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[云南省196名8月龄婴儿不同麻疹疫苗免疫效果分析]

[Analysis on immune effect of different measles vaccine among 196 infants at age of 8-month in Yunnan Province].

作者信息

Tang Jing-Jing, Ding Zheng-Rong, Pang Yan-Kun

机构信息

Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, Yunnan, China.

出版信息

Zhongguo Yi Miao He Mian Yi. 2009 Aug;15(4):323-6.

Abstract

OBJECTIVE

To analyze the effect of different dosage of measles vaccines (0.2 ml or 0.5 ml) to measles antibody level in 8 month-old infants and study the relationship between maternal antibody in infants and the immune response to the vaccine.

METHODS

196 8 month-old infants and their mothers were selected randomly. The measles IgG-antibody in infants before and after vaccination and in their mothers was detected by ELISA.

RESULTS

Total 101 infants received 0.2 ml MV and 95 infants received 0.5 ml MV. (1) Among all infants who were antibody negative before vaccination, the immune success rate was 88.24% in the Group 1 and 97.3% in Group 2. There were significant differences between the 2 groups (chi2=4.656 P=0.031). (2) Infants who were antibody positive before vaccination the immune success rate was 56.25% in Group 1 and 57.14% in Group 2. There were no significant differences between the 2 groups (chi2=0.003 P=0.957). (3) Before receiving MV, the seronegative rate in total 196 infants was 81.12%, but the seronegative rate in their mothers was 7.65%.

CONCLUSION

For 8 month-old infants, the maternal antibody has limited influence on the immune success rate. Increasing the dosage to 0.5 ml could increase the success rate and decrease the primary immune failure among infants who were antibody negative pre-vaccination. However, for those infants who were antibody positive pre-vaccination, the antibody level was not increase along with the increasing of the vaccine dosage.

摘要

目的

分析不同剂量(0.2毫升或0.5毫升)麻疹疫苗对8月龄婴儿麻疹抗体水平的影响,并研究婴儿母传抗体与疫苗免疫应答之间的关系。

方法

随机选取196名8月龄婴儿及其母亲。采用酶联免疫吸附测定法(ELISA)检测婴儿接种疫苗前后及其母亲体内的麻疹IgG抗体。

结果

101名婴儿接种0.2毫升麻疹疫苗,95名婴儿接种0.5毫升麻疹疫苗。(1)在所有接种前抗体阴性的婴儿中,第1组免疫成功率为88.24%,第2组为97.3%。两组间差异有统计学意义(χ2=4.656,P=0.031)。(2)接种前抗体阳性的婴儿中,第1组免疫成功率为56.25%,第2组为57.14%。两组间差异无统计学意义(χ2=0.003,P=0.957)。(3)在接种麻疹疫苗前,196名婴儿的血清阴性率为81.12%,但其母亲的血清阴性率为7.65%。

结论

对于8月龄婴儿,母传抗体对免疫成功率的影响有限。将剂量增加至0.5毫升可提高接种前抗体阴性婴儿的成功率并降低原发性免疫失败率。然而,对于接种前抗体阳性的婴儿,抗体水平并未随疫苗剂量增加而升高。

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