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目的探讨利多卡因胶浆在血管钳扩张法治疗儿童包茎及包皮粘连中的应用价值。方法 60例包茎或包皮粘连患儿,随机分为非利多卡因组和利多卡因组,各30例。两组均采用血管钳扩张法治疗儿童包茎及包皮粘连,非利多卡因组术中及术后家庭护理时均不用麻醉,利多卡因组术前、术中及术后家庭护理时均局部外涂利多卡因胶浆。比较两组临床效果。结果与非利多卡因组相比,利多卡因组术中及术后家庭护理时的疼痛刺激均明显减轻(P<0.05);利多卡因组治愈率为70.0%,总有效率为90.0%,均高于非利多卡因组的36.7%、66.7%(P<0.05)。结论外涂利多卡因胶浆在血管钳扩张法治疗儿童包茎及包皮粘连中是一种简单、易行、有效的减轻疼痛刺激的方法 ,术后家庭护理时可自行使用,能明显提高疗效,值得临床推广。
Objective To investigate the value of lidocaine glue in the treatment of phimosis and foreskin adhesion in children with vasodilator. Methods Sixty children with phimosis or foreskin adhesions were randomly divided into non-lidocaine group and lidocaine group, with 30 cases in each group. Vaginal forceps expansion was used to treat children’s phimosis and foreskin adhesions in both groups. Non-lidocaine group and non-lidocaine group were anesthetized during and after operation. Lidocaine group was preoperatively, intraoperatively and postoperatively. Coated lidocaine glue. The clinical effects of two groups were compared. Results Compared with the non-lidocaine group, the pain relief during and after the operation of lidocaine group was significantly reduced (P <0.05). The cure rate was 70.0% in the lidocaine group and the total effective rate was 90.0% , Which were all higher than 36.7% and 66.7% in non-lidocaine group (P <0.05). Conclusion Oral application of lidocaine glue in the treatment of phimosis and foreskin adhesions in children is a simple, easy and effective method of relieving pain and irritation. After oral administration of lidocaine glue, it can be used by itself after home nursing, which can obviously improve the curative effect, Worth clinical promotion.