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预防医学  2016, Vol. 28 Issue (12): 1208-1213    
  论著 本期目录 | 过刊浏览 | 高级检索 |
5岁以下儿童接种b型流感嗜血杆菌疫苗流行病学效果的Meta分析
胡昱, 李倩, 张兵, 陈雅萍
浙江省疾病预防控制中心,浙江杭州 310051
A meta-analysis of vaccine efficacy of haemophilus influenza type b vaccine among children under five years of age
HU Yu,LI Qian,ZHANG Bing,CHEN Ya-ping
The Center for Disease Control and Prevention of Zhejiang Province,Hangzhou,Zhejiang,310051,China
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摘要 目的 对5岁以下儿童接种b型流感嗜血杆菌疫苗(Hib)的流行病学保护效果进行Meta分析。方法 检索美国国家医学图书馆数据库(NCBI)、Cochrane协作网图书馆数据库、中国生物医学文献数据库、中国期刊全文数据库和万方全文数据库,采用RevMan 5.3软件对纳入的有关5岁以下儿童接种Hib的流行病学保护效果的文献进行Meta分析。结果 共纳入9篇文献,其中7篇为随机对照试验,2篇为半随机对照试验。接种1、2和3剂次Hib后产生的疫苗保护率分别为65%(95%CI:23%~84%)、79%(95%CI: 54%~90%)和85%(95%CI: 77%~90%)。结论 Hib具有良好的保护效果,2剂次和3剂次Hib基础免疫程序在5岁以下儿童中的保护效果相似。
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胡昱
李倩
张兵
陈雅萍
关键词 b型流感嗜血杆菌疫苗基础免疫程序保护率Meta分析    
AbstractObjective To evaluate vaccine efficacy(VE) of Haemophilus influenza type b vaccine (Hib) among children under five years of age . Methods Searching “National Center for Biotechnology Information, NCBI”,“Cochrane Library,CL”,“China Biology Medicine disc, CBMd”,“China National Knowledge Infrastructure, CNKI”,“ Wanfang Database, the studies of VE for Hib among children under five years of age were included, and meta-analysis were made by RevMan 5.3 software. Results A total of 9 studies were included, seven were randomised clinical trial(RCT) design and two were semi RCT design. The VEs of one dose, two doses and three doses of Hib were 65%(95%CI23%-84%), 79%(95%CI 54%-90%), and 85%(95%CI 77%-90%), respectively. Conclusion We found that Hib is highly effective and that the two dose regime is as good as the three dose regime.
Key wordsHaemophilus influenza type b Vaccine    Basic immune program    Vaccine protective efficacy    Meta-analysis
         
中图分类号:  R186  
作者简介: 胡昱,硕士,副主任医师,主要从事免疫规划工作
通信作者: 胡昱,E-mailhusix@163.com   
引用本文:   
胡昱, 李倩, 张兵, 陈雅萍. 5岁以下儿童接种b型流感嗜血杆菌疫苗流行病学效果的Meta分析[J]. 预防医学, 2016, 28(12): 1208-1213.
HU Yu,LI Qian,ZHANG Bing,CHEN Ya-ping. A meta-analysis of vaccine efficacy of haemophilus influenza type b vaccine among children under five years of age. Preventive Medicine, 2016, 28(12): 1208-1213.
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