2.
术后AKI发生的围手术期影响因素分析(n=1 110)
因素 | 单因素分析 | 多因素分析 | |||||
OR值 | 95%CI | P值 | OR值 | 95%CI | P值 | ||
注:[AKI]急性肾损伤;[RACHS-1]先天性心脏病手术风险评估-1;[LVEF]左室射血分数;[OA]阻断升主动脉;[CPB]体外循环;[DHCA]深低温停循环;[IS]正性肌力药物分值;[FO]液体超负荷。 | |||||||
术后白蛋白≤35 g/L | 2.366 | 1.664~3.364 | < 0.001 | 2.425 | 1.631~3.607 | < 0.001 | |
月龄(月) | 0.996 | 0.992~0.999 | 0.013 | 1.006 | 0.995~1.016 | 0.272 | |
体重(kg) | 0.971 | 0.953~0.989 | < 0.001 | 0.950 | 0.901~1.003 | 0.064 | |
紫绀 | 3.556 | 2.482~5.094 | < 0.001 | 0.529 | 0.272~1.029 | 0.061 | |
RACHS-1评分(分) | 2.820 | 2.280~3.488 | < 0.001 | 1.651 | 1.123~2.428 | 0.011 | |
术前LVEF < 50% | 2.944 | 2.075~4.177 | < 0.001 | 1.456 | 0.851~2.494 | 0.171 | |
OA时间(min) | 1.027 | 1.021~1.032 | < 0.001 | 1.003 | 0.992~1.014 | 0.640 | |
CPB时间(min) | 1.020 | 1.016~1.024 | < 0.001 | 1.012 | 1.003~1.020 | 0.006 | |
DHCA或低流量 | 5.134 | 2.441~10.801 | < 0.001 | 0.883 | 0.344~2.263 | 0.795 | |
IS (分) | 1.112 | 1.081~1.145 | < 0.001 | 1.057 | 1.021~1.094 | 0.002 | |
术后第1天FO | 1.350 | 0.851~2.142 | 0.202 | ||||
术后第2天FO | 1.725 | 1.094~2.720 | 0.019 | 1.433 | 0.837~2.451 | 0.189 | |
术后48 h内输红细胞(u) | 1.444 | 1.245~1.674 | < 0.001 | 1.340 | 1.121~1.602 | 0.001 | |
术后48 h内输其他血制品(u) | 1.069 | 1.026~1.114 | 0.002 | 0.980 | 0.925~1.039 | 0.501 |