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在对5898人进行的病毒性肝炎血清流行病学调查分析中,发现接种乙肝疫苗者的丙肝抗体阳性率明显低于未接种人群,553名按种过乙肝疫苗者中,抗-HCV阳性率为2.53%,而未接种过乙肝疫苗者的抗-HCV阳性率为5.23%,两组具有非常显著的差异(P<0.01,OR=0.38,95%可信区间为0.2l~0.67)。按年龄分层进行分析,结果每个年龄组中接种过乙肝疫苗者的抗-HCV阳性率都低于未按种组,在1岁~、10岁~、30~59岁年龄段中抗-HCV阳性率在接种和未接种组中分别为1.2%和2.6%,4.4%和5.6%、2.8%和6.1%。疫苗接种次数和疫苗接种率都表现出与抗-HCV阳性率之间明显的剂量效应关系。
In the survey of 5 588 seroprevalence of viral hepatitis, we found that the positive rate of hepatitis C antibody in those who were vaccinated with hepatitis B vaccine was significantly lower than that in non-vaccinated population. Among the 553 hepatitis B vaccinated patients, the positive rate of anti-HCV was 2.53% respectively, while the positive rate of anti-HCV in those who did not receive hepatitis B vaccine was 5.23%. There was a significant difference between the two groups (P <0.01, OR = 0.38, 95% confidence interval 0.2l ~ 0.67). Analyzed by age stratification, the positive rate of anti-HCV in each age group vaccinated with hepatitis B vaccine was lower than that of the non-HCV group in the age group of 1 year old, 10 years old, 30 to 59 years old, The positive rate of HCV was 1.2% and 2.6%, 4.4% and 5.6%, 2.8% and 6.1% respectively in vaccinated and non-vaccinated groups. Both the number of vaccinations and the vaccination rate showed a significant dose-response relationship with the anti-HCV positive rate.