目的探讨对老年性前列腺增生症合并糖尿病患者手术方法的选择和围手术期的护理。方法对49例老年性前列腺增生症合并糖尿病患者行经尿道前列腺汽化电切术(TURVP) 30例、耻骨后前列腺摘除术19例;连续监测血糖,适当调整胰岛素用量,将血糖控制在空腹<7.1mmol/L、餐后<13mmol/L;残余尿超过80ml则留置尿管引流;口服抗生素预防感染。结果行TURVP者术后6—24h尿液即清亮;行开放性手术者均采用持续膀胱冲洗;全部切口Ⅰ期愈合;血糖控制在正常水平。结论对伴有糖尿病的老年性前列腺增生症患者,选择合适的手术方式与相应的围手术期护理是手术成功的关键。

目的探讨肾移植患者家庭支持与生活质量的相关性。方法采用家庭支持自评量表和生活质量自评量表,对门诊65例肾移植术后患者进行问卷调查。结果家庭支持与生活质量呈显著正相关(r=0.807,P<0.001)。结论护理人员在工作中应尽可能调动家庭成员的主观能动性,增加家庭支持,从而提高患者的生活质量。

Objective:To comprehensively search the relevant literature on prone position-cardiopulmonary resuscitation (PP-CPR) in adults at home and abroad, analyze the content, summarize the evidence, and provide reference for clinical health care professionals.Methods:Systematic search of CNKI, China Biomedical Literature Service System (SinoMed), Wanfang Data, VIP database, PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochran Library, Web of Science, Scopus literature database and other Chinese and English databases was conducted. The search period was from inception to June 15 in 2024. The contents of PP-CPR from randomized controlled trial (RCT), non-RCT (prospective or retrospective), cohort studies and case reports were extracted and systematically analyzed. The search results were standardized by the method of scoping review.Results:A total of 523 articles were obtained through preliminary search, and 14 references and gray literature were retrieved, totaling 537 articles. After strict screening by two researchers, a total of 26 literatures were included, 3 were non-RCT and 23 were case reports, involving 12 countries, including 3 in Chinese, 19 in English, 2 in French, 1 in German, and 1 in Korean. Three non-RCT demonstrated that compared with standard cardiopulmonary resuscitation (CPR), PP-CPR could produce higher pressure, and provide good respiratory and circulatory support. A total of 25 adult patients were included in the 23 case reports, of which 17 reported total recovery time and 13 reported PP-CPR time ≤ 5 minutes, all of which recovered spontaneous circulation, indicating the effectiveness of PP-CPR technology. In terms of final outcome, 4 patients (16.0%) died and 21 patients (84.0%) survived, indicating that PP-CPR technology could provide timely blood circulation and improve clinical outcomes for prone cardiac arrest patients. Among the 11 patients who reported complications after resuscitation, no neurological damage was found in the short-term outcomes, indicating that PP-CPR technology had a certain level of safety.Conclusions:PP-CPR can provide timely blood circulation for patients with cardiac arrest who are unable to lie supine quickly, and win "golden time" for defibrillation and further treatment. In clinical practice, medical staff need to evaluate the emergency environment, the number of rescuers and the specific condition of the patient, and implement first aid as soon as possible, so as to reduce the time of no blood flow in the vital organs of patients with cardiac arrest in prone position, and improve the clinical prognosis.