• 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): 117-119.DOI: 10.3969/j.issn.1671-2587.2019.02.002

• P50血红蛋白氧亲和力的临床应用专题 • 上一篇    下一篇

不同血液保存方式对藏、汉族人群红细胞携/释氧功能的影响*

刘娟, 李小薇, 肖军, 范秀, 李翠莹   

  1. 100142 北京,空军特色医学中心输血科
  • 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: 李翠莹,女,主任技师,主要从事临床输血及免疫血液学方面的研究,(E-mail)licuiying2013@qq.com。
  • 作者简介:刘娟(1980-),女,主管技师,主要从事临床输血学工作,(E-mail)juanliu903@163.com。
  • 基金资助:
    *本课题受全军后勤科研重大专项子项(No.AWS13J004)资助

Effects of Different Blood Storage Methods on Oxygen Carrying Function of Red Blood Cells

LIU Juan, LI Xiao-wei, XIAO Jun, et al   

  1. Department of Blood Transfusion,Air Force General Hospital,Beijing 100142
  • Received:2018-10-11 Online:2019-04-20 Published:2019-04-10

摘要: 目的 评价藏、汉族人群红细胞在不同保存条件下携/释氧功能的变化。方法 收集世居高原藏族7份、世居平原汉族6份,上述两类健康成年人血液标本。采集上述两类人群抗凝血,利用不同保存液(4℃EDTA抗凝剂保存、4℃添加CPDA-1红细胞保存液、复方甘油溶液-80℃)保存红细胞,3 d后检测上述不同保存条件下的红细胞P50值;另检测4℃EDTA抗凝剂保存样本的pH值,分析可能影响P50的因素。结果 藏、汉族所有保存3 d后血液标本P50值均较正常人P50值有不同程度的下降。不同保存条件对藏、汉族人群P50均有影响,两组人群在保存液中的红细胞P50均高于4℃ EDTA保存(P<0.05)和复方甘油溶液-80℃冻存样品(P<0.05)的P50值。复方甘油溶液-80℃冻存样品与4℃ EDTA保存样品的P50值相当(P>0.05)。但同一保存条件下,高原藏族人群与平原汉族人群P50值的差异无统计学意义,高原藏族人群4℃添加保存液的红细胞P50检测值稍高于平原人群,但差异无统计学意义(P>0.05)。高原藏族、平原汉族人群4℃ EDTA保存血样pH值相均偏酸性。结论 不同保存方式对红细胞P50产生显著影响。三种不同保存液对藏、汉族人群红细胞P50的影响一致。两类人群在CPDA-1保存液中保存的红细胞P50值均相对较高,该保存液对其携放氧影响较小。上述结论将对我国血液条件下保存及藏、汉族患者血液输注品种选择,尤其是高原藏族人群输血提供一定的指导意义。

关键词: 红细胞保存, 携/释氧能力, P50

Abstract: Objective To evaluate the effects of the populations of the Tibetan and Han Plain on the function of red blood cells carrying oxygen in different storage conditions. Method sAnticoagulation was collected from the populations of 7 the Tibetan and 6 Han Plain and red blood cells were saved with different preservation solutions (4℃ EDTA anticoagulant,4℃ red blood cell preservation solution,compound glycerol solution -80℃). After three days red blood cell P50 was detected under the above conditions. The pH of the 4℃ EDTA anticoagulant was also detected for analyzing the reasons that may affect P50. Results The P50 datas of all specimens of Tibetan and Han nationality were lower than those of normal people. The P50 data in the preservation solution at 4℃ was higher than those in the 4℃ EDTA anticoagulant and whole blood of the frozen solution which was stored in glycerol solution -80℃. The P50 data of the red cell of the Tibetan stored in the preservation solution at 4℃ was higher than that of Han Plain. At the same time,there is no significantly difference in the P50 data of whole blood which was stored at 4℃ or-80℃ ConclusionDifferent preservation solutions could have significant effect on P50 data of red blood cells. There is no difference between the three different preservation solutions on the P50 of Tibetan an Han population. The P50 of red blood cells stored in the CAPD-1 preservation sloution of the two groups were relatively high,and the preservation solution had little effect on the red blood cell carrying oxygen. Therefore the above conclusions will provide guiding significance for blood preservation and transfusion of patients,especially for high altitude blood transfusion.

Key words: Red blood cell presevation, Oxygen carrying capacity, P50

中图分类号: