测定血小板必需量的最佳富血小板血浆法

ESMA KIRIMLIOGLU, AHMET YAPICI
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Although anticoagulants containing citrate are primarily preferred in PRP production To provide effective platelet concentration in PRP, we noticed differences in the literature regarding PRP tube volumes, anticoagulant-citrate, and blood amounts. We aimed to obtain the most appropriate platelet concentration in PRP treatment by using different concentration ratios of Acid Citrate dextrose (ACD) solution A and different blood amounts and introducing a new treatment method to the literature. Methods: The blood of 30 individuals aged between 30 and 75 was taken into 10cc laboratory tubes, and 15cc and 18cc hourglass-shaped PRP tubes containing 8% ACD-solution A. Blood fractions were separated by centrifugation, buffy coat area was collected, and count platelet amount by Hematology Analyzer. Results: The platelet amount per µl was statistically significantly higher in 18cc blood compared to 15cc and 10cc. 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摘要

目的:富血小板血浆(PRP)是通过离心提取自体外周血获得的血小板浓度较高的细胞血浆成分。PRP在再生医学治疗中具有辅助作用。目前组织修复策略的治疗方案可能在全球范围内不足。PRP治疗通过血小板释放生长因子(GF)支持炎症、增殖和伤口愈合。近年来,PRP研究取得了进展,并提出了不同的配方。虽然使用了各种方法和设备,但获得血小板浓度最高的PRP的标准化方案很少且不同。虽然含有柠檬酸盐的抗凝剂在PRP生产中主要是首选的,以提供有效的PRP血小板浓度,但我们注意到文献中关于PRP管体积、抗凝柠檬酸盐和血容量的差异。我们旨在通过使用不同浓度比的柠檬酸葡萄糖(ACD)溶液A和不同的血容量来获得PRP治疗中最合适的血小板浓度,并向文献中引入一种新的治疗方法。方法:取30例30 ~ 75岁患者的血液,分别取10cc实验室管和15cc、18cc含8% acd溶液的沙漏型PRP管,离心分离血液组分,收集黄皮面积,血液学分析仪计数血小板数量。结果:18cc血中每µl血小板数量明显高于15cc和10cc血。加入8% acd溶液A的15和18cc外周血的血小板数量均高于文献推荐的有效治疗量。结论:观察到使用血容量与获得血小板数量相关。
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DETERMINATION OF THE OPTIMUM PLATELET-RICH PLASMA METHOD FOR THE ESSENTIAL AMOUNT OF PLATELETS
Objective: Platelet-rich plasma (PRP) is the cellular plasma component containing a higher platelet concentration obtained by centrifugation of autologous peripheral blood. PRP has an auxiliary role in regenerative medicine treatment. Current treatment protocols for tissue repair strategies may be globally insufficient. PRP treatment via Platelet-released growth factors (GF) supports inflammation, proliferation, and wound healing. PRP studies have progressed and have proposed different formulations in recent years. Although various methods and devices are used, there are few and different standardized protocols to obtain PRP with the highest platelet concentration. Although anticoagulants containing citrate are primarily preferred in PRP production To provide effective platelet concentration in PRP, we noticed differences in the literature regarding PRP tube volumes, anticoagulant-citrate, and blood amounts. We aimed to obtain the most appropriate platelet concentration in PRP treatment by using different concentration ratios of Acid Citrate dextrose (ACD) solution A and different blood amounts and introducing a new treatment method to the literature. Methods: The blood of 30 individuals aged between 30 and 75 was taken into 10cc laboratory tubes, and 15cc and 18cc hourglass-shaped PRP tubes containing 8% ACD-solution A. Blood fractions were separated by centrifugation, buffy coat area was collected, and count platelet amount by Hematology Analyzer. Results: The platelet amount per µl was statistically significantly higher in 18cc blood compared to 15cc and 10cc. Platelet amounts obtained from 15 and 18cc peripheral blood with 8% ACD-solution A were above the effective treatment amount recommended in the literature. Conclusion: It was observed that the amount of used blood volume was correlated with the amount of obtained platelets.
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