髋部骨折是老年常见骨折之一,非手术治疗需长期卧床,极容易产生致死性并发症。因此,在排除手术禁忌前提下,大多数采用手术治疗。由于高龄患者的全身机能衰退,术前多合并多种内、外科疾病,术中、术后又极有可能发生并发症,所以围手术期如何控制合并症、预防及处理并发症发生是影响手术疗效的重要因素。以下主要对近年来国内外对老年髋部骨折的围手术期治疗情况综述如下。 Hip fracture is one of the common fractures in the elderly, non-surgical treatment requires long-term bed rest, extremely prone to fatal complications. Therefore, the premise of excluding taboos surgery, the majority of surgical treatment. Due to the decline of systemic function in elderly patients, preoperative multiple combined with a variety of internal and surgical diseases, intraoperative and postoperative complications are most likely to occur, so perioperative control comorbidities, prevention and treatment of complications is the impact of surgery An important factor in efficacy. The following major in recent years at home and abroad on the elderly perioperative hip fracture treatment are summarized below.