J4 ›› 2015, Vol. 14 ›› Issue (10): 13-16.

• 基础医学 • 上一篇    下一篇

大理市乙型肝炎疫苗接种及乙型肝炎病毒血清学标志物调查

  

  1. 1.大理大学公共卫生学院,云南大理671000;2.大理市疾病预防控制中心,云南大理671000
  • 收稿日期:2015-03-13 出版日期:2015-10-15 发布日期:2015-10-15
  • 作者简介:李泽,硕士研究生,主要从事流行病与卫生统计学研究.
  • 基金资助:

    国家自然科学基金项目(30560136)

Survey of Hepatitis B Immunization and Serological Markers of HBV in Dali

  1. 1.College of Public Health, Dali University, Dali, Yunnan 671000, China;2. Center for Disease Control and Prevention of Dali City,
    Dali, Yunnan 671000, China
  • Received:2015-03-13 Online:2015-10-15 Published:2015-10-15

摘要:

目的:了解大理市乙型肝炎病毒(HBV)流行状况和人群乙肝疫苗接种情况;评价乙肝疫苗纳入儿童计划免疫策略后的
效果,为政府相关部门有效地制定乙肝预防控制策略提供科学依据。方法:选择到大理市疾病预防控制中心疾病监测科进行
体检的2 130名人员,调查乙肝疫苗接种基本情况;应用酶联免疫吸附试验(ELISA)法对血清样本进行乙肝病毒血清标志物检
测。结果:人群中HBsAg阳性率为3.29%,HBsAb阳性率63.80%,HBeAb阳性率5.63%,乙肝病毒血清标志物全阴占总被检人
数的27.37%(583/2 130),11岁以下儿童人群组HBsAg阳性率明显低于22岁以上成年人群组;大理市人群平均乙肝疫苗接种
率为59.43%,11岁以下儿童人群组乙肝疫苗接种率(96.38%)明显高于22岁以上成人人群组(21.43%)。体检人群中男性乙肝
疫苗接种率比女性高10.02个百分点,但是HBsAg阳性率男性却比女性高1.81个百分点。结论:自乙肝疫苗纳入儿童计划免
疫以来,实施大规模乙肝疫苗接种有效地降低了大理市人群HBsAg携带率和HBV感染;建议政府相关部门今后在做好计划免
疫人群乙肝疫苗接种工作的同时,还应提高成人乙肝疫苗免疫接种率。

关键词: 乙型肝炎病毒, 乙肝疫苗接种, HBsAg阳性率

Abstract:

Objective: To understand the current infection status of virus hepatitis B(HBV)and the inoculation status of hepatitis B
vaccines among the population of Dali city. To evaluate the effect of immunization with hepatitis B vaccine after the implementation of
children planning immunization strategies. Thereby to provided scientific basis for relevant government department to make strategies
to prevent and control hepatitis B effectively. Methods: 2 130 people who conducted medical examination at Center for Disease
Control and Prevention of Dali City were selected to survey their inoculation status of hepatitis B vaccines. Serological markers of HBV
were inspected by ELISA. Results: The rate of HBsAg positive, HBsAb, HBcAb is 3.29%, 63.80%, 5.63% respectively, and people
with serological markers of HBV overcast percent in total inspection people are 27.37%(583/2 130), the HBsAg positive rate of
children under the age of 11 groups is obviously lower than that of adult above 22 years old groups. Dali citizens' hepatitis B
vaccination rates is 59.43% on average, while the inoculation rate of children younger than 11 years old groups(96.38%)is clearly
higher than the adult above 22 years old group(21.43%). The inoculation rates of male are 10.02% higher than female, but the
positive rate of HBsAg of male is 1.81% higher than females. Conclusion: Since adding hepatitis B vaccine into children's
immunization program, inoculating hepatitis B vaccines in large-scale becomes the most effective way to reduce the HBsAg incidence
rate and control HBV infection rate and HBV infection. It is recommanded that the government departments should increase adults
inoculation,as well as strengthen immunization program.

Key words: hepatitis B vaccine, hepatitis B virus, HBV infection rate

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