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陈华, 张菊英, 何芳, 郭洪菊, 任涛, 李亚楠. 绵阳市1~15岁儿童乙肝疫苗免疫效果调查[J]. 中国公共卫生, 2014, 30(7): 884-886. DOI: 10.11847/zgggws2014-30-07-10
引用本文: 陈华, 张菊英, 何芳, 郭洪菊, 任涛, 李亚楠. 绵阳市1~15岁儿童乙肝疫苗免疫效果调查[J]. 中国公共卫生, 2014, 30(7): 884-886. DOI: 10.11847/zgggws2014-30-07-10
CHEN Hua, ZHANG Ju-ying, HE Fang.et al, . Immune effect of hepatitis B vaccine among children of 1-15 years old in Mianyang city[J]. Chinese Journal of Public Health, 2014, 30(7): 884-886. DOI: 10.11847/zgggws2014-30-07-10
Citation: CHEN Hua, ZHANG Ju-ying, HE Fang.et al, . Immune effect of hepatitis B vaccine among children of 1-15 years old in Mianyang city[J]. Chinese Journal of Public Health, 2014, 30(7): 884-886. DOI: 10.11847/zgggws2014-30-07-10

绵阳市1~15岁儿童乙肝疫苗免疫效果调查

Immune effect of hepatitis B vaccine among children of 1-15 years old in Mianyang city

  • 摘要: 目的 了解四川省绵阳市≤15岁儿童接种乙肝疫苗后免疫效果,为乙肝疫苗预防接种及加强免疫提供依据。方法 采取整群随机抽样方法,采集涪城区城乡1 503名只接受了3针乙肝疫苗的1~15岁儿童血清,定量检测其乙肝抗-HBs滴度。结果 1 503名儿童中抗体阳性901人,总体抗-HBs阳性率为59.9%(901/1 503),男性儿童平均抗-HBs阳性率为58.9%(427/725),女性为60.9%(474/778),城市为61.0%(433/710),农村为59.0%(468/793);1岁组抗体阳性率最高,为95.3%(81/85),6岁组最低,为37.5%(24/64),儿童乙肝抗-HBs阳性率在1~6岁期间呈下降趋势,至6岁下降到最低,1~3岁乙肝抗-HBs滴度下降最快,4~6岁小幅波动,7岁开始逐渐缓慢上升,但均低于1~3岁组;乙肝抗-HBs滴度与性别、城乡差异无关。结论 接种程序、免疫年限是影响乙肝疫苗免疫接种效果因素;正规接种3针乙肝疫苗儿童应在接种后3~6年间进行血清学监测,及时加强免疫。

     

    Abstract: Objective To study immune effect of hepatitis B vaccine among children of 1-15 years old in Mianyang city,Sichuan province,and to provide basis for improvement of hepatitis B vaccination and booster immunization.Methods Using cluster random sampling method,children of 1-15 years old and having three times of hepatitis B vaccine vaccination were selected in Fucheng urban and rural areas.The titer of hepatitis B virsus surface antigen antibody(anti-HBs) was detected.Results Among the 1 503 children studied,the positive rate of anti-HBs was 59.9%(901/1503).The positive rate of anti-HBs was 58.9%(427/725)for the boys,60.9%(474/778)for the girls,61%(433/710)for the children living in urban area,and 59%for the rural children.The antibody positive rate was the highest among the children of one year old(95.3%,81/85),and that was lowest for the children of 6 years old(37.5%,24/64).The anti-HBs positive rate showed a declining trend in the children aged 1-6 years and the antibody positive rate was the lowest in the children of 6 years old.For the children of 1-3 years old,the titer of anti-HBs decreased most quickly.The small fluctuation of anti-HBs was observed in the chidren aged 4-6 years and then the rate began to rise slowly,but still lower than that of the 1-3 years old children.Anti-HBs titer was independent of gender and living areas of the children.Conclusion Vaccincation scheme and duration affect the immune effect of hepatitis B vaccine and serological monitoring should be conducted among the children 3 to 6 years after the 3 consecutive hepatitis vaccination for a timely booster immunization.

     

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