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第45卷第8期          徐鹤翔,王 鹏,郑袁如,等. MELD 3.0评分对肝硬化失代偿期患者预后的评估价值[J].
                  2025年8月                  南京医科大学学报(自然科学版),2025,45(8):1148-1158,1185                    ·1151 ·


                                              表1 随访3个月生存与死亡组患者基线特征
                          Table 1 Baseline characteristics of patients in the survival and death groups at 3⁃month follow⁃up
                         Variable           Total(n=438)  3⁃month survival(n=370)  3⁃month death(n=68)  Statistic  P
                Age[year,x ± s]              61.8 ± 13.4       61.2 ± 13.3         64.8 ± 13.7     t=-2.02  0.044
                Gender[n(%)]                                                                       χ =0.07  0.785
                                                                                                    2
                  Male                   0.277(63.24)        233(62.97)0000       44(64.71)000
                  Female                 0.161(36.76)        137(37.03)0000       24(35.29)000
                Etiology[n(%)]                                                                     χ =4.75  0.346
                                                                                                    2
                  HBV                    0.227(51.83)        192(51.89)0000       35(51.47)000
                  HCV                    0.011(2.51)           9(2.43)000          2(2.94)000
                  Alcoholic              0.059(13.47)         54(14.59)000         5(7.35)000
                  PBC/AIH                0.028(6.39)          22(5.95)0000         6(8.82)000
                  Other                  0.113(25.80)         93(25.13)000        20(29.41)000
                Ascites[n(%)]                                                                      χ =8.55  0.003
                                                                                                    2
                  No                     0.053(12.10)         52(14.05)000         1(1.47)000
                  Yes                    0.385(87.90)        318(85.95)0000       67(98.53)000
                HE[n(%)]                                                                          χ =56.74  <0.001
                                                                                                   2
                  No                     0.356(81.28)        323(87.30)0000       33(48.53)000
                  Yes                    0.082(18.72)         47(12.70)000        35(51.47)000
                Haemorrhage[n(%)]                                                                  χ =5.28  0.022
                                                                                                    2
                  No                     0.303(69.18)        264(71.35)0000       39(57.35)000
                  Yes                    0.135(30.82)        106(28.65)0000       29(42.65)000
                HRS[n(%)]                                                                         χ =86.33  <0.001
                                                                                                   2
                  No                     0.394(89.95)        354(95.68)0000       40(58.82)000
                  Yes                    0.044(10.05)         16(4.32)0000        28(41.18)000
                Infection[n(%)]                                                                   χ =17.77  <0.001
                                                                                                   2
                  No                     0.296(67.58)        265(71.62)0000       31(45.59)000
                  Yes                    0.142(32.42)        105(28.38)0000       37(54.41)000
                WBC[×10 /L,M(P25,P75)]   003.8(2.5,5.5)      3.64(2.4,5.1)000     5.4(3.0,9.7)00  Z=-4.53  <0.001
                        9
                MON[×10 /L,M(P25,P75)]   000.3(0.2,0.5)       0.3(0.2,0.5)00      0.4(0.2,0.6)00  Z=-2.21  0.027
                        9
                NEU[×10 /L,M(P25,P75)]   002.4(1.4,3.8)       2.2(1.3,3.5)00      3.8(2.4,7.4)00  Z=-5.66  <0.001
                        9
                LYM[×10 /L,M(P25,P75)]   000.7(0.5,1.1)       0.8(0.5,1.2)00      0.7(0.4,1.0)00  Z=-1.54  0.123
                        9
                HGB[g/L,M(P25,P75)]      091.0(65.0,113.7)   93.0(66.0,115.0)    80.5(62.5,110.2)  Z=-1.49  0.137
                PLT[×10 /L,M(P25,P75)]   069.0(43.0,103.0)   69.0(44.0,103.0)    66.0(40.0,101.2)  Z=-0.20  0.839
                       9
                TBIL[μmol/L,M(P25,P75)]  027.9(18.9,61.7)    26.5(17.8,46.9)0    64.6(19.9,155.4)  Z=-4.31  <0.001
                ALB[g/L,M(P25,P75)]      028.9(25.0,33.9)    29.9(26.0,34.6)0    24.4(22.3,27.9)0  Z=-6.75  <0.001
                ALT[U/L,M(P25,P75)]      033.0(18.9,55.0)   32.25(19.0,51.4)00   40.0(15.7,106.9)  Z=-1.24  0.215
                AST[U/L,M(P25,P75)]      043.0(28.2,69.8)   42.00(28.0,62.7)00   68.4(32.6,172.5)  Z=-3.34  <0.001
                GGT[U/L,M(P25,P75)]      041.0(21.0,94.7)    40.0(21.0,94.2)0    49.0(23.7,94.8)0  Z=-0.81  0.417
                ALP[U/L,M(P25,P75)]      107.2(75.0,148.2)  106.3(74.0,148.0)0  113.6(85.5,161.2)0  Z=-1.12  0.261
                BUN[mmol/L,M(P25,P75)]   006.0(4.4,9.3)       5.4(4.3,8.0)00     10.9(7.8,16.3)00  Z=-8.31  <0.001
                Cr[μmol/L,M(P25,P75)]    068.1(56.9,89.5)    66.0(56.0,83.0)0   122.1(67.2,204.2)0  Z=-6.55  <0.001
                Na[mmol/L,M(P25,P75)]    139.2(136.0,142.0)  139.7(136.8,142.0)  137.5(134.0,140.0)  Z=-3.64  <0.001
                PT[s,M(P25,P75)]         015.0(13.5,17.6)    14.8(13.3,16.7)0    18.3(15.7,21.1)0  Z=-6.48  <0.001
                INR[M(P25,P75)]          001.3(1.2,1.6)       1.3(1.2,1.5)00      1.6(1.4,1.9)00  Z=-6.60  <0.001
                Child⁃Pugh scores[M(P25,P75)] 009.0(7.0,11.0)  9.0(7.0,10.0)0    12.0(9.75,13.0)0  Z=-8.32  <0.001
                Child⁃Pugh[n(%)]                                                                  χ =50.29  <0.001
                                                                                                   2
                  A                      0.047(10.73)         47(12.70)000         0(0)000.00
                  B                      0.222(50.68)        206(55.68)0000       16(23.53)000
                  C                      0.169(38.58)        117(31.62)0000       52(76.47)000
                MELD[M(P25,P75)]         013.0(10.0,17.0)    12.0(9.0,15.0)00    21.0(18.0,24.0)0  Z=-9.35  <0.001
                MELD⁃Na[M(P25,P75)]      013.0(10.0,19.0)    12.0(9.0,16.0)00    22.5(19.0,26.0)0  Z=-9.38  <0.001
                MELD 3.0[M(P25,P75)]     014.0(11.0,20.0)    13.0(10.0,17.0)0    25.0(20.0,28.0)0  Z=-9.44  <0.001
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