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用于运动性肌肉骨骼疾病的富血小板血浆特性比较:一份临床实践报告。

Comparison of Platelet-Rich Plasma Properties Used in Athletic Musculoskeletal Conditions: A Clinical Practice Report.

作者信息

Pais Neto António, Cunha Tiago B, Pereira Nuno, Reis E Silva Miguel

机构信息

Physical Medicine and Rehabilitation, Centro de Medicina de Reabilitação de Alcoitão, Cascais, PRT.

Physical Medicine and Rehabilitation, Health and Performance, Sport Lisboa e Benfica, Lisboa, PRT.

出版信息

Cureus. 2025 May 14;17(5):e84080. doi: 10.7759/cureus.84080. eCollection 2025 May.

DOI:10.7759/cureus.84080
PMID:40519418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12163841/
Abstract

This study evaluates the properties of platelet-rich plasma (PRP) preparations used by a professional sports club's medical department for treating musculoskeletal conditions in athletes. PRP samples were prepared using 20 ml and 50 ml Hy-tissue® PRP Kits (Fidia Farmaceutici S.p.A., Abano Terme, Italy) from 13 total blood samples. They were analyzed to assess platelet (PLT), leukocyte, and red blood cell concentrations. Results showed both kits effectively concentrated PLT with an average enrichment factor of 2.9×, though the 50 ml kit produced higher total PLT counts (4.7 Bl) than the 20 ml kit (1.7 Bl). White and red blood cell levels were significantly reduced, indicating high PRP purity. DEPA (dose of injected PLT, efficiency of production, purity of the PRP, activation of the PRP) classification revealed a superior quality score, from A to D in the three prior parameters, for the 50 ml kit (BCA vs. CCA). Despite acceptable PLT concentration, the efficiency of PLT recovery was low across both kits. The findings underscore the importance of evaluating PRP characteristics to optimize therapeutic outcomes and highlight the need for protocol refinement to enhance preparation efficiency. These results advocate for standardized reporting and classification to support evidence-based application of PRP in sports medicine.

摘要

本研究评估了一家专业体育俱乐部医疗部门用于治疗运动员肌肉骨骼疾病的富血小板血浆(PRP)制剂的特性。使用20毫升和50毫升Hy-tissue® PRP试剂盒(意大利阿巴诺泰尔梅市菲迪亚制药公司)从13份全血样本中制备PRP样本。对其进行分析以评估血小板(PLT)、白细胞和红细胞浓度。结果显示,两种试剂盒均能有效浓缩PLT,平均富集因子为2.9倍,不过50毫升试剂盒产生的总PLT计数(4.7 Bl)高于20毫升试剂盒(1.7 Bl)。白细胞和红细胞水平显著降低,表明PRP纯度较高。DEPA(注射的PLT剂量、生产效率、PRP纯度、PRP激活)分类显示,50毫升试剂盒在三个先前参数方面的质量评分更高,从A到D(BCA对CCA)。尽管PLT浓度可接受,但两种试剂盒的PLT回收率都很低。这些发现强调了评估PRP特性以优化治疗效果的重要性,并突出了改进方案以提高制备效率的必要性。这些结果提倡进行标准化报告和分类,以支持PRP在运动医学中的循证应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d344/12163841/1367db31dc97/cureus-0017-00000084080-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d344/12163841/2f7b98a34ff3/cureus-0017-00000084080-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d344/12163841/1367db31dc97/cureus-0017-00000084080-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d344/12163841/2f7b98a34ff3/cureus-0017-00000084080-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d344/12163841/1367db31dc97/cureus-0017-00000084080-i02.jpg

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本文引用的文献

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J Orthop Traumatol. 2024 Oct 24;25(1):50. doi: 10.1186/s10195-024-00791-1.
2
Influence of Platelet Concentration on the Clinical Outcome of Platelet-Rich Plasma Injections in Knee Osteoarthritis.血小板浓度对富血小板血浆注射治疗膝骨关节炎临床疗效的影响。
Am J Sports Med. 2024 Nov;52(13):3223-3231. doi: 10.1177/03635465241283463. Epub 2024 Oct 14.
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The Effect of Platelet Dose on Outcomes after Platelet Rich Plasma Injections for Musculoskeletal Conditions: A Systematic Review and Meta-Analysis.
血小板剂量对用于肌肉骨骼疾病的富血小板血浆注射后结局的影响:一项系统评价和荟萃分析。
Curr Rev Musculoskelet Med. 2024 Dec;17(12):570-588. doi: 10.1007/s12178-024-09922-x. Epub 2024 Sep 27.
4
Optimization of Platelet-Rich Plasma Preparation for Regenerative Medicine: Comparison of Different Anticoagulants and Resuspension Media.用于再生医学的富血小板血浆制备的优化:不同抗凝剂和重悬介质的比较
Bioengineering (Basel). 2024 Feb 23;11(3):209. doi: 10.3390/bioengineering11030209.
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Red Blood Cells in Platelet-Rich Plasma: Avoid If at All Possible.富含血小板血浆中的红细胞:尽可能避免。
Biomedicines. 2023 Aug 30;11(9):2425. doi: 10.3390/biomedicines11092425.
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