某部队乙肝和破伤风疫苗免疫效果调查

Survey on hepatitis B and tetanus vaccine effect of an army

目的:了解乙型肝炎疫苗和破伤风疫苗免疫接种效果及免疫水平。方法:抽取某维和分队262名,通信部队137名,联勤部队48名,共447名官兵作为调查对象,用酶联免疫法定量检测乙型肝炎表面抗体和破伤风抗体。按不同部别、年龄和来自不同地区进行统计分析。结果:某维和分队、某通信部队和某联勤部队的乙肝表面抗体阳性率分别为82.4%、92.0%和87.5%,乙肝表面抗体平均滴度分别为(194.9±149.4)mIU/ml、(237.8±209.6)mIU/ml和(233.8±164.6)mIU/ml,组间比较差异显著(χ~2=6.85,P<0.05)。某维和分队和通信部队破伤风抗体阳性率分别为94.3%和94.9%,平均滴度分别为(0.288±0.125)IU/ml和(0.156±0.074)IU/ml。18～22岁为第一组,23～27岁为第二组,28岁及以上为第三组。三个组别的乙肝表面抗体阳性率分别为93.4%、85.1%和77.7%,乙肝表面抗体平均滴度分别为(233.4±187.6)mIU/ml、(205.0±168.9)IU/ml和(194.2±154.7)mIU/ml,同组间比较,差异显著(χ~2=15.58,P<0.01)。破伤风抗体阳性率分别为95.9%、92.7%和94.6%,平均滴度分别为(0.174±0.011)IU/ml、(0.259±0.137)IU/ml和(0.312±0.121)IU/ml,组间比较差异不显著(χ~2=1.28,P>0.05)。来自不同地区官兵乙肝表面抗体阳性率从高到低的顺序为安徽、河南、天津、湖南、江苏、贵州、四川、山东、河北、山西、湖北;破伤风抗体阳性率从高到低的顺序为山东、河南、天津、贵州、河北、湖南、湖北、安徽、江苏、山西、四川。结论:目前部队针对新兵进行乙肝疫苗接种效果较好,对部队其他人群乙肝疫苗免疫接种还不够完善。破伤风疫苗免疫计划应继续保持。

Objective:To understand the hepatitis B vaccine and tetanus immunization effect and levels. Methods:447 soldiers were selected, including 262 cases of a peacekeeping unit,137 of communication units,48 of joint logistics troops, and enzyme-linked immunosorbent assay for quantification of hepatitis B surface antibody and tetanus antibodies were used. Statistical analysis was used by different divisions,age and place of origin. Results:Anti-HBs positive rates of peacekeeping unit, communication units, joint logistics troops were 82.4% 、92.0% and 87.5%, respectively. The average rates were(194.9 ± 149.4)mIU/ml 、(237.8±209.6)mIU/ml and(233.8±164.6)mIU/ml, respectively. The anti-HBs positive rates of different divisions had significantly difference(χ~2=6.85,P<0.05).The positive rates of tetanus antibodies of peacekeeping and communication units were 94.3%and 94.9%, respectively. The average rates were(0.288±0.125)IU/ml and(0.156±0.074)IU/ml.First group was 18 ～22 years, second 23～27 years, third 28 and older years. The anti-HBs positive rates of three groups were 93.4% 、85.1% and 77.7%, respectively. The average rates were(233.4±187.6)mIU/ml、(205.0±168.9)mIU/ml and(194.2±154.7)mIU/ml,respectively. The anti-HBs positive rates of differen different groups had significantly difference(χ~2=15.58,P<0.01). The tetanus antibody positive rates were95.9%、92.7% and 94.6%, respectively. The average rates were(0.174±0.011)IU/ml 、(0.259±0.137)IU/ml and(0.312±0.121)IU/ml, respectively. The positive rates had not significantly difference(χ~2=1.28,P>0.05). The sequences of anti-HBs positive rates of different areas from high to low was Anhui、Henan、Tianjin、Hunan、Jiangsu、Guizhou、Sichuan、Shandong、Hebei、Shanxi、Hubei. The sequences of positive rates of tetanus antibodies from high to low was Shandong、Henan、Tianjin、Guizhou、Hebei、Hunan、Hubei、Anhui、Jiangsu、Shanxi、Sichuan.Conclusion Conclusion:Currently troop's hepatitis B vaccination is better, but it is not perfected enough only for new recruits. other people should also need to be given hepatitis B vaccine immunization. Tetanus immunization program should be continued.