目的 探究非体外循环下冠状动脉旁路移植术(OPCABG)后患者氧自由基、心肌损伤因子及炎性因子的变化。方法 选择2019年10月—2022年10月收治的93例冠心病,根据手术方案分为非体外组51例(予OPCABG)与体外组42例(予体外循环冠状动脉旁路移...目的 探究非体外循环下冠状动脉旁路移植术(OPCABG)后患者氧自由基、心肌损伤因子及炎性因子的变化。方法 选择2019年10月—2022年10月收治的93例冠心病,根据手术方案分为非体外组51例(予OPCABG)与体外组42例(予体外循环冠状动脉旁路移植术),对比2组手术相关指标,治疗前和治疗后2、6、24 h血清氧自由基、心肌损伤因子及炎性因子水平。结果 非体外组手术时间、入住重症监护病房时间、气管插管时间、住院时间均短于体外组,术后24 h输血量少于体外组(P<0.01)。治疗后2组超氧化物歧化酶(SOD)水平先降后升,丙二醛(MDA)水平先升后降,且非体外组SOD、MDA水平变化幅度明显小于体外组(P<0.05,P<0.01)。随着治疗时间延长,2组心肌型肌酸激酶同工酶(CK-MB)水平逐渐升高,且非体外组术后2、6、24 h CK-MB水平均低于体外组(P<0.05,P<0.01);2组治疗后,心肌肌钙蛋白I(cTnI)水平先升后降,且非体外组术后2、6、24 h cTnI水平均低于体外组(P<0.05,P<0.01)。随着治疗时间的延长,2组白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-10(IL-10)水平逐渐下降,且非体外组术后2、6、24 h IL-6、IL-8、IL-10水平均低于体外组(P<0.05,P<0.01)。结论 OPCABG可有效降低冠心病患者氧自由基、炎性因子水平,并可减轻心肌损伤,较体外循环冠状动脉旁路移植术疗效好。展开更多
Background: Psychological archetypes are according to Carl Jung universal, archaic patterns and images that are derived from the collective unconscious and are the psychic counterpart of an instinct. Besides fundament...Background: Psychological archetypes are according to Carl Jung universal, archaic patterns and images that are derived from the collective unconscious and are the psychic counterpart of an instinct. Besides fundamental Jungian archetypes (persona, shadow, anima, animus, great mother, wise old man, hero, self and self-realization), there may be plenty of other psychological archetypes, existence of which can be deduced indirectly through stories, art, myths, religions or dreams. Purpose: This review article is to discuss the myths of Medusa, Hades and Persephone, as well as psychological archetypes present in art and stories. Methods: Several famous psychological archetypes deducted from myths, art and culture, are presented in this article and discussed from medical, psychological and philosophical perspective. Results: Interpretation of psychological archetypes deduced from here presented myths and works of art are posttraumatic embitterment disorder (Medusa), arranged marriage (Hades and Persephone), duality of human nature (Jekyll and Hyde), shared psychosis (Harley Quinn and Joker), fear, phobias, child abuse and childhood traumas (It), instinctive fear of clinical and psychic/emotional vampirism (vampires), the mystery of time (Langoliers). Conclusion: Psychological archetypes represent the powerful source of artistic and scientific inspiration originating from collective unconscious. Research, discovery and understanding of psychological archetypes may be of great value as these reveal universal human thoughts, fears, desires, tendencies, and problems being present throughout the history of humankind. Investigation of psychological archetypes may significantly improve our knowledge of human psychology.展开更多
文摘目的 探究非体外循环下冠状动脉旁路移植术(OPCABG)后患者氧自由基、心肌损伤因子及炎性因子的变化。方法 选择2019年10月—2022年10月收治的93例冠心病,根据手术方案分为非体外组51例(予OPCABG)与体外组42例(予体外循环冠状动脉旁路移植术),对比2组手术相关指标,治疗前和治疗后2、6、24 h血清氧自由基、心肌损伤因子及炎性因子水平。结果 非体外组手术时间、入住重症监护病房时间、气管插管时间、住院时间均短于体外组,术后24 h输血量少于体外组(P<0.01)。治疗后2组超氧化物歧化酶(SOD)水平先降后升,丙二醛(MDA)水平先升后降,且非体外组SOD、MDA水平变化幅度明显小于体外组(P<0.05,P<0.01)。随着治疗时间延长,2组心肌型肌酸激酶同工酶(CK-MB)水平逐渐升高,且非体外组术后2、6、24 h CK-MB水平均低于体外组(P<0.05,P<0.01);2组治疗后,心肌肌钙蛋白I(cTnI)水平先升后降,且非体外组术后2、6、24 h cTnI水平均低于体外组(P<0.05,P<0.01)。随着治疗时间的延长,2组白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-10(IL-10)水平逐渐下降,且非体外组术后2、6、24 h IL-6、IL-8、IL-10水平均低于体外组(P<0.05,P<0.01)。结论 OPCABG可有效降低冠心病患者氧自由基、炎性因子水平,并可减轻心肌损伤,较体外循环冠状动脉旁路移植术疗效好。
文摘Background: Psychological archetypes are according to Carl Jung universal, archaic patterns and images that are derived from the collective unconscious and are the psychic counterpart of an instinct. Besides fundamental Jungian archetypes (persona, shadow, anima, animus, great mother, wise old man, hero, self and self-realization), there may be plenty of other psychological archetypes, existence of which can be deduced indirectly through stories, art, myths, religions or dreams. Purpose: This review article is to discuss the myths of Medusa, Hades and Persephone, as well as psychological archetypes present in art and stories. Methods: Several famous psychological archetypes deducted from myths, art and culture, are presented in this article and discussed from medical, psychological and philosophical perspective. Results: Interpretation of psychological archetypes deduced from here presented myths and works of art are posttraumatic embitterment disorder (Medusa), arranged marriage (Hades and Persephone), duality of human nature (Jekyll and Hyde), shared psychosis (Harley Quinn and Joker), fear, phobias, child abuse and childhood traumas (It), instinctive fear of clinical and psychic/emotional vampirism (vampires), the mystery of time (Langoliers). Conclusion: Psychological archetypes represent the powerful source of artistic and scientific inspiration originating from collective unconscious. Research, discovery and understanding of psychological archetypes may be of great value as these reveal universal human thoughts, fears, desires, tendencies, and problems being present throughout the history of humankind. Investigation of psychological archetypes may significantly improve our knowledge of human psychology.
