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目的掌握大连地区儿童免疫规划疫苗预防接种现状。方法采用容量比例概率抽样法(PPS)对大连市2007年1月1日至2009年12月31日出生的305名儿童,进行免疫规划疫苗的接种率调查。结果 305名儿童,建卡率为99.67%,建证率为93.44%,结核疫苗(BCG)、口服脊灰疫苗(OPV1-3)、百白破疫苗(DPT1-3)、麻疹疫苗(MV)、乙肝疫苗(HepB1-3)五种疫苗基础免疫接种率均超过95%,乙肝疫苗首针及时接种率为95.16%,五苗全程接种率为98.79%。实施扩大国家免疫规划后甲肝疫苗(HepA)、A群流脑疫苗第一剂、第二剂(MenA1-2)及乙脑疫苗第一剂(JE-I1)接种率分别为91.53%、92.41%、87.41%及90.29%,且流动儿童流脑疫苗接种率(MenA1 88.24%、MenA279.73%)显著低于本地儿童(MenA1 93.61%、MenA2 89.77%)。流动儿童疫苗合格接种率明显低于本地儿童(P<0.01),未种疫苗剂次数明显高于本地儿童。结论实施扩大国家免疫后新纳入疫苗的接种需进一步加强,流动儿童的免疫预防工作应引起重视并加强管理。
Objective To master the current situation of vaccination of children immunization program in Dalian. Methods A total of 305 children born in Dalian from January 1, 2007 to December 31, 2009 were enrolled in this study. The vaccination rate of immunization planning vaccine was surveyed by volume proportional probability sampling (PPS). RESULTS: The rate of establishing card was 99.67%, the rate of establishing card was 93.44%, tuberculosis vaccine (BCG), oral polio vaccine (OPV1-3), diphtheria-pertussis vaccine (DPT1-3), measles vaccine (MV) , Hepatitis B vaccine (HepB1-3) five kinds of vaccine-based immunization rates were more than 95%, hepatitis B vaccine first needle timely vaccination rate was 95.16%, five seedlings throughout the vaccination rate was 98.79%. Vaccination rates of HepA, Group A meningitis A vaccine, MenA1-2 and JE-I1 were 91.53% and 92.41% respectively after the implementation of the expanded national immunization program. , 87.41% and 90.29%, respectively, and the rate of melobloom vaccination among migrant children (MenA1 88.24%, MenA279.73%) was significantly lower than that of local children (93.61% MenA1 and 89.77% MenA2). The eligible vaccination rate of migrant children was significantly lower than that of local children (P <0.01), and the number of unvaccinated vaccines was significantly higher than that of local children. Conclusion It is necessary to further strengthen the vaccination of newly incorporated vaccines after the expansion of national immunization. Immunization prevention should be paid more attention to and management should be strengthened.