Nagata Maria J H, Messora Michel R, Furlaneto Flávia A C, Fucini Stephen E, Bosco Alvaro F, Garcia Valdir G, Deliberador Tatiana M, de Melo Luiz G N
Professor, DDS, PhD, Division of Periodontics, Department of Surgery and Integrated Clinic, Dental School of Araçatuba, São Paulo State University, UNESP, Brazil.
Eur J Dent. 2010 Oct;4(4):395-402.
The purpose of this study was to compare the quantity and quality of platelets in platelet-rich plasma (PRP) samples prepared using either the single- or the double-centrifugation protocol.
Ten adult white New Zealand rabbits were used. Ten ml of blood were drawn from each animal via cardiac puncture. Each blood sample was divided into two equal parts for PRP preparation: 5 ml of blood were centrifuged according to a single-centrifugation protocol (Group I), and 5 ml were centrifuged according to a double-centrifugation protocol (Group II). Manual platelet counts were performed on the whole blood and PRP samples of each group. Smears were also done on all samples in order to see the morphology of the platelets. The data obtained in the manual platelet count were submitted to statistical analysis (repeated measures ANOVA, Tukey, P<.05).
The average whole blood platelet count was 446,389/μl. The PRP samples in Group II presented an average platelet amount significantly higher than that of Group I (1,986,875 ± 685,020/μl and 781,875 ± 217,693/μl, respectively). The PRP smears from Group II were the only one to present platelets with altered morphology (75% of the smears). A few lymphocytes with increased cytoplasm were observed in the PRP smears of both Groups I (25% of the smears) and II (62.5% of the smears).
Within the limits of this study, it can be concluded that the double-centrifugation protocol resulted in higher platelet concentrations than did the single-centrifugation protocol. However, the double-centrifugation protocol caused alterations in platelet morphology and was more sensitive to small processing errors.
本研究旨在比较采用单步离心法或双步离心法制备的富血小板血浆(PRP)样本中血小板的数量和质量。
选用10只成年白色新西兰兔。通过心脏穿刺从每只动物采集10ml血液。每份血样分为两等份用于制备PRP:5ml血液按单步离心法离心(I组),5ml血液按双步离心法离心(II组)。对每组的全血和PRP样本进行手工血小板计数。还对所有样本制作涂片以观察血小板形态。将手工血小板计数获得的数据进行统计分析(重复测量方差分析、Tukey检验,P<0.05)。
全血血小板平均计数为446,389/μl。II组的PRP样本血小板平均数量显著高于I组(分别为1,986,875±685,020/μl和781,875±217,693/μl)。II组的PRP涂片是唯一呈现血小板形态改变的涂片(占涂片的75%)。在I组(占涂片的25%)和II组(占涂片的62.5%)的PRP涂片中均观察到少数细胞质增多的淋巴细胞。
在本研究范围内,可以得出结论,双步离心法比单步离心法产生更高的血小板浓度。然而,双步离心法会导致血小板形态改变,并且对小的操作误差更敏感。