• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (2): 120-123.DOI: 10.3969/j.issn.1671-2587.2019.02.003

• P50血红蛋白氧亲和力的临床应用专题 • 上一篇    下一篇

L-精氨酸对红细胞氧亲和力P50的影响*

国杰, 尤国兴, 张婷, 汪德清   

  1. 100853 北京,中国人民解放军总医院输血科(国杰); 军事医学研究院卫生勤务与血液研究所(尤国兴)
  • 收稿日期:2018-10-11 出版日期:2019-04-20 发布日期:2019-04-10
  • 通讯作者: 汪德清,男,主任医师,博士生导师,主要从事临床输血工作,(E-mail)deqingw@vip.sina.com。
  • 作者简介:国杰(1987-),女,检验技师,学士,主要从事临床输血与检验工作,(Tel)010-66937571。
  • 基金资助:
    *本课题受“十三五”全军后勤科研重点项目“战时血液安全保障关键技术研究”(No.BWS16J006)资助

Research on The Oxygen Affinity P50 of Red Blood Cell Containing L-Arginine

GUO Jie, YOU Guo-xing, ZHANG Ting, et al   

  1. Department of Blood Transfusion,Chinese PLA General Hospital,Beijing 100853
  • Received:2018-10-11 Online:2019-04-20 Published:2019-04-10

摘要: 目的 探究不同浓度L-精氨酸对不同库存期悬浮红细胞、冰冻保存红细胞氧亲和力P50的影响。方法 分别在悬浮红细胞、冰冻红细胞保存前、冰冻红细胞保存解冻后的CPDA或MAP保存液中加入L-精氨酸溶液,使其终浓度分别为5 mmol/L、10 mmol/L、50 mmol/L,分别在库存期0 d、7 d、14 d、21 d、28 d、35 d检测红细胞氧亲和力P50的变化。结果 随库存时间的延长,悬浮红细胞、冰冻保存红细胞的氧亲和力P50呈总体降低趋势,尤其在库存期开始2周内降低明显,于库存期14 d内下降了15.6%,随后下降较为缓慢,第35天下降了25.4%,在库存期末其值仅为采血当天的74.6%,且冰冻保存红细胞的氧亲和力P50较同库存期悬浮红细胞低; L-精氨酸对冰冻保存红细胞氧亲和力P50的提高作用较悬浮红细胞大,且在冰冻红细胞保存解冻后添加L-精氨酸作用最为显著;终浓度为10 mmol/L的L-精氨酸对红细胞氧亲和力P50提高的影响最为明显。结论 添加适宜浓度的L-精氨酸对库存期内悬浮红细胞、冰冻保存红细胞的氧亲和力P50有提高作用。

关键词: L-精氨酸, 红细胞, 氧亲和力

Abstract: Objective To evaluate the effects of different L-arginine concentration on the oxygen affinity P50 of red blood cells and frozen red blood cells in different storage periods. Method sL-arginine solution was added into the CPDA or MAP preservation solution after thawing of frozen red blood cells,before preservation of frozen red blood cells and red blood cells,to make the final concentration of L-arginine 5 mmol/L,10 mmol/L and 50 mmol/L. The changes of erythrocyte oxygen affinity P50 were detected at 0d,7 d,14 d,21 d,28 d and 35 d during the storage periods,respectively. Results With the extension of the preservation periods,the overall decrease of erythrocyte oxygen affinity was observed in L-arginine solution was added into the CPDA or MAP preservation solution after thawing of frozen red blood cells,before preservation of frozen red blood cells and red blood cells. Especially during the first two weeks of the preservation periods,the decrease was significant.Decreased by 15.6% over 14 d,then it fell more slowly,and day 35 was down 25.4%.At the end of the inventory period,the value is only 74.6% of the date of blood collection; The overall decrease of erythrocyte oxygen affinity was observed in frozen red blood cells.The effect of L-arginine on oxygen affinity P50 of frozen red blood cells was greater than that of suspended red blood cell,and the effect of L-arginine addition was most significant after thawing of frozen red blood cells; L-arginine with a final concentration of 10mmol/L had the most significant effect on the improvement of erythrocyte oxygen affinity P50 in the three groups,and the difference was statistically significant. Conclusion L-arginine at a suitable concentration can improve the oxygen affinity P50 of red blood cells and frozen red blood cells.

Key words: L-arginine, Red blood cell, Oxygen affinity

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