2004～2013年寿光市产妇HBsAg携带及新生儿首针乙肝疫苗接种情况分析  

Analysis on first dose of hepatitis B vaccination among puerperants with HBsAg and their newborns,Shouguang city,2004-2013

作　　者：刘中芹 崔佳[1] 崔晓[1] 王晓琼[1] 王颖[1] 

机构地区：[1]寿光市疾病预防控制中心,山东寿光262700

出　　处：《预防医学论坛》2016年第1期44-46,共3页Preventive Medicine Tribune

摘　　要：目的 了解寿光市产妇HBsAg携带率及新生儿首针乙肝疫苗接种情况,为进一步完善新生儿乙型肝炎的免疫预防策略提供依据。方法 对寿光市辖区2004~2013年各医院及保健机构产妇HBsAg携带及新生儿乙肝疫苗首针接种情况报表进行汇总分析。结果 寿光市2004~2013年住院产妇HBsAg检测率逐年上升,总检测率为86.09%（91 691/106 502）,HBsAg阳性率为2.80%~3.81%,总阳性率为3.37%（3 092/91 691）。新生儿HBV首针接种率为97.43%（103 765/106 502）,及时接种率为96.66%（102 949/106 502）。常住和流动的新生儿乙肝疫苗接种率分别为97.36%（98 246/100 906）和98.62%（5 519/5 596）（P〈0.01）,及时接种率分别为96.62%（97 495/100 906）和97.46%（5 454/5 596）（P〈0.01）。2008~2013年未种原因中除1名因家长拒绝未种外,其余均为有禁忌证未接种,在禁忌证中以因有疾病和早产、难产为主,两种原因占所有未种儿童的83.59%（1 508/1 804）。结论 寿光市2004~2013年所查住院分娩产妇HBsAg携带率平均为3.37%;新生儿乙肝疫苗首针接种率和及时接种率较高。Objective To understand the HBsAg carrying rate and the hepatitis B vaccine vaccination among puerperants their neonatals in Shouguang city,so as to provide the basis for further improvement of immunization strategies for neo- natal hepatitis B infection. Methods The data on the first dose of hepatitis B vaccination among puerperants with HB- sAg and their neonatals were collected and analyzed, reported from hospitals and health care institutions during 2004- 2013. Results The rate of HbsAg testing in hospitalized puerperants increased year by year in Shouguang city, 2004- 2013,the total testing rate was 86.09% （91 691/106 502）. The positive rate was 2.80%-3.81% ,while the average was 3.37 % （3 092/91 691）. The neonatal hepatitis B immunization rate was 97.43 % （103 765/106 502）, the timely vaccina- tion rate was 96.66% （102 949/106 502）. The vaccination rate for hepatitis 13 vaccine in resident and migrant newborns was respectively 97.36% （98 246/100 906） and 98.62% （5 519/5 596）（ P 〈0.01） ,while the timely vaccination rate was 96.62 % （97 495/100 906）and 97.46 % （5 454/5 596）respectively（ P 〈0.01）. The main reasons for delayed vaccination during 2008-2013 were contraindications except one whose parents refused. Disease and premature or dystocia were two main types of contraindications,of which 83.59% （1508/1804） children were unvaccinated with the above reasons. Con- dusion The average rate of HBsAg carrying in hospitalized puerperants is 3.37 % ; the first dose hepatitis B vaccination rate and timely vaccination rate for the newborns are relatively high in Shouguang city,2004-2013.

关 键 词：产妇 HBSAG 乙肝疫苗接种 

分 类 号：R512.62[医药卫生—内科学]