Abstract
时景璞,李征远,郑力国,徐占民,王桂花,王昕,张群弟,杨志齐,孙宏章,郭乃全,梁争论,吴晓音.重组酵母乙型肝炎疫苗对成人的免疫效果及安全性的研究[J].Chinese journal of Epidemiology,2001,22(2):105-107
重组酵母乙型肝炎疫苗对成人的免疫效果及安全性的研究
Immunogenicity and safety of recombinant yeast -derived hepatitis B vaccine( YDV)on adults
Received:October 15, 2000  
DOI:
KeyWord: 重组酵母乙型肝炎疫苗  抗体阳转率  抗体几何平均滴度
English Key Word: Recombinant yeast-derived hepatitis B vaccine(YDV)  Positive rates of anti -HBs  Mean geometric titre( GMT)of anti-HBs
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Author NameAffiliation
SHI Jingpu 110001 沈阳, 中国医科大学第一临床医院临床流行病学教研室 
LI Zhengyuan 辽宁省北票市中小学卫生保健所体检科 
ZHENG Liguo 北票矿务局总医院外科 
XU zhanmin 北票矿务局总医院外科 
WANG Guihua 辽宁省北票市中小学卫生保健所体检科 
WANG xin 110001 沈阳, 中国医科大学第一临床医院临床流行病学教研室 
ZHANG Qundi 110001 沈阳, 中国医科大学第一临床医院临床流行病学教研室 
YANG Zhiqi 辽宁省北票市中小学卫生保健所体检科 
SUN Honghang 辽宁省北票市中小学卫生保健所体检科 
GUO Naiquan 辽宁省北票市中小学卫生保健所体检科 
LIANG Zhenglun 北票矿务局总医院外科 
WU Xiaoyin 北票矿务局总医院外科 
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Abstract:
      目的探讨重组酵母乙型肝炎疫苗(YDV)对成人的免疫效果及安全性。方法在辽宁省北票市部分学校选择一般健康状况良好,乙型肝炎表面抗原(HBsAg)、乙型肝炎表面抗体(抗HBs)、乙型肝炎核心抗体(抗HBc)三项指标均为阴性,体温正常的22~58岁的教师,随机抽取124名,按0、1、6个月程序,每剂5μg/0.5ml接种卫生部北京生物制品研究所生产的重组酵母乙型肝炎疫苗。结果免疫后3、7、12个月时,抗HBs阳转率分别为35.0%、83.3%、67.2%(P<0.01)。抗HBs平均滴度分别为12.63mIU/ml、402.04mIU/ml、70.28mIU/ml(P<0.01);抗HBs阳转率及其滴度均在7个月时达到高峰,以后又急剧下降。免疫后3、7、12个月时,女性抗HBs阳转率和滴度均高于男性。但仅抗HBs滴度在免疫后3个月时两者之间差异有显著性;小于35岁组的抗体阳转率高于35岁以上组,但仅在免疫后12个月时两者之间差异有显著性;而该两个年龄组间的抗HBs滴度差异无显著性;免疫3d后局部和全身未见不良反应。结论重组酵母乙型肝炎疫苗对成人具有良好的免疫原性和安全性,其抗HBs持续时间有待进一步观察。
English Abstract:
      ObjectiveTo study the immunogenicity and safety of recombinant yeast-derived hepatitis B vaccine ( YDV)on adults. Methods One hundred twenty-four healthy teachers of 22-58 years old, were randomly selected in Beipiao city, Liaoning province.Their HBsAg, anti-HBs and anti -HBc were all negative and temperature was normal.They were vaccinated with 5 μ g/ 0. 5 ml of YDV, which was made in Beijing Institute of Biologic Products, at 0, 1, 6 months.Results The positive rates of anti -HBs were 35. 0%, 83. 3%, 67. 2%( P <0. 01)with the mean geometric titre( GM T)of anti -HBs 12. 63 mIU/ml、402. 04 mIU/ml and 70. 28 mIU/ml(P<0. 01)at 3th, 7th, 12th months respectively.The positive rates of anti-HBs and GMT of anti -HBs became the highest at 7th month, then began to decrease sharply.At 3th, 7th, 12th months the positive rates of anti-HBs and GM T of anti-HBs were higher on female compared to male, but only GM T of anti -HBs was significantly different at 3th month; the positive rates of anti -HBs in below 35 years old group was higher than 35 and over years old group, but it was significantly different only at 12th month. GMT of anti-HBs between the two groups was no obvious difference.Local or systematic addictive reactions were not found in all the subjects in 3 days after injection.Conclusion YDV is effective and safety to adults.The duration of anti -HBs should be further observed.
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