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目的了解影响医院出生新生儿乙型肝炎(乙肝)疫苗首针(Hepatitis B Vaccune,HepB1)及时接种的因素。方法收集2006~2007年在北京妇产医院出生的24 651名新生儿HepB1接种登记资料,对1169名未接种者的原因进行分析。结果新生儿HepB1及时接种率为95.26%,未及时接种的原因主要是早产儿、低出生体重儿、窒息、呻吟待查、患有其它疾病等,分别占未及时接种者的74.42%、11.21%、5.48%、3.76%、5.13%。结论在北京市住院分娩的新生儿HepB1及时接种率已达到较高水平,影响HepB1及时接种的主要原因在于对HepB1接种禁忌证把握过度严格。需加强医院内预防接种人员相关知识的培训。
Objective To investigate the factors influencing the timely inoculation of Hepatitis B Vaccune (HepB1) in hospital-born newborn. Methods The data of 24 651 newborns HepB1 inoculation registered at Beijing Maternity Hospital from 2006 to 2007 were collected to analyze the causes of 1169 unvaccinated persons. Results The timely vaccination rate of HepB1 in newborns was 95.26%. The reasons for the lack of timely vaccination were premature children, low birth weight infants, asphyxia, groaning and other diseases, accounting for 74.42%, 11.21% , 5.48%, 3.76%, 5.13%. Conclusions The timely vaccination rate of HepB1 in newborns hospitalized in Beijing has reached a high level. The main reason for the timely vaccination of HepB1 lies in the fact that HepB1 vaccination contraindications are overly strict. There is a need to strengthen training on vaccination personnel in hospitals.