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Aim To investigate the protective effects of high concentration fentanyl on the brain slice injury induced by oxygen glucose deprivation(OGD).Methods Rat brain slices were made and randomly assigned to four groups:control(n=10),OGD(n=10),fentanyl 50 ?g?L~(-1)(F_(50),n=10) and fentanyl 500 ?g?L~(-1)(F_(500),n=10).Changes of the neuron injury and apoptosis were observed with TTC staining,LDH releases,TUNEL staining,immunohistochemistry and electromicroscope.In addition,changes of intracellular calcium were measured with confocal laser-scanning microscopy.Results F_(50) and F_(500) attenuated the decrease of TTC staining and the increase of LDH release induced by OGD in brain slices.Neuronal apoptosis and changes of neuronal ultrastructures were attenuated by F_(50) and F_(500).Bcl-2 and Bax protein expressions were increased after OGD.Bax protein expression was decreased by F_(50) and F_(500),while Bcl-2 protein expression was increased by F_(50)and F_(500).Intracellular calcium concentration was increased by OGD and then it was lowered by F_(50) and F_(500).The protective effects of F_(50) were more obvious than that of F_(500).Conclusions High concentrations of fentanyl have neuron protective effects against OGD injury in rat brain slices,and fentanyl 50 ?g?L~(-1) has more obvious protective effects than fentanyl 500 ?g?L~(-1).
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Purpose:To assess the therapeutic value of perc utaneous portal vein chemoembolization (PVE) for primary hepatic carcinoma (PHC) with portal vein tumor thrombus. Methods:45 unresectable PHC with portal vein tumor thrombus cas es were randomly divided into two groups. The observation group was treated with transcatheter arterial chemoembolization (TACE)+PVE, while the control group wa s treated with TACE only. The changes of AFP, response rates of portal vein tumo r thrombus and survival rates of one year were analyzed respectively. Results:The levels of AFP before and after treatment were(730 ?190)?g/L and (515+?395)?g/L in the observation group,(752?183)?g/L a nd (710?213)?g/L in the control group respectively. The difference between t he two groups was significant (P