摘要
目的 探讨影响压力性尿失禁女性患者尿动力学检查结果的相关因素。方法 选取2017年10月至2019年10月首都医科大学附属北京妇产医院妇科门诊收治的压力性尿失禁女性患者141例为研究对象,尿动力学检查采用重量-时间法(承重法)和导尿管导尿法测量尿流率参数,包括最大尿流率、平均尿流率、排尿时间、尿流时间、最大尿流率达峰时间、残余尿量。尿动力学检查过程中若有尿液自尿道口不自主流出视为阳性。在141例压力性尿失禁患者中,将尿动力学检查结果阳性的93例患者作为阳性组,检查结果阴性的48例患者作为阴性组。比较两组患者的年龄、尿流率参数、尿流率曲线是否起伏,探讨其与尿动力学检查结果阳性的关系。结果 单因素分析结果显示,与阴性组患者相比,阳性组患者的年龄更大,最大尿流率、平均尿流率和尿流率曲线不起伏比例更高,尿流时间更短,差异均有统计学意义(P<0.05)。两组尿量、排尿时间、最大尿流率达峰时间、残余尿量比较,差异均无统计学意义(P>0.05)。多因素logistic回归分析结果显示,年龄和尿流率曲线是影响检测结果阳性的独立危险因素(P<0.05),年龄大、尿流率曲线不起伏的患者检测结果阳性的风险较高。结论 压力性尿失禁患者年龄和排尿方式为主要影响尿动力学检查结果的因素。
Objective To investigate the characteristics of urinary flow rate and urodynamics in female with stress urinary incontinence(SUI).Method A total of 141 female patients with SUI admitted to the gynecological outpatient department of Beijing Obstetrics and Gynecology Hospital Aff iliated to Capital Medical University from October 2017 to October 2019 were selected.The parameters of urine flow rate,such as maximum urine flow rate,average urine flow rate,urination time,urine flow time,peak time of maximum urine flow rate and residual urine volume were measured by weight-time method(loadbearing method) and urethral catheterization method.If urine does not flow out from the urethral opening during the urodynamic examination,it is considered positive.Among 141 patients with stress urinary incontinence,93 cases with positive urodynamic test results were selected as the positive group,and 48 cases with negative test results were selected as the negative group.The age,urinary flow rate parameters,and urinary flow rate curves of the two groups were compared to explore their relationship with positive urodynamic test results.Result The results of univariate analysis showed that compared with the negative group,the positive group had a older age,higher proportion of maximum urine flow rate,average urine flow rate,and urine flow rate curve non fluctuation,shorter urine flow time,and statistically significant differences(P<0.05).There was no statistically significant difference between the two groups in terms of urine output,urination time,peak time of maximum urine flow rate,and residual urine output(P>0.05).The results of multivariate logistic regression analysis showed that age and urine flow rate curve were independent risk factors affecting positive test results(P<0.05).Patients with older age and stable urine flow rate curve had a higher risk of positive test results.Conclusion The age and urination mode of patients with SUI are the main factors affecting the results of urodynamics examination.
作者
张立芳
王静璇
黄亮
张宇迪
卢丹
Zhang Lifang;Wang Jingxuan;Huang Liang;Zhang Yudi;Lu Dan(Gynecology Department,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)
出处
《中国医刊》
CAS
2024年第5期517-519,共3页
Chinese Journal of Medicine
基金
首都医科大学附属北京妇产医院中青年学科骨干培养专项(FCYY202104)。
关键词
压力性尿失禁
尿动力学检查
尿流率
Stress urinary incontinence
Urodynamics examination
Urinary flow rate
