Study on Analgesic Effect of Compound Lidocaine Cream in Circumcision
CONG Gui-cheng,CUI Xiaojian,JIANG Liang-zhen
Department of Urology, Tianjin TEDA Hospital, Tianjin(300457),China
Abstract:
Objective To study the effect of Compound Lidocaine Cream on the anesthetic effect during circumcision with disposable circumcision stapler. Methods Totally 150 cases of outpatients (15–42 years old) undergoing circumcision surgery since May 2013—May 2018 were collected and randomly divided into three groups, 50 cases in each group. After the completion of preoperative preparation, the prepuce was smeared with Compound Lidocaine Cream and the time was counted. The patients were divided into three groups (group A for 10 min, group B for 20 min, group C for 30 min). All patients underwent circumcision with disposable circumcision stapler, and the postoperative pain score, postoperative pain time, postoperative complications and patient satisfaction were statistically analyzed. Results Intraoperative pain scores of patients in the three groups were (4.16±0.79) in group A, (1.91±0.70) in group B and (1.18±0.53) in group C. Postoperative pain time was as follows: group A: (50.16±1.22) min, group B: (60.00±1.11) min, group C: (59.90±1.15) min. The rates of intraoperative addition of anesthetic drugs in the three groups were 38%, 12% and 6%, with significant difference between AB and AC (P<0.05), and no statistical difference between BC (P>0.05). Satisfaction rate was 60% in group A, 90% in group B and 96% in group C, respectively. The complications of hematoma and prepuce ecchymosis were significantly different among the three groups (P<0.05). Conclusion It is safe and effective to use Compound Lidocaine Cream for surface anesthesia during circumcision with disposable circumcision suture device, and the anesthetic effect is good with the extension of application time.
