不同評(píng)分在門、急診下消化道出血患者的診療價(jià)值

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中圖分類號(hào)：R57 文獻(xiàn)標(biāo)識(shí)碼：A文章編號(hào)：1006-1959（2025）09-0087-05

DOl：10.3969/j.issn.1006-1959.2025.09.016

Abstract：ObjetiveTostudythcliicalapplationvalueofOklandcoreandSenguptascoreintprogosisvaatioofpatientswithacute lowergatrotestialmoagMetodsAtotalof44patitsiefoplantofmatoaoremitedtutpaitd emergencydeparmentsfourspitalfroJauary21tJune3wereseleted，hile4atitsowreospitalizedaodingtoe doctorsadvieereicuedintpatitgoudpatientsoebseedatoeccodingtoedctoviceeden thehomegroup.Thicaldtaofteatisreecodddladodgptaoofeatitselulaedtate theaplicationfectoftetososRsultseOaklandoeandSenguptascoofteospiadoupereigertntosoftheoe group，and the difference were statistically significant（ P<0 . 0 1 .TheAUCarea（ 9 5 % confidence interval） of the Oakland score for predicting severe bleeding，rebleeding，and 30-day death were 0.952，0.811，and O.853，respectively（ P<0 . 0 5 ），and thebestcut-off values forprediction were19.5 scores， 15.5 scoresand 19.5 scores，respectively. The AUC area（ 9 5 % confidence interval） of the Sengupta score for predicting whether severe bleeding， rebleding，and-daathere086，79nd87espciely05）ndesttffvuer.5ors7.5sd 6.5cores，espectivelyConusionakladsoeandenguptaoeaveertainvalueinpredictingeverebldingebledingad3day deathicuteoroetilmoe.Tudeipredtiediuterotetie isbeterthantatofSnguptasore，buttevalueoftetwoscoresinpredictingrebledingand3O-daydeathinacutelowergastontestinal hemorrhage is comparable.

eywords：Lower gastrointestinal hemorrhage;Prognostic evaluation;Oakland score;Sengupta scor

下消化道出血（lower gastrointestinal hemorrhage）的傳統(tǒng)定義是屈氏韌帶以遠(yuǎn)的腸道出血，新的共識(shí)意見則專指結(jié)直腸出血[1-3]，年發(fā)病率為 0 . 0 3 % ，占所有主要胃腸道出血發(fā)生率 ，并且近年來在逐漸升高。（剩余7686字）