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崔敏, 姜德玉, 贺晴, 陆龙, 曹毅敏, 杨琼英, 刘兆梅, 傅传喜, 王鸣. 产妇与婴儿脊髓灰质炎中和抗体水平变化特征分析[J]. 中国公共卫生, 2016, 32(7): 889-892. DOI: 10.11847/zgggws2016-32-07-03
引用本文: 崔敏, 姜德玉, 贺晴, 陆龙, 曹毅敏, 杨琼英, 刘兆梅, 傅传喜, 王鸣. 产妇与婴儿脊髓灰质炎中和抗体水平变化特征分析[J]. 中国公共卫生, 2016, 32(7): 889-892. DOI: 10.11847/zgggws2016-32-07-03
CUI Min, JIANG De-yu, HE Qing.et al, . Changes in poliovirus neutralizing antibodies among puerperas and infants: a longitudinal study[J]. Chinese Journal of Public Health, 2016, 32(7): 889-892. DOI: 10.11847/zgggws2016-32-07-03
Citation: CUI Min, JIANG De-yu, HE Qing.et al, . Changes in poliovirus neutralizing antibodies among puerperas and infants: a longitudinal study[J]. Chinese Journal of Public Health, 2016, 32(7): 889-892. DOI: 10.11847/zgggws2016-32-07-03

产妇与婴儿脊髓灰质炎中和抗体水平变化特征分析

Changes in poliovirus neutralizing antibodies among puerperas and infants: a longitudinal study

  • 摘要: 目的 评价脊髓灰质炎中和抗体在产妇及其婴儿体内消长规律,比较不同免疫程序下婴儿抗体水平变化。方法 选取2013年7月—2014年4月在广州市荔湾区妇幼保健院进行分娩的产妇及其新生儿作为研究对象,采用血清流行病学方法对产妇及产妇所生婴儿0(新生儿)、3、6月龄脊灰中和抗体水平进行分析;并根据婴儿基础免疫程序将其分为脊髓灰质炎减毒活疫苗(OPV)组、脊髓灰质炎灭活疫苗(IPV)与IPV+OPV 3组,比较疫苗接种后的抗体水平。结果 共采集179位产妇外周静脉血,婴儿0、3、6月龄时分别采血176、149、62份。新生儿较产妇I、II、III型脊灰中和抗体水平有所下降,3、6月龄时抗体水平均大幅上升,6月龄时各型分别高达607.0(95%CI=146.0~2 523.1)、239.6(95%CI=80.4~713.6)和235.9(95%CI=56.0~994.8)。OPV、IPV、IPV+OPV组在婴儿各个时间段脊灰I、II、III型抗体几何平均滴度倒数(GMRT)和抗体阳性率差异均无统计学意义(均P > 0.05)。产妇脊灰抗体水平与新生儿脊灰Ⅱ、III型母传抗体呈显著正相关关系(tII=5.953、P=0.000,tIII=7.260、P < 0.001)。结论 新生儿脊灰胎传抗体水平较母体下降。IPV全程接种、IPV与OPV序贯免疫对婴儿均有较好的免疫原性,中国现阶段可大力推进IPV与OPV序贯免疫程序。

     

    Abstract: Objective To study variant characteristics of poliomyelitis neutralizing antibody among puerperas and their infants and to compare serological responses of different poliomyelitis vaccination schedules in the infants. Methods We conducted a longitudinal seroepidemiologic study among puerperas and their infants at Liwan District Maternal and Child Health Care Center in Guangzhou city from July 2013 to April 2014.The level of poliomyelitis neutralizing antibody of the puerperas and their infants at the birth, 3-month, and 6-month were determined and the antibody levels of the infants after oral polio vaccine (OPV), inactivated polio vaccine (IPV), and OPV plus IPV vaccination were compared. Results We collected 179, 176, 149, and 62 blood sample from the puerperas, the newborn, the infants of 3- and 6-month after the birth.There were no significant differences in demographic characteristics among the infants with OPV, IPV, and IPV plus OPV.The levels of antibody against poliovirus type I, II, and III in the newborns were lower than those of the puerperas;the levels raised rapidly with the increment of age among the infants and the values of geometric mean reciprocal titre (GMRT)of the antibody against poliovirus type I, II, and III reached up to 607.0 (95%confidence interval:146.0-2 523.1), 239.6 (80.4-713.6), and 235.9 (56.0-994.8), respectively, among the infants of 6 months old.We found no significant differences in the GMRT values and antibody positive rate among the infants with OPV, IPV, and IPV plus OPV vaccination at different time after the birth (P > 0.05 for all).The poliovirus antibody level of the puerperas was positively correlated with the levels of antibody against poliovirus type II and III of their infants(tII=5.953, P=0.000 and tIII=7.260, P < 0.001). Conclusion The level of maternal poliovirus antibody in infants is lower than that in the puerperas.Both full course IPV and sequential IPV plus OPV vaccination have effective immune effect and sequential IPV plus OPV vaccination could be promoted at present in China.

     

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