面的差异。结果本研究纳入ANVUGIB患者218例,高危组123例,低危组95例。其中,高危组获得输血治疗54例(43.9%),显著高于低危组的12例(12.6%),差异有统计学意义(P<O.05)。高危组及低危组患者治愈好转率分别为95.9%(118/123)及97.9%(93/95),差异无统计学意义(P>0.05)。高危组及低危组患者病死率分别为3.3%(4/123)及1.1%(1/95),差异有统计学意义(P<0.05)。此外,高危组患者重症监护天数、住院天数、住院费用均显著高于低危组患者(P<0.05)。结论 AIMS65评分系统可较好的预测ANVUGIB患者输血治疗情况,对患者预后评估有指导意义,可进一步在临床工作中应用。Objective To investigate the value of AIMS65 scoring system to evaluate its accuracy in treatment and prognosis of acute non-variceal upper gastrointestinal bleeding（ ANVUGBS）. Methods A retrospective study was performed on 218 cases of patients with ANVUGBS who were admitted from January 2017 to January 2018. AIMS65 scoring system was adopted for grading and grouping.The differences between the high-risk group and the low-risk group in blood transfusion status,recovery rate,mortality,intensive care duration,length of stay and hospitalization expenses were compared between the two groups. Results The total 218 cases of ANVUGIB patients,123 cases in the high-risk group and 95 cases in the low-risk group. Among them,54 cases（ 43. 9%） of the high-risk group received blood transfusion therapy,significantly higher than 12 cases（ 12. 6%） of the low-risk group,and the difference was statistically significant（ P〈0. 05）. The curative rate of patients in the high-risk group and low-risk group was 95. 9%（ 118/123） and97. 9%（ 93/95）,respectively,and the difference was not statistically significant（ P〈0. 05）. The mortality rates of the high-risk group and the low-risk group were 3. 3%（ 4/123） and 1. 1%（ 1/95）,respectively,with statistically significant differences（ P〈0. 05）. In addition,the number of days of intensive care,hospitalization and hospitalization expenses of patients in the high-risk group were significantly higher than those in the low-risk group（ P〈0. 05）. Conclusion The AIMS65 scoring system can be used to predict the condition of blood transfusion and the prognosis in patients with ANVUGIB,which should be further applied in clinical work.

关 键 词：AIMS65评分系统 急性非静脉曲张上消化道出血 输血 预后 

分 类 号：R573.2[医药卫生—消化系统]