冻干风疹减毒活疫苗免疫持久性的研究  

Study on immunity duration lyophilized,attenuated live rubella vaccine

作　　者：陈海平[1] 杜桂枝[1] 黄瑞雯 陈达亚 董春明[1] 王太梅 王文庆[1] 郭绍红[1] 迮文远[1] 

机构地区：[1]北京生物制品研究所流行病室,100024 [2]湖南省卫生防疫站 [3]湖南省浏阳市卫生防疫站

出　　处：《中国公共卫生》2003年第3期265-266,共2页Chinese Journal of Public Health

摘　　要：目的　了解冻干风疹减毒活疫苗的免疫持久性。方法　在湖南省浏阳市 8月～ 6岁风疹血清HI抗体阴性儿童中 ,进行了连续 5年的冻干风疹减毒活疫苗免疫后血清学效果研究。结果　免疫 1个月后风疹HI抗体的阳转率为 97 2 % ,抗体几何平均滴度倒数 (GMT)为 15 7 6。免后 1、2、3、4、5年风疹HI抗体阳性率仍维持较高水平 ,分别为 99 7% ,10 0 0 % ,98 3 % ,97 3 %和 95 5 % ;而HI抗体的GMT则出现显著性下降 ,分别为 141 2 ,113 3 ,67 4,3 7 3和 3 1 2。在连续观察的 5年当中 ,共有 3 2名观察对象的HI抗体 (≤ 1∶3 2 )出现 4倍增长 ,获得隐性感染 ,共有 17名观察对象的HI抗体阴转 ,5年累积阴转率为 9 2 4%。Objective To study the immunity duration of attenuated live rubella vaccine.Methods A 5-year research on immunity duration of the lyophilized,attenuated live rubella vaccine was conducted in the children aged 8 months to 6 years in Liuyang City of Hunan Province.Results The geometric mean titers (GMT) of HI antibody were 157.6 with seroconversion rate of 97.2% one month after vaccination.During the investigations period,the HI antibody declined significantly with GMT 141.2,113.3,67.4,37.3 and 31.2 respectively each year,but the positive rate of HI antibody still retained at high level with a rate of 99.7%,100.0%,98.3%,97.3% and 95.5% respectively.There was 4-fold HI antibody increase among 32 subjects because of asymptomatic infection,and HI antibody became negative among the 17 subjects with a accumulated rate of 9.24%.Conclusion The immunity duration of the lyophilized was satisfied.

关 键 词：冻干风疹减毒活疫苗 阳转率 抗体几何平均滴度 抗体累积阴转率 免疫持久性 

分 类 号：R511.203[医药卫生—内科学]