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Analysis of Multimodal Analgesic Nursing in Gynecological Laparoscopic Postoperative Patients
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Author: Min Huang
Abstract: Objective: To explore the application effect of multimodal analgesic nursing in patients after gynecological laparoscopic surgery, and analyze its impact on pain control, postoperative recovery, and complications. Methods: A total of 86 patients who underwent laparoscopic surgery in the gynecology department of our hospital from May 2024 to January 2025 were selected and randomly divided into an observation group (43 cases, multimodal analgesic nursing) and a control group (43 cases, conventional single analgesic nursing) using a random number table. The control group received intramuscular injection of pethidine for on-demand analgesia after surgery, while the observation group received multimodal analgesic nursing, including preoperative analgesic education and oral celecoxib pretreatment, intraoperative local infiltration anesthesia of the incision, and postoperative intravenous patient-controlled analgesia combined with oral ibuprofen and non-pharmacological analgesia. The visual analog scale (VAS) scores, postoperative recovery indicators (time to first ambulation, time to first flatus, length of hospital stay), incidence of analgesic-related complications (nausea and vomiting, dizziness, skin itching), and nursing satisfaction were compared between the two groups. Independent samples t-tests, repeated measures ANOVA, and χ² tests were used for data analysis, with P<0.05 considered statistically significant. Results: ① Pain scores: The VAS scores in the observation group at 6h, 12h, 24h, and 48h after surgery were 2.3±0.8, 1.8±0.6, 1.5±0.5, and 1.2±0.4, respectively, all significantly lower than those in the control group at the same time points (4.5±1.1, 3.8±0.9, 3.2±0.7, and 2.5±0.6) (P<0.05); ② Recovery indicators: The time to first ambulation (10.5±2.1h), time to first flatus (16.8±3.0h), and length of hospital stay (2.9±0.7d) in the observation group were significantly shorter than those in the control group (22.3±3.5h, 26.5±4.2h, and 5.1±1.0d) (P<0.05); ③ Complications: The incidence of analgesic-related complications in the observation group (6.98%) was significantly lower than that in the control group (23.26%) (P<0.05); ④ Nursing satisfaction: The satisfaction rate in the observation group (97.67%) was significantly higher than that in the control group (81.40%) (P<0.05). Conclusion: Multimodal analgesic nursing can effectively reduce postoperative pain levels in gynecological laparoscopic surgery patients, accelerate recovery, lower the risk of analgesic-related complications, and improve nursing satisfaction, making it worthy of clinical promotion and application.
Keywords: Multimodal Analgesic Nursing; Gynecological Laparoscopic Surgery; Postoperative Pain; VAS Score; Postoperative Recovery
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