目的 探讨全血保存温度和时间对冷沉淀凝血因子质量的影响。方法 选取2020年1~6月佛山市中心血站采集的120 袋(200 ml/袋)全血作为研究对象,平均分成室温组和低温组,每组各60 袋,每组平均分为3 份(20 袋/份),分别于室温(20~24℃)和低温(2~6℃)条件下保存8、12、24 h,离心得到新鲜冰冻血浆,并于1 周内制备出冷沉淀凝血因子,测定冷沉淀凝血因子中的凝血因子Ⅷ(FⅧ)含量、纤维蛋白原(FIB)含量、FⅧ合格率及FIB合格率,比较不同保存温度、不同保存时间对全血冷沉淀凝血因子中FⅧ含量、FIB 含量、FⅧ合格率及FIB 合格率的影响。结果 保存8、12、24 h,两组的FⅧ、FIB 含量比较,差异无统计学意义(P>0.05)。两组保存12 h 的FⅧ、FIB 含量与保存8 h 比较,差异无统计学意义(P>0.05);两组保存24 h 的FⅧ、FIB 含量均低于保存8 h,差异有统计学意义(P<0.05)。低温组保存8、12、24 h 的FⅧ合格率分别为100.00%、95.00%、90.00%,与室温组的100.00%、95.00%、85.00%比较,差异无统计学意义(P>0.05);低温组保存8、12、24 h 的FIB 合格率分别为100.00%、100.00%、95.00%,与室温组的100.00%、100.00%、95.00%比较,差异无统计学意义(P>0.05)。两组保存12、24 h 的FⅧ、FIB合格率与保存8 h 比较,差异无统计学意义(P>0.05)。结论 在24 h 内全血室温保存与低温保存对冷沉淀凝血因子活性的影响无明显差异。
Objective To investigate the effect of whole blood storage temperature and time on quality of cryoprecipitate coagulation factor. Methods A total of 120 bags (200 ml/bag) of whole blood collected in Central Blood Station of Foshan City from January to June in 2020 were selected as research objects and divided into room temperature group and low temperature group with 60 bags in each group. Each group was divided into three parts on average, 20 bags per part, and stored at room temperature (20-24℃) and low temperature (2-6℃) for 8, 12 and 24 h.Fresh frozen plasma was obtained by centrifugation, and cryoprecipitated coagulation factor was prepared within one week. The content of coagulation factor Ⅷ (FⅧ), the content of fibrinogen (FIB), the qualified rate of FⅧand the qualified rate of FIB in cryoprecipitated coagulation factor were determined. The content of FⅧ, the content of FIB, the qualified rate of FⅧand the qualified rate of FIB were compared between the two groups at different storage temperature and time. Results There were no statistically significant differences in the contents of FⅧand FIB stored for 8, 12, 24 h between the two groups (P>0.05). There were no statistically significant differences in the contents of FⅧand FIB stored for 8 h and 12 h (P>0.05). The contents of FⅧand FIB stored for 24 h in the two groups were higher than those stored for 8 h, and the differences were statistically significant (P<0.05). In the low temperature group stored for 8, 12, 24 h, the FⅧqualified rate was 100.00%, 95.00% and 90.00% respectively, compared with room temperature group of 100.00%, 95.00%, 85.00%, there were no statistically significant differences (P>0.05). In the low temperature group stored for 8, 12, 24 h, the qualified rates of FIB were 100.00%, 100.00%, and 95.00%, respectively, which showed no statistically significant differences compared with 100.00%, 100.00%, and 95.00% in the room temperature group (P>0.05). The FIB qualified rates of the two groups stored for 12, 24 h were compared with stored for 8 h, and the differences were not statistically significant (P>0.05). Conclusion There is no significant difference in the activity of cryoprecipitated coagulation factor between whole blood stored at room temperature and at low temperature within 24 h.
周 丽;李军娥;童要聪;梁凤珍. 全血保存温度和时间对冷沉淀凝血因子质量的影响[J]. 中国当代医药, 2020, 27(27): 161-163转171.
ZHOU Li LI Jun-e TONG Yao-cong LIANG Feng-zhen. Effect of whole blood storage temperature and time on quality of cryoprecipitate coagulation factor. 中国当代医药, 2020, 27(27): 161-163转171.
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