对脊髓损伤间歇导尿患者实施个性化饮水计划的效果观察

目的探讨对脊髓损伤（spinal cord injury，SCI）间歇导尿患者实施个性化饮水计划的效果。方法120例SCI患者按入住病区分为试验组与对照组，两组均接受康复治疗及间歇导尿，在此基础上对照组行常规饮水计划，试验组行个性化饮水计划，2个月后评估两组患者饮水计划依从性、膀胱康复效果及尿路感染发生率。结果试验组饮水计划依从性显著高于对照组，膀胱功能康复效果优于对照组，尿路感染发生率低于对照组，差异均有统计学意义（P〈0．01）。结论实施个性化饮水计划可显著提高SCI患者饮水计划的依从性以及膀胱功能康复效果，同时大大降低尿路感染的发生率。

The effect of individualized drinking plans on spinal cord injury patients with intermittent catheterization

Objective To investigate the effect of individual drinking plan on spinal cord injury（SCI） patients with intermittent catheterization. Methods One hundred twenty patients with spinal cord injury were divided into experimental and control groups according to the wards. The all patients in the two groups received the rehabilitation therapy and intermittent catheterization. In addition, the control group received the conventional water plan while the experimental group received individual water plan. Two months later, drinking water plan compliance, bladder rehabilitation effect, and incidence of urinary tract infection were compared between the two groups. Results The drinking water program compliance in the experimental group was significantly higher than that in the control group（ P 〈 0. 01 ）. The bladder rehabilitation effect in the experimental group was better than that in the control group（ P 〈 0. 01 ）. The incidence of urinary tract infection in the experimental group was significantly lower than that in the control group（P 〈0.02 ）. Conclusion The implementation of individual water plan can significantly improve the drinking plan compliance, bladder function rehabilitation, and greatly reduce the incidence of urinary tract infection in patients with spinal cord injury.