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目的 回顾性分析并总结我科75岁以上高龄髋部骨折合并认知功能障碍患者的治疗方法.方法 选取2008年6月至2018年6月我科收治的23例75岁以上髋部骨折合并认知功能障碍患者的临床资料,包括性别、年龄、骨折类型、麻醉方式、内固定方式、术前等待时间、术后全身和局部并发症、患者满意度,总结高龄髋部骨折合并认知功能障碍患者的治疗经验.结果 本组中,11例出现全身或局部并发症,发生率47.8％,分别为:全身并发症30.4％(n=7),局部并发症17.4％(n=4).全身并发症发生情况,分别为:1例肺栓塞、2例肺部感染、2例肠梗阻、1例下肢深静脉血栓形成、1例股骨头坏死.局部并发症发生情况分别为:1例褥疮、3例尿路感染.整体治疗满意度为87％.结论 高龄髋部骨折合并认知功能障碍的患者,通过积极的术前计划、术中监测和术后管理,可有效降低患者的并发症发生率,提高治疗效果.“,”Objective To retrospectively analyze and summarize the treatment strategy of hip fracture with cognitive dysfunction in elderly patients over 75 years old in our department in recent 10 years. Methods A retrospective analysis was made. From June 2008 to June 2018, clinical data of 23 cases were analyzed inlcluding sex, age, fracture type, anesthesia, internal fixation, preoperative waiting time, postoperative systemic and local complications, patient satisfaction. Treatment strategies were summarized. Results Among 23 elderly patients with hip fracture and cognitive dysfunction, 11 patients had systemic or local complications with the incidence of 47.8％.The systemic complication rate was 30.4％ ( n = 7), and the local complication rate was 17.4％ ( n = 4). Systemic complications: 1 case of pulmonary embolism, 2 cases of pulmonary infection, 2 cases of intestinal obstruction, 1 case of deep venous thrombosis of lower limbs, and 1 case of femoral head necrosis. Local complications: 1 case of bedsore and 3 cases of urinary tract infection. The overall treatment satisfaction rate was 87％. Conclusions In elderly patients with hip fracture and cognitive dysfunction, positive preoperative planning, intraoperative monitoring and postoperative management can effectively reduce the incidence of complications and improve effects.