Newman Diane K
PENN Center for Continence and Pelvic Health, Division of Urology, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.
Director. 2008 Summer;16(3):15-9.
In summary, the MATRIX study evaluated the use of OXY-TDS in older adults residing in community settings. Although it was a community-based study, a large segment of those studied had traits similar to those residing in long-term care settings--699 patients were aged 75 years or older; many had comorbid diseases; and many had a long history of OAB. MATRIX found that the transdermal form of oxybutynin was a safe and effective method to manage OAB in this older population. Adverse events reported were minor and local, with the most common event being local skin irritation. The transdermal formulation improved the symptoms associated with OAB and improved QOL. Although nursing home residents were not studied in MATRIX, it appears that the transdermal formulation of oxybutynin would be an agent of choice in older adults.
总之,MATRIX研究评估了奥昔布宁透皮给药系统(OXY-TDS)在社区居住的老年人中的应用。尽管这是一项基于社区的研究,但很大一部分研究对象具有与长期护理机构居住者相似的特征——699名患者年龄在75岁及以上;许多人患有合并症;许多人有长期的膀胱过度活动症(OAB)病史。MATRIX研究发现,奥昔布宁的透皮剂型是管理该老年人群OAB的一种安全有效的方法。报告的不良事件轻微且为局部性,最常见的事件是局部皮肤刺激。透皮制剂改善了与OAB相关的症状并提高了生活质量(QOL)。尽管MATRIX研究未涉及养老院居民,但奥昔布宁的透皮制剂似乎将成为老年人的首选药物。