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目的：探析骨科老年患者围手术期并发症相关危险因素。方法：选取我院骨科在2015年1月~2015年12月收治的68例行骨科手术且伴有围手术期并发症患者为此次研究的观察组，选取同期于我院接受骨科手术且无围术期并发症患者为对照组。对影响骨科老年患者围手术期并发症相关危险因素进行回顾性分析。结果：经单因素分析，两组患者在合并疾病、年龄、心功能分级、心率、白细胞计数、ASA 分级、手术时间、住院时间方面有显著差异（P＜0.05）；经多因素分析，术前合并高血压、脑血管疾病、心功能Ⅱ级以上、心率增快、白细胞＞10×109/L、ASA分级≥3级、手术时间≥3h均为危险因素（P＜0.05）。结论：骨科老年患者围手术期并发症发生率较高，医护人员需要在术前调查了解患者的基础疾病，控制手术时间，密切监测患者的各项临床指标变化情况，以降低围术期并发症发生率，提升患者的生活质量。“,”Objective To explore the risk factors of perioperative complications in elderly patients in Department of orthopedics.Methods in our hospital department of orthopedics in January 2015 ~2015 year in December were 68 cases of surgical department of orthopedics with perioperative complications for the patients of the observation group, select the same period in our hospital department of orthopedics surgery and no perioperative complications of patients in the control group. The risk factors of perioperative complications in elderly patients in Department of orthopedics were retrospectively analyzed.Results by single factor analysis, two groups have significant differences in time with disease, age, heart function, heart rate, white blood cell count, ASA score, operative time, length (P< 0.05); multivariate analysis, preoperative hypertension, cerebrovascular disease, heart function grade, heart rate fast, white blood cells more than 10 * 109/L, ASA grade more than 3 level, operation time more than 3H were risk factors (P < 0.05). Conclusion Department of orthopedics in elderly patients with perioperative complication rate is higher, the medical staff to investigate patients with underlying diseases before operation, operation time, closely monitor changes in patients with various clinical indicators, in order to reduce the incidence rate of postoperative complications, improve the quality of life of patients.