• 中国科学论文统计源期刊
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临床输血与检验 ›› 2016, Vol. 18 ›› Issue (2): 149-152.DOI: 10.3969/j.issn.1671-2587.2016.02.019

• 实验技术与方法 • 上一篇    下一篇

冰冻红细胞解冻洗涤液的改良性研究

于来水,康炜,宫本兰,叶萍,张薇,张磊,梁晓华   

  1. 116001 辽宁省大连市血液中心
  • 收稿日期:2015-09-01 出版日期:2016-04-20 发布日期:2016-09-21
  • 通讯作者: 梁晓华(1968-),女,主任技师,教授,主要从事血液免疫和血液安全的研究,(Tel)0411-82654596(E-mail)liangxh@dl.cn。
  • 作者简介:于来水(1983-),男,辽宁大连人,主管技师,硕士,主要从事临床输血工作,(Tel)18698735006(E-mail)yulaishui@dlbc.org.cn。

Exploration on the Improvement of thawed Washing Solution of Frozen Red Blood Cells

YU Lai-shui, KANG Wei, GONG Ben-lan, et al   

  1. Dalian Blood Centre, Dalian 116001
  • Received:2015-09-01 Online:2016-04-20 Published:2016-09-21

摘要: 目的探究在冰冻红细胞解冻洗涤液中添加适宜浓度的木糖醇,提高解冻红细胞回收率的可行性。方法选择6 d内制备的400 ml去白细胞悬浮红细胞20袋,离心去浆后分装等量(100 ml)浓缩红细胞作为实验组和对照组,实验组在解冻第1次洗涤液(80 ml 9% NaCl)和第2次洗涤液(200 ml 0.9% NaCl)中分别加入终浓度为1.2%、0.2%的木糖醇,比较两组的RBC回收率、红细胞渗透脆性、甘油残留量,同时测定冰冻红细胞解冻洗涤过程中各阶段的游离血红蛋白含量,明确提高解冻红细胞回收率的关键步骤。结果实验组RBC回收率显著高于对照组(t=–10.222,P<0.05),而红细胞渗透脆性、甘油残留量与对照组相比差异无统计学意义(P>0.05)。解冻第1次洗涤后血浆游离血红蛋白含量以实验组显著低于对照组(t=24.496,P<0.05),其余洗涤步骤的差异则无统计学意义(P>0.05)。结论冰冻红细胞经第1次洗涤液(80 ml 9% NaCl)的解冻洗涤过程为RBC回收率提高的关键步骤。

关键词: 冰冻红细胞, 木糖醇, 洗涤液

Abstract: ObjectiveTo explore the feasibility of improving the recovery ratio of red blood cells in frozen-thawed red blood cells by adding an appropriate amount of xylitol during the washing process. Methods20 packs of 400mL red blood cells which were leukocyte-reduced and prepared within 6 days were selected. The plasma was removed after centrifuge and each pack was divided into 2 bags (100 ml each) as experimental group and control group. In the experimental group, xylitol with final concentration of 1.2%,0.2% was added into first washing solution (80 ml 9% NaCl) and second washing solution (200 ml 0.9% NaCl).The recovery ratio of red blood cells, residue level of glycerin and osmotic fragility in two groups were statisticaly analyzed. The key step of improving recovery ratio of red blood cells was sought by detecting the concentrate of free hemoglobin in washing process. ResultsThe recovery ratio of red blood cells was significantly higher in experimental group than that in control group(t=-10.222,P<0 .05) while the concentration of free hemoglobin after first washing was significantly lowered(t=24.496,P<0 .05). No significant difference was seen in the residue of glycerin,osmotic fragility and free hemoglobin after additional washing(P> 0.05). ConclusionThe key step of improving recovery ratio of frozen-thawed red blood cells was the first washing process.

Key words: Frozen, red, blood, cells, Xylitol, Washing, solution

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