CRUSADE评分系统在PCI术后上消化道出血基线评估中的价值

Value of CRUSADE scoring system in baseline assessment of upper gastrointestinal hemorrhage after percutaneous coronary intervention

目的探讨CRUSADE评分系统对PCI术后上消化道出血评估的价值。方法选择我院2008年5月～2009年10月行PCI术的患者共476例,利用CRUSADE评分系统评估每个行PCI术的患者入院时的危险评分,并将其分为极低危组(105例)、低危组(190例)、中危组(92例)、高危组(70例)和极高危组(19例),分析CRUSADE评分与PCI术后1年内上消化道显著出血的关系。结果 PCI术后1年内,发生上消化道显著出血7例,出血发生率为1.47%。其中极低危组无出血病例,低危组出血2例(1.05%),中危组出血1例(1.09%),高危组出血1例(1.43%),极高危组出血3例(15.8%),随着CRUSADE评分增高,上消化道出血的发生率增加,极高危者上消化道出血的危险显著高于其余各组(P<0.05)。结论 CRUSADE评分系统对于PCI术后患者上消化道出血的发生率具有良好的基线评估价值。

Objective To investigate the value of CRUSADE scoring system in the baseline assessment of upper gastrointestinal hemorrhage after percutaneous coronary intervention（PCI）.Methods 476 patients with upper gastrointestinal hemorrhage following PCI in our hospital from May 2008 to October 2009 were included in this study.According to the evaluation results of CRUSADE scoring system on admission,they were divided into very low-risk group（105 cases）,low-risk group（190 cases）,moderate-risk group（92 cases）,high-risk group（70 cases）and very high-risk group（19 cases）.The relationship between CRUSADE scores and obvious upper gastrointestinal hemorrhage within a year after PCI was analyzed.Results Obvious upper gastrointestinal bleeding occurred in 7 cases within 1 year after PCI,including 2 cases（1.05%）in low-risk group,1 case（1.09%）in moderate-risk group,1 case（1.43%）in high-risk group,3 cases（15.8%）in very high-risk group,and no case in very low-risk group.The total hemorrhage rate was 1.47%.It demonstrated that the incidence of gastrointestinal bleeding increased with the increase of CRUSADE score,and the hemorrhage rate in very high-risk group was significantly higher than that in other groups（P〈0.05）.Conclusion CRUSADE scoring system is of good value in the baseline assessment of the incidence of upper gastrointestinal bleeding after PCI.