AIMS65评分系统对上消化道出血评估作用的临床价值研究

摘要
图/表
参考文献(15)
相关文章 (2)

全文: PDF (0 KB) HTML (37 KB)
输出: BibTeX | EndNote (RIS)

摘要目的通过回顾性分析AIMS65评分系统对上消化道出血死亡率、输血率、再出血率的评估作用，探讨其临床应用价值。方法收集我院2011年1月～2015年12月上消化道出血病例567例，用AIMS65系统评分，按分值（0～5分），分为6组，比较各组间死亡率、输血率、再出血率；应用受试者工作曲线（ROC）曲线，计算曲线下面积（AUC），探讨该评分系统对预测上消化道出血的死亡、输血、再出血情况的评估作用。结果1~6组患者死亡率分别为0.0%、2.9%、12.7%、29.2%、42.9%、94.4%；输血率分别为9.3%、17.1%、27.1%、44.1%、50.0%、72.2%；再出血率分别为3.3%、6.4%、5.4%、11.8%、13.3%、22.2%。死亡率、输血率及再出血率ROC曲线下的AUC分别为0.888、0.723、0.649。当AUC≥0.7时，评分系统诊断价值良好。结论AIMS65评分系统对上消化道出血的死亡率、输血率有良好的诊断价值，对再出血率诊断价值较低，该评分项目简单，便于临床收集，有很好的临床应用价值。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王菲
	张丹
	王允野

关键词 ： AIMS65评分系统, 急性上消化道出血, 死亡率, 输血率, 再出血率

Abstract：ObjectiveTo explore the clinical predictive value of AIMS65 scoring system in upper gastrointestinal hemorrhage through retrospective analysis its mortality,rate of blood transfusion,rebleeding rate.MethodsClinical data of 567 cases of upper gastrointestinal hemorrhage admitted into our hospital from January 2011 to December 2015 were retrospectively analyzed.According to the score (0 to 5 points),which were divided into 6 groups,mortality,rate of blood transfusion,rebleeding rate among groupswere compared.The ROC curve was used to calculate the area under the curve (AUC)to evaluate the value of the scoring system in predicting the death,blood transfusion and rebleeding of upper gastrointestinal hemorrhage.ResultsThe mortality of 1-6 groups was 0.0%,2.9%,12.7%,29.2%,42.9%and 94.4%respectively;rate of blood transfusion rate was 9.3%,17.1%,27.1%,44.1%,50.0%,72.2%respectively;rebleeding rate was 3.3%,6.4%,5.4%,11.8%,13.3%,22.2%respectively.The AUC ofmortality,rate of blood transfusion,rebleeding rate was 0.888,0.723 and 0.649 respectively.When AUC≥0.7,scoring system had good diagnostic value.ConclusionAIMS65 scoring system for upper gastrointestinal bleeding mortality,blood transfusion rate has a good diagnostic value,the rebleeding rate of diagnosis is low,the score is simple,easy to clinical collection,has a good clinical value.

Key words： AIMS65 scoring system Upper gastrointestinal hemorrhage Mortality Rate of blood transfusion Rebleeding rate

引用本文:

王菲;张丹;王允野. AIMS65评分系统对上消化道出血评估作用的临床价值研究[J]. 中国当代医药, 2016, 23(33): 34-36转49.
WANG Fei;ZHANG Dan;WANG Yun-ye. Research of the clinical value of AIMS65 scoring system in the evaluation of upper gastrointestinal hemorrhage. 中国当代医药, 2016, 23(33): 34-36转49.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2016/V23/I33/34

[1]	葛均波，徐永健.内科学[M].8版北京：人民卫生出版社，2013：451-456.
[2]	Lau JY，Sung J，Hill C，et al.Systematic review of the epidemiology of complicated peptic ulcer disease：incidence，recurrence，risk factors and mortality[J].Digestion，2011，84 （2）：102-113.
[3]	Imperiale TF，Dominitz JA，Provenzale DT，et al.Predicting pooroutcome from acuteuppergastrointestinalhemorrhage[J]. Arch Intern Med，2007，167（12）：1291-1296.
[4]	Rockall TA，Loang RF，Devlin HB，et al.Risk assessment after acute upper gastrointestinal hemorrhage[J].Cut，1996，38（3）：316-321.
[5]	Blachford O，Murray WR，Blatchford M.A risk score to predict need for treatment for upper-gastrointestinal haemorrhage[J].Lancet，2000，356（9238）：1318-1321.
[6]	Sanders DS，Carter MJ，Goodchap RJ，et al.Prospective validation of the Rockall risk scoring system for upper GIhemorrhage in subgroups of patients with varices and peptic ulcers[J].Am JGastroenterol，2002，97（3）：630-635.
[7]	Enns RA，Gagnon YM，Barkun AN，et al.Validation of the Rockall scoring system for outcomes from non-variceal upper gastrointestinal bleeding in a Canadian setting[J].World JGastroenterol，2006，12（48）：7779-7785.
[8]	Church NI，Dallal HJ，Masson J，et al.Validity of the Rockall scoring system after endoscopic therapy for bleeding peptic ulcer：a prospective cohort study[J].Gastrointest Endosc，2006，63（4）：606-612.
[9]	Chiu PW，Sung JJ.Acute nonvariceal upper gastrointestinal bleeding[J].Curr Opin Gastroenterol，2010，26（5）：425-428.
[10]	Saltzman JR，Tabak YP，Hyett BH，et al.A simple risk score accurately predicts in-hospital mortality，length of stay，and cost in acute upper GI bleeding[J].Gastrointest Endosc，2011，74（6）：1215-1224.
[11]	《中华内科杂志》编委会，《中华消化杂志》编委会，《中华消化杂志》编委会，《中华消化内镜》编委会，中华医学会消化内镜学分会.急性非静脉曲张性上消化道出血诊治指南（2015，南昌）[J]，中华消化杂志，2015，35（12）：793-788.
[12]	钱洁，陈怡，仲敏，等.Rockall与Blatchford评分系统评估急性上消化道出血的比较研究[J].胃肠病学，2011，16 （11）：644-648.
[13]	郑志刚，贺文成，张永根，等.临床Rockall评分对急性上消化道出血预后评估作用[J].中华急诊医学杂志，2010，19（9）：974-976.
[14]	Martínez-Cara JG，Jiménez-Rosales R，'Ubeda-Muñoz M， et al.Comparison of AIMS65，Glasgow-Blatchford score，and Rockall score in a European series of patients with upper gastrointestinal bleeding：performance when predicting inhospital and delayed mortality[J].United European Gastroenterol J，2016，4（3）：371-379.
[15]	Budimir I，Gradišer M，Nikoli'c M，et al.Glasgow Blatchford，pre-endoscopic Rockall and AIMS65 scores show no difference in predicting rebleeding rate and mortality in variceal bleeding[J].Scandinavian JGastroenterol，2016，51 （11）：1375-1379.