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HBsAg兼HBeAg、抗-HBc均阳性母亲所生婴儿的感染率高达85%,作者将在该院出生的本组婴儿142例分为3组,运用不同来源的基因工程疫苗接种。I组:用痘苗重组DNA乙肝疫苗57例,在婴儿娩出后1个月、6月龄进行注射,每次20ug。II组:应用乙型肝炎疫苗(基因工程细胞生产)41例,其用法同I组。III组:疫苗来源同I组,出生时同时给以乙肝免疫球蛋白(HBIG)1支,含量为200U/ml,每次lml,臂部肌内注射,1、6月龄重复注射上述疫苗10ug。其保护率分别为88.2%、85.9%、100%,抗-HBs阳转率分别为82%、86%、98%、经过统计学处理,III组与I组相比,P<0.05,差异有显著性;II组与III组相比,P<0.05,差异亦有显著性。III组免疫方案优于I、II组,且在III组44例中,无1例感染,其免疫效果亦优于血源性乙肝疫苗。基因疫苗的问世,为乙肝母婴传播阻断开辟了新的途径。
The infection rate of babies born to HBsAg-positive, HBeAg-positive and anti-HBc-positive mothers was as high as 85%. The authors divided 142 infants of this group who were born in this hospital into 3 groups and vaccinated them with genetically engineered vaccines from different sources. Group I: vaccinia recombinant DNA hepatitis B vaccine in 57 cases, 1 month after infancy, 6 months old for injection, each 20ug. Group II: Hepatitis B vaccine (genetically engineered cells) 41 cases, the same usage with the I group. Group III: The vaccine source with the same group I, at the same time give birth to a hepatitis B immunoglobulin (HBIG) 1, the content of 200U / ml, each lml, intramuscular arm, 1, 6 months of repeated injection of the vaccine 10ug . The protection rates were 88.2%, 85.9% and 100%, respectively. The anti-HBs positive rates were 82%, 86% and 98%, respectively. After statistical analysis, 0.05, the difference was significant; Group II compared with Group III, P <0.05, the difference was also significant. Group III immunization program was superior to group I and II, and in group III 44 cases, no case of infection, the immune effect is also superior to the blood-borne hepatitis B vaccine. The advent of gene vaccines has opened up new avenues for the blockage of mother-to-child transmission of hepatitis B.