CAJ | 학술논문

　　目的分析比较Rockal 与Blatchford评分系统对急性上消化道出血的评分效果，探讨其临床适用性。方法选择2011年10月-2012年12月我院86例急性上消化道出血患者，分别采用Rockal 与Blatchford评分系统进行危险积分的评分，并进行危险级别的分组。观察在临床救助过程中实际的危险分类，与两种评分方法进行参照。结果 Blatchford危险性评分中2分以下的人数少于Rockal 评分组的人数，差异有统计学意义，其他积分情况两种评分方法无明显差异；Rockal 依照相关评分标准，将患者分为高危、中危、低危组，Blatchford评分系统将患者分为低危和中高危组，临床治疗中发现86例患者中，较为容易处理的患者为59例，而难处理的患者为27例，与Blatchford评分所进行的分组参考相当。结论 Blatchford危险性评分系统较适合临床救助分类方法，同时联合Rockal 评分方法可以很好地进行低危人群的划分，两者结合进行共同探讨，可指导临床实施较快的救助方案。
　　목적분석비교Rockal 여Blatchford평분계통대급성상소화도출혈적평분효과，탐토기림상괄용성。방법선택2011년10월-2012년12월아원86례급성상소화도출혈환자，분별채용Rockal 여Blatchford평분계통진행위험적분적평분，병진행위험급별적분조。관찰재림상구조과정중실제적위험분류，여량충평분방법진행삼조。결과 Blatchford위험성평분중2분이하적인수소우Rockal 평분조적인수，차이유통계학의의，기타적분정황량충평분방법무명현차이；Rockal 의조상관평분표준，장환자분위고위、중위、저위조，Blatchford평분계통장환자분위저위화중고위조，림상치료중발현86례환자중，교위용역처리적환자위59례，이난처리적환자위27례，여Blatchford평분소진행적분조삼고상당。결론 Blatchford위험성평분계통교괄합림상구조분류방법，동시연합Rockal 평분방법가이흔호지진행저위인군적화분，량자결합진행공동탐토，가지도림상실시교쾌적구조방안。
Objective To analyze Rockall and Blatchford scoring system for evaluating acute upper gastrointestinal bleeding score results. Methods 86 cases of patients with acute upper gastrointestinal bleeding were selected, respectively using Rockall and Blatchford risk score system scored and grouped the patients by risk scores. Also observed the actual classification in the clinical course of rescue with two kinds of scoring methods for reference. Results The number of groups of Blatchford risk score of 2 points or less fewer than the Rockall’s, the differences were statistically significant the other two kinds of risk score was no significant difference; Rockall score in accordance with the relevant criteria, patients were divided into high-risk, medium risk, low risk group, Blatchford scoring system were divided into low-risk and high-risk groups, 86 patients in the clinical treatment were relatively easy to deal with 59 cases, and with 27 patients were refractory, and was similar with Blatchford score. Conclusions Blatchford risk scoring system is more suitable for clinical classification methods, and combined with Rockall scoring method can be good for low-risk population division.