2007～2008年邹城市新生儿乙肝疫苗首针接种情况调查分析

Analysis of the First Dose Hepatitis B Vaccine to the Newborns From 2007 to 2008 in Zoucheng City

[目的]了解新生儿乙肝疫苗接种情况，以便指导今后的工作。[方法]对2007～2008年邹城市各级医疗机构新生儿乙肝疫苗接种资料进行分析，并抽查部分儿童首针乙肝疫苗接种情况。[结果]各级医疗机构2007～2008年分娩新生儿18128人，乙肝疫苗接种率为94．19％，乙肝疫苗及时接种率为93．78％。其中，属于本预防接种门诊辖区内的和辖区外的，乙肝疫苗接种率分别为93．52％、97．59％（P〈0．01），及时接种率分别为93．19％、96．75％（P〈0．01）。未接种的1053名中，未接种原因为转儿科治疗的占42．26％，早产、难产的占34．47％，发热的占13．87％，低出生体重儿占7．12％，新生儿皮肤病、家长拒绝接种、母亲HBsAg阳性而接种乙肝免疫球蛋白的占2．28％。抽查420人，首针乙肝疫苗接种率为99．29％，未接种的为2例流动儿童，1例计划外生育儿童。[结论]邹城市新生儿乙肝疫苗接种率与首针及时接种率均较高。

[Objective]To understand the status of hepatitis B Vaccination among newborns,in order to guide the future work. [Methods]Data of hepatitis B vaccination to newborns in different medical institutions in Zoucheng city from 2007 to 2008 were analyzed,the status of immunization was inspected. [Results]There were 18 128 newborns born from 2007 to 2008 in different medical institutions. The coverage of hepatitis B vaccine was 94. 19 %. The coverage of hepatitis B vaccine was 93.52% and 97.59% among the targets covered by this clinic and outside the clinic respectively （ P 〈0.01）. The timely coverage was 93.19% ,96.75%（ P 〈0. 01）. Of the 1 053 unimmunized newborns,the newborns referral to pediatric department for treatment accounted for 42,26 %, premature birth, dystocia accounted for 34. 47 %, fever accounted for 13.87 %, Low birth weight accounted for 7.12 %, neonatal dermatosis, refused to immunization by parents, received hepatitis B immune globulin because of HBsAg-positive mothers accounted for 2. 28 %. Of the 420 newborns investigated randomly,the coverage of first dose hepatitis B vaccine was 99.29 %. 2 unimmunized newborns were floating children and 1 was out of family planning. [Conclusion]The coverage of hepatitis B vaccine and timely coverage of first dose were higher in Zoucheng city.