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国产乙型肝炎疫苗不同剂量免疫效果的研究
引用本文:李雪翔 邬嘉生. 国产乙型肝炎疫苗不同剂量免疫效果的研究[J]. 现代免疫学, 1990, 10(1): 20-23
作者姓名:李雪翔 邬嘉生
作者单位:卫生部上海生物制品研究所(李雪翔,肖亮明,江圣寅,方锡玲,谢广中),上海市卢湾区卫生防疫站(邬嘉生),上海市长宁区卫生防疫站(钱婉华),上海铁路局中心防疫站(廖秋萍),山东省临沂地区卫生防疫站(王佐沂),山东省莒南县卫生防疫站(刘德堂),卫生部上海生物制品研究所(孙景明)
摘    要:本文报道应用上海生物制品研究所生产的乙型肝炎(血源)疫苗对上海、山东8~11岁的血清乙肝标志均阴性的学龄儿童,随机分至5μg、10μg和 20μg三组,按0、1、6月免疫程序接种,全程后 3月(即首针后 9月)三组的 Anti-HBs阳转率分别为 94.4%、99.1%和 90.4%。GMT(几何均数滴度)RIA S/N 在107.1~140.6之间;24月时阳转率仍在90.9~96.5%之间,S/N 在89.1~118.8之间。S/N≥10 者5μg、10μg和 20μg各为 90.0%、94.0%和 86.4%,无显著性差异。

关 键 词:乙肝疫苗 剂量 免疫效果

TITERS AND PERSISTENCE OE ANTIBODIES FOLLOWING VACCINATION WITH DIFFERENT DOSES OF HEPATITIS B VACCINE IN CHILDREN
Abstract:Children 8-11 year old were screened with RIA for markers of hepatitis B virus infection (HBsAg, Anti-HBs, Anti-HBc) and negative ones entered into the test program. They were randomly divided into three groups, receiving 5μg,10μg and 20μg hepatitis B vaccine recpectively for three doses at o, 1 and 6 months. Nine months after the first dose, antibody to hepatitis B surface antigen (Anti-HBs) was detected by radioimmunoassay. No difference in the three groups was observed on the serocon-version rate (Tab 1. p>0.05) . Twenty-four months after the start of the vaccination programme,over 90% of subjects remained positive for Anti-HBS. The geometric mean titer (GMT) in RIA S/N units were between. 94.2-121.5. In the three groups, those with GMT S/N≥10 were 90.0%, 94% and 86.4% respectvely. These results demonstrated that three doses of 5μg of hepatitis B vaccine were sufficient in children to obtain a high immunogenic effect.
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