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| Application of Rockall Risk Score in Evaluation of Acute Upper Gastrointestinal Bleeding in Cirrhosis and Nursing Countermeasures |
| LI Qiu-lan, LI Qin, ZHAO Miao |
| Digestive Endoscopy Center,Shenzhen Songgang People's Hospital in Guangdong Province,518105 China |
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Abstract 【Objective】To evaluate the risk of patients with acute upper gastrointestinal bleeding (AUGIB) by cirrhosis with the Rockall risk score and to apply the clinical effects of corresponding nursing measures. 【Methods】In the year 2014, 57 patients with acute upper gastrointestinal bleeding (observation group) by cirrhosis were assessed by Rockall risk score. According to the evaluation results, patients were graded and applied for special care. A total of 51 AUGIB patients were recruited from January 2013 to December 2013 for routine nursing care as the control group. The clinical efficacy, hemostasis time, hospital stay, re-bleeding rate, complication incidence and mortality rate of the above two groups were compared. 【Results】The overall clinical effective rate was 91.23% in the observation group and 76.47% in the control group. The clinical efficacy of the observation group was better than that of the control group (P<0.05). The re-bleeding rate and the clinical mortality in the observation group were 8.77% and 1.75%, respectively. The re-bleeding rate and the clinical mortality rate in the observation group were 27.45% and 9.80%,respectively.The complication incidence in the observation group was 5.26%, and the complication rate in the control group was 25.49%;the complication rate in the observation group was significantly lower than that in the control group (P <0.01). In the observation group, the time of hemostasis was 2.09 ± 0.59 days and the hospital stay was 12.06 ± 2.45 days,while in the control group, the hemostasis time was 3.26 ± 0.92 days and the hospital stay was 16.76 ± 3.02 days. The hemostasis time and hospitalization time of the observation group were significantly less than those of the control group (P<0.05). The total satisfaction rate was 92.98% in the observation group and 76.47% in the control group. The satisfaction degree of the nursing group in the observation group was significantly more than that in the control group (P<0.01). 【Conclusion】The assessment of Rockall risk score in patients with acute upper gastrointestinal hemorrhage of liver cirrhosis can guide clinical corresponding special nursing care and thus effectively reduce the incidence of complications, shorten the rehabilitation time and improve Clinical efficacy and patient satisfaction.
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Received: 04 November 2016
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2017, Vol. 34 
