老年重症心力衰竭在急诊内科对症治疗的效果及预后分析

目的：观察分析老年重症心力衰竭在急诊内科对症治疗的效果及预后效果。方法：采用随机数字表法将我院60例重症心力衰竭的老年患者分为两组，其中对照组未使用对症治疗方法，实验组患者采取对症治疗，观察并比较两组患者经过治疗后的临床和预后效果。结果：经治疗后，实验组总有效率（96．67％）明显高于对照组（70．00％），且治疗后左室射血分数和B型脑钠肽的变化情况均显著优于对照组，差异具有统计学意义（P＜0．05）。结论：对于在急诊内科就诊的重症心力衰竭老年患者采取对症治疗，临床总有效率更高，患者治疗前、后左室射血分数和B型脑钠肽的变化更明显，安全，有效，值得临床上推广。

Elderly Patients with Severe Heart Failure in the Emergency Internal Medicine Analysis of Symptomatic Treatment Effect and Prognosis

Objective：To observe and analyze symptomatic treatment effect and prognosis of elderly patients with se-vere heart failure who was treated in the emergency internal medicine .Methods：Divided 60 elder patients with severe heart failure into two groups according the method of random digits table ,the control group did not use symptomatic treatment ,the experimental group take symptomatic treatment ,observed and compared the clinical effect and prognosis of this two groups after treatment .Results：After treatment ,experimental group’s total effective rate （96 .67% ） was higher than that of control group （70.00% ） ,the change of experimental group’s left ventricular ejection fraction and B type natriuretic peptide of experimental group were obviously significant than those of control group ,significant statis-tically （P〈0 .05） .Conclusion：The clinical total effective rate is higher if taking symptomatic treatment of disease on the basis of conventional therapy to elderly patients with severe heart failure who admit treatment in emergency internal medicine ,patients’changes of ejection fraction and B type natriuretic peptide and left ventricular are more obvious ,more safe and effective before and after treatment ,it should be widely use in clinical .