国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
1期
117-119
,共3页
谢桂香%梁艳金%谢美兴%陈丽锦%蔡福珍%李柳清
謝桂香%樑豔金%謝美興%陳麗錦%蔡福珍%李柳清
사계향%량염금%사미흥%진려금%채복진%리류청
婴幼儿%肌内注射%接种部位%安全%预防接种%注射
嬰幼兒%肌內註射%接種部位%安全%預防接種%註射
영유인%기내주사%접충부위%안전%예방접충%주사
Infant%Intramuscular injection%Inoculation site%Safety%vaccination%Injection
目的 通过对婴幼儿不同接种部位的接种后反应情况观察,为婴幼儿选择安全理想的预防接种部位提供依据.方法 2010年5-6月期间将我院岗贝预防接种门诊1032名接种B型流感嗜血杆菌疫苗的2岁以下婴幼儿随机分为3组,接种部位分别采用股外侧肌、三角肌及臀肌.观察3组儿童接种后不良反应的发生情况.结果 股外侧肌、三角肌及臀肌肌肉注射30min内局部反应率分别为2.1%(7例)、1.1%(4例)、1.5%(5例);30分钟至72 h内局部反应率分别为9.6%(32例)、8.7%(32例)及10.9%(36例);发热率分别为4.2%(14例)、3.3%(12例)及2.7%(9例).3组局部反应发生率和发热反应发生率的差异均无统计学意义(x2=1.34,1.96,P>0.05).结论 选用臀肌、三角肌及股外侧肌肌肉注射法接种疫苗都是安全的,但2岁以下婴幼儿的理想接种部位还是股外侧肌中部肌肉.
目的 通過對嬰幼兒不同接種部位的接種後反應情況觀察,為嬰幼兒選擇安全理想的預防接種部位提供依據.方法 2010年5-6月期間將我院崗貝預防接種門診1032名接種B型流感嗜血桿菌疫苗的2歲以下嬰幼兒隨機分為3組,接種部位分彆採用股外側肌、三角肌及臀肌.觀察3組兒童接種後不良反應的髮生情況.結果 股外側肌、三角肌及臀肌肌肉註射30min內跼部反應率分彆為2.1%(7例)、1.1%(4例)、1.5%(5例);30分鐘至72 h內跼部反應率分彆為9.6%(32例)、8.7%(32例)及10.9%(36例);髮熱率分彆為4.2%(14例)、3.3%(12例)及2.7%(9例).3組跼部反應髮生率和髮熱反應髮生率的差異均無統計學意義(x2=1.34,1.96,P>0.05).結論 選用臀肌、三角肌及股外側肌肌肉註射法接種疫苗都是安全的,但2歲以下嬰幼兒的理想接種部位還是股外側肌中部肌肉.
목적 통과대영유인불동접충부위적접충후반응정황관찰,위영유인선택안전이상적예방접충부위제공의거.방법 2010년5-6월기간장아원강패예방접충문진1032명접충B형류감기혈간균역묘적2세이하영유인수궤분위3조,접충부위분별채용고외측기、삼각기급둔기.관찰3조인동접충후불량반응적발생정황.결과 고외측기、삼각기급둔기기육주사30min내국부반응솔분별위2.1%(7례)、1.1%(4례)、1.5%(5례);30분종지72 h내국부반응솔분별위9.6%(32례)、8.7%(32례)급10.9%(36례);발열솔분별위4.2%(14례)、3.3%(12례)급2.7%(9례).3조국부반응발생솔화발열반응발생솔적차이균무통계학의의(x2=1.34,1.96,P>0.05).결론 선용둔기、삼각기급고외측기기육주사법접충역묘도시안전적,단2세이하영유인적이상접충부위환시고외측기중부기육.
Objective To secure the ideal choice of infant vaccination site. Method May 2010 to June Pui Kong hospital during the vaccination clinic 1032 Haemophilus influenzae type B vaccination vaccine in infants under 2 years of age were randomly divided into 3 groups were inoculated with vastus lateralis site, triangular and gluteal muscles. 3 groups were observed after vaccination of chíldren the inci dence of adverse reactions. Results The vastus lateralis, deltoid and gluteal intramuscular injection of 30min, the local reaction rate was 2.1% ( 7 cases ), 1.1% ( 4 cases ), 1.5% ( 5 cases ); 30 minutes to 72h response rate within the local 9.6% ( 32 cases ), 8.7% ( 32 cases ) and 10.9% ( 36 cases ); Heating rates were 4.2% ( 14 cases ), 3.3% ( 12 cases ) and 2.7% ( 9 cases ). 3 groups of local reaction rates and the incidence of fever was no significant difference( x2=1.34, 1.96, P> 0.05 ). Conclusion The use gluteal, deltoid and vastus lateralis intramuscular vaccination method is safe, but infants and young children under the age of 2, the ideal injection site is the central muscle vastus lateralis muscle.