AIMS65评分对急性上消化道出血患者病情严重程度的评估价值

Value of Aims65 Score in Evaluating the Severity of Acute Upper Gastrointestinal Bleeding

目的 探讨在急性上消化道出血的诊断中,AIMS365评分系统的临床应用价值,从而为临床治疗、诊断提供参考。方法 选取我院2018年11月至2021年11月共78例急性上消化道出血患者作为研究对象,根据AIMS165评分系统对患者的病情严重程度进行分级,其中AIMS<2分为低危组(n=34),否则为高危组(n=44)。分析对比两组AIMS65评分,探讨该评分系统在疾病评估中的应用价值。结果 高危组性别与低危组差异无统计学意义(P>0.05);其他各项指标两组差异均有统计学意义(P<0.05)。急性上消化道再出血患者AIMS65评分明显高于未再出血患者,死亡患者的AIMS65评分明显更高(P<0.05)。AISM65评分预测急性上消化道患者再出血的AUC=0.895,95%CI:0.792-0.999,证明AIMS65评分对患者再出血的预测准确率较高;AISM65评分预测急性上消化道出血患者死亡的AUC=0.856,95%CI:0.682-1.000,证明AIMS65对患者死亡的预测准确度较高。结论 AIMS65评分系统在临床中不仅能对急性上消化道出血患者的病情进行全面评估,为临床医师提供参考,从而判断患者疾病的严重程度,还能够有效预测再出血与死亡等不良事件的发展,对指导临床治疗具有重要的意义。

Objective To explore the clinical application value of the AIMS365 scoring system in the diagnosis of acute upper gastrointestinal bleeding,in order to provide reference for clinical treatment and diagnosis.Method A total of 78 patients with acute upper gastrointestinal bleeding in our hospital from November 2018 to November 2021 were selected as the research subjects.The severity of the patient's condition was graded according to the AI MS165 scoring system.Among them,AI MS<2 was classified as a low-risk group(n=34),otherwise it was classified as a high-risk group(n=44).Analyze and compare two sets of AIMS65 scores to explore the application value of this scoring system in disease assessment.Result There was no statistically significant difference in gender between the high-risk group and the low-risk group(P>0.05);The differences in other indicators between the two groups were statistically significant(P<0.05).The AIMS65 score of patients with acute upper gastrointestinal rebleeding was significantly higher than that of patients without rebleeding,and the AI MS65 score of deceased patients was significantly higher(P<0.05).The AISM65 score predicts the AU C of acute upper gastrointestinal bleeding in patients with recurrent bleeding,which is 0.895,95%CI:0.792-0.999,indicating that the AIMS65 score has a high accuracy in predicting recurrent bleeding in patients;The AISM65 score predicts mortality in patients with acute upper gastrointestinal bleeding with AU C=0.856,95%CI:0.682-1.000,demonstrating the high accuracy of AI SM65 in predicting patient mortality.Conclusion The AI MS65 scoring system can not only comprehensively evaluate the condition of patients with acute upper gastrointestinal bleeding in clinical practice,provide reference for clinical physicians to determine the severity of the patient's disease,but also effectively predict the development of adverse events such as rebleeding and death,which is of great significance for guiding clinical treatment.