Mota Marília de Lima, Barreto Ronald Bispo, Leite Bárbara Ramos, Cavalcante Beatriz Costa Cardoso Dourado
Universidade Tiradentes, Murilo Dantas, Aracaju, SE, Brasil.
Faculdade de Medicina, Universidade Tiradentes, Murilo Dantas, Aracaju, SE, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Mar 31;57(2):289-294. doi: 10.1055/s-0040-1721835. eCollection 2022 Apr.
To present an innovative device that applies the double centrifugation method to obtain platelet-rich plasma (PRP), assessing whether there was an effective increase in the concentration of platelets. Ten volunteers underwent blood collection. The samples were separated in 20 ml syringes, sealed and subjected to the double centrifugation protocol at 1,100 revolutions per minute (rpm) for 15 minutes, resulting in the separation of red blood cells, plasma with platelets, and leukocytes. Then, 10 ml syringes were added to remove 9 ml, respecting the "buffy coat" parameter, collecting 8 ml above and 1 ml below for the second centrifugation and transferring again to the 20 ml syringe. The plasma was again centrifuged at 1,550 rpm for 10 minutes; as a result, it was divided into two parts: at the top, consisting of low platelet plasma (LPP), and at the bottom, by the platelet button. Part of the LPP was discarded, leaving only 3 ml with the platelet button. The cells were then counted. This innovative device was able to increase the concentration of platelets by almost three times compared with the baseline. In addition, the preparation time for the PRP was adequate, lasting only 35 to 40 minutes. Platelet-rich plasma was successfully obtained by the double centrifuge protocol, allowing its clinical use. In addition, obtaining through the presented device promotes greater applicability in the preparation of PRP in specific centers, furthermore, being a quick and economical way to obtain PRP.
介绍一种应用双重离心法获取富血小板血浆(PRP)的创新设备,评估血小板浓度是否有效增加。10名志愿者接受采血。样本在20毫升注射器中分离,密封后以每分钟1100转(rpm)进行15分钟的双重离心操作,从而分离出红细胞、含血小板的血浆和白细胞。然后,加入10毫升注射器去除9毫升,遵循“白膜层”参数,在上方收集8毫升,下方收集1毫升用于第二次离心,再转移回20毫升注射器。血浆再次以1550 rpm离心10分钟;结果,它被分为两部分:顶部是低血小板血浆(LPP),底部是血小板凝块。部分LPP被丢弃,仅留下3毫升与血小板凝块。然后对细胞进行计数。与基线相比,这种创新设备能够将血小板浓度提高近三倍。此外,PRP的制备时间合适,仅持续35至40分钟。通过双重离心方案成功获得了富血小板血浆,使其能够用于临床。此外,通过所介绍的设备获取血浆促进了PRP在特定中心制备中的更大适用性,而且,这是一种快速且经济的获取PRP的方法。