目的： 探究基于G-Caprini评分的分级护理在宫颈癌手术患者静脉血栓栓塞症(VTE)预防中的应用效果。方法： 本研究为单中心随机对照试验。选取2022年10月至2023年10月收治于江苏省肿瘤医院的160例宫颈癌手术患者，采用随机数字表法分为对照组和G-Caprini组，每组80例。两组分别基于Caprini评分和G-Caprini评分进行VTE风险评估和分级护理。比较两组患者静脉血栓发生情况、凝血指标、术后恢复情况、VTE风险等级分布、VTE风险等级对VTE的预测效能及护理满意度。结果： 干预后，G-Caprini组与对照组患者静脉血栓发生率、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、凝血酶时间(TT)、D-二聚体(D-D)水平，腹腔引流管留置时间、术后卧床时间、住院时间、并发症发生率等比较，差异均无统计学意义(均P＞0.05)。G-Caprini组与对照组患者的VTE风险等级分布差异有统计学意义(P＜0.05)；G-Caprini组VTE风险等级预测VTE的AUC(0.821)高于对照组(0.544)，在最佳截断值2.5时，G-Caprini组的敏感度和特异度(100.0%、64.1%)优于对照组(75.0%、32.6%)；G-Caprini组患者的护理满意度高于对照组(P＜0.05)。结论： 基于G-Caprini评分的分级护理预防宫颈癌患者VTE、促进术后恢复的效果，与Caprini评分相当，其风险分级识别更合理且具有更可靠的预测效能，同时可提升患者满意度，值得临床推广。

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