1.Clinical research of Anshen-Shenghua Decoction combined with paroxetine hydrochloride tablets in treating postpartum depression
Linya XU ; Zuxian WANG ; Jing XU ; Jian SUI
International Journal of Traditional Chinese Medicine 2020;42(8):750-753
Objective:To evaluate the efficacy of Anshen-Shenghua Decoction combined with Paroxetine hydrochloride tablets in treating postpartum depression. Methods:Eighty-two postpartum depression patients admitted to our hospital from September of 2017 to November of 2018 were selected and were randomly divided into control group and observation group with 41 cases in each group by random number table methode. The control group received paroxetine hydrochloride tablets. The observation grouptook Anshen-Shenghua Decoction based on the control group. Both of the two groups were treated for 6 weeks. Hamilton Depression Scale (HAMD) factors and Edinburgh Postpartum Depression Scale (EPDS) were used to evaluate the depression degree. The ELISA method was used to detect serum levels of hypersensitive C-reactive protein (hs-CRP) and homocysteine (Hcy). The efficacy was evaluated for both groups. Results:The total clinical effective rate of observation group and control group was 97.6% (40/41) and 78.0% (32/41) respectively, with statistically significant difference ( χ2=5.581, P=0.018). The scores of anxiety, day and night, sleep disorders, weight, feelings of hopelessness, cognitive impairment, block of the observation group were obviously lower than those of the control group after the treatment ( t values were 12.391, 10.941, 14.764, 12.261, 8.446, 10.005, 8.871 respectively, all Ps<0.01). The scores of EPDS in observation group were significantly lower than that of the control group after the treatment ( t=7.893, P<0.01). After the treatment, the serum levels of hs-CRP and Hcy in the observation group were significantly lower than those of the control group ( t values were 8.005 and 6.553, respectively, all Ps<0.01). Conclusions:Anshen-Shenghua Decoction combined with paroxetine hydrochloride tablets in treating postpartum depression can effectively relieve the depression symptoms of postpartum depression patients, and the down-regulation of serum levels of hs-CRP and Hcy.
2.A case report of malignant peripheral nerve sheath tumors of the bladder
Qiwei YU ; Jun WANG ; Xiang LI ; Linya YAO ; Bing HU ; Zhenyu XU ; Xi ZHANG ; Binjin SHEN ; Xueming ZENG
Chinese Journal of Urology 2020;41(11):867-868
Malignant peripheral nerve sheath tumors(MPNST) of the bladder is a very rare malignant tumor, usually secondary to neurofibromatosis type 1 (NF-1), with a few sporadic cases. This paper reports a case of 70-year-old man with bladder MPNST who underwent transurethral resection. Adjuvant intravesical instillation with gemcitabine was given after surgery, and there was no local recurrence and distant metastasis after 12-month follow-up. This paper also made a corresponding literature review.
3.Practical Strategies for Health Education during Pregnancy and Childbirth Period in Foreign Countries and Their Implications to China
Chinese Medical Ethics 2023;36(7):718-723
Under the macro background of the comprehensive liberalization of the "three-child policy" and the strengthening attention to the health of women and children, China has increasingly attached importance to the topic of women’s health education and made various attempts in health education during pregnancy and childbirth period, including traditional education, situational teaching, health lecture, health salon and other forms. However, there are still some problems, such as serious stereotype and homogenization, and rigid education. The effectiveness of health education during pregnancy and childbirth period needs to be improved. By drawing on the practical experience of health education during pregnancy and childbirth period abroad, this paper aimed to comprehensively improve maternal health literacy in China, and provide a assistance for building a healthy China.