The comparison among the three models of pooled buffy coats in preparing the platelet concentrate / 重庆医学

ABSTRACT

Objective To compare the quality and preservation effect among the three models of pooled buffy coats (PBC) in pre-paring the platelet concentrate (PC) .Methods 63 identical ABO blood donations were randomly and averagely divided into three groupsthe immediate PBC group(n=21) ,the buffy coats(BC) group(n=21) and the whole blood(WB) group(n=21) .In the im-mediate PBC group ,both the separation of the BC and the preparation of the PC was finished in the first day after collecting the WB;in the BC group ,the separation of BC was executed in the first day after collecting the WB ,while the preparation of the PC was completed in the second day ;in the WB group ,both the separation of the BC and the preparation of the PC was implement in the second day after collecting the WB .All the prepared PC were storage at (22 ± 2) ℃ for seven days in the preservation solution (composed by 2/3 PAS-ⅢM and 1/3 plasma) .Then compare the platelet(PLT) counts ,the red blood cell(RBC) residual quanti-ties ,the aggregative function of PLT ,the positive expression rates of CD62p ,the capability of hypotonic shock response(HSR) ,the PH value and the bacterial growth among PCs prepared by the three models during the stored time .Results Compared the immedi-ate PBC group during the seven stored days ,the PLT counts of the BC and WB groups were more ,the aggregative function of PLT in the BC group was better and the capability of HSR in the WB group was stronger ,but the other indexs between the immediate PBC group and the BC or WB group were no significant difference(P>0 .05) .Conclusion Both an overnight holding of BC and WB at room temperature models of PBC to prepare the PC are safe ,reliable and convenient ,and they could be substitute for the immedi-ate PBC model to prepare the PC .