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[不同水平乙型肝炎表面抗原抗体人群对乙型肝炎疫苗应答的初步研究]

[A preliminary study on response to hepatitis B vaccine in subjects with various levels of antibody to hepatitis B surface antigen].

作者信息

Liu K Z

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 1989 May;23(3):132-4.

PMID:2582918
Abstract

After hepatitis B vaccine immunization, serum antibody response was of primary type in 33 cases with anti-HBs less than 2.1 S/N (S/N Ratio Unit) at T0, the anti-HBs positive rate was 39.4%, 84.8%, 96.7% and 96.7% in T1, T2, T0 and T12 respectively. Anti-HBs S/N rose gradually month by month, the antibody response in younger children was better than that in adult. Anamnestic type in 38 cases with anti-HBs greater than 2.1 S/N at T0, the antibody levels rose rapidly in T1, T2 and began to fall in T8. The children were negative for HBsAg, anti-HBs and anti-HBc in sera by RPHA, PHA and ELISA respectively, most (100% in 1-4 age group and 63.2% in 5-9 age group) of them were also negative for HBV serological markers by SPRIA repeatedly, thus they were susceptible and need for hepatitis B vaccine immunization. Indication of hepatitis B vaccination for adult population was also discussed.

摘要

乙肝疫苗免疫后,T0时抗-HBs小于2.1 S/N(S/N比值单位)的33例血清抗体反应为初免型,T1、T2、T0和T12时抗-HBs阳性率分别为39.4%、84.8%、96.7%和96.7%。抗-HBs S/N逐月逐渐升高,幼儿的抗体反应优于成人。T0时抗-HBs大于2.1 S/N的38例为回忆型,T1、T2时抗体水平迅速升高,T8时开始下降。通过反向被动血凝试验(RPHA)、PHA和酶联免疫吸附测定(ELISA)分别检测,儿童血清中HBsAg、抗-HBs和抗-HBc均为阴性,其中大多数(1-4岁年龄组为100%,5-9岁年龄组为63.2%)通过固相放射免疫分析(SPRIA)反复检测乙肝血清学标志物也为阴性,因此他们易感,需要接种乙肝疫苗。还讨论了成人乙肝疫苗接种的指征。

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