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本文对101名低、无应答儿童采用不同方案加强免疫,进行随机对照前瞻性研究观察,表明,对母亲HBsAg阳性的低、无应答婴幼儿采用注射分枝杆菌多糖与乙肝疫苗(30μg×3)联合应用,免后1年抗体阳转率可达90%左右;对母亲HBsAg阴性的低、无应答婴幼儿采用加强1支10μg乙肝疫苗,可使近一半婴幼儿产生抗-HBs。利用PCR检测低、无应答者的HBV-DNA,仅有385%为HBV感染者,母亲为HBsAg阳性者的无应答婴幼儿若不进行加强免疫,仍存在着HBV感染的危险性。
In this paper, 101 low and non-responders children with different programs to enhance immunity, a randomized controlled prospective study showed that mothers with low, non-responsive mothers and mothers injections of Mycobacterium tuberculosis polysaccharide and hepatitis B vaccine (30μg × 3) Combined application, 1 year after immunization rate of antibody positive rate of up to 90%; mother of HBsAg-negative low, no response to infants and young children with a 10μg hepatitis B vaccine, can make nearly half of infants and young children produce anti-HBs. Using PCR to detect low and non-responders HBV-DNA, only 3 85% of HBV-infected mothers non-HBsAg-positive infants and young children without enhanced immunity, there is still the risk of HBV infection.