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乙型肝炎血源疫苗免疫后8年效果观察和再免研究

EIGHT-YEARS OBSERVATION OF IMMUNE EFFECT ON PLASMA-DERIVED HEPATITIS B VACCINE AND ITS REVACCINSATION

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【作者】 杨心乐冯幼生王佐沂李雪翔刘建福赵世立

【Author】 Yang Xinle; Wang Zuoyi; Li Xuexiang, et al(Linyi Municipal Hygine and Epidemic Prevention Station,Linyi,Shangdong)

【机构】 山东省临沂市卫生防疫站卫生部上海生物制品研究所山东省莒南县卫生防疫站山东省卫生防疫站

【摘要】 根据严格实验设计,按0、1、6月程序,以5、10μg乙肝疫苗接种于278名无HBV血清感染标志的小学生,进行了8年追踪观察。免后8年两组的抗—HBs阳性率和GMT分别为51.7%、66.0%及45.2mIU/ml、58.4mIU/ml。初免后抗—HBs峰值滴度愈高,下降至10mIU/ml以下的时间愈长。免后8年对86例抗—HBs不同滴度者给予10μg1针再免,接种后1个月抗—HBs升高了6.5~51.5倍。研究结果表明,免后8年其免疫记忆细胞依然保存抗原信息,初免时抗—HBs应答良好者免后8年内不必再免,需要再免者10μg1针即能达到满意效果。

【Abstract】 By way of rigid design of exeriment 278 pupils with negative for HBsAg,antiHBs and anti-HBc were inoculated with HB vaccine in two different doses of 5μg and 10μg respectively in 0,1, 6 months 8 years after inoculation,the positive rate and GMT of antiHBs was 51. 7% and 45. 2mIU/ml In one group in contrast with 66.0% and 58. 4mIU/ml in the other. After the first inoculation, the higher the maximal anti-HBs titer,the longer the duration of its decrease tor 10<10 mIU/ml. 8 years after immunization, 86 pupils with varied anti-HBs titer were revaccinated a dose of 10μg HB vaccine, and their anti-HBs titer increased by 6. 5-51. 5 times 1 month after this revaccination. It is suggested that revaccination of HB vaccine is not neccssary within 8 years in the case of pupils with a successful initial immunization and for those who need revaccination,a single inoculation of 10μg HB vaccine will bring about the satisfacfory effect.

【关键词】 乙型肝炎疫苗免疫测定
【Key words】 Hepatitis BvaccinesImmunoassay
  • 【文献出处】 山东医科大学学报 ,ACTA ACADEMIAE MEDICINAE SHANDONG , 编辑部邮箱 ,1997年03期
  • 【分类号】R186
  • 【下载频次】13
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