Improvement of preventive measures for orthostatic hypotension after gynecological laparoscopic surgery and its clinical appli-cation effect
GAO Yu
WU Weijia
ZHANG Nan
LIU Ce
DONG Miao
Abstract：Objective To explore the effect of prevention measures on the orthostatic hypotension(OH)in patients with gynecological benign diseases during the perioperative period.Methods A total of 102 hospitalized patients from January 2022 to December 2023 were ran-domly divided into the control group(n=51)and the observation group(n=51).The control group received routine care,while the observa-tion group were worn medical elastic stockings 30 minutes before getting out of bed based on the control group.Blood pressure,heart rate,and dizziness scores were compared between the two groups within 3 minutes of post-bed exit,sitting,and standing.Results The seated diastolic blood pressure(73.80±9.28)mm Hg,standing systolic blood pressure(117.78±11.93)mm Hg and diastolic blood pressure(71.71±8.67)mm Hg in the observation group were significantly higher than those of the control group(P＜0.05).The incidence of OH in the observation group(3.92%)was significantly lower than that of the control group(27.45%)(P＜0.05).The postoperative seated heart rate(80.29±10.12)beats per minute and standing heart rate(81.02±10.54)beats per minute in the observation group were significantly lower than those of the control group(P＜0.05).The moderate dizziness rate at the seated position after surgery in the observation group was 0,and moderate dizziness rate at the standing position after surgery in the observation group was 1.96%,which were significantly lower than those of the control group(P＜0.05).Conclusion Preventive measures for patients after laparoscopic surgery can reduce the incidence of OH,maintain stable blood pressure and heart rate,improve the dizziness condition,accelerate venous return,ensure cerebral blood flow perfusion,and reduce the risk of cardiovascular accidents and falls.The clinical application effect is quite good.
Keywords：improve preventive measuresorthostatic hypotensiondizzylaparoscopenursingmedical compression stockings
Publication Date：2025-10-10
Online Publishing Date：2025-12-01(First online date of this platform, not the publication date of the document)
Pages：6( 909-914 )