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刘洪斌, 马景臣, 韩常全, 邢占春, 张英林, 陈吉朝, 张玉伟, 赵卉, 侯银书, 张领梅, 孟宗达, 孙永德, 曹惠霖, 刘崇柏. 儿童乙型肝炎血源疫苗两针免疫法14年预防效果观察[J]. 中国公共卫生, 2002, 18(2): 212-213. DOI: 10.11847/zgggws2002-18-02-57
引用本文: 刘洪斌, 马景臣, 韩常全, 邢占春, 张英林, 陈吉朝, 张玉伟, 赵卉, 侯银书, 张领梅, 孟宗达, 孙永德, 曹惠霖, 刘崇柏. 儿童乙型肝炎血源疫苗两针免疫法14年预防效果观察[J]. 中国公共卫生, 2002, 18(2): 212-213. DOI: 10.11847/zgggws2002-18-02-57
LIU Hong-bin, MA Jing-chen, HAN Chang-quan, . A 14 Years Cohort Study on Immune Efficacy of Plasma-derived Hepatitis B Vaccine in Children with 2 Doses Schedule[J]. Chinese Journal of Public Health, 2002, 18(2): 212-213. DOI: 10.11847/zgggws2002-18-02-57
Citation: LIU Hong-bin, MA Jing-chen, HAN Chang-quan, . A 14 Years Cohort Study on Immune Efficacy of Plasma-derived Hepatitis B Vaccine in Children with 2 Doses Schedule[J]. Chinese Journal of Public Health, 2002, 18(2): 212-213. DOI: 10.11847/zgggws2002-18-02-57

儿童乙型肝炎血源疫苗两针免疫法14年预防效果观察

A 14 Years Cohort Study on Immune Efficacy of Plasma-derived Hepatitis B Vaccine in Children with 2 Doses Schedule

  • 摘要: 目的 探索乙型肝炎(乙肝)疫苗2针法的免疫效果。方法 在河北正定县选择某乡7个村为试验现场,进行了14年观察。筛选1~7岁HBV易感儿童261名,按0、3月免疫程序接种2针10μg乙肝血源疫苗,全程免疫后1、2、3、4、5、6、8、10和14年对观察人群采集血清标本,检测HBsAg、抗-HBs和抗-HBc.结果 抗-HBs阳性率随免疫年限延长逐渐下降,由免疫后第1年的93.57%降为免疫后14年的52.13%,在观察期间,只检测到1例HBsAg阳转者,并形成了慢性携带状态。结论 2针免疫法与3针免疫法的免疫效果无差别,在某些贫穷和交通不太方便的地区二针免疫法有推广价值。

     

    Abstract: Objective To understand the protective efficacy of plasma-derived hepatitis B vaccine in two-doses schedule.Methods In 1985,261 HBV susceptible children of 1-7 years old were immunized with plasma-derived hepatitis B vaccine by 0,3 months schedule(10μg,10μg)in Hebei rural area.They were followed up for 14 years.Their serum samples were detected for hepatitis B infection markers,including HBsAg,anti-HBs and anti-HBc by RTA methods.Results The anti-HBs positive rates were 93.57% at the 1st year after vaccination,but gradually decresed to 52.13% at the 14th year.In the period of 14 years follow-up,1 child became HBsAg positive conversion at the 6th year after vaccination.Conclusion This practice showed that the efficacy of two-doses immunization schedule was good as three-doses schedule,which can pro- tect HBV susceptible children for a long time,and was worthy to be popularized in less developed areas.

     

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