目的为了解大同市乙型肝炎疫苗(HepB)纳入免疫规划后,医院产房新生儿首针HepB的接种情况,分析影响因素,为HepB免疫策略提供依据。方法查看产房出生和接种记录,对16 876名新生儿进行调查。结果医院产房新生儿首针HepB的接种率和及时接种率分别为85.62%和83.56%。近一半医院及时接种率低于95%,90%市级以下医院及时接种率不足90%。郊县医院接种率仅有78.71%,最低的为20.4%。结论完善接种制度,提高产房工作人员的接种意识,是提高产房首针HepB接种率和及时接种率的重要措施。 Objective To understand the vaccination of HepB, the first needle of newborn in the maternity ward of hospital in Datong, and analyze the influencing factors in order to understand the strategy of HepB immunization in Hepatitis B patients. Methods The birth and vaccination records of the delivery room were reviewed and 16,876 newborns were investigated. Results The inoculation rate and timely vaccination rate of HepB, the firstborn needle in the hospital delivery room, were 85.62% and 83.56% respectively. Nearly half of the hospital timely vaccination rate of less than 95%, 90% of municipal hospitals below the timely vaccination rate of less than 90%. Suburban hospital coverage was only 78.71%, the lowest was 20.4%. Conclusion Improving vaccination system and raising vaccination awareness of delivery staff are important measures to improve HepB vaccination rate and prompt vaccination rate of delivery room.