首页|接种三剂新冠病毒灭活疫苗后抗新冠病毒抗体动态变化研究

接种三剂新冠病毒灭活疫苗后抗新冠病毒抗体动态变化研究

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目的 探索重症监护室医务人员接种三剂新型冠状(新冠)病毒灭活疫苗后抗新冠病毒抗体动态变化情况,并动态评估其免疫状态。方法 选取2020年11月至2021年11月在该院接种了三剂新冠病毒灭活疫苗的重症监护室医务人员30名作为研究对象,采集接种新冠病毒疫苗后0、1、3、6、12个月静脉血检测抗新冠病毒抗体免疫球蛋白G滴度、淋巴细胞亚群、细胞因子等,并分析其变化情况。结果 30名医务人员注射三剂新冠病毒灭活疫苗后1个月抗新冠病毒抗体均为阳性,第1个月滴度明显升高,差异有统计学意义(P<0。05);第1个月抗新冠病毒抗体达到高峰后逐步下降,第12个月抗新冠病毒抗体较第0个月仍高,差异有统计学意义(P<0。05)。不同时间点各淋巴细胞亚群比较,差异无统计学意义(P>0。05)。接种新冠病毒灭活疫苗后白细胞介素-2(IL-2)、IL-10、γ干扰素、肿瘤坏死因子α均呈倒U型变化,IL-6呈U型变化,IL-4呈波动型变化。结论 接种三剂灭活疫苗后可产生更高的抗体水平,并可维持高滴度最少6个月以上。
Study on the dynamic changes of anti-coronavirus antibodies after three doses of inactivated coronavirus vaccine
Objective To explore the dynamic changes of anti-coronavirus antibodies in medical staff of intensive care unit after three doses of novel coronavirus inactivated vaccine,and to dynamically evaluate their immune status.Methods A total of 30 medical staff in intensive care unit who received three doses of inacti-vated SARS-CoV-2 vaccine in this hospital from November 2020 to November 2021 were selected as the re-search objects.Venous blood samples were collected at 0,1,3,6 and 12 months after inoculation of novel coro-navirus vaccine to detect the titer of anti-novel,coronavirus antibody immunoglobulin G,lymphocyte subsets and cytokines,and the changes were analyzed.Results Anti-coronavirus antibodies were positive in 30 medical staff one month after injection of three doses of inactivated coronavirus vaccine,and the titer increased signifi-cantly in the first month,with statistically significant difference(P<0.05).In the first month,the anti-neo-coronavirus antibody reached a peak and then gradually decreased.In the 12th month,the anti-neo-coronavirus antibody was still higher than that in the 0 th month,and the difference was statistically significant(P<0.05).There was no significant difference in lymphocyte subsets at different time points(P>0.05).After in-oculation with the novel coronavirus inactivated vaccine,interleukin-2(IL-2),IL-10,interferon-γ,and tumor necrosis factor-α all showed inverted U-shaped changes,IL-6 showed U-shaped changes,and IL-4 showed fluc-tuating changes.Conclusion The three-dose inactivated vaccine can produce a higher level of antibody and maintain a high titer for at least six months.

Novel coronavirusInactivated vaccineAntibodyDynamic changes

张盛果、周宇、张伟伟、阮战伟

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温州医科大学附属第三医院:感染科,浙江 温州 325000

温州医科大学附属第三医院:急诊科,浙江 温州 325000

新型冠状病毒 灭活疫苗 抗体 动态变化

浙江省瑞安市科技局科技项目浙江省瑞安市科技局科技项目

MS2021039MS2021040

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(17)