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目的通过脐血粒单系造血祖细胞(CFU-GM)培养,探讨其临床应用前景与价值。方法琼脂半固体培养法,比较脐血、骨髓、外周血CFU-GM,比较脐血4℃保存2,4,6天后,CFU-GM回收率。结果脐血CFU-GM的平均产率接近骨髓,明显高于成人外周血。脐血4℃保存,CFU-GM回收率2天为85.5%,4天为35.1%,6天为10.1%。结论脐血中富含造血干/祖细胞,为造血细胞移植提供新的来源。脐血输注应尽量采用新鲜脐血,采血后24h内输注,也可72h内输注。
Objective To investigate the clinical application and prospect of cord blood mononuclear hematopoietic progenitor cells (CFU-GM). Methods The agar semi-solid culture method was used to compare the CFU-GM of umbilical cord blood, bone marrow and peripheral blood. The recovery of CFU-GM after 2, 4 and 6 days of cord blood preservation at 4 ℃ was compared. Results The average yield of cord blood CFU-GM was close to that of bone marrow, which was significantly higher than that of adult peripheral blood. Umbilical cord blood was stored at 4 ° C. The recovery rate of CFU-GM was 85.5% in 2 days, 35.1% in 4 days and 10.1% in 6 days. Conclusion Cord blood is rich in hematopoietic stem / progenitor cells, providing a new source for hematopoietic cell transplantation. Umbilical cord blood transfusion should try to use fresh cord blood, blood within 24h after infusion, but also within 72h infusion.