Effect of emergency medical treatment on elderly patients with severe heart failure
老年重症心力衰竭患者急诊内科治疗效果

摘要

目的 分析老年重症心力衰竭患者接受急诊内科治疗的临床效果。方法 72名老年重症心力衰竭病人选取于本院2021.06~2022.06期间临床就诊统计中，根据对象接受治疗方案不同平均分为两组，即为常规组、实验组，每组36名。常规组予以常规治疗，实验组增加予以急诊内科治疗，比较两组临床治疗效果、治疗前后心脏功能指标、治疗前后B型利脑肽指标（BNP）、6分钟步行距离和脉搏输出量。结果 治疗前，两组对比心脏功能指标、BNP无差异，P＞0.05。治疗后，相较常规组，实验组临床治疗效果、6分钟步行距离和脉搏输出量更高，P＜0.05。相较常规组，实验组BNP更低、心脏功能指标更优，P＜0.05。结论 老年重症心力衰竭病人通过急诊内科治疗能有效稳定病情，改善症状，建议应用。

Abstract

Objective To analyze the clinical effect of emergency medical treatment for elderly patients with severe heart failure.
Methods 72 elderly patients with severe heart failure were selected from the clinical treatment statistics of our hospital from 2021.06 to 2022.06, and were divided into two groups according to different treatment schemes, namely, the conventional group and the experimental group, with 36 patients in each group. Routine treatment was given to the conventional group, while emergency medical treatment was added to the experimental group. The clinical treatment effect, cardiac function index, B-type brain peptide index (BNP), 6-minute walking distance and pulse output of the two groups were compared before and after treatment.
Results Before treatment, there was no difference in cardiac function index and BNP between the two groups (P>0.05). After treatment, compared with the conventional group, the clinical treatment effect, 6-minute walking distance and pulse output of the experimental group were higher (P<0.05). Compared with the conventional group, the experimental group had lower BNP and better cardiac function indicators (P<0.05).
Conclusion   Emergency medical treatment can effectively stabilize the condition and improve the symptoms of elderly patients with severe heart failure.