首页|363例3至7岁健康儿童接种乙肝疫苗的抗体水平监测结果分析

363例3至7岁健康儿童接种乙肝疫苗的抗体水平监测结果分析

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目的:探究363例3至7岁健康儿童接种乙肝疫苗的抗体水平监测结果.方法:收集2021年5月至2023年12月时间段内在南昌市青山湖区接受抗体检查的健康儿童363例作为观察对象,男孩180例、女孩183例,平均年龄(5.05±0.45)岁.均已完成乙肝疫苗3次全程免疫接种,接受乙肝两对半乙型肝炎病毒表面抗原(HBsAg)、乙型肝炎病毒表面抗体(HBsAb)、乙型肝炎病毒E抗原(HBeAg)、乙型肝炎病毒核心抗体(HBcAb)、乙型肝炎病毒E抗体(HBeAb)检查.分析不同年龄段及不同性别健康儿童HBsAb阳性率;分析不同性别健康儿童在接种后不同年限的HBsAb阳性率.结果:不同年龄段健康儿童在接种第3针后HBsAb阳性率比较,有统计学差异(P<0.05);3岁儿童在接种第3针后的HBsAb阳性率较4岁、5岁、6岁、7岁儿童高(P<0.05);4岁儿童在接种第3针后的HBsAb阳性率较6岁、7岁儿童高(P<0.05);5岁儿童在接种第3针后的HBsAb阳性率较7岁儿童高(P<0.05).363例健康儿童中男孩与女孩在接种后HBsAb阳性率比较,无统计学差异(P>0.05).经监测,3岁女孩HBsAb阳性率最高(91.18%),7岁女孩最低(36.67%).3岁男孩HBsAb阳性率最高(85.29%),7岁最低(36.67%).男孩、女孩HBsAb阳性率随年龄增长而降低,有统计学差异(P<0.05).结论:3至7岁健康儿童接种乙肝疫苗后产生一定程度的HbsAb抗体,且分析发现HBsAb阳性率与儿童年龄、接种年限密切相关,但与儿童的性别无关,HBsAb阳性率可能随着接种年限延长而降低,需结合儿童抗体实际情况加强免疫,以提高HBsAb阳性率.
Monitoring Results of Hepatitis B Vaccine in 363 Healthy Children Aged 3 to 7 Years
Objective:To explore and analyze the monitoring results of hepatitis B vaccine in 363 healthy children aged 3 to 7 years.Methods:363 healthy children who received antibody examination in Nanchang Qingshanhu district for Disease Control and Prevention from May 2021 to December 2023 were collected as observation objects,including180 boys and183 girls,with an average age of(5.05±0.45)years.All of them have completed 3 rounds of hepatitis B vaccine immunization(0-January-June).Two and a half pairs of hepatitis B virus surface antigen(HBsAg),hepatitis B virus surface antibody(HBsAb),hepatitis B virus E antigen(HBeAg),hepatitis B virus core antibody(HBcAb),and hepatitis B virus E antibody(HBeAb)were tested.The positive rates of HBsAb in healthy children of different ages and genders were analyzed.The positive rate of HBsAb in different years after vaccination in healthy children of different genders was analyzed.Results:There was a significant difference in the HBsAb positive rate between healthy children of different ages after the third dose of vaccination(P<0.05).The HBsAb positive rate of 3-year-old children after the third dose of vaccination was higher than that of 4,5,6,and 7 years old children(P<0.05).The HBsAb positive rate of 4-year-old children after the third dose of vaccination was higher than that of 6-year-old and 7-year-old children(P<0.05).The HBsAb positive rate in 5-year-old children was significantly higher than that in 7-year-old children after the third dose of vaccination(P<0.05).Among 363 healthy children,there was no significant difference in the HBsAb positive rate between boys and girls after vaccination(P>0.05).The highest HBsAb positive rate was 91.18%in 3-year-old girls and the lowest was 36.67%in 7-year-old girls.The highest HBsAb positive rate was 85.29%in 3-year-old boys and the lowest was 36.67%in 7-year-old boys.The HBsAb positive rate of boys and girls decreased with the increase of age,and the difference was statistically significant(P<0.05).Conclusion:Healthy children aged 3 to 7 years old produce a certain degree of HbsAb antibody after vaccination with hepatitis B vaccine,and the analysis found that the HBsAb positive rate was closely related to the age of children and vaccination years,but it was not related to the gender of the children.The HBsAb positive rate may decrease with the increase of vaccination years,and it is necessary to strengthen immunization combined with the actual situation of children's antibodies to improve the HBsAb positive rate.

Hepatitis B VaccineChildrenVaccinationAntibody MonitoringResult

范忠桂、杨艳慧、赵松林

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江西省南昌市青山湖区疾病预防控制中心(江西南昌 330029)

乙肝疫苗 儿童 疫苗接种 抗体监测 结果

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(6)