不同血液提取物血小板浓度及抗微生物效价的观察研究

Arjun Singh
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摘要

摘要血小板浓缩物因其自体特性在牙周再生治疗中得到广泛应用。它能促进牙周外科治疗后的伤口愈合。目的:研究血小板浓缩物(PRP、PRF和IPRF)的血小板计数及抗菌效果。方法:在巴布巴纳拉西达斯口腔科学学院牙周病与种植科进行观察性研究。样本量为45。抽取患者血液10ml,其中各3ml用于PRP、PRF和I-PRF制备,剩余1ml用于血小板计数测定。制备I-PRF时,取血3ml, 700 rpm离心3分钟。制备PRF时,将同一患者的菌斑样本接种琼脂板,并将其标记并分为3个室。在接种的琼脂板上打孔,在孔中分别加入0.1 ml PRP、PRF和I-PRF。接种的血琼脂板在37℃下有氧孵育24 ~ 48小时。结果:i-PRF组血小板计数与对照组比较,差异有统计学意义(P < 0.001)。与PRP (P < 0.01)和PRF (P < 0.001)比较也有统计学意义。i-PRF周围的平均抑制区(P < 0.01)和PRF周围的平均抑制区(P < 0.05)均有统计学意义。PRP虽有明显的抑制区,但无统计学意义(P > 0.05)。结论:在本研究中,虽然所有的测试样品都有明显的抑制区,但只有i-PRF和PRF具有显著的抑制区。
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Observational Survey to Assess Platelet Concentration and Ani - Microbial Potency of Different Blood Extracts
Introduction: Platelet concentrates have gained popularity in periodontal regenerative therapy because of its autologous nature. it promotes wound healing after surgical periodontal therapy. Aim: to study the platelet count and antimicrobial efficacy of various platelet concentrates, such as PRP, PRF and IPRF Methodology: An Observational Study was carried out at Department of Periodontology & Implantology at Babu Banarasi das College of Dental Sciences. Sample size was 45. Ten ml of blood was drawn from the patient out of which 3ml each of blood will be used for PRP, PRF and I-PRF preparation and remaining 1ml of blood was used for determining the platelet count. For I-PRF preparation, 3ml of blood wias used, d centrifuged at 700 rpm for 3 minutes. For PRF preparation, Agar plates will be inoculated with plaque sample of same patient and will be labelled and divided into 3 compartments. Wells was prepared in the inoculated agar plate and 0.1 ml of PRP, PRF and I-PRF will be placed in those wells. Inoculated blood agar plates was then incubated aerobically at 37℃ for 24 hours to 48 hours. Results: The platelet count of i-PRF was statistically significant when compared to control (P < 0.001). It was also significant when compared to PRP (P < 0.01) and PRF (P < 0.001). Mean zone of inhibition around i-PRF (P < 0.01) and PRF (P < 0.05) reached statistical significance. Although a distinct zone of inhibition was seen with PRP, it was not statistically significant (P > 0.05). Conclusion: In the present study, although a distinct zone of inhibition was obtained with all test samples, it was significant with only i-PRF and PRF.
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