Rimstad Liv, Larsen Elsa Skjønhaug, Schiøtz Hjalmar A, Kulseng-Hanssen Sigurd
Department of Obstetrics and Gynecology, Oslo University Hospital, Oslo, Norway.
Neurourol Urodyn. 2014 Sep;33(7):1135-9. doi: 10.1002/nau.22460. Epub 2013 Jul 3.
The aim of the study was to test the ability of pad stress tests with increasing load (supine, jumping on the floor, and jumping on a trampoline) to document stress incontinence in subjectively stress incontinent women.
In this prospective study 147 subjectively stress and mixed incontinent women performed consecutively the three pad stress tests with a bladder volume of 300 ml. Nineteen women performed a second trampoline pad stress test to test repeatability of the test. Nine continent women performed a trampoline pad stress test in order to determine if subjectively continent women would leak during the test.
Seventy-two women (49%) leaked during the supine, 136 (93%) leaked during the jumping, and 146 (99%) leaked during the trampoline pad stress test. The differences between pad stress tests were significant with P < 0.005. Correlation between the two trampoline pad stress tests was high at 0.8. None of the nine continent women leaked during the trampoline pad stress test.
The supine pad stress test has low sensitivity and is therefore often falsely negative. The jumping pad stress test is a simple test to perform and is satisfactory for everyday use. Subjectively stress incontinent women who do not leak during the jumping pad stress test may perform a trampoline pad stress test to document stress incontinence. The trampoline pad stress test is also simple to perform and detected leakage in 91% of the women who did not leak during the jumping pad stress test.
本研究旨在测试在主观存在压力性尿失禁的女性中，采用逐渐增加负荷的护垫压力测试（仰卧位、在地面跳跃以及在蹦床上跳跃）来记录压力性尿失禁的能力。
在这项前瞻性研究中，147名主观存在压力性和混合性尿失禁的女性，膀胱容量为300毫升时依次进行了三种护垫压力测试。19名女性进行了第二次蹦床护垫压力测试以检验该测试的可重复性。9名无尿失禁的女性进行了蹦床护垫压力测试，以确定主观无尿失禁的女性在测试过程中是否会漏尿。
72名女性（49%）在仰卧位测试时漏尿，136名（93%）在跳跃测试时漏尿，146名（99%）在蹦床护垫压力测试时漏尿。护垫压力测试之间的差异具有显著性（P < 0.005）。两次蹦床护垫压力测试之间的相关性较高，为0.8。9名无尿失禁的女性在蹦床护垫压力测试过程中均未漏尿。
仰卧位护垫压力测试敏感性较低，因此常出现假阴性结果。跳跃护垫压力测试操作简单，日常使用效果良好。在跳跃护垫压力测试中未漏尿的主观存在压力性尿失禁女性，可进行蹦床护垫压力测试以记录压力性尿失禁情况。蹦床护垫压力测试操作也很简单，在跳跃护垫压力测试中未漏尿的女性中，有91%在蹦床护垫压力测试中检测到漏尿。
