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[盐酸奥昔布宁(保力苏片)在老年人中的应用评估]

[Assessment of the use of oxybutynin hydrochloride (Pollakisu tablets) in the elderly].

作者信息

Uchibayashi T, Nakajima K, Nihino A, Hisazumi H

机构信息

Department of Urology, School of Medicine, Kanazawa University.

出版信息

Hinyokika Kiyo. 1991 Sep;37(9):1077-85.

PMID:1785418
Abstract

Oxybutynin hydrochloride (Pollakisu tablets) was administered at a daily dose of 6 or 9 mg to 75 elderly patients with urinary tract disorders, including neurogenic bladder and unstable bladder, with chief complaints of pollakisuria, urgency on urination and urinary incontinence. A post-marketing follow-up survey (phase IV study) was then performed to evaluate the efficacy safety and usefulness of Pollakisu tablets in these patients. The administration of Pollakisu tablets produced good results in the comprehensive assessment of overall improvement, being rated as "improved" or better in 57.5% of the patients and "slightly improved" or better in 89.0%. The assessment of general safety revealed that the drug caused almost no problems, with "no problem in safety" accounting for 97.3% of the responses. The assessment of the usefulness indicated that Pollakisu tablets are highly useful, being rated as "useful" or better in 58.9% and as "slightly useful" or better in 82.2%. Evaluation of the results according to daily dose indicated that a dose of 6 mg per day was appropriate for elderly patients from the viewpoint of drug efficacy and safety. With respect to adverse reactions, thirst was found in 5 and dysuria in 3 of the 73 patients. The overall incidence of adverse reactions was 11.0%. The above results indicate the efficacy, safety and usefulness of Pollakisu tablets in treating elderly patients with pollakisuria, urgency on urination and urinary incontinence.

摘要

对75例患有尿路疾病(包括神经源性膀胱和不稳定膀胱)、主要症状为尿频、尿急和尿失禁的老年患者,给予盐酸奥昔布宁(波拉克苏片),每日剂量为6毫克或9毫克。随后进行了上市后随访调查(IV期研究),以评估波拉克苏片在这些患者中的疗效、安全性和实用性。波拉克苏片给药后在总体改善的综合评估中取得了良好效果,57.5%的患者被评为“改善”或更好,89.0%的患者被评为“稍有改善”或更好。总体安全性评估显示,该药物几乎没有问题,“安全性无问题”的回答占97.3%。实用性评估表明,波拉克苏片非常有用,58.9%的患者被评为“有用”或更好,82.2%的患者被评为“稍有有用”或更好。根据每日剂量对结果进行评估表明,从药物疗效和安全性的角度来看,每日6毫克的剂量对老年患者是合适的。关于不良反应,73例患者中有5例出现口渴,3例出现排尿困难。不良反应的总发生率为11.0%。上述结果表明波拉克苏片在治疗老年尿频、尿急和尿失禁患者方面的疗效、安全性和实用性。

相似文献

1
[Assessment of the use of oxybutynin hydrochloride (Pollakisu tablets) in the elderly].[盐酸奥昔布宁(保力苏片)在老年人中的应用评估]
Hinyokika Kiyo. 1991 Sep;37(9):1077-85.
2
[Clinical effects of oxybutynin hydrochloride (Pollakis)--especially in the treatment of pollakisuria, urgency and urinary incontinence].
Hinyokika Kiyo. 1990 Dec;36(12):1485-90.
3
An extended-release formulation of oxybutynin chloride for the treatment of overactive urinary bladder.一种用于治疗膀胱过度活动症的氯奥昔布宁缓释制剂。
Clin Ther. 1999 Apr;21(4):634-42. doi: 10.1016/S0149-2918(00)88316-2.
4
[Effects of long-term administration of oxybutynin hydrochloride (KL007) for the treatment of neurogenic bladder and unstable bladder].
Hinyokika Kiyo. 1989 Jan;35(1):167-78.
5
[Experience in the use of propiverine hydrochloride (P-4) for patients suffering from urinary frequency and/or incontinence].[盐酸丙哌维林(P-4)用于尿频和/或尿失禁患者的使用经验]
Hinyokika Kiyo. 1990 Apr;36(4):517-23.
6
[Clinical effects of oxybutynin hydrochloride in the treatment of unstable bladder and overactive neurogenic bladder: a long-term clinical trial].盐酸奥昔布宁治疗不稳定膀胱和逼尿肌过度活动症神经源性膀胱的临床疗效:一项长期临床试验
Hinyokika Kiyo. 1988 Mar;34(3):541-50.
7
[Clinical effectiveness of KL 007 (oxybutynin hydrochloride) in urinary disorders].[KL 007(盐酸奥昔布宁)在泌尿系统疾病中的临床疗效]
Hinyokika Kiyo. 1985 Dec;31(12):2284-301.
8
[Clinical effect of oxybutynin hydrochloride (1 mg/tablet)].[盐酸奥昔布宁(1毫克/片)的临床疗效]
Hinyokika Kiyo. 1990 Jul;36(7):869-76.
9
[Topical treatment with oxybutynin chloride in neurogenic incontinence].[用氯化奥昔布宁进行神经源性尿失禁的局部治疗]
Cir Pediatr. 1993 Jan;6(1):29-31.
10
[The use of intravesical oxybutynin hydrochloride in patients with neurogenic bladder managed by intermittent catheterization].[盐酸奥昔布宁在间歇性导尿管理的神经源性膀胱患者中的应用]
Hinyokika Kiyo. 1995 Jul;41(7):521-4.

引用本文的文献

1
Oxybutynin. A review of its pharmacodynamic and pharmacokinetic properties, and its therapeutic use in detrusor instability.
Drugs Aging. 1995 Mar;6(3):243-62. doi: 10.2165/00002512-199506030-00007.