AIMS65评分在急性上消化道出血患者危险分级及预后评估中的作用

Role of AIMS65 Score in the Risk Classification and Prognosis Evaluation of Patients with Acute Upper Gastrointestinal Bleeding

目的研究AIMS65评分在急性上消化道出血患者危险分级及预后评估中的作用。方法选取我院2017年5月~2018年5月收治的急性上消化道出血患者100例,根据病情将患者分为高危组56例和低危组44例,比较两组性别、年龄、症状、生命体征、实验室检查、上消化道出血原因、治疗、预后、AIMS65评分及Glasgow-Blatchford评分,以AIM评分为金标准,绘制ROC曲线,观察AIMS65评分及Glasgow-Blatchford评分预测患者危险分级、院内死亡、再次出血的价值。结果两组年龄、黑便、晕厥、SPB、ALB、RBC、再出血、输血、AIMS65评分和Glasgow-Blatchford评分比较,差异有统计学意义(P<0.05);ROC曲线显示,AIMS65评分评估患者危险分级的曲线下面积(AUC)小于Glasgow-Blatchford评分,但差异无统计学意义(P>0.05);GlasgowBlatchford评分评估患者院内死亡和再次出血的AUC小于AIMS65评分,但差异无统计学意义(P>0.05)。结论 AIMS65评分Glasgow-Blatchford评分均可用于急性上消化道出血患者危险分级、院内死亡、再次出血的预测,且AIMS65评分简便、准确,值得临床应用。

Objective To study the role of AIMS65 score in the risk classification and prognosis evaluation of patients with acute upper gastrointestinal bleeding.Methods A total of 100 patients with acute upper gastrointestinal hemorrhage admitted to our hospital from May 2017 to May 2018 were selected.The patients were divided into a high-risk group of 56 cases and a low-risk group of 44 cases according to their condition.The two groups were compared by gender,age,symptoms,and symptoms.Vital signs,laboratory tests,causes of upper gastrointestinal bleeding,treatment,prognosis,AIMS65 score and Glasgow-Blatchford score,using AIM score as the gold standard,draw ROC curve,observe the value of AIMS65 score and Glasgow-Blatchford score to predict patient risk classification,hospital death,and rebleeding.Results The two groups of age,melena,syncope,SPB,ALB,RBC,rebleeding,blood transfusion,AIMS65 score and Glasgow-Blatchford score,the difference was statistically significant(P<0.05);The ROC curve showed that the area under the curve(AUC)of the AIMS65 score to assess the risk classification of patients was smaller than the Glasgow-Blatchford score,but the difference was not statistically significant(P>0.05);The Glasgow-Blatchford score evaluated the AUC of hospital death and rebleeding of patients less than the AIMS65 score,but the difference was not statistically significant(P>0.05).Conclusion The AIMS65 score Glasgow-Blatchford score can be used for the risk classification of patients with acute upper gastrointestinal bleeding,the prediction of hospital death,and rebleeding.The AIMS65 score is simple and accurate,and is worthy of clinical application.