Perioperative care and prevention strategies for patients with minimally invasive surgery in gynecology
妇科微创手术患者的围术期护理与并发症预防策略

摘要

目的 探讨妇科微创手术患者围术期护理与并发症预防策略的应用效果，明确有效的护理干预对减少术后并发症、促进患者康复的作用，为优化妇科微创手术围术期护理方案提供依据。方法 选取2024年6月-2025年3月在我院接受妇科微创手术的300例患者作为研究对象，随机分为对照组和实验组，每组150例。对照组采用常规围术期护理，实验组在常规护理基础上实施优化后的围术期护理与并发症预防策略。结果 实验组术后并发症发生率（8.0%）低于对照组（20.0%）；术后肛门首次排气时间（18.5±3.2小时）短于对照组（24.3±4.1小时）；住院时间（4.2±0.8天）短于对照组（6.5±1.2天），差异均具有统计学意义（P<0.05）。结论 优化后的围术期护理与并发症预防策略能显著降低妇科微创手术患者术后并发症发生率，加快患者术后康复进程，缩短住院时间，对提高患者治疗效果和满意度具有积极意义，值得在临床推广应用。

Abstract

Objective To explore the application effects of perioperative care and complication prevention strategies for patients undergoing gynecological minimally invasive surgery, to clarify the role of effective nursing interventions in reducing postoperative complications and promoting patient recovery, and to provide a basis for optimizing perioperative care plans for gynecological minimally invasive surgery.
Methods A total of 300 patients who underwent gynecological minimally invasive surgery at our hospital from June 2024 to March 2025 were selected as research subjects, randomly divided into a control group and an experimental group, with 150 cases in each group. The control group received routine perioperative care, while the experimental group received optimized perioperative care and complication prevention strategies on top of routine care.
Results The incidence of postoperative complications in the experimental group(8.0%)was lower than that in the control group(20.0%);the time to first postoperative bowel gas release(18.5±3.2 hours)was shorter in the experimental group(24.3±4.1 hours)compared to the control group; the hospital stay(4.2±0.8 days)was shorter in the experimental group(6.5±1.2 days)compared to the control group, all differences being statistically significant(P<0.05).
Conclusion   The optimized perioperative care and complication prevention strategies can significantly reduce the incidence of postoperative complications in patients undergoing gynecological minimally invasive surgery, accelerate the postoperative recovery process, shorten hospital stays, and have positive implications for improving patient treatment outcomes and satisfaction, making them worthy of clinical promotion and application.