首页|乙肝疫苗接种预防控制婴幼儿乙肝感染的效果分析

乙肝疫苗接种预防控制婴幼儿乙肝感染的效果分析

扫码查看
目的 分析乙型肝炎(乙肝)疫苗接种预防控制婴幼儿乙肝感染的临床效果.方法 随机选择1000例已完成三针乙肝疫苗接种的婴幼儿作为观察对象.在接种后1、2、3年检测并比较乙肝抗体滴度及乙肝病毒抗体应答情况,在首次接种后4、12、24周检测并比较表面抗体转阳情况,分析婴幼儿疫苗接种后不同抗体水平.结果 婴幼儿接种后1、2、3年的乙肝抗体滴度分别为(119.62±2.34)、(90.46±1.57)、(49.91±1.27)mU/ml.接种后1年乙肝抗体滴度明显高于接种后2、3年,接种后2年明显高于接种后3年,比较有统计学意义(P<0.05).接种后1年乙肝病毒抗体应答情况明显优于接种后2、3年,接种后2年优于接种后3年,比较有统计学意义(P<0.05).随着随访时间越长,婴幼儿首次接种乙肝疫苗后表面抗体转阳率逐渐升高,比较有统计学意义(P<0.05).且接种后24周显著转阳率97.8% 高于接种后12周的51.4%、4周的26.6%,接种后12周显著高于接种后4周,比较有统计学意义(P<0.05).接种疫苗后检验婴幼儿抗体水平,结果显示接种后A1为(120.31±5.79)mIU/L、A3为(150.62±8.04)mIU/L、B抗体为(63.49±3.68)mIU/L,水平均较高.结论 乙肝疫苗接种对婴幼儿乙肝感染有良好预防控制作用,可在很大程度上降低感染率,为婴幼儿成长发育带来保障,效果显著,是一项值得积极推广的防控措施.
Analysis of the effect of hepatitis B vaccination on prevention and control of hepatitis B infection in infants
Objective To analyze the clinical effect of hepatitis B vaccination on prevention and control of hepatitis B infection in infants. Methods 1000 infants who had completed three doses of hepatitis B vaccination were randomly selected as the observation subjects. The titer and response of hepatitis B antibody were tested and compared at 1,2 and 3 years after vaccination. The positive conversion of surface antibodies were tested and compared at 4,12,and 24 weeks after the first vaccination,and different antibody levels were analyzed after vaccination. Results The hepatitis B antibody titer at 1,2 and 3 year after vaccination were (119.62±2.34),(90.46±1.57) and (49.91±1.27) mU/ml. The hepatitis B antibody titer at 1 year after vaccination was significantly higher than that at 2 and 3 years after vaccination,and the titer at 2 years after vaccination was significantly higher than that at 3 years after vaccination. There was statistical significance in comparison (P<0.05). The hepatitis B antibody response of at 1 year after vaccination was significantly better than that at 2 and 3 years after vaccination,and the response at 2 years after vaccination was better than that at 3 years after vaccination. There was statistical significance in comparison (P<0.05). The longer the follow-up time,the positive conversion of surface antibodies increased gradually,and here was statistical significance in comparison (P<0.05). The rate of positive conversion at 24 weeks after vaccination was 97.8%,which was higher than 51.4% at 12 weeks after vaccination and 26.6% at 4 weeks after vaccination;the rate of positive conversion at 12 weeks after vaccination was significantly higher than at 4 weeks after vaccination;there was statistical significance in comparison (P<0.05). Antibody levels in infants were tested after vaccination,and the results showed that A1 was (120.31±5.79) mIU/L,A3 was (150.62±8.04) mIU/L,and B antibody was (63.49±3.68) mIU/L after vaccination,and the levels were all higher. Conclusion Hepatitis B vaccination has a good preventive and control effect on hepatitis B infection in infants. It can reduce the infection rate to a large extent,and bring protection for the growth and development of infants,and the effect is remarkable,so it is a preventive and control measure worthy of active promotion.

InfantsHepatitis B vaccinationHepatitis BPrevention and control effect

谌苏燕、谌伟、陶惠敏

展开 >

330200 南昌县疾病预防控制中心

婴幼儿 乙型肝炎疫苗接种 乙型肝炎 防控效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(23)