Dueñas-Garcia Omar Felipe, Matta-Gonzalez Maria Del Pilar, Fuller Kylie, Fang Wei, Shapiro Robert Edward
Obstetrics and Gynecology Department, West Virginia University, Morgantown, West Virginia, USA.
Scientifica (Cairo). 2019 Nov 3;2019:5273083. doi: 10.1155/2019/5273083. eCollection 2019.
The objective of our study was to determine the effect of voiding positions on uroflow parameters in young, healthy nulliparous women with no pelvic floor disorders. . From December 2017 to February 2018, we performed a single-institution cross-sectional study with 30 healthy volunteers comparing uroflow curves in sitting and hovering positions. 49 participants were initially prescreened with a validated tool questionnaire for pelvic floor disorders and 30 participants who had absent symptoms were included for the final analysis. From the selected participants, demographics were collected and comparisons between the sitting and hovering position groups regarding the maximum flow rate (Qmax), average flow rate (Qave), voided volume (VV), and time to peak flow (TQmax) were conducted using either the paired -test or the Wilcoxon rank sum test. In addition, linear regression analysis was performed to determine whether height, BMI, and age have significant impact on the log-transformed average of the pre- and postvalues of either Qmax, Qave, VV, or TQmax, as the average of these values are not normally distributed. . There were no statistical differences between the hovering and sitting position groups on the maximum flow rate (=0.93), average flow rate (=0.82), voided volume (=0.53), and time to peak flow (=0.82). BMI had borderline significant impact on Qave with value = 0.0531. . Different voiding toileting habits do not affect the most commonly used uroflow parameters in young healthy nulliparous patients. Results need to be corroborated by a larger scale study considering the small sample size of our study.
我们研究的目的是确定排尿姿势对无盆底功能障碍的年轻健康未生育女性尿流参数的影响。2017年12月至2018年2月,我们在单一机构进行了一项横断面研究,对30名健康志愿者在坐姿和蹲姿下的尿流曲线进行比较。最初用经过验证的盆底功能障碍工具问卷对49名参与者进行预筛查,最终纳入30名无症状的参与者进行分析。从选定的参与者中收集人口统计学数据,并使用配对t检验或Wilcoxon秩和检验对坐姿组和蹲姿组在最大尿流率(Qmax)、平均尿流率(Qave)、排尿量(VV)和尿流峰值时间(TQmax)方面进行比较。此外,进行线性回归分析以确定身高、体重指数(BMI)和年龄是否对Qmax、Qave、VV或TQmax的前后值的对数转换平均值有显著影响,因为这些值的平均值不呈正态分布。蹲姿组和坐姿组在最大尿流率(P = 0.93)、平均尿流率(P = 0.82)、排尿量(P = 0.53)和尿流峰值时间(P = 0.82)方面无统计学差异。BMI对Qave有临界显著影响,P值 = 0.0531。不同的排尿习惯不会影响年轻健康未生育患者最常用的尿流参数。考虑到我们研究的样本量较小,结果需要更大规模的研究来证实。