江西省初中女生免费接种二价人乳头瘤病毒疫苗安全性评价  

Safety evaluation of free bivalent human papilloma virus vaccine among junior middle school girls in Jiangxi Province

作　　者：赵红平[1,2] 刘莉红[3] 郑敏[1,2] 伍凤云[1,2] 郭世成[1] 刘杰[1,2] ZHAO Hongping;LIU Lihong;ZHENG Min;WU Fengyun;GUO Shicheng;LIU Jie(Department of Immunization Program,Jiangxi Provincial Center for Disease Control and Prevention,Nanchang(330029),Jiangxi Provinve,China;不详)

机构地区：[1]江西省疾病预防控制中心免疫规划所,南昌330029 [2]江西省疾病预防控制中心青年科研创新攻关团队 [3]宜春市疾病预防控制中心免疫规划科

出　　处：《中国学校卫生》2024年第9期1251-1254,共4页Chinese Journal of School Health

基　　金：江西省卫生健康委科技计划项目(202211299)

摘　　要：目的评价江西省初中女生免费接种二价人乳头瘤病毒(HPV)疫苗的安全性,为HPV疫苗接种提供参考依据。方法通过江西省免疫规划信息系统收集2023年8月1日至2024年5月31日江西省初中女生二价HPV疫苗免费接种剂次数,并通过中国疾病预防控制信息系统疑似预防接种异常反应(AEFI)监测模块收集AEFI个案数据。采用描述性分析初中女生免费接种二价HPV疫苗后AEFI发生情况。结果江西省初中女生共免费接种二价HPV疫苗1061023剂次,报告AEFI 67例;其中一般反应50例,异常反应7例,心因性反应8例,偶合症2例。AEFI、不良反应和心因性反应报告率分别为6.31/10万、5.37/10万、0.75/10万;不良反应以一般反应为主(87.72%),异常反应占12.28%。所有AEFI病例均治愈或好转,无死亡和伤残病例报告。结论江西省初中女生免费接种二价HPV疫苗安全性好,不良反应报告率低,且以一般反应为主,但应关注青少年心因性反应的预防。Objective To evaluate the safety of free bivalent human papilloma virus(HPV)vaccine for junior middle school girls in Jiangxi Province,so as to provide the reference for HPV vaccination.Methods The number of free inoculation of bivalent HPV vaccine for junior middle school girls in Jiangxi Province from August 1,2023 to May 31,2024 were collected by Jiangxi Provincial Immunization Planning Information System,and the cases of adverse events following immunization(AEFI)were collected by China Disease Prevention and Control Information System.A descriptive analysis was conducted to assess the incidence of AEFI among middle school girls who received free bivalent HPV vaccine.Results Junior middle school girls in Jiangxi Province were vaccinated with free bivalent HPV vaccine for 1061023 doses,and 67 cases of AEFI were reported.Among the 67 cases,there were 50 cases of general reaction,7 cases of abnormal reaction,8 cases of psychogenic reaction and 2 cases of coupling syndrome.The reported incidence of AEFI,adverse reactions and psychogenic reactions were 6.31/100000,5.37/100000 and 0.75/100000 respectively.Adverse reactions were primarily general reactions(87.72%),with abnormal reactions counting for 12.28%.All AEFI cases were cured or improved,and no death or disability cases were reported.Conclusion The free vaccination of bivalent HPV for junior high school girls in Jiangxi Province is identified as highly safe,low adverse reaction reporting rate,and mainly general reactions,but attention should be paid to the prevention of psychogenic reactions in adolescents.

关 键 词：乳头状瘤病毒疫苗 接种 学生 女(雌)性 

分 类 号：R179[医药卫生—妇幼卫生保健] R186[医药卫生—公共卫生与预防医学] G479[文化科学—教育学]