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目的了解安阳市文峰区流动儿童免疫状况,制定区域相应免疫策略。方法采用按容量比例概率抽样法(PPS),对2010年1月1日至2011年12月31日出生并在调查地居住大于3个月的210名儿童,进行扩大国家免疫规划疫苗的接种率抽样调查。结果建证率99.52% ,建卡或儿童信息化系统登记率97.61% ,卡介苗(BCG)97.62% 、三剂乙肝疫苗(HepB3)91.90% 、三剂口服脊髓灰质炎减毒活疫苗(OPV3)96.19% 、三剂百白破疫苗(DPT3)95.71% 、第1剂含麻疹成分疫苗(MCV1)91.43% 、甲型肝炎减毒活疫苗(HepA-L)81.43% ;第2剂MCV疫苗(MCV2)和第4剂DPT疫苗(DPT4)分别为89.52% 、80.95% 。流动儿童BCG、HepB3、OPV3、DPT3、MCV1“五苗”全程免疫覆盖率(82.29% )显著低于本地常住儿童(95.61% )。结论流动儿童的预防接种仍然是免疫规划工作中的薄弱环节,流动儿童家长预防接种意识淡薄,是预防接种工作的难点,对流动儿童家长进行预防接种知识的宣传非常必要。
Objective To understand the immune status of migrant children in Wenfeng District, Anyang City, and to formulate corresponding immunization strategies in the area. Methods A total of 210 children born from January 1, 2010 to December 31, 2011 and residing in the survey area for more than 3 months were enrolled in the study according to the method of volume proportional probability sampling (PPS), and the vaccination coverage of the national immunization program was expanded survey. Results The rate of establishing card was 99.52%, registration rate of carding or child information system was 97.61%, BCG was 97.62%, three doses of HepB3 was 91.90%, three doses of oral live attenuated polio vaccine (OPV3) was 96.19 95.71% of the first dose of diphtheria toxin (DPT3) vaccine, the first dose of MCV1 (91.43%) and the live attenuated hepatitis A vaccine (81.43%); the second dose of MCV vaccine (MCV2) And fourth DPT vaccine (DPT4) were 89.52%, 80.95%. The full immunization coverage rate (82.29%) of migrant children BCG, HepB3, OPV3, DPT3 and MCV1 was significantly lower than that of local resident children (95.61%). Conclusions Vaccination of migrant children is still the weak link in immunization planning. The awareness of vaccination of migrant children is weak and it is very difficult to vaccinate the migrant children. It is very necessary to publicize the vaccination knowledge of migrant children.