基于Rockall危险性评估的分级干预对肝硬化上消化道出血患者临床指标改善及再出血发生率的影响

Graded intervention based on Rockall risk assessment for upper gastrointestinal tract cirrhosis The improvement of clinical indicators and the impact on the incidence of rebleeding in patients with bleeding

目的研究基于Rockall危险性评估的分级干预在肝硬化上消化道出血患者中的价值.方法选取2022年3月-2023年8月天津市第三中心医院收治的70例肝硬化上消化道出血患者为研究对象,以随机数字表法分为观察组、对照组各35例,对照组采用常规治疗,观察组采用基于Rockall危险性评估的分级干预.比较两组不良事件发生率、72h再出血发生率、临床指标改善时间和心理复原能力.结果观察组不良事件发生率、72h再出血发生率均远低于对照组;观察组临床指标改善时间均短于对照组,心理复原能力各维度评分均高于对照组,P<0.05,差异均有统计学意义.结论基于Rockall危险性评估的分级干预可以有效预防肝硬化上消化道出血患者不良事件,降低再出血风险,有利于疾病恢复.

Objective To study the value of intervention based on Rockall risk assessment grading in patients with upper gastrointestinal bleeding in liver cirrhosis.Methods A total of 70 patients with upper gastrointestinal bleeding caused by liver cirrhosis from March 2022 to August 2023 were selected as the study subjects.They were randomly divided into an observation group and a control group,with 35 cases in each group.The control group received routine treatment,while the observation group received graded intervention based on Rockall risk assessment.Compare the incidence of adverse events,72 hour rebleeding rate,improvement time of clinical indicators,and psychological recovery ability between two groups.Results The incidence of adverse events and 72 hour rebleeding in the observation group were significantly lower than those in the control group;the improvement time of clinical indicators in the observation group was shorter than that in the control group,and the scores of various dimensions of psychological recovery ability were higher than those in the control group,with all P<0.05.Conclusion Graded interventions based on Rockall risk assessment can effectively prevent adverse events in patients with upper gastrointestinal bleeding in liver cirrhosis,reduce the risk of re bleeding,and facilitate disease recovery.