董珊, 黄群艳. 1270例注射人用狂犬病纯化疫苗者免疫效果观察[J]. 疾病监测, 2005, 20(11): 579-581. DOI: 10.3784/j.issn.1003-9961.2005.11.579
引用本文: 董珊, 黄群艳. 1270例注射人用狂犬病纯化疫苗者免疫效果观察[J]. 疾病监测, 2005, 20(11): 579-581. DOI: 10.3784/j.issn.1003-9961.2005.11.579
DONG Shan, HUANG Qun-yan. Observation on the Immunization Effect of Human Purified Rabies Vaccine in 1270 Cases[J]. Disease Surveillance, 2005, 20(11): 579-581. DOI: 10.3784/j.issn.1003-9961.2005.11.579
Citation: DONG Shan, HUANG Qun-yan. Observation on the Immunization Effect of Human Purified Rabies Vaccine in 1270 Cases[J]. Disease Surveillance, 2005, 20(11): 579-581. DOI: 10.3784/j.issn.1003-9961.2005.11.579

1270例注射人用狂犬病纯化疫苗者免疫效果观察

Observation on the Immunization Effect of Human Purified Rabies Vaccine in 1270 Cases

  • 摘要: 目的了解目前使用的人用狂犬病纯化疫苗的免疫效果,指导犬伤患者的免疫接种。方法对1270例暴露后自愿到灵川县卫生防疫站疾控科门诊部接种人用狂犬病纯化疫苗(Vero细胞疫苗)的人群,采用酶联免疫检测方法进行注射后狂犬病毒抗体检测,若抗体阳性表示接种成功,有保护性抗体产生;阴性则表示未产生抗体或抗体达不到保护水平。同时对检测结果进行统计分析。结果共检测犬伤患者1270例,狂犬病毒抗体阳性者1086例,总阳性率为85.51%;其中男性阳性率为84.83%;女性阳性率为86.38%;经x2检验,男女抗体阳性率差异无显著性(字2=0.6054,P>0.05)。检测发现,不同年龄组的抗体阳性率不同,15岁以下组与15~59岁组抗体阳性率,经x2检验,差异有显著性(字2=30.01,P0.05)。结论个体自身年龄对狂犬病毒抗体的形成有一定影响,但总的抗体保护水平可达85.51%。全程、规范地注射人用狂犬病纯化疫苗是预防狂犬病发生的最经济、最安全、最有效的手段。

     

    Abstract: Objective This study was done to understand current immunization effect of human purified rabies vaccine so as to guide the vaccination for patients with rabies.Methods 1270 exposed cases who voluntarily went to the Outpatient Department of the Division of Disease Control,Sanitation & Antiepidemic Station of Linchuan County,and accepted the human purified rabies vaccine(Vero vaccine) were detected with ELISA for rabies virus antibody.And presence of positive antibody was thought of as a successful vaccination and production of protective antibody.Nevertheless,negative antibody showed that no antibody was produced or the antibody did not reached the protective level.And the detected results were statisticany analyzed.Results 1270 patients with rabies from dog injury were detected and there were 1086 cases who had positive rabies virus antibody,with a overall positive rate of 85.51% (84.83% in male and 86.38% in female).No significant difference in positive rate of antibody between the genders was revealed by X2 test (X2=0.6054,p>0.05).Findings showed that the various age groups had different positive rates of antibody.The rate of the group aged less than 15 years was greatly different from that of the group aged between 15 years and 59 years (X2=30.01,pX2=0.1665,p>0.05).Conclusion Age of an individual has an influence on the production of rabies virus antibody,but overall protective level of the antibody is able to reach 85.51%.Injection of purified rabies vaccine in full course and with standardization is the safest,cheapest and the most effective means for the prevention of rabies.

     

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