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Objective To know basic characteristics of MSM infected with HIV treated by highly active antiretroviral thera‐py(HAART) ,and evaluate therapeutic effect based on the level of CD4+ T cell counts .Methods Basic database of patients were collected from the national AIDS comprehensive data information system ,patients were observed by the retrospective cohort study , and effect indicators were analyzed based on the level of CD4+ T cell counts .The data was analyzed by SPSS18 .0 software .Results A total of 1 758 cases were recruited in this study and the average age was (33 .5 ± 11 .1)years .The component ratio of the CD4+T cell counts 350/μL were 7 .7% ,27 .6% ,54 .9% ,9 .7% ,respectively .The CD4+ T counts increased and kept among 150 to 250/μL ,250 to 350/μL ,350 to 450/μL ,450 to 550/μL ,respectively after 12 months ,treat‐ment .The rates of viral inhibition were 70 .2% ,81 .7% ,84 .2% ,83 .3% ,respectively after 6 months′treatment .And the cumulative survival rates were 0 .81 ,0 .93 ,0 .98 ,1 .0 after 36 ,months treatment ,respectively .Conclusion HAART on MSM achieves remarka‐ble results .And the early treatment was more beneficial to improve immune function ,reduce AIDS mortality and control the HIV/AIDS epidemic of MSM .
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Objective To discuss the best method to treat deep perianal abscess and to investigate the clinical efficacy and value of the procedure of percutaneous catheter drainage guided by ultrasound in treatment.Ninteen patients with deep abscess underwent the procedure from Jan.2012 to May.2013.Methods Clinical data of 19 patients were analyzed retrospectively,including 16 male cases and 3 female cases.Results The average age is 39.8.All patients were cured without complications.The average length of stay is 7.8 days,a mean follow-up of 6.6 months after discharge,no patient with recurrence or fistula.Conclusion No specific performance of colorectal carcinoid,surgical resection is the most effective method of the treatment of colorectal carcinoid,the procedure should be individual treatment.However,the long term prognosis need to be explored in the future.
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Objective Observe and analyze the therapeutic effect of fluticasone propionate combined azithromycin on chronic si -nusitis after endoscopic sinus surgery .Methods 75 patients with chronic sinusitis and /or nasal polyps who treated with endoscopic surgery previously were selected in this study .All patients were divided into FP group ,cephalosporins group and combination group randomly .Each group contains 25 cases .CE group received cefradine ,FP group received FP while combination group using FP com -bined AZ treatment .The comparison was made in respects of symptom and nasal mucosa improvement ,clinical effect after 3 months .Results The symptom of patients in 3 groups all has improved after 3 months .Compare the improvement in 3 groups ,the CE group made the least improvement while the combination group made the best improvement which is also better than FP group (P< 0 .05) .The CE group made the least improvement while the combination group made the best improvement in aspect pf Endo -scopic score difference .After 3 months ,CE group has 60% entirely epithelization ,while FP group 84% and combination group 100% .Aftre 6 months ,the CE group has the lowest cure rate while the combination group has the highest cure rate (P< 0 .05) .And the recurrence rate in CE group was higher than the other two groups (P< 0 .05) .Conclusion Fluticasone propionate combined az-ithromycin on chronic sinusitis after endoscopic sinus surgery could improve the epithelization and clinical effect ,decrease the recur-rence rate .
