Mysql 复杂SQL查询（使用2列进行排序）

我执行SQL并得到以下结果

select vital_history_id,vital_id,patient_id,measurement_datetime,create_datetime
from t_patient_vital_history
where patient_id = 54
group by vital_id,create_datetime
order by measurement_datetime desc, create_datetime desc
limit 100 offset 0

　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　但我想得到这样的结果

　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　 　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　这是DDL和DML

create table t_patient_vital_history (
  vital_history_id bigint unsigned not null
  , vital_id bigint unsigned not null
  , patient_id bigint unsigned not null
  , measurement_datetime datetime
  , sbp double
  , dbp double
  , temperature
  , pulse double
  , spo2 double
  , weight double
  , bmi double
  , abdominal double
  , height_measurement double
  , head_measurement double
  , chest_measurement double
  , action varchar(20)
  , is_deleted tinyint default 0 not null
  , create_id varchar(20) not null
  , create_name varchar(100) not null
  , create_datetime datetime(3) not null
  , update_id varchar(20) not null
  , update_name varchar(100) not null
  , update_datetime datetime(3) not null
  , constraint t_patient_vital_history_PKC primary key (vital_history_id)
);


INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (107,66,54,'2018-06-25 17:15:32',900,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'register',0,'1','Mike','2018-05-25 17:15:40.638','1','Mike','2018-05-25 17:15:40.638');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (119,69,54,'2018-07-25 18:24:15',22,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'register',0,'1','Mike','2018-05-25 18:24:57.772','1','Mike','2018-05-25 18:24:57.772');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (129,69,54,'2018-07-25 18:24:15',22,1,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-25 18:37:19.971','1','Mike','2018-05-25 18:37:19.971');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (130,69,54,'2018-07-25 18:24:15',22,1,2,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-25 18:37:24.128','1','Mike','2018-05-25 18:37:24.128');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (131,69,54,'2018-07-25 18:24:15',22,1,2,NULL,NULL,5,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-25 18:37:31.503','1','Mike','2018-05-25 18:37:31.503');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (134,69,54,'2018-07-25 18:24:15',22,1,2,NULL,NULL,5,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-25 18:44:42.444','1','Mike','2018-05-25 18:44:42.444');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (135,69,54,'2018-07-25 18:24:15',22,1,2,NULL,NULL,5,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-25 18:44:49.518','1','Mike','2018-05-25 18:44:49.518');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (141,69,54,'2018-07-25 18:24:15',22,1,2,NULL,12,5,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-28 17:47:22.835','1','Mike','2018-05-28 17:47:22.835');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (147,66,54,'2018-06-25 17:15:32',90,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-05-28 19:48:00.159','1','Mike','2018-05-28 19:48:00.159');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (164,69,54,'2018-07-25 18:24:15',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'削除',1,'1','Mike','2018-05-30 12:07:12.563','1','Mike','2018-05-30 12:07:12.563');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (168,90,54,'2018-10-01 01:00:59',1,1,1,1,1,1,10000,1,1,1,1,'register',0,'1','Mike','2018-05-30 13:11:29.756','1','Mike','2018-05-30 13:11:29.756');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (1231,90,54,'2018-10-01 01:00:59',1,1,1,1,1,1,NULL,1,NULL,1,1,'update',0,'1','Mike','2018-06-11 16:32:33.263','1','Mike','2018-06-11 16:32:33.263');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (1302,90,54,'2018-10-01 01:00:59',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'削除',1,'1','Mike','2018-06-15 13:16:18.100','1','Mike','2018-06-15 13:16:18.100');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (1323,66,54,'2018-06-25 17:00:32',90,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-06-15 16:40:40.627','1','Mike','2018-06-15 16:40:40.627');
INSERT INTO `t_patient_vital_history` (`vital_history_id`,`vital_id`,`patient_id`,`measurement_datetime`,`sbp`,`dbp`,`temperature`,`pulse`,`spo2`,`weight`,`bmi`,`abdominal`,`height_measurement`,`head_measurement`,`chest_measurement`,`action`,`is_deleted`,`create_id`,`create_name`,`create_datetime`,`update_id`,`update_name`,`update_datetime`) VALUES (1340,66,54,'2018-06-25 17:20:32',90,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'update',0,'1','Mike','2018-06-15 18:33:20.112','1','Mike','2018-06-15 18:33:20.112');

首先，按度量值排序\u datetime desc。　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　接下来，按创建进行排序\u datetime desc保留按度量进行排序\u datetime desc。 　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　如何使用measurement\u datetime对这些查询进行排序并创建\u datetime？　　　　　　　　　　

---

请告诉我。

您可以先通过

vital\u id

排序，然后通过

vital\u history\u id

排序

mysql > select vital_history_id,vital_id,patient_id,measurement_datetime,create_datetime
    -> from t_patient_vital_history
    -> where patient_id = 54
    -> group by vital_id,create_datetime
    -> order by vital_id desc, vital_history_id desc, measurement_datetime desc, create_datetime desc
    -> limit 100 offset 0;
+------------------+----------+------------+----------------------+-------------------------+
| vital_history_id | vital_id | patient_id | measurement_datetime | create_datetime         |
+------------------+----------+------------+----------------------+-------------------------+
|             1302 |       90 |         54 | 2018-10-01 01:00:59  | 2018-06-15 13:16:18.100 |
|             1231 |       90 |         54 | 2018-10-01 01:00:59  | 2018-06-11 16:32:33.263 |
|              168 |       90 |         54 | 2018-10-01 01:00:59  | 2018-05-30 13:11:29.756 |
|              164 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-30 12:07:12.563 |
|              141 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-28 17:47:22.835 |
|              135 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-25 18:44:49.518 |
|              134 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-25 18:44:42.444 |
|              131 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-25 18:37:31.503 |
|              130 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-25 18:37:24.128 |
|              129 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-25 18:37:19.971 |
|              119 |       69 |         54 | 2018-07-25 18:24:15  | 2018-05-25 18:24:57.772 |
|             1340 |       66 |         54 | 2018-06-25 17:20:32  | 2018-06-15 18:33:20.112 |
|             1323 |       66 |         54 | 2018-06-25 17:00:32  | 2018-06-15 16:40:40.627 |
|              147 |       66 |         54 | 2018-06-25 17:15:32  | 2018-05-28 19:48:00.159 |
|              107 |       66 |         54 | 2018-06-25 17:15:32  | 2018-05-25 17:15:40.638 |
+------------------+----------+------------+----------------------+-------------------------+
15 rows in set (0.00 sec)

以下是查询：

select vital_history_id,vital_id,patient_id,measurement_datetime,create_datetime
from t_patient_vital_history
where patient_id = 54
group by vital_id,create_datetime
order by vital_id desc, vital_history_id desc, measurement_datetime desc, create_datetime desc
limit 100 offset 0;

---

您的查询似乎是正确的，并且排序按预期进行，您到底想要什么？我的意思是，我已经得到了结果-1。但是我希望得到结果-2.为什么要在

measurement\u datetime=2018-06-25 17:00:32

之前有一行

measurement\u datetime=2018-06-25 17:15:32

？它显示在医疗应用程序上。我们需要在同一个重要id内按创建日期时间进行排序。很高兴听到这个消息。如果可能，请验证答案