Therapeutic effect of compound chamomile and lidocaine hydrochloride gel for children with circumcision
Zhang Yuan , Zhao Yang, Zhou Huixia, et al
1.Faculty of Pediatrics, Chinese PLA General Hospital, Beijing 100700, China; 2.Department of Urology, BaYi Children’s Hospital, Seventh Medical Center of Chinese PLA General Hospital, Beijing 100700, China
Abstract: 【Abstract】 Objective To investigate the therapeutic effect of compound chamomile and lidocaine hydrochloride gel in children with circumcision. Methods 106 phimosis patients admitted in Department of Urology, Bayi Children's Hospital, Seventh Medical Center of PLA General Hospital from March to September 2019 were selected in the study. They were divided into study group (n=51) and control group (n=55) randomly according to random number table. Before the dorsal penile nerve blocking and the penis wrapped, compound chamomile and lidocaine hydrochloride gel was used at the base of the penis, the bodyof the penis and the prepuce orifice in study group. Patients in control group were treated with traditional circumcision. Operation time, pain score, incidence of postoperative foreskin edema, incidence of incision infection and other complications between the two groups were compared. Chi-square test and t test were used for statistical analysis. Results All the operations were successfully completed in two groups with the local anesthesia. There was no significant difference in operation time [(33.4±4.5) vs (35.1±5.6) min]and VAS score of postoperative 24 h [(1.2±0.4) vs (1.1±0.3)] between the two groups (P>0.05).There was no case of incision infection in the two groups. Intraoperative pain score in study group and the control group [(2.2±1.4) vs (3.8±1.4)], 1 h postoperative pain score [(1.2±0.5) vs (1.7±0.6)],4 d postoperative pain score [(2.1±0.6) and (4.1±2.0)], the rate of foreskin edema at 2 weeks after operation [3.9%(2/51) vs 18.2%(10/55)] and the rate of other postoperative complications [0.0%(0/51) vs 5.5%(3/55)] were compared, and those in study group were lower than those in control group with statistical significance (P<0.05). Conclusions Compound chamomile and lidocaine hydrochloride gel takes advantages of reducing perioperative, postoperative pain and incidence of post operation edema in children with circumcision. It is worthy of clinical application.
2021, Vol. 9 
