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媒体调查脐带血储存:价格昂贵让家长望而却步--亲稳舆论引导监测室
2012-07-24
核心提示 Core clew
孕育一个新生命对每个家庭来说都是一个令人惊喜的过程,随着孩子出生,“脐带血”也成了家长们关注的话题。过去作为医疗废物处理掉的脐带血内蕴含丰富的造血干细胞,研究发现目前对临床上治疗白血病等血液和免疫性疾病卓有成效。但是高昂的储存费用和相对较低的认可度,让很多对此感兴趣的家长望而却步。
Foster a new life for families who are a surprise process,As children born,“Cord blood”Parents also became an issue of concern。The past as medical waste disposal off in the cord blood contains rich hematopoietic stem cells,Study found that at present of clinical treatment for leukemia, blood and immune diseases have been very effective。But high storage costs and relatively low approval,Let many interested parents flinch。
禾禾是一个患有白血病的5岁女孩,医生给出的治疗方案是必须使用亲兄弟姐妹的脐带血做造血干细胞移植,遗憾的是禾禾的父母已经离婚并各自有了新的家庭,为了救禾禾,他们必须再生一个孩子,已经在法律上没有任何关系的二人,极其无奈地背着各自的家庭在一起了……这是电影《左右》的梗概。
Hetian grain is a 5 year old girl with leukemia,The doctor give treatment strategies must use brothers and sisters to do the cord blood hematopoietic stem cell transplantation,Unfortunately shocks parents have a divorce and bluegrass the each has a new family,In order to save grain shocks,They must regeneration a child,Have no relationship in law of two people,But to carry their extremely the family together...This is the movie《Or so》The outline of the。
脐带血移植与骨髓移植机理相同 Cord blood transplantation and bone marrow transplants same mechanism
《左右》也许是个极端的例子,但是白血病像个恶魔一样每年都要吞噬很多鲜活的生命,而这种病的高发人群是16岁以下的少年儿童。
《Or so》Maybe is an extreme example,But leukemia like a devil to devour every year many of the fresh life,And this kind of disease of high-risk groups are children under 16 years of children。
在西京医院的血液科病房里,有很多这样的孩子,因为化疗他们变成了清一色的小光头,为了尽量减少感染,口罩一年四季都必须挂在脸上。曾经有一个学习成绩突出,获得过全国数学竞赛一等奖的宝鸡男孩,因为得了白血病,他的父母举债为孩子看病,想方设法做骨髓配型。孩子妈妈曾提着一旅行袋的胶囊粒,找到报社感谢给他孩子捐款的老人。据说这一旅行袋的胶囊是孩子半个月的药量。几年过去了,这个孩子最后的命运是什么样,已经不得而知,但他遮挡在口罩下的面庞依旧生动感人。
XiJing qilu hospital in the hospital room,There are many such children,Because chemotherapy they become a all small bald,In order to minimize infection,Mask throughout the year all must hang on the face。There was once a learning outstanding achievements,Won the national math contest in baoji boy,Because had leukemia,His parents for their children to see a doctor debt,Devising ways to do bone marrow heart patient。Children my mother used to carrying a bag of the capsule,Thanks to his children find newspaper donations of old man。It is said that this is a bag of the capsule is the child of half month dose。For years,The child's doom is what kind of,Has not,But he keep out in the face masks still vivid and touching。
孩子得了白血病对于任何一个家庭来说无疑都是灭顶之灾,如果影片《左右》中禾禾的父母在女儿降生时为她保存了脐带血,也许她们就不会因为救女心切而在伦理道德的和良心的谴责下左右为难了。如果那个宝鸡男孩的父母当初也为孩子保存了脐带血,孩子可能也不会为找不到合适的骨髓而发愁了。
Children with leukemia for any family certainly are lost,If the film《Or so》Grain in bluegrass the parents in for her daughter was born preserved the cord blood,Maybe they won't because save female pants and in moral and his conscience next dilemma。If the baoji boy's parents had also preserved the cord blood for children,The child may also not for couldn't find the right bone marrow and worry。
有数据显示,目前中国有白血病患者400万人,并且每年还以4万人的数字在增加,白血病的自然发病率约为十万分之四,家族有患病史的发病率更高。治疗白血病现有的最佳方法是移植造血干细胞,而造血干细胞主要来自于骨髓。我国每年需要做骨髓移植的病例有4万~10万例,但实际上,能得到适用骨髓的平均每年仅1000例,主要原因是骨髓来源困难。
A data shows,At present China has leukemia patients 4 million people,And every year 40000 the number of a man is on the increase,Leukemia is about one natural incidence,Family history of the disease was higher。Treatment for leukemia existing is the best way to hematopoietic stem cell transplantation,But mainly from the bone marrow hematopoietic stem cells。China's annual need to do a bone marrow transplant of cases have 40000 ~ 100000 cases,But in fact,Can get an annual average of only bone marrow is 1000 cases,The main reason is the source of bone marrow difficulties。
记者在陕西省妇幼保健院发放给孕妇的脐带血储存宣传册页中看到,脐带血移植与骨髓移植相比,治疗机理相同,但前者造血干细胞配型成功率比骨髓配型高出数百倍,术后产生排异的概率也相对较低。
The reporter maternity and child care centers in shaanxi province issue to pregnant women in the cord blood stored propaganda album see,Cord blood transplant compared with a bone marrow transplant,Same treatment mechanism,But the former matches than bone marrow hematopoietic stem cells success rate higher than the heart patient hundreds of times,The probability of postoperative produce rejection are relatively low。
抽取脐带血对新生儿和产妇无伤害 Extraction of mothers and newborns umbilical cord blood without damage
脐带血是新生儿娩出断脐后残留在脐带和胎盘内的血液,通常都是废弃不用的。随着医学的发展研究发现,脐带血中富含可以重建人体造血和免疫系统的造血干细胞。因此,脐带血已成为造血干细胞的重要来源。这种造血干细胞可以用来治疗多种临床疾病,如白血病、地中海贫血、自身免疫性疾患等。
Umbilical cord blood is a new student childbirth goes out broken after umbilical cord and remaining in the blood in the placenta,Usually are abandoned。With the development of medical science study found,Umbilical cord blood rich in reconstruction of the immune system and human body blood hematopoietic stem cells。so,Cord blood has become an important source of hematopoietic stem cells。This kind of hematopoietic stem cells can be used to treat various clinical disease,Such as leukemia、Mediterranean anemia、Autoimmune diseases, etc。
为什么要保存脐带血?研究显示:兄弟姐妹间骨髓和脐带血配型完全相合的比例为25%,由于脐带血对配型的要求不如骨髓那么严格,所以找到合格脐带血供体的概率更大。
Why should save cord blood?Research shows that:Brothers and sisters bone marrow and matches between the umbilical cord blood "completely rate of 25%,Due to the requirements of the umbilical cord blood matches than bone marrow so strict,So find qualified the probability of umbilical cord blood donor more big。
在西安交通大学第二附属医院脐带血保存咨询处记者联系到了负责脐带血保存咨询的王菊,她讲解了脐带血保存的必要性和相关知识,同时将保存期限和价格做了详细介绍。她说:“抽取脐带血对新生儿和产妇没有任何伤害,新生儿出生时,脐带被结扎剪断后,医护人员才会抽取脐带静脉中剩余的血液。”一般采集到的脐带血经过各种检测制备最后“合格”的脐带血干细胞才会被储存在-196℃的液氮罐里。
Xi 'an jiaotong university in the second affiliated hospital cord blood preservation office to keep reporters contact responsible for consultation WangJu of umbilical cord blood,She explained the necessity of umbilical cord blood preservation and relevant knowledge,And at the same time, to save time and price makes a detailed introduction。She said:“Extraction of mothers and newborns umbilical cord blood without any damage,Baby is born,Umbilical cord was ligation after cut,Medical personnel to will choose the umbilical cord in the veins of the remaining blood。”Generally the collected through a variety of umbilical cord blood test preparation finally“qualified”The umbilical cord blood stem cells will be stored in-196 ℃ of liquid nitrogen jars。
目前在北京、上海、山东、浙江、天津、广东及西安等地都有脐带血库。我省范围内能采集脐带血的医院有交大一附院、交大二附院、西京医院、唐都医院、中心医院血液病研究所等。
At present in Beijing、Shanghai、shandong、zhejiang、tianjin、Guangdong and xian all have umbilical cord blood bank。Our province can range of umbilical cord blood collection hospital has YiFuYuan jiaotong university、Jiaotong university two FuYuan、XiJing hospital、Tang all hospital、Central hospital blood institute, etc。
记者走访多家医院后发现,各家医院对脐带血保存的收费也各有差异,以储存期为20年计算,交大二附院的价格是20年一次性付清为16680元,分期付款略有上浮。而陕西省妇幼保健院的价格则是一次性付清22900元,分期同样略有上浮。对于差价的问题,负责陕西省妇幼保健院脐带血储存的陕西省干细胞库行政中心副主任王颖说:“各地脐带血库的储存价格不太一样,我们是西北地区唯一经卫生部门批准的干细胞库,成立比较晚,技术和设备更加先进,制备试剂均采用进口试剂,因此成本比较高。”
The reporter found several hospital visit,Various hospitals to keep charge of umbilical cord blood also have each different,To be saved for 20 years calculation,The price is FuYuan university 20 years one-time paid for 16680 yuan,Payment by installment rise slightly。And the price of maternity and child care centers of shaanxi province is one-time paid 22900 yuan,Staging the same rise slightly。For the price difference,Responsible for maternity and child care centers of shaanxi province of shaanxi province of umbilical cord blood stem cell bank store administrative center, deputy director of wang ying said:“Umbilical cord blood Banks around the store price is not quite the same,We are the only by the health department in northwest China approved stem cell bank,Established a relatively late,More advanced technology and equipment,Preparation reagents are imported reagent,So the cost is higher。”
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