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比尔•梅琳达盖茨基金会锁定中国商环援非"防艾"
2010年02月27日 23:06:07 来源：本网综合
2月26日综合消息 在非洲，最有效的防治艾滋病的方法就是割礼（包皮环切）。可是因为医务人员的短缺，以及人们对疼痛恐惧，使得这项在发达国家十分普及的手术，推广上具有很大难度。
现在，出现了一种全新的器械------环切吻合器，这种环切吻合器是世界领先的技术，它大大降低了患者的疼痛，同时也减少了医生的手术时间。
这个由中国研发的环切器"商环"，去年已经在肯尼亚通过了一个小型的临床测试，今年比尔· 梅琳达盖茨基金会前期已投入400万美元，用于非洲环切包皮减少艾滋病毒感染几率。
肯尼亚农民克里斯托弗，在听说了传统手术的痛苦后，决定尝试使用这个新型的环切器。他说："我觉得这是最好的预防生殖疾病的方法。"他认为，佩带这个环刚开始晨勃有一些微微胀痛，小便后后就消除了胀痛 ，大部分的肯尼亚人应该尝试这种手术，并且也能够接受长时间佩带。
科学家们认为包皮环切能有效减少感染爱滋病病毒的机会，因为包皮特别容易感染艾滋病毒。
"商环"主要由一个略小于另一个的两个环构成，通过麻醉，将包皮放置在他们中间后，包皮可以被剪切而不需要缝针。然后将环佩带10天，让伤口愈合，术后无疤痕。
根据中方的数据，使用"商环"的患者，出现并发症的可能，低于0.6%，而在非洲传统手术中，并发症却高达35%以上，一个传统手术耗时需30分钟左右，而使用"商环"可以将时间缩短到5分钟。
"商环可以对预防艾滋病起到重大的影响。"纽约基督教长老会医院生殖医学科及康奈尔大学医学院泌尿外科研究所教授Marc Goldstein说。Goldstein无偿的得到这种器械并和同事们义务的在肯尼亚用这种环切器进行临床测试。
在肯尼亚参加测试的40名患者中，有90%的人对手术非常满意。10%的人满意。
近年来，卫生官员们，纷纷想找出，如何在非洲进行5000万人次割礼的方法，因为世界上70%的艾滋病患者，生活在这里。
一些艾滋病高发的国家，比如博茨瓦纳、 肯尼亚、 卢旺达、 纳米比亚和赞比亚，都已经参加了他们的包皮环切预防活动。
Kim Dickson，世界卫生组织艾滋病专家说，大规模的包皮环切，可在2009-2025年间防止400万成人感染艾滋病。
包皮环切可以避免更多的死亡，也可以让我们在艾滋病毒方面花费更少的金钱。Philip Stevens在伦敦的智库国际政策网络说。
Bill & Melinda Gates Foundation • Lock China Central assistance to non-business, "AIDS Prevention"
February 27, 2010 23:06:07 Source: Benwang Comprehensive
February 26 comprehensive sources in Africa, the most effective way to combat AIDS, circumcision (circumcision). However, because of the shortage of medical personnel, as well as people's pain and fear, makes this a very popular surgery in the developed countries to promote the great difficulty.
Now, there is a new stapling device ------ circumcision, which circumcision GIA is the world's leading technology, which greatly reduces the patient's pain, while reducing the doctor's operation time.
Developed by the Chinese circumcision device "quotient ring", in Kenya last year passed a small clinical trial, this year's pre-比尔梅琳达 Gates Foundation has invested four million U.S. dollars for Africa, circumcision circumcision to reduce HIV risk of virus infection.
Kenya Farmers Christopher, heard about the pain of traditional surgery, decided to try to use this new circumcision device. He said: "I think this is the best method of prevention of reproductive diseases." He believes that wearing the ring just started the morning Bo, there are some slight pain, after the elimination of the pain after urination, most of the Kenyans should try to this operation, and also able to accept a long time to wear.
Scientists believe that male circumcision can be effective in reducing the chance of HIV infection because the foreskin are especially vulnerable to HIV infection.
"Quotient ring" mainly by a slightly smaller than the other two rings, through the anesthesia, they will be placed in the middle of the foreskin, the foreskin may be cut without the need for stitches. Then wear the ring for 10 days, so that wound healing, postoperative scars.
According to the Chinese data, the use of "business loop" of the patients, complications may be less than 0.6%, while in Africa the traditional surgery, the complications is as high as 35% more than a traditional operation took 30 minutes, while the use "quotient ring" can be shortened to 5 minutes.
"Quotient ring can play a significant impact on HIV prevention." New York Presbyterian Hospital, Division of Reproductive Medicine and Institute of Urology, Medical College of Cornell University, Professor Marc Goldstein, said. Goldstein pro-bono to get this equipment and the obligations and colleagues in Kenya, circumcision device in this clinical test.
Tested in Kenya to participate in the 40 patients, 90% of the people are very satisfied with surgery. 10% of people satisfied with.
In recent years, health officials, have wanted to find out how the 50 million passenger trips in Africa circumcision, because 70% of the world's AIDS patients live.
Some of the high incidence of AIDS in countries such as Botswana, Kenya, Rwanda, Namibia and Zambia, have participated in the circumcision of their prevention activities.
Kim Dickson, World Health Organization, AIDS experts say that large-scale circumcision can prevent 4 million-year period 2009-2025 for adults infected with HIV.
Circumcision to avoid more deaths, but also allows us to spend less on HIV money. Philip Stevens in London think tank the International Policy Network, said.
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