仿真厕所对尿动力检测中尿流率的影响

周浩; 窦启锋; 张会清; 文建国

doi:10.14188/j.1671-8852.2023.0230

您当前的位置：

首页 >

文章列表页 >

仿真厕所对尿动力检测中尿流率的影响

基础及临床医学研究 | 更新时间：2026-11-05

- 仿真厕所对尿动力检测中尿流率的影响
- Impact of simulated toilet uroflowmetry on urinary flow rate in urodynamic test
- 武汉大学学报（医学版） 2025年46卷第4期页码：511-516
- 作者机构：
  
  1.新乡医学院第一附属医院泌尿外科河南新乡 453100
  2.郑州大学第一附属医院泌尿外科河南郑州 450052
- 作者简介：
  
  周浩，男，1995—，医学硕士生，主要从事泌尿系统疾病相关研究，E‑mail: z269163524@163.com
  窦启锋，男，1965—，教授，主任医师，主要从事泌尿系统疾病相关研究,E‑mail: qifeng@263.net
- 基金信息：
  
  2021年度河南省高等学校重点科研项目(21A320015);2020年度新乡市科技攻关计划项目(GG2020032)
- DOI：10.14188/j.1671-8852.2023.0230
  中图分类号： R699.1
- 收稿：2023-04-05，
  
  纸质出版：2025-04-25
- 稿件说明：
移动端阅览
周浩,窦启锋,张会清等.仿真厕所对尿动力检测中尿流率的影响[J].武汉大学学报（医学版）,2025,46(04):511-516.

ZHOU Hao,DOU Qifeng,ZHANG Huiqing,et al.Impact of simulated toilet uroflowmetry on urinary flow rate in urodynamic test[J].Medical Journal of Wuhan University,2025,46(04):511-516.
周浩,窦启锋,张会清等.仿真厕所对尿动力检测中尿流率的影响[J].武汉大学学报（医学版）,2025,46(04):511-516. DOI： 10.14188/j.1671-8852.2023.0230.

ZHOU Hao,DOU Qifeng,ZHANG Huiqing,et al.Impact of simulated toilet uroflowmetry on urinary flow rate in urodynamic test[J].Medical Journal of Wuhan University,2025,46(04):511-516. DOI： 10.14188/j.1671-8852.2023.0230.

摘要

目的

探讨仿真厕所在尿动力检测中对尿流率的影响。

方法

选取2021年10月至2022年9月在新乡医学院第一附属医院就诊并经过筛查排除后最终入组的120例男性患者为研究对象，根据排尿状况分为两组进行评估，每组60名，分别为正常排尿组和异常排尿组。收集患者基本信息(年龄、身高、体质量、饮酒情况、既往病史、手术史等)，研究对象分别通过仿真厕所尿流率测定和传统尿流率测定进行两次排尿，比较两种尿流的最大尿流率(Qmax)、平均尿流率(Qave)、尿流量、排尿时间、达峰时间和患者满意度调查评分。

结果

在比较所有120名男性患者时，传统尿流率检测和仿真厕所尿流率检测的尿流参数以及对两次尿流率检测的患者满意度调查评分之间的差异具有统计学意义（

0.05），传统尿流率测定的Qmax、Qave、尿流量、排尿时间、达峰时间均低于仿真厕所尿流率检测，传统测量方法的满意度评分低于仿真厕所。Qmax受不同排尿状况下不同检测方法检测的影响不同。分别在正常排尿组与异常排尿组中，两种尿流率检测方法的尿流参数之间差异均具有统计学意义（

0.05），传统方式测量的Qmax、Qave、尿量均低于仿真厕所组，仿真厕所排尿的达峰时间更久，其排尿时间也更长。

结论

仿真厕所尿流率检测更贴近日常排尿状况，可以提供给患者更舒适的感受，相较于传统尿流率测定，仿真厕所尿流率检测能得到更加符合真实排尿情况的尿流率测定结果。

Abstract

Objective

To explore the effect of the simulated toilet on the urinary flow rate in urodynamic tests.

Methods

A total of 120 male patients admitted to the First Affiliated Hospital of Xinxiang Medical University from October 2021 to September 2022 were selected and divided into two groups according to their urination status. The 120 patients were divided into a normal urination group and an abnormal urination group

with 60 patients in each group. Basic information of the patients (age

height

weight

alcohol consumption

past medical history

surgical history

etc.) was collected. The subjects urinated twice in simulated uroflowmetry and conventional uroflowmetry

respectively. The maximum flow rate (Qmax)

average flow rate (Qave)

voided volume

voiding time

peak time

and patient satisfaction scores were compared between the two methods of uroflowmetry.

Results

There was statistical significance in the urine flow parameters and patient satisfaction survey scores between the traditional urine flow rate test and the simulated toilet urine flow rate test (

0.05). The Qmax

Qave

urine flow rate

urination time

and peak time measured by the traditional urine flow rate test were all lower than those measured by the simulated toilet

and the satisfaction score of the traditional measurement method was lower than that of the simulated toilet. Qmax was affected differently by different detection methods under different urination conditions. The urine flow parameters of the two methods were statistically significant between the normal and abnormal urination groups (

0.05). The Qmax

Qave

and urine volume measured by the traditional method were all lower than those in the simulated toilet group

and the simulated toilet group had a longer peak time and longer urination time.

Conclusion

The simulated toilet uroflowmetry is closer to the daily urination situation and can provide patients with a more comfortable experience. Compared with the traditional uroflowmetry

the simulated uroflowmetry can obtain urine flow rate test results that are more consistent with the actual urination situation.

关键词

Keywords

references

CHIU H T , KAO T W , PENG T C , et al . Average urinary flow rate and its association with handgrip strength [J ] . Aging Male , 2020 , 23 ( 5 ): 1220 ‑ 1226 .

EGAN K B . The epidemiology of benign prostatic hyperplasia associated with lower urinary tract symptoms [J ] . Urol Clin N Am , 2016 , 43 ( 3 ): 289 ‑ 297 .

张蕾 . 中国成年女性下尿路症状流行病学调查及随访研究——多中心横断面及前瞻性队列研究 [D ] . 北京 : 北京协和医学院 , 2015 .

ZHANG L . Epidemiological investigation and follow‑up study on lower urinary tract symptoms of adult women in China: A multicenter cross‑sectional and prospective cohort study [D ] . Beijing : Peking Union Medical College , 2015 .

胡龙芳 . 中老年男性下尿路症状现况调查及其危险因素分析 [D ] . 杭州 : 浙江大学 , 2018 .

HU L F . Investigation and risk factors analysis of lower urinary tract symptoms in middle‑aged and elderly men [D ] . Hangzhou : Zhejiang University , 2018 .

李彦锋 . 男性下尿路症状诊断和治疗中国专家共识 [J ] . 中华男科学杂志 , 2021 , 27 ( 12 ): 1129 ‑ 1139 .

LI Y F . China expert consensus on diagnosis and treatment of male lower urinary tract symptoms [J ] . Natl J Androl , 2021 , 27 ( 12 ): 1129 ‑ 1139 .

DOGAN S . Comparison of self‑conducted and assistant‑supervised uroflowmetry methods [J ] . Cureus , 2022 , 14 ( 2 ): e22030

MEISTER M R , ZHOU J C , CHU H T , et al . Non‑invasive bladder function measures in healthy, asymptomatic female children and adolescents: A systematic review and meta‑analysis [J ] . J Pediatr Urol , 2021 , 17 ( 4 ): 452 ‑ 462 .

ROSIER P F W M , SCHAEFER W , LOSE G , et al . International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure‑flow study [J ] . Neurourol Urodyn , 2017 , 36 ( 5 ): 1243 ‑ 1260 .

YANAGI T , KANEMATSU A , SHIMATANI K , et al . Uroflowmetry is a viable surrogate for urethroscopy in evaluation of anatomical success following urethroplasty [J ] . Int J Urol , 2023 , 30 ( 4 ): 390 ‑ 394 .

KOCHER N J , DAMASER M S , GILL B C . Advances in ambulatory urodynamics [J ] . Curr Urol Rep , 2020 , 21 ( 10 ): 41 .

LU J Y , CHENG B , LIN L , et al . Urodynamic findings in patients with complete and incomplete suprasacral spinal cord injury at different stages after injury [J ] . Ann Palliat Med , 2021 , 10 ( 3 ): 3171 ‑ 3178 .

SHINOHARA M , TORIMOTO K , MATSUSHITA C , et al . A new nomogram of urinary flow rate and volume based on multiple measurements per healthy adult Japanese men using a portable uroflowmeter (P‑Flowdiary ® ) [J ] . BMC Urol , 2022 , 22 ( 1 ): 130 .

HIRAMATSU I , TSUJIMURA A , MIYOSHI M , et al . Maximum flow rate is lowest in the early morning in hospitalized men with nocturia evaluated over 24 hours by toilet uroflowmetry [J ] . Urology , 2022 , 166 : 196 ‑ 201 .

BATAVIA J P , COMBS A J . The role of non‑invasive testing in evaluation and diagnosis of pediatric lower urinary tract dysfunction [J ] . Curr Urol Rep , 2018 , 19 ( 5 ): 1 ‑ 8 .

CEYHAN E , ASUTAY M K . Standardization for reliable uroflowmetry testing in adults [J ] . Low Urin Tract Symptoms , 2021 , 13 ( 1 ): 45 ‑ 50 .

MOMBELLI G , PICOZZI S , MESSINA G , et al . Free uroflowmetry versus "Do‑It‑Yourself" uroflowmetry in the assessment of patients with lower urinary tract symptoms [J ] . Int Urol Nephrol , 2014 , 46 ( 10 ): 1915 ‑ 1919 .

SUN X F , LU Y , ZHU H X , et al . Effects of psychological intervention on perioperative quality of life and serum PSA and FPSA levels of patients with prostate cancer treated with integrated traditional Chinese and western medicine [J ] . Evid Based Complementary Altern Med , 2021 , 2021 : 1 ‑ 7 .

WANG X X , SHUAI W , PENG Q A , et al . White coat effect in hypertensive patients: The role of hospital environment or physician presence [J ] . J Am Soc Hypertens , 2017 , 11 ( 8 ): 498 ‑ 502 .

HAMBROOK D , TAYLOR T , BREAM V . Cognitive behavioural therapy for paruresis or "shy bladder syndrome": A case study [J ] . Behav Cogn Psychother , 2017 , 45 ( 1 ): 79 ‑ 84 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

ADAMTS4在急性肺损伤/急性呼吸窘迫综合征中的研究进展

艾灸联合光疗在糖尿病足患者中的应用效果

不同酸类制剂治疗头皮脂溢性皮炎的临床疗效比较

高通量测序临床报告中遗传变异正交实验验证的规范化建议

腹腔镜下改良非网片髂耻韧带悬吊术治疗盆腔器官脱垂的有效性及安全性