Objective To study the relationships between the different timing of surgery and prognosis in elder-ly patients with hip fracture. Methods A total of 90 patients with hip fracture for 65~85 year old in our hospital from February 2009 to February 2015 were selected. According to the timing of surgery, the patients were divided into three groups, including early surgery group (n=30, received operation within 48 h after admission), delayed surgery group (n=30, operation within 48 h to 72 h after admission), late surgery group (n=30, received operation within 72 h after admis-sion). The operation index, operation method and length of stay between the three groups were recorded and analyzed. The patients were followed up for more than 1 year, and the Harris function score and postoperative complications were compared. Results There were no significant differences between the three groups in operation time peropera-tive bleeding, and post-operative hospitalization, (112.02 ± 16.35) min vs (108.24 ± 17.21) min vs (118.03 ± 16.21) min, (267.61±105.26) mL vs (289.52±156.12) mL vs (286.12±160.25) mL, (12.08±5.26) d vs (11.08±6.85) d vs (13.25±4.65) d, P>0.05. One month and 12 months after operation, there were no significant differences in the Harris hip function score between the three groups (90.0%vs 80.0%vs 70.0%, 90.0%vs 83.3%vs 86.7%, P>0.05. The postoperative complications rate of the three groups were 23.33%, 16.67%, 20.00%respectively, with no statistically significant differences (P>0.05). Conclusion In elderly patients, with a comprehensive assessment of the risk of surgery, delayed surgery results in simi-lar postoperative recovery of hip joint with early surgery. To accurately grasp the best operation time has a major impact on the prognosis of patients.%目的：研究老年髋部骨折手术不同时机与预后的关系。方法选取我院2009年2月至2015年2月接诊的65~85岁的老年髋部骨折患者90例。根据患者手术时机分为三组，即早期手术组(30例，入院后48 h内手术)；延迟手术组(30例，入院后48~72 h内手术)；晚期手术组(30例，入院后72 h后手术)。记录并分析三组患者手术过程中的手术指标、手术方式、住院时间。对患者进行1年以上的随访，比较患者的Harris功能评分和术后并发症发生情况。结果三组患者在手术时间[(112.02±16.35) min vs (108.24±17.21) min vs (118.03±16.21) min]、术中出血量[(267.61±105.26) mL vs (289.52±156.12) mL vs (286.12±160.25) mL]、术后住院时间[(12.08±5.26) d vs (11.08±6.85) d vs (13.25±4.65) d]等方面比较差异均无统计学意义(P>0.05)；术后1个月和12个月后，三组患者的Harris髋关节功能评分(90.0%vs 80.0%vs 70.0%，90.0%vs 83.3%vs 86.7%)比较差异也均无统计学意义(P>0.05)；早期手术组、延迟手术组和晚期手术组患者术后并发症发生率分别为23.33%、16.67%、20.00%，差异均无统计学意义(P>0.05)。结论针对年龄较高患者全面评估手术风险，适当推迟手术时间，术后髋关节恢复情况与早期手术患者处于相同水平；准确把握最佳手术时间，对患者预后有重要影响。
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