表1 脓毒症谵妄患者生存基线特征比较 MP25P75

特征

生存(n=765

死亡(n=156

P

年龄/岁

65.94 [53.89,77.43]

76.33 [63.51,84.90]

<0.001

住院时间/d

17.06 [10.57,28.68]

11.00 [6.56,15.94]

<0.001

性别/n(%)

 

 

0.368

272 (35.56)

62 (39.74)

 

493 (64.44)

94 (60.26)

 

实验室检查

 

 

 

白细胞计数/×109/L

11.80 [7.80,17.40]

11.80 [8.20,18.80]

0.698

平均红细胞血红蛋白质量浓度/(g/L)

32.60 [31.60,33.80]

32.30 [31.00,33.50]

0.018

红细胞分布宽度/%

14.70 [13.60,16.20]

16.50 [14.67,18.75]

<0.001

红细胞计数/×1012/L

3.56 [2.95,4.15]

3.26 [2.77,3.89]

0.006

血小板计数/×109/L

187.00 [123.00,262.00]

167.50 [100.00,248.75]

0.068

平均红细胞体积/fl

93.00 [88.00,98.00]

95.00 [89.00,98.00]

0.125

平均红细胞血红蛋白量/pg

30.50 [28.90,32.20]

30.30 [28.90,32.10]

0.631

血红蛋白 /(g/L)

10.70 [8.90,12.50]

10.00 [8.20,11.60]

0.002

血细胞比容/%

32.70 [27.60,37.80]

31.20 [25.90,36.23]

0.014

国际标准化比值

1.30 [1.20,1.60]

1.60 [1.20,2.22]

<0.001

凝血酶原时间 /s

14.60 [12.90,17.40]

17.05 [13.78,24.47]

<0.001

活化部分凝血活酶时间/秒

31.60 [27.40,38.00]

35.65 [30.25,49.90]

<0.001

白蛋白/(g/dL)

3.00 [2.60,3.40]

2.90 [2.40,3.40]

0.023

氯离子/(mmol/L)

104.00 [100.00,108.00]

101.00 [97.00,106.00]

<0.001

阴离子间隙/(mmol/L)

14.00 [12.00,18.00]

16.00 [13.00,20.00]

<0.001

碳酸氢盐/(mmol/L)

22.00 [19.00,25.00]

20.00 [17.75,25.00]

0.026

钙/(mmol/L)

8.20 [7.60,8.70]

8.30 [7.70,8.80]

0.160

血尿素氮/(mg/dL)

22.00 [14.00,38.00]

37.00 [21.75,62.25]

<0.001

钾/(mmol/L)

4.10 [3.70,4.70]

4.30 [3.70,5.00]

0.057

钠/(mmol/L)

139.00 [136.00,142.00]

138.00 [133.00,141.00]

0.008

血糖/(mg/dL)

137.00 [109.00,181.00]

133.00 [103.75,179.00]

0.397

肌酐/(mg/dL)

1.20 [0.80,1.80]

1.50 [1.00,2.42]

<0.001

丙氨酸氨基转移酶/(U/L)

31.00 [18.00,71.00]

31.00 [18.00,78.50]

0.996

碱性磷酸酶/(U/L)

80.00 [58.00,115.00]

98.50 [70.75,144.25]

<0.001

天门冬氨酸氨基转移酶/(U/L)

51.00 [28.00,117.00]

52.50 [30.75,185.00]

0.130

乳酸脱氢酶/(U/L)

327.50 [250.00,416.00]

327.50 [290.50,570.25]

0.002

血气分析

 

 

 

乳酸/(mmol/L)

1.70 [1.20,2.70]

2.20 [1.40,3.90]

<0.001

动脉血氧分压/(mmHg

88.00 [54.00,159.00]

62.50 [41.75,119.25]

<0.001

总二氧化碳/(mmol/L)

24.00 [21.00,27.00]

23.00 [19.00,28.00]

0.187

吸入氧分数/(%)

60.00 [50.00,80.00]

60.00 [50.00,100.00]

0.153

动脉血二氧化碳分压/(mmHg

42.00 [36.00,49.00]

42.00 [35.00,51.00]

0.789

动脉血氧分压与吸入氧分数比/(mmHg/%)

178.45 [114.00,280.00]

178.23 [85.00,212.12]

0.001

血液pH值

7.36 [7.28,7.42]

7.34 [7.26,7.39]

0.021

生命体征

 

 

 

心率/(次/分)

91.00 [79.00,107.00]

92.00 [79.00,108.00]

0.732

收缩压/(mmHg

118.00 [102.00,137.00]

113.00 [100.00,136.25]

0.171

舒张压/(mmHg

66.00 [56.00,79.00]

63.00 [51.00,75.25]

0.023

平均动脉压/(mmHg

81.00 [70.00,95.00]

78.00 [66.00,90.00]

0.052

血氧饱和度/(%)

98.00 [95.00,100.00]

97.00 [93.00,99.00]

0.002

呼吸频率/次/分)

20.00 [16.00,24.00]

22.00 [18.00,27.00]

0.007

疾病评分/分

 

 

 

急性生理评分III/分

53.00 [40.00,69.00]

66.00 [53.75,85.25]

<0.001

逻辑器官功能障碍评/分

6.00 [4.00,8.00]

8.00 [6.75,10.00]

<0.001

牛津急性疾病严重程度/分

36.00 [31.00,42.00]

40.00 [34.00,45.25]

<0.001

系统性炎症反应综合征/分

3.00 [2.00,4.00]

3.00 [2.00,4.00]

0.913

序贯器官衰竭评分/分

2.00 [0.00,4.00]

2.00 [1.00,4.25]

0.156

简化急性生理评分II/分

42.00 [33.00,52.00]

53.00 [43.00,62.25]

<0.001