老年重症心力衰竭急诊内科治疗的临床效果分析

蔡美昌

[摘要] 目的 探讨老年重症心力衰竭急诊内科治疗的方法和效果。方法 随机选择该院2018年5月—2019年5月收治的100例老年重症心力衰竭患者作为研究对象，所有患者都满足临床诊断标准，根据其入院先后顺序将其分为对照组和实验组，每组患者有50例，其中对照组患者接受常规治疗，实验组患者则根据其不同的情况实施对症治疗，对两组患者的临床治疗效果、B型脑钠肽情况、左室射血分数进行比较和分析。结果 经过系统的治疗之后，两组患者都有显著的效果。其中实验组患者的治疗有效率为88%（44/50），对照组患者治疗有效率为72%（36/50）;且实验组患者的B型脑钠肽情况（805±75.56）pg/L、左室射血分数（3.20±0.68）%低于对照组B型脑钠肽情况（930±130.27）pg/L、左室射血分数（4.52±0.36）%，两组差异有统计学意义（t=6.521、8.056，P<0.05）。结论 老年重症心力衰竭患者在急诊内科治療中实施对症治疗能够产生显著的效果，对于改善患者的机体情况、临床疗效有着积极的作用，值得在临床治疗中应用和推广。

[关键词] 老年重症;心力衰竭;急诊内科;治疗效果

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0007-03

Analysis of Clinical Effects of Emergency Medical Treatment for Elderly Patients with Severe Heart Failure

CAI Mei-chang

Department of Internal Medicine， Wudi Traditional Chinese Medicine Hospital， Binzhou， Shandong Province， 251900 China

[Abstract] Objective To explore the methods and effects of emergency medical treatment for elderly patients with severe psychological failure. Methods 100 elderly patients with severe heart failure who were randomly  treated in the hospital from May 2018 to May 2019 were selected as the research objects. All patients met the clinical diagnostic criteria. They were divided into the control group and the experimental group according to the order of admission. There were 50 patients in each group， of which the patients in the control group received conventional treatment， and the patients in the experimental group were given symptomatic treatment according to their different conditions. The clinical therapeutic effect， b-type brain natriuretic peptide and left ventricular ejection fraction of the two groups were compared and analyzed. Results After systematic treatment and care， both groups of patients produced significant results. Among them， the treatment effective rate of patients in the experimental group was 88% （44/50）， and the treatment effective rate of patients in the control group was 72% （36/50）; and the B-type brain natriuretic peptide of the experimental group （805 ± 75.56）pg/L， comparison of left ventricular ejection fraction （3.20 ± 0.68）% was lower than that of control group B brain natriuretic peptide （930 ± 130.27）pg/L and left ventricular ejection fraction （4.52 ± 0.36）%. The difference between the two groups was statistically significant （t=6.521，8.056，P<0.05）. Conclusion Symptomatic treatment of elderly patients with severe heart failure can have significant effects in emergency medical treatment， and has a positive effect on improving the patient's physical condition and clinical efficacy. It is worthy of application and promotion in clinical treatment.

[Key words] Severe elderly; Heart failure; Emergency medicine; Treatment effect

随着现代经济社会的不断发展，老年人经常会出现糖尿病、高血压以及心血管疾病，并且发病人数开始呈现出逐渐上升的趋势。其中老年心力衰竭作为临床医学中较为常见的疾病，患者因为心脏功能不全诱发期出现心排血量降低的现象，从而导致循环淤血，降低患者不同脏器的供氧量，让患者出现各种不良体征和症状[1]。重症心力衰竭患者临床表现为呼吸困难、疲劳乏力、食欲不振、呼吸困难以及失眠等现象，一般的心力衰竭治疗选择药物治疗，常用的药物为厄贝沙坦、氢氯噻嗪，这2种药物具有显著的临床效果，我国社会发展速度的不断提升让人口老龄化现象越来越明显，尤其是老年人群存在病死率高和发病率高的现象[2]。……