临床特征

Non AKI (n = 895)

AKI (n = 295)

95% CI

P值

患者信息

年龄(岁)

63.6 ± 8.4

63.8 ± 8.6

1.01 (0.99~1.02)

0.43

年龄 > 65岁，n(%)

396 (44.2)

155 (52.5)

1.4 (1.07~1.82)

0.013

男性，n(%)

656 (73.3)

224 (75.9)

1.15 (0.85~1.56)

0.371

BMI (kg/m²)

25.7 ± 4

25.5 ± 3.2

0.99 (0.95~1.02)

0.46

吸烟史，n(%)

356 (39.8)

120 (40.7)

1.03 (0.79~1.36)

0.78

饮酒史，n(%)

245 (27.4)

71 (24.1)

0.26 (0.62~1.14)

0.261

高血压史，n(%)

208 (23.3)

96 (32.7)

1.6 (1.2~2.14)

0.001

糖尿病史，n(%)

335 (37.4)

118 (40)

1.11 (0.85~1.46)

0.479

冠脉支架置入史，n(%)

110 (12.3)

34 (11.5)

0.93 (0.62~1.4)

0.722

室壁运动异常，n(%)

588 (65.7)

206 (69.8)

1.21 (0.91~1.61)

0.192

左室射血分数(%)

57.2 ± 7.8

56.6 ± 8.2

0.99 (0.97~1.01)

0.189

外周血管病史，n(%)

19 (2.1)

7 (2.4)

1.12 (0.47~2.69)

0.799

脑卒中史，n(%)

105 (11.7)

36 (12.2)

1.05 (0.7~1.57)

0.828

慢性阻塞性肺病，n(%)

14 (1.6)

4 (1.4)

0.87 (0.28~2.65)

0.799

急性冠脉综合症史，n(%)

848 (94.7)

287 (97.3)

1.99 (0.93~4.26)

0.077

心力衰竭史，n(%)

27 (3)

20 (6.8)

2.34 (1.29~4.23)

0.005

急诊手术

12 (1.3)

15 (5.1)

3.94 (1.82~8.52)

<0.001

陈旧性心梗史，n(%)

75 (8.4)

20 (6.8)

0.8 (0.48~1.33)

0.38

术前生化指标

血清肌酐值(umol/L)

77.1 ± 21

84.7 ± 21.3

1.01 (1.01~1.02)

<0.001

白蛋白(g/L)

45.8 ± 8.9

44.7 ± 8.8

0.98 (0.97~0.99)

0.038

血清K⁺ (mmol/L )

4.2 ± 0.36

4.1 ± 0.35

0.73 (0.51~1.06)

0.1

LDLC (mmol/L )

2.57 ± 0.94

2.53 ± 0.9

0.97 (0.84~1.12)

0.68

甘油三酯(mmol/L)

1.42 [1.03, 1.98]

1.4 [1.03, 1.9]

1.04 (0.95~1.14)

0.376

尿酸(mmol/L)

336 ± 93.4.8

361.8 ± 103.4

1 (1.001~1.004)

0.001

血红蛋白(g/L)

131 ± 17.2

130.8 ± 20.9

1 (0.99~1.01)

0.703

血小板(10⁹/L)

219 ± 62.44

218.7 ± 58.9

1 (0.99~1.01)

0.827

eGFR (mL/min/1.73 m²)

81.7 ± 21.1

72.4.7 ± 20.8

0.99 (0.97~0.99)

<0.001

术前用药，n(%)

β受体阻滞剂

356 (39.8)

127 (43.1)

1.14 (0.88~1.49)

0.328

钙离子拮抗剂

310 (34.6)

94 (31.9)

0.88 (0.67~1.17)

0.383

他汀类药物

657 (73.4)

211 (71.5)

0.92 (0.68~1.22)

0.528

利尿剂

314 (35.1)

130 (44.1)

1.46 (1.12~1.91)

0.006

正性肌力药物

82 (9.2)

34 (11.5)

1.29 (0.85~1.97)

0.236

胰岛素

382 (42.7)

119 (40.3)

0.91 (0.69~1.18)

0.471