首页|295例先天性心脏病儿童的疫苗接种情况

295例先天性心脏病儿童的疫苗接种情况

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目的 分析特殊预防接种门诊中先天性心脏病儿童的评估结果和疫苗接种的依从性与安全性,以期增强家长对疫苗接种安全性的信心,提高特殊健康状态儿童的疫苗接种覆盖率.方法 利用广东省东莞市妇幼保健院门诊系统调取 2021年7月—2023年 6月在该院儿童保健科特殊预防接种门诊进行免疫咨询的先天性心脏病儿童的病史资料,并通过广东省疫苗流通与接种管理信息系统收集其疫苗接种记录和接种疫苗后不良反应的发生情况.对收集到的 295例先天性心脏病儿童的既往病史及疫苗接种记录的数据进行回顾性分析,评价进行免疫咨询的先天性心脏病儿童的医学评估结果及疫苗接种的依从性和安全性.结果 首次评估后可正常接种者 151例(51.2%)、可接种/不接种部分疫苗者 124例(42.0%)、暂缓接种者 20例(6.8%).按医学评估建议进行疫苗接种者 243例(88.4%),共接种疫苗 3339 剂次,发生不良反应 12 次,不良反应发生率为 3.59‰,均为一般不良反应.疫苗犹豫者 32例,对疫苗接种的信心不足是犹豫的主要原因(占 56.2%).结论 大多数先天性心脏病儿童能按照国家免疫规划程序进行疫苗接种.先天性心脏病儿童接种疫苗的整体安全性较高,不良反应发生率较低且症状轻微.应通过科普宣教提高家长对儿童预防接种的科学认知水平和信心,以提高疫苗接种的依从性.
Study on vaccination status of 295 children with congenital heart disease
Objective To analyze the assessment results,compliance,and safety of vaccination in children with congenital heart disease in special preventive vaccination clinics,aiming to enhance their parents'confidence in the safety of vaccination and improve the vaccination coverage of children with special health conditions.Methods Utilizing the outpatient system of Dongguan Maternal and Child Health Hospital in Guangdong Province,the medical history of children with congenital heart disease who received immunization consultations at the special preventive vaccination clinic of the child health department were retrieved,from July 2021 to June 2023.Their vaccination records and the occurrence of adverse reactions after vaccination were collected through the Guangdong Province Vaccine Circulation and Vaccination Management Information System.A retrospective analysis was conducted to analyse the medical assessment results,vaccination compliance,and safety of vaccination in 295 children with congenital heart disease who received immunization consultation.Results It was found that 151 cases(51.2%)could be vaccinated normally after the first assessment,124 cases(42.0%)could be vaccinated/not vaccinated for some vaccines,and 20 cases(6.8%)were postponed for vaccination.A total of 243 cases(88.4%)were vaccinated according to the medical assessment recommendations,with a total of 3 339 doses of vaccines administered.12 adverse reactions occurred,with an adverse reaction incidence rate of 3.59‰,and all of which were mild adverse reactions.There were 32 cases of vaccine hesitancy,among which insufficient confidence in vaccination was the main reason(accounting for 56.2%).Conclusion The majority of children with congenital heart disease can be vaccinated according to the national immunization program,and the overall safety of vaccination for congenital heart disease children is relatively high,with a low incidence rate of adverse reactions and mild symptoms.Raising parents'scientific understanding and confidence in children's preventive vaccination through science popularization and education is conducive to improving their compliance.

congenital heart diseasevaccinationchildren

江转南、李玉凤、谢洋、周玲芳、陈霭信

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东莞市妇幼保健院,广东东莞 523120

先天性心脏病 疫苗 儿童

2024

中国妇幼卫生杂志

中国妇幼卫生杂志

影响因子:0.533
ISSN:
年,卷(期):2024.15(4)