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目的了解贺州市实施扩大国家免疫规划后国家免疫规划疫苗的接种水平,为制定今后的免疫规划政策提供科学依据。方法对贺州市5个县区59个乡镇进行调查,每个乡镇调查29名2003年7月1日到2009年6月30日出生的本地常驻儿童。结果建卡率99.53%,建证率99.88%,卡证相符率93.80%。卡介苗、口服脊髓灰质炎减毒活疫苗、吸附百白破联合疫苗、麻疹减毒活疫苗(包括含麻类疫苗)、重组乙型肝炎疫苗全程接种率和全程合格接种率都在99%以上,五苗全程接种率为99.42%,全程合格接种率为92.40%。1～6岁儿童5种疫苗不同年龄组接种率都在99%以上,各种疫苗不同年龄间接种率差异无统计学意义(P﹥0.05)。男、女五苗全程合格接种率间差异无统计学意义(P﹥0.05)。扩大国家免疫规划疫苗A群流脑疫苗、乙脑疫苗、甲肝疫苗接种率分别为87.34%、94.80%、93.28%,A群流脑疫苗、乙脑减毒活疫苗1岁组接种率比2岁组高(P﹤0.05),甲肝减毒活疫苗2岁组接种率和3岁组相比差异无统计学意义(P﹥0.05)。结论贺州市免疫规划工作有着广泛的群众基础,接种率高,工作指标完成良好,但接种质量、资料的管理要加强。
Objective To understand the vaccination level of the national immunization program vaccine after the expansion of the national immunization program in Hezhou and provide a scientific basis for formulating the future immunization policy. Methods A total of 59 towns and villages were surveyed in 5 counties and districts in Hezhou City. Each township surveyed 29 local resident children born from July 1, 2003 to June 30, 2009. Results card rate of 99.53%, Jianchaji rate of 99.88%, card compliance 93.80%. Bacillus Calmette-Guérin, oral live attenuated live attenuated poliomyelitis vaccine, combined with baibabai combination vaccine, live attenuated measles vaccine (including cannabis vaccine), the whole vaccination rate of recombinant hepatitis B vaccine and the entire eligible vaccination rate of more than 99% Five seedlings throughout the vaccination rate of 99.42%, the entire pass rate was 92.40% qualified. The immunization rates of five vaccines of different age groups in children aged from 1 to 6 years were all over 99%. There was no significant difference in vaccination rate among different vaccines (P> 0.05). There was no significant difference between the male and female five seedlings in the whole qualified vaccination rate (P> 0.05). The vaccination rate of group A meningitis vaccine, Japanese encephalitis B vaccine and hepatitis A vaccine were 87.34%, 94.80% and 93.28% respectively. The vaccination rate of Group A meningitis A vaccine and Japanese encephalitis live attenuated vaccine aged 1 year was 2 years (P <0.05). There was no significant difference in the vaccination rate between the 2-year-old group and the 3-year-old live attenuated HAV vaccine (P> 0.05). Conclusion Immunization planning in Hezhou City has extensive mass foundation, high vaccination rate and good work targets. However, the quality of vaccination and the management of data should be strengthened.