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目的了解吸附无细胞百白破三联疫苗(ADPT)和吸附百白破三联疫苗(WDPT)用于儿童免疫的安全性。方法2006-2008年在齐齐哈尔市第一医院预防保健科所属十个社区随机将3个月~2岁儿童分成2组,分别接种ADPT和WDPT,观察局部与全身反应。结果接种ADPT和WDPT者,基础免疫全身反应发生率分别为2.81%、6.21%,局部反应发生率分别为3.26%、7.81%;加强免疫全身反应发生率分别为4.63%、13.16%,局部反应发生率分别为5.55%、16.36%。以上反应发生率均为WDPT组高于ADPT组,差异有统计学意义(P<0.001)。随针次增加,接种副反应率有增加趋势。结论ADPT较WDPT接种副反应发生率低,用于儿童免疫安全性较好。
Objective To understand the safety of adhering cell-free diphtheria triadi (ADPT) and adsorbing diphtheria trifoliatum (WDPT) vaccine in childhood immunization. Methods From 2006 to 2008, ten children from 3 months to 2 years old were randomly divided into two groups in ten communities of preventive health care department of Qiqihar First Hospital. ADPT and WDPT were inoculated separately to observe the local and systemic reactions. Results The incidences of systemic immunosuppression in basic immunosuppression and ADPT were 2.81% and 6.21%, respectively, and the incidences of local reactions were 3.26% and 7.81%, respectively. The incidences of systemic immunization with intensive immunization were 4.63% and 13.16%, respectively. Local reactions occurred Rates were 5.55%, 16.36%. The incidence of these reactions were higher in WDPT group than in ADPT group, the difference was statistically significant (P <0.001). With the needle times increased, the incidence of side effects increased. Conclusion ADPT has a lower incidence of side effects than WDPT vaccination and is safe for childhood immunization.