克拉玛依市乙肝疫苗纳入儿童免疫规划后接种率调查与评价

目的评价克拉玛依市乙型肝炎（乙肝）疫苗纳入儿童免疫规划后的工作质量和效果。方法采用按容量比例概率抽样方法随机调查305名儿童乙肝疫苗（HB—VAX）接种情况；开展3岁以下儿童乙肝病毒感染标志的血清学监测；调查在医院出生的2500名新生儿首针HB—VAX接种情况。结果新生儿首针HB—VAX接种率为97．36％，及时接种率为95．12％；儿童首针及时接种率为75．74％，全程及时接种率81．97％，全程接种率88．52％，HB—VAX全程接种率和首针及时接种率均呈逐年上升趋势；HB—V．AX免疫后抗-HBs阳性率为93．45％。结论HB—VAX纳入儿童免疫规划工作后，有效提高了儿童HB—VAX接种率、首针及时接种率和全程及时接种率。但还应重视在家里出生的新生儿和流动儿童HB—VAX接种率的提高。

Investigation of the Inoculation Rate of Hepatitis B Vaccine among Children after Hepatitis B Vaccine Had Been Brought into the Children's Immunization Plan in Karamay City

Objective] To evaluate the quality and effect of the inoculation work in Kelamayi after hepatitis B vaccine had been brought into the children's immunization plan.Methods] Capacity proportion probability method was applied to investigate the hepatitis B inoculation among 305 children;serological surveillance was carried out on the hepatitis B virus infection signs among children under 3 years old;investigation was done on the first injection of hepatitis B vaccine among the Neonate.Results]The vaccination rate of the first injection of hepatitis B vaccine among the Neonate was 97.36%;the prompt vaccination rate of the first injection among the children was 75.74%;the whole course vaccination rate was 81.97%;the whole course vaccination rate and the prompt vaccination rate of the first injection indicated a increasing tendency every year;the positive rate of the anti-HBs was 93.45% after hepatitis B immunization.Conclusion]After hepatitis B vaccine had been brought into children's immunization plan,the children's Hepatitis B vaccination rate,the first injection prompt vaccination rate and the whole course prompt vaccination rate have been improved effectively;emphasis should be put on the hepatitis B vaccination rate among the Neonate and the mobile children.