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目的探讨疫苗接种引起的群体性心因性反应的原因和预防控制措施。方法新疆阿勒泰市阿苇滩镇寄宿制学校学生接种乙肝疫苗后,对出现群体性心因性反应的41名小学生的临床资料进行统计、分析。结果 41名学生主要症状为发热、头痛、头晕、恶心、腿痛、乏力,症状特点相似,均无明显阳性体征;专家组结合患者临床症状、体征、辅助检查及发病过程综合分析,诊断该起事件为预防接种后群体性心因性反应,经给予心理疗法和吸氧、输液等对症治疗,41名小学生全部康复出院。结论预防接种引起的群体性心因性反应是可以预防的;一旦事件发生,应进行正确疏导和暗示治疗,正确处置所发生的反应,可使事件得到迅速、及时地处理。
Objective To explore the causes and prevention and control measures of group psychogenic reactions caused by vaccination. Methods The boarding school students in Weidetan Town of Altay, Xinjiang, were investigated for clinical data of 41 primary school students who had group psychogenic reactions after receiving hepatitis B vaccine. Results The main symptoms of 41 students were fever, headache, dizziness, nausea, leg pain, weakness, similar symptoms and no obvious signs. The expert group combined with the clinical symptoms, signs, auxiliary examinations and comprehensive analysis of the course of the disease, After the incident for the prevention of group sex psychogenic reaction after vaccination, given psychotherapy and oxygen, infusion and other symptomatic treatment, all 41 primary school students were discharged. Conclusion The population-based psychogenic reactions caused by vaccination can be prevented. Once the incident occurs, it should be properly diverted and suggestive of treatment, and the correct response to the incident can promptly and promptly handle the incident.