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一次离心法制备兔贫白细胞富血小板血浆的离心条件研究

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目的 探究使用一次离心法制备兔贫白细胞富血小板血浆(leukocyte-poor platelet-rich plasma,LP-PRP)的最佳离心条件.方法 取16只3~4月龄健康新西兰兔,于兔耳背中央动脉采集15 mL抗凝血,分别于1、2个月后重复取血步骤.将所取血液标本于离心半径16.7 cm分别以转速1 200、1 300、1 400、1 500 r/min(对应离心力分别为269×g、315×g、365×g、420×g)下离心2、3、4、5 min,共计16组.各组离心后采集分离平面1.5 mL以上的血浆,计算并比较不同离心条件下各组LP-PRP的体积、血小板富集系数及血小板回收率.结果 所有离心条件下获得的LP-PRP体积范围为1.8~7.6mL.相同离心转速时,随离心时间延长,LP-PRP体积显著增大,同时LP-PRP血小板富集系数呈降低趋势.离心2 min时,1 200、1 300 r/min转速下LP-PRP体积<2.0 mL,其余条件下获得的LP-PRP体积均≥2.0 mL;离心4、5 min时,各转速下获得的LP-PRP体积均≥4.0 mL.1 200 r/min转速下各离心时间组和1 300 r/min转速下离心2、3 min组LP-PRP血小板富集系数均>2.0,其中1 200 r/min转速下离心2 min能够获得最高的LP-PRP血小板富集系数.1200 r/min转速下离心4、5 min与1400 r/min转速下离心5 min获得的LP-PRP血小板回收率均>60%,1200 r/min转速下离心4、5 min组间比较差异无统计学意义(P>0.05).结论 采用一次离心法制备兔LP-PRP时,采集15 mL血液以离心半径16.7 cm、1 200 r/min转速下离心4 min即可制备体积>2.0 mL、血小板富集系数>2.0且血小板回收率>60%的LP-PRP,在最短时间达到LP-PRP的最佳作用参数.
Study of centrifuge conditions for preparing rabbit leukocyte-poor platelet-rich plasma by single centrifugation
Objective To explore the best centrifuge condition for preparing rabbit leukocyte-poor platelet-rich plasma(LP-PRP)by using single centrifugation method.Methods Sixteen healthy New Zealand rabbits,aged 3-4 months,were utilized in the investigation.A total of 15 mL anticoagulated blood was extracted from the central ear artery of each rabbit,with a repeat of the blood collection procedure after 1 and 2 months.The obtained blood specimens were individually subjected to centrifugation at a radius of 16.7 cm and speeds of 1 200,1 300,1 400,and 1 500 r/min(equivalent to centrifugal forces of 269×g,315×g,365×g,and 420×g)for durations of 2,3,4,and 5 minutes,resulting in a total of 16 groups.Following centrifugation,collect plasma from each group to a distance of 1.5 mL from the separation plane.The volumes,platelet enrichment coefficient,and platelet recovery rates of LP-PRP in each group,under varying centrifugation conditions,were methodically computed and subsequently compared.Results The volume of LP-PRP obtained under all centrifugation conditions ranged from 1.8 to 7.6 mL.At a consistent centrifugal speed,an extension of centrifugation time leaded to a significant increase in the volume of LP-PRP,accompanied by a declining trend in the platelet enrichment coefficient of LP-PRP.When centrifuged for 2 minutes,the volume of LP-PRP at speeds of 1 200 and 1 300 r/min was less than 2.0 mL,while the volume of LP-PRP obtained under other conditions was more than 2.0 mL.When centrifuged for 4 and 5 minutes,the volume of LP-PRP obtained at each speed was more than 4 mL.LP-PRP with a platelet enrichment coefficient more than 2.0 could be prepared by centrifuging at 1 200 r/min for each time group and 1 300 r/min for 2 and 3 minutes,and the highest LP-PRP platelet enrichment coefficient could be obtained by centrifugation for 2 minutes at a speed of 1 200 r/min.The platelet recovery rates of LP-PRP obtained by centrifugation at 1 200 r/min for 4 and 5 minutes,as well as centrifugation at 1400 r/min for 5 minutes,were both greater than 60%.There was no significant difference between the groups when centrifuged at 1 200 r/min for 4 and 5 minutes(P>0.05).Conclusion In the process of preparing rabbit LP-PRP using a single centrifugation method,collecting 15 mL of blood and centrifuging at a radius of 16.7 cm and speed of 1 200 r/min for 4 minutes can prepare LP-PRP with a volume exceeding 2.0 mL,platelet enrichment coefficient exceeding 2.0,and platelet recovery rate exceeding 60%.This centrifugal condition can achieve the optimal LP-PRP action parameters in the shortest possible time.

Single centrifugationleukocyte-poor platelet-rich plasmacentrifugal conditionrabbit

张克凡、张晨晨、任强、王德宁、孙力、王鑫、王耀敏、石辉

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滨州医学院附属医院骨关节与运动医学科(山东滨州 256603)

滨州医学院附属医院手术室(山东滨州 256603)

南阳市中心医院骨科(河南南阳 473009)

一次离心法 贫白细胞富血小板血浆 离心条件

山东省省级临床重点专科学科建设项目山东省医药卫生科技发展计划项目2020年产学合作协同育人项目滨州医学院徐荣祥再生医学发展计划项目

SLCZDZK-03022017WS040202002204024BY2019XRX04

2024

中国修复重建外科杂志
中国康复医学会,四川大学华西医院

中国修复重建外科杂志

CSTPCD北大核心
影响因子:1.239
ISSN:1002-1892
年,卷(期):2024.38(2)
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