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为获得更为快速的免疫应答,用30μg/ml乙肝血源疫苗以0、2、6周免疫程序对68名HBsAg阳性母亲婴儿作了阻断HBV母在传播免疫效果的观察,并与常用的0、1、6接种方案的结果进行了比较。结果表明HBIG合用乙肝疫苗或单用疫苗组产生抗-HBs(>10mIU/ml).血清转换率于T(6m)、T(12m)时分别为91.89%和83.87%,81.08%和83.87%。短程和常规免疫方案婴儿所产生的保护性抗-HBs水平动态比较,表明以0、2、6周免疫后在T(6w)、T(6m)时的抗-HBs有效率分别为19.35%和83.87%,明显高于0、1、6月免疫者同期抗体水平(P<0.01).至T(12m)时两组的阳转率无显著性差异。说明0、2、6周免疫方案能早期诱导出保护性抗-HBs免疫应答.
In order to obtain a more rapid immune response, 68 HBsAg positive mothers were immunized with 30μg / ml Hepatitis B vaccine for 0, 2 and 6 weeks to block the effect of HBV mother on the transmission of immunity. The results of the 0,1,6 vaccination programs were compared. The results showed that anti-HBs (> 10 mlU / ml) were produced by HBIG in combination with hepatitis B vaccine or vaccine alone. The seroconversion rate was 91.89% and 83.87%, 81.08% and 83.87% at T (6m) and T (12m), respectively. The dynamic comparison of the levels of protective anti-HBs produced by infants in short-course and routine immunizations showed that the effective rates of anti-HBs at T (6w) and T (6m) after immunization at week 0, week 2 and week 6 were 19.35 % And 83.87%, respectively, which were significantly higher than those in the same period of 0, 1 and 6 months (P <0.01). To T (12m) positive rate of the two groups no significant difference. This indicated that the 0,2,6 weeks immunization program could induce a protective anti-HBs immune response in the early stage.