首页|机采血小板与白膜法手工血小板质量差异分析

机采血小板与白膜法手工血小板质量差异分析

扫码查看
目的 分析机采血小板和白膜法手工血小板在储存期内的质量差异.方法 随机选取相同储存期内机采血小板和白膜法手工血小板各20袋,对所有标本进行常规质量控制评估.分别在储存期的第1天、第3天和第5天,对血小板的形态学计分、血小板分布宽度(PDW)、平均血小板体积(MPV)、CD62P阳性率、血栓弹力图参数(包括MA值、R时间、K时间和α角度)进行测定.结果 所有标本的常规质量控制指标均符合质量要求.在储存期第1天和第3天,2种血小板的形态学计分、CD62P阳性率和MPV差异均无统计学意义(P均>0.05).与储存期第1天的CD62P阳性率相比,储存期第3天和第5天的机采血小板和手工血小板均显著升高,差异均有统计学意义(F=91.07、82.57,P均<0.05).与储存期第1天相比,储存期第3天和第5天的机采血小板和手工血小板细胞形态学计分均显著下降,差异均有统计学意义(F=107.20、97.05,P均<0.05).结论 机采血小板与白膜法手工血小板的质量无明显差异,临床上可科学合理使用,但2种血小板均会发生储存损伤,建议临床上最好在3 d内输注.
Analysis of the quality difference between apheresis platelets and buffy coat platelets
Objective To analyze the quality difference between apheresis platelets and buffy coat platelets during storage.Methods Twenty bags of apheresis platelets and twenty bags of buffy coat platelets were randomly selected during the same storage period,and routine quality control evaluation was performed on all specimens.The morphological score,platelet distribution width(PDW),mean platelet volume(MPV),CD62P positive rate,and thromboelastography parameters(including MA value,R time,K time,and α angle)of platelets were measured on the first,third,and fifth days of storage.Results The routine quality control indicators of all specimens met the quality requirements.During the first and third storage period,there were no significant differences in the morphological score,CD62P positive rate,and MPV between the two types of platelets(all P>0.05).Compared with the CD62P positive rate on the first day of storage,the positive rates of apheresis platelets and buffy coat platelets on the third and fifth days of storage were significantly increased(F=91.07,82.57;all P<0.05).Compared with the first day of storage,the cell morphology scores of apheresis platelets and buffy coat platelets on the third and fifth days of storage were significantly decreased(F=107.20,97.05;all P<0.05).Conclusions There was no significant difference in the quality of apheresis platelets and buffy coat platelets and they could be used scientifically and rationally in clinical practice.However,both types of platelets might be suffered from storage damage,and should be transfused within three days in clinical practice.

Apheresis plateletsBuffy coat plateletsQualityStorage period

欧代校、陈大伟、何博、曾繁浪、刘辉忠、陈晓文、李玉笑

展开 >

广州血液中心,广州市血液安全重点实验室,广东 广州 510095

机采血小板 白膜法手工血小板 质量 储存期

2024

热带医学杂志
广东省寄生虫学会 中华预防医学会

热带医学杂志

CSTPCD
影响因子:0.643
ISSN:1672-3619
年,卷(期):2024.24(11)