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用于测量尿失禁女性尿液泄漏的可穿戴式个人尿流计:可行性研究。

Wearable Personal Uroflowmeter for Measuring Urine Leakage in Women with Incontinence: Feasibility Study.

作者信息

Attari Ali, Shanehsazzadeh Faezeh, Kirkbride Tana, Day Carol, DeLancey John O L, Ashton-Miller James A

机构信息

Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.

Procter & Gamble, Cincinnati, OH 45202, USA.

出版信息

Biosensors (Basel). 2025 Jul 24;15(8):481. doi: 10.3390/bios15080481.

DOI:10.3390/bios15080481
PMID:40862944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12385000/
Abstract

This paper describes a novel wearable personal uroflowmeter and its use to log urine leakage episodes in women. Consisting of a miniature flow rate sensor attached under the urethral meatus, it recorded both urine flow rate and volume during activities of daily living. The sensor communicated with a determining unit incorporating a microcontroller and an inertial measurement unit worn at the waist, facilitating the post-hoc determination of which activities and changes in pose caused leakage. Six women participated in a feasibility study performed in a clinical setting. The results indicate that the uroflowmeter was 97.5% accurate in assessing micturition flow compared to gold standard uroflowmetry and leakage measurements. The system also provides subject-specific information on the relationship between physical activity and urine leakage, thereby eliminating errors due to missing data and recall bias in bladder leakage diaries and circumventing the limitations of office-based uroflowmeters.

摘要

本文介绍了一种新型可穿戴式个人尿流计及其在记录女性漏尿事件中的应用。它由一个附着在尿道口下方的微型流速传感器组成,可在日常生活活动中记录尿流率和尿量。该传感器与一个包含微控制器和佩戴在腰部的惯性测量单元的测定单元通信,便于事后确定哪些活动和姿势变化导致了漏尿。六名女性参与了在临床环境中进行的可行性研究。结果表明,与金标准尿流测定法和漏尿测量相比,该尿流计在评估排尿流量方面的准确率为97.5%。该系统还提供了关于身体活动与尿漏之间关系的特定受试者信息,从而消除了膀胱漏尿日记中因数据缺失和回忆偏差导致的误差,并规避了基于办公室的尿流计的局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/55263c70574e/biosensors-15-00481-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/7ec97e56ec68/biosensors-15-00481-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/a63bc100fc93/biosensors-15-00481-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/6613b8353829/biosensors-15-00481-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/8ee7daa2d4be/biosensors-15-00481-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/02cb021501ca/biosensors-15-00481-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/9d3559eac970/biosensors-15-00481-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/55263c70574e/biosensors-15-00481-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/7ec97e56ec68/biosensors-15-00481-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/a63bc100fc93/biosensors-15-00481-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/6613b8353829/biosensors-15-00481-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/8ee7daa2d4be/biosensors-15-00481-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/02cb021501ca/biosensors-15-00481-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/9d3559eac970/biosensors-15-00481-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0292/12385000/55263c70574e/biosensors-15-00481-g007.jpg

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本文引用的文献

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Improving the Accuracy of a Wearable Uroflowmeter for Incontinence Monitoring Under Dynamic Conditions: Leveraging Machine Learning Methods.提高可穿戴尿流计在动态条件下进行尿失禁监测的准确性:利用机器学习方法。
Biosensors (Basel). 2025 May 11;15(5):306. doi: 10.3390/bios15050306.
2
Prevalence, Diagnosis, and Management of Stress Urinary Incontinence in Women: A Collaborative Review.女性压力性尿失禁的患病率、诊断及管理:一项协作性综述
Eur Urol. 2025 Mar;87(3):292-301. doi: 10.1016/j.eururo.2024.12.017. Epub 2025 Jan 22.
3
Lower Urinary Tract Symptoms in US Women: Contemporary Prevalence Estimates from the RISE FOR HEALTH Study.
美国女性下尿路症状:RISE FOR HEALTH 研究的当代患病率估计。
J Urol. 2024 Jul;212(1):124-135. doi: 10.1097/JU.0000000000004009. Epub 2024 May 4.
4
When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?当膀胱与大脑碰撞:尿失禁、慢性抑郁和焦虑之间的关系是否存在性别差异?
J Clin Med. 2023 Aug 25;12(17):5535. doi: 10.3390/jcm12175535.
5
Research priorities for diagnostic instrumentation in urinary incontinence.尿失禁诊断仪器研究重点。
Proc Inst Mech Eng H. 2024 Jun;238(6):682-687. doi: 10.1177/09544119231193884. Epub 2023 Sep 5.
6
The Experience of Women From Underrepresented Groups With Urinary Incontinence: A Systematic Review.代表性不足群体女性的尿失禁体验:系统评价。
J Transcult Nurs. 2023 Jul;34(4):288-300. doi: 10.1177/10436596231172205. Epub 2023 May 18.
7
Advances in the natural history of urinary incontinence in adult females.成年女性尿失禁自然史的研究进展。
J Obstet Gynaecol. 2023 Dec;43(1):2171774. doi: 10.1080/01443615.2023.2171774.
8
Healthcare resource use and cost burden of urinary incontinence to United States payers.尿失禁对美国支付者的医疗资源利用和费用负担。
Neurourol Urodyn. 2022 Sep;41(7):1553-1562. doi: 10.1002/nau.24989. Epub 2022 Jun 16.
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Medicina (Kaunas). 2022 Apr 9;58(4):525. doi: 10.3390/medicina58040525.
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Neurourol Urodyn. 2022 Apr;41(4):918-925. doi: 10.1002/nau.24913. Epub 2022 Mar 30.