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[目的]了解新生儿乙肝疫苗接种情况,以便指导今后的工作。[方法]对2007~2008年邹城市各级医疗机构新生儿乙肝疫苗接种资料进行分析,并抽查部分儿童首针乙肝疫苗接种情况。[结果]各级医疗机构2007~2008年分娩新生儿18 128人,乙肝疫苗接种率为94.19%,乙肝疫苗及时接种率为93.78%。其中,属于本预防接种门诊辖区内的和辖区外的,乙肝疫苗接种率分别为93.52%、97.59%(P<0.01),及时接种率分别为93.19%、96.75%(P<0.01)。未接种的1 053名中,未接种原因为转儿科治疗的占42.26%,早产、难产的占34.47%,发热的占13.87%,低出生体重儿占7.12%,新生儿皮肤病、家长拒绝接种、母亲HBsAg阳性而接种乙肝免疫球蛋白的占2.28%。抽查420人,首针乙肝疫苗接种率为99.29%,未接种的为2例流动儿童,1例计划外生育儿童。[结论]邹城市新生儿乙肝疫苗接种率与首针及时接种率均较高。
[Objective] To understand the situation of neonatal hepatitis B vaccination in order to guide future work. [Methods] The data of neonatal hepatitis B vaccination in medical institutions at all levels in Zoucheng City from 2007 to 2008 were analyzed and the first-dose hepatitis B vaccination of some children was spot-checked. [Results] 18 128 newborns were born in all medical institutions from 2007 to 2008, the vaccination rate of hepatitis B vaccine was 94.19%, and the timely vaccination rate of hepatitis B vaccine was 93.78%. Among them, within the scope of this vaccination clinic and outside the area, the hepatitis B vaccination rates were 93.52%, 97.59% (P <0.01), timely vaccination rates were 93.19%, 96.75% (P <0.01). Among the 1053 unvaccinated children, 42.26% were non-vaccinated because of pediatric treatment, 34.47% were premature labor, 34.87% were dystocia, 13.87% were febrile, 7.12% were born with low birth weight, neonatal dermatosis and parents refuse vaccination , Maternal HBsAg positive and hepatitis B immunoglobulin accounted for 2.28%. Spot checks of 420 people, the first dose of hepatitis B vaccination rate was 99.29%, two cases of uninoculated floating children, one case of unplanned childbearing. [Conclusion] The vaccination rate and the first inoculation rate of newborns with hepatitis B in Zoucheng City were higher than those in the other two groups.