目的：探讨老年髋关节骨折手术治疗的术后死亡率及死亡原因。方法：选取2009-03~2012-12期间我院关节外科手术治疗髋关节骨折的214例老年病人(65~95岁)开展术后随访,对其临床病历资料进行回顾性分析研究。分析总体死亡率及术后1a内死亡率,总结其构成特点及死亡原因。结果：髋关节手术治疗术后的总体死亡率为10.28%(22/214),术后1a内死亡率为7.48%(16/214)。术后1a内死亡人数占总体死亡人数的43.75%。影响术后死亡率的主要因素为性别(字2=3.546,P=0.044)、年龄(字2=12.417,P=0.027)、呼吸功能衰竭及心脑血管疾病意外。此外, ASA 评分高的病人术后死亡率较低的病人增高,差异有统计学意义( P<0.05)。结论：手术治疗老年髋关节骨折的术后死亡率较低。同时积极地配合康复锻炼,有助于降低术后死亡率。%Objective:To discuss the mortality in the senile patients with hip fractures who have been treated by operations. Methods:We collected the clinical data of 214 senile patients ( 65 to 95 years old) with hip fracture. Who had been treated by operations from March 2009 to September 2012 in the articular surgery of our hospital. Their overall mortality and one-year mortality were analyzed to find the causes for death. Results:Twenty-two cases died and the overall mortality was 10. 28%(22/214). Sixteen patients died within one year and the one-year mortality was 7 . 48% ( 16/214 ) . The postoperative deaths within one year accounted for 43. 75% of overall deaths. The main factors influencing the postoperative mortality for gender (X2 =3 . 546 , P=0 . 044 ) , age (X2 =12 . 417 , P=0. 027),respiratory function failure and disease of heart head blood-vessel accident. Additionally,there was significant difference between ASA scores and postoperative mortality(P<0. 05). Conclusions:Op-erations can lead to a low mortality for senile patients with hip fractures. Actively cooperate with reha-bilitation exercise,helps to reduce the postoperative mortality.
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