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血小板功能和富含血小板的血浆成分。

Platelet function and constituents of platelet rich plasma.

机构信息

Surgical & Orthopaedic Research Labs, University of New South Wales, Randwick, Australia.

出版信息

Int J Sports Med. 2013 Jan;34(1):74-80. doi: 10.1055/s-0032-1316319. Epub 2012 Aug 14.

Abstract

Platelet Rich Plasma (PRP) therapies require blood to be processed prior to application, however, the full assessment of the output of platelet sequestration devices is lacking. In this study the products of the Autologous Fluid Concentrator (Circle BiologicsTM, Minneapolis, MN) and the Gravitational Platelet Separation System (GPS, Biomet, Warsaw, IN, USA) were evaluated in terms of platelet viability and PRP constituents. The AFC and GPS produced 6.4 (±1.0) ml and 6.3 (±0.4) ml of PRP, with platelet recovery of 46.4% (±14.7%) and 59.8% (±24.2%) producing fold increases of platelets of 4.19 (±1.62) and 5.19 (±1.62), respectively. Fibrinogen concentration was increased above baseline PPP produced with the AFC. pH was lower for both of the processed samples than for whole blood. White Blood Cell count was increased around 5 fold. Functional tests showed preserved viability with both devices. This represents essential knowledge that every treating physician should have before they can confidently administer PRP therapy produced by any method. These are the first published results of platelet function for the GPS system and the first performance results of the AFC system. The PRP produced is classified according to broad classifications as Leukocyte-PRP (L-PRP) for both devices.

摘要

富血小板血浆 (PRP) 治疗需要在应用前对血液进行处理,然而,血小板隔离设备的输出的全面评估还很缺乏。在这项研究中,评估了 Autologous Fluid Concentrator(Circle BiologicsTM,明尼阿波利斯,MN)和 Gravitational Platelet Separation System(GPS,Biomet,印第安纳州华沙)的产品,评估内容包括血小板活力和 PRP 成分。AFC 和 GPS 分别产生了 6.4(±1.0)ml 和 6.3(±0.4)ml 的 PRP,血小板回收率分别为 46.4%(±14.7%)和 59.8%(±24.2%),血小板分别增加了 4.19(±1.62)和 5.19(±1.62)倍。与 AFC 产生的 PPP 相比,AFC 处理后的 PRP 中纤维蛋白原浓度升高。与全血相比,两种处理后的样本 pH 值都较低。白细胞计数增加了约 5 倍。功能测试表明两种设备的血小板活力都得到了保留。这是 GPS 系统的血小板功能的首批发表结果,也是 AFC 系统的首批性能结果。根据两种设备的白细胞 PRP(L-PRP)的广泛分类,对 PRP 进行了分类。

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