CAJ | 학술논문

目的：了解少数民族自治县受伤居民接种狂犬病疫苗后的效果。方法对广西壮族自治区大化瑶族自治县2004~2013年狂犬病疫苗免疫接种者的资料及实验室抗体检测数据进行统计分析。结果该县2004~2013年对当地5286名接受过狂犬病疫苗免疫接种的居民进行了抗体检测，抗体阳性者5230名，阳性率为98.94%；抗体阴性者56名。40岁以上者接种狂犬病疫苗后抗体阳性率随年龄增加而下降。狂犬病疫苗传统接种程序（5针次）与改良接种程序（4针次）抗体阳性率[分别为99.89%（4476/4481）、97.69%（422/432）]比较，差异有统计学意义（χ2=62.84，P<0.05）。结论狂犬病疫苗免疫接种后效果监测十分重要，对免疫接种后抗体阴性者应及时加强补种疫苗。
목적：료해소수민족자치현수상거민접충광견병역묘후적효과。방법대엄서장족자치구대화요족자치현2004~2013년광견병역묘면역접충자적자료급실험실항체검측수거진행통계분석。결과해현2004~2013년대당지5286명접수과광견병역묘면역접충적거민진행료항체검측，항체양성자5230명，양성솔위98.94%；항체음성자56명。40세이상자접충광견병역묘후항체양성솔수년령증가이하강。광견병역묘전통접충정서（5침차）여개량접충정서（4침차）항체양성솔[분별위99.89%（4476/4481）、97.69%（422/432）]비교，차이유통계학의의（χ2=62.84，P<0.05）。결론광견병역묘면역접충후효과감측십분중요，대면역접충후항체음성자응급시가강보충역묘。
Objective To know the effect of rabies vaccine inoculated by injured residents in minority autonomous county. Methods Rabies vaccine inoculators′data and laboratory antibody test data in Dahua Yao Autonomous County ,Guangxi Zhuang Autonomous Region from 2004 to 2013 were statistically analyzed. Results Conducted antibody detection on 5286 resi-dents who inoculated rabies vaccine in this county from 2004 to 2014. There were 5230 antibody positive cases and the positive rate was 98.94%. There were 56 antibody negative cases. The antibody positive rate of patients over 40 after inoculated rabies vac-cine reduced as the age increased. Compared the antibody positive rate of traditional 5-time inoculation procedure with reformed 4-time inoculation procedure [respectively were 99.89%(4 476/4 481),97.69%(422/432)],differences showing statistical signifi-cance (χ2=62.84,P<0.05). Conclusion Minitoring the effect after inoculating rabies vaccine is very important. Reinoculate rabies vaccine if patients are antibody negative.