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报道2例完全符合I(CD)-10产后抑郁症标准,并经舌下含化17-β雌二醇(E_2)治疗痊愈的病例。 例1 女性,30岁,无精神病病史,夫妻关系稳定。第一胎产后第2周,出现焦虑和睡眠障碍。随后数周,有忧郁、精神紧张、易怒、失眠、食欲减退。给予其奥沙西泮15～30mg,并予以心理咨询,仅暂时见效。分娩2月后,症状加剧,几乎达错乱程度,于是入院治疗。确诊为产后严重性抑郁症(MADRS总积分43)。测定血清E_2水平为140pmol/L,但其它血液检测(包括甲状腺功能)均正常。经患者同
Two cases were reported that completely met the I (CD) -10 standard of postpartum depression and were treated with sublingual 17-beta estradiol (E_2). Example 1 Female, 30 years old, no history of mental illness, stable relationship between husband and wife. The first postnatal week 2, anxiety and sleep disorders. The following weeks, depression, nervousness, irritability, insomnia, loss of appetite. Given its oxazepam 15 ~ 30mg, and psychological counseling, only temporary effect. Two months after giving birth, the symptoms intensified, almost up to the level of confusion, so admitted to hospital. Confirmed postpartum severe depression (MADRS total score 43). Serum E2 levels were determined to be 140 pmol / L, but other blood tests (including thyroid function) were normal. The same patient