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目的分析和评价中国西部地区不同出生地点新生儿乙型肝炎(乙肝)疫苗首针(HepB1)及时接种情况,改善HepB1及时接种的薄弱环节。方法从西部11个省(自治区、直辖市,下同,未包括西藏自治区)、设区的市(地区、州、盟,下同)、县(市、旗,下同)、乡(镇、苏木,下同)级各抽取1所省级医院,2所市级医院,2所县级医院,4所乡级医院,分析各级医院出生新生儿HepB1接种情况,同时与在家中出生新生儿接种情况进行对比。结果中国西部地区在医院出生新生儿HepB1接种率平均>90%,在家出生新生儿HepB1接种率约为50%。结论随着产妇住院分娩率的提高,在医院出生新生儿的HepB1及时接种率达到了很高的覆盖率,今后应制定对策,提高在家出生新生儿的HepB1接种率。
Objective To analyze and evaluate the timely inoculation of hepatitis B vaccine (HepB1) in different birth spots in western part of China and to improve the weak link of timely inoculation of HepB1. Methods From the cities (autonomous regions and municipalities directly under the Central Government, the same below, excluding the Tibet Autonomous Region), the districts (prefectures, prefectures, the same below), the counties Wood, the same below) at the level of a provincial hospital, two municipal hospitals, two county hospitals, four township hospitals, hospitals at all levels of analysis of HepB1 neonatal inoculation, and at home with newborns Comparison of vaccination. Results HepB1 vaccination rates in newborn infants born in hospitals in western China averaged over 90%. Inoculation rates of HepB1 babies born at home were about 50%. Conclusion With the improvement of maternal hospital delivery rate, timely vaccination rate of HepB1 in newborn born in hospital has reached a high coverage rate. In the future, measures should be taken to improve the HepB1 vaccination rate of newborn infants born at home.