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1、南华县新生儿乙型肝炎疫苗首针不及时接种原因调查研究【摘要】目的分析南华县2008~2009年两年新生儿首针乙肝疫苗及时接种情况,方法采用现场调查的方法,对南华县2008~2009年14个乡镇卫生院、县人民医院、妇幼保健院及时接种情况进行调查。结果2008年南华县新生儿活产数2400名,乙肝疫苗首针共接种2400针,及时接种1776针,及时接种率74%,未及时接种624名,未及时接种率26%;2009年南华县新生儿活产数2443名,乙肝疫苗首针共接种2443针,及时接种2204针。及时接种率90.2%未及时接种239名,未及时接种率9.8%。结论2008年624名未及时接种乙肝疫苗新生
2、儿中有495名在家出生,25名属低体重儿,30名属早产儿,30名属出生时患有疾病,44名由于当班医生及护士害怕当风险未接种(主要是县人民医院妇产科在接种疫苗时产生过纠纷,一度时期未能及时接种);2009年239名未及时接种乙肝疫苗新生儿中有141名在家出生,35名属低体重儿,33名早产儿,30名属出生时患有疾病。�【关键词】新生儿;首针乙肝疫苗;及时接种率DiagnosisofreasonthatNanhuaCountynewbornsecondgradehepatitisvaccinefirstdose6vaccinatesnotpromptlyMADe-hai,LIPei-cha
3、ng.YunnancenterforDiseasecontrolandprevention,Yunan650228,China�【Abstract】ObjectiveToanalysisNanhuaCountyin2008and2009newbornfirstdoseHBvaccinepromptvaccinationsituation.MethodsTousethesceneinvestigationtoinvestigateNanhuaCountyin2008~200914villagesandtowns.Resultswomen’sandchildren’sdispensary
4、.Theresultin2008NanhuaCountynewbornlivebirthwere2400,theHBvaccinefirstdosealtogethervaccinateswere2400needles,vaccinatespromptlywere1776needles,thepromptvaccinationcoveragewas74%,notpromptlyvaccinatedwas624,notpromptvaccinationcoveragewas26%;In2009NanhuaCountynewbornlivebirthwas2443,theHBvaccin
5、efirstdosealtogethervaccinateswas2443needles,vaccinatespromptly2204needles.Thepromptvaccinationcoveragewas90.2%notpromptlyvaccinated239,notpromptvaccinationcoveragewas9.8%.ConclusionIn2008,624promptvaccinationHBvaccinenewbornhas6nothad495tobeborninthehome,25arethelowbodyweight,30arethepremature
6、infant,30arewhenthebirthcontractsdisease,because44areondutydoctorandthenurseisafraidwhentheriskvaccination(mainlyhasnotbeencountypeoplehospitalgynecologyandobstetricsdepartmentwhenvaccinationvaccinehashaddispute,oncetimehasnotbeenabletovaccinatepromptly);In2009,239promptvaccinationHBvaccinenewb
7、ornhasnothad141tobeborninthehome,35arethelowbodyweight,33prematureinfants,30arewhenthebirthcontractsdisease.�【Keywords】Newborn;FirstdoseHBvaccine;Promptvaccinationcoverage�新生儿接种乙型肝炎疫苗要求在出生后24h内接种,我县自2001年始把乙型肝炎疫苗纳入免疫规划,每年都有新生儿乙肝疫苗
