Objective To compare the effects of sufentanil and fentanyl anesthesia on blood glucose and insulin levels in patients undergoing laparoscopic cholecystectomy,and explore the mechanism using metabonomics technique.Methods Total 60 patients,37 males and 23 females,ASA physical status Ⅰ or Ⅱ undergoing laparoscopic cholecystectomy were randomly divided into sufentanil and fentanyl groups,and 30 cases in each group.Venous blood was collected before anesthesia and 5 min,40 min and 2 h after anesthesia,which was used to detect blood glucose,insulin levels and metabonomics analysis.Results Blood glucose were significantly lower in sufentanil group than in fentanyl group at 5 min after intubation,40 min in surgery,and postoperative 2 h (P＜0.05).After 2 h,insulin in sufentanil group was significantly lower than that in fentanyl group (P＜0.05).Metabolic analysis showed that in the positive ion mode,using orthogonal partial least squares discriminant analysis,the patients in the two groups were classified according to the serum metabolites at postoperative 2 h,which showed that the serum metabolites in patients of different groups were significantly different,and 5 biomarkers closely related to blood glucose and insulin were found.Conclusion Sufentanil showed slighter effects on blood glucose and insulin in patients,and more suitable for cholecystectomy patients.The mechanism may be related with the glucose and insulin metabolism.

OBJECTIVETo study the relationship of Chinese familial Parkinson disease with alpha-synuclein gene.

METHODSPolymerase chain reaction-single strand conformational polymorphism (PCR-SSCP) and polymerase chain reaction-heteroduplex analysis(PCR-HA) were employed to detect the abnormal mobilization in the familial Parkinson disease and sporadic Parkinson disease patients, then it was verified by gene sequencing.

RESULTSNo mutation was found in alpha-synuclein gene exons 3 and 4 by PCR-SSCP together with PCR-HA. An inserted c and an inserted t were found in intron 4, position 23 and position 67 respectively.

CONCLUSION(1) Exons 3 and 4 of alpha-synuclein gene are not the mutational hot spots of Chinese familial Parkinson disease. (2) Two polymorphisms were found in intron 4 of alpha-synuclein gene. They are 23 ins c and 67 ins t.

Adult ; Aged ; Exons ; Female ; Heteroduplex Analysis ; Humans ; Male ; Middle Aged ; Mutation ; Nerve Tissue Proteins ; genetics ; Parkinson Disease ; genetics ; Polymerase Chain Reaction ; Polymorphism, Single-Stranded Conformational ; Synucleins ; alpha-Synuclein