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目的探讨老年患者髋部骨折手术方式的选择，术后并发症的防治及围手术期管理。方法回顾性分析手术治疗的老年髋部骨折患者376例，有随访256例，男97，女159，年龄60~99岁(平均72.3岁)。分别对手术方式的选择，并发症与围手术期风险因素的关系进行分析。结果随访6个月~4年，骨折愈合时间平均12.5w。并发症发生率7%。手术方式的选择与骨折部位、形态及患者既往行动能力的程度有相关性；术后并发症与慢性呼吸道疾病、脑血管病后遗症、糖尿病、陈旧心梗等合并症相关。结论老年髋部骨折手术后并发症较多，但在正确掌握适应症，合理选择手术方式，重视围手术期管理的基础上，髋部骨折手术对老年患者来说依然是安全有效的治疗方法。“,”Objective To investigate the surgical methods and the prevention and treatment of postoperative complications in elderly hip fracture patients and perioperation management. Methods A retrospective analysis has done based on the 376 cases of elderly hip fracture patients received surgical treatment, within fol ow-up 256 cases, male 97, female 159, age 60 ~ 99 years old (average 72.3). We respectively analyzed the relationship between surgical methods,complications, and the perioperative risk factors. Results We fol owed up for 6 months to 4 years, the fracture healing time, on average, was 12.5 weeks. Complication rate was 7%. The choice of surgical methods was cor elated with the fracture morphology and the ability to function of patients;Postoperative complications were related to the merger diseases such as chronic respiratory diseases ,cerebrovascular disease sequelae, diabetes and old myocardial infarction. Conclusion There were many surgery complications in the elderly hip fracture patients, but based on the appropriate surgical indications,a reasonable choice of surgical approach, and at ention to perioperative management, surgery stil wsa a safe and ef ective therapeutic measure for elderly patients.