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乙型肝炎疫苗不同途径和剂量接种后的免疫效果

Immunological Efficacy of Hepatitis B Vaccine Inoculated with Different Routes and Doses

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【作者】 陈宏平郑燕珊郑远松阎孝石魏光秀宋淑华

【Author】 Chen Hongping et al Sanitation and Anti- epidemic Station of Yi Chang City, Hubei

【机构】 宜昌市卫生防疫站宜昌市卫生防疫站 宜昌 443000宜昌 443000

【摘要】 对136名乙型肝炎血清学标志全部阴性的儿童随机分为不同途径、不同剂量组和对照组,按0、1、6个月的程序接种乙型肝炎血源疫苗,接种后随访观察2年。全程免疫后12个月,肌肉注射10μg组、5μg组和皮内注射2μg组,抗-HBs阳转率分别为100%、100%和89.47%;抗-HBs浓度分别为286.44、172.97和126.87mIU/ml。2年时,各组抗-HBs阳转率和浓度均出现不同程度的下降;疫苗保护率分别为87.57%、83.03%和81.35%。未发现严重不良反应。

【Abstract】 136 children whose HBV serum markers were all negative were inoculated with plasma-derived hepatitis B vaccine with a vaccination schedule of 0, 1, 6 months and have been observed for 2 years. All the children were divided randomly into groups of different injection routes, different doses and control. At the 12 month after last injection, the conversion rates of anti-HBs for long and 5μg doses of intramuscular injection and 2 ug doses of intradermal injection were 100%, 100% and 89.47% respectively; antibody levels reached 286.44, 172.97 and 126.87mIU/ml separately. Both antibody conversion rates and levels declined to various extent at the 2 nd year. The protective rates of the vaccine were 87.57%, 83.03% and 81.35% respectively. The results showed that the vaccine has a good immunogenicity and safety. Immunological efficacy between the two groups of intramuscular injection with 5μg, intradermal injection with 2μg and intramuscular injection with 10μg had no evident difference.

【关键词】 乙肝疫苗免疫效果
【Key words】 Hepatitis B vaccineImmunological efticacy
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