Compared with typical two-dimensional electrodes, the three-dimensional (3D) cell culture platform can simulate the real cell survival environment for cell growth to accurately reproduce cell functions. Moreover, considering that living cells are exposed to various of mechanical force in the microenvironment, the construction of 3D electrodes with excellent flexible, stretchable, and biocompatibility is of great significance to real-time monitor mechanically evoked biomolecule release from cells. Herein, we demonstrated a straightforward and effective three-step approach to fabricate three-dimensional flexible and stretchable gold foam scaffold (3D Au foam scaffold) for construction of 3D cell culture integrated electrochemical sensing platform. The excellent biological and electrical properties of Au nanostructures and porous networks of the 3D scaffold endow the platform with desirable biocompatibility and sensitive electrochemical sensing performance. As a proof of concept, the 3D Au foam scaffold functionalized with cobalt based nanocubes (Co NCs/Au foam scaffold) was validated to provide 3D culture for human umbilical vein endothelial cells (HUVECs), and synchronously real-time monitor superoxide anion (O2•-) released by HUVECs under mechanical stretching. Furthermore, 3-mercaptopropionic acid (3-MPA) modified 3D Au foam (3-MPA/Au foam scaffold) was successfully used for real-time monitoring of catecholamines in rat brain. The results demonstrate the great potential of this 3D Au foam scaffold for real-time electrochemical monitoring biomolecules in vitro and in vivo, providing convenience for future research on mechanotransduction relevant processes.