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目的：分析高龄股骨粗隆骨折全髋关节置换术后护理过程中存在的不安全因素以及具体防范措施。方法回顾性分析我科2013年4月~2015年5月收治的86例高龄股骨粗隆骨折全髋关节置换术后患者的临床资料，并对同期护理的15名医护人员做问卷调查。结果高龄股骨粗隆骨折全髋关节置换术后患者护理过程存在的不安全因素中护理人员的业务水平占到91.1%，其次为高龄股骨粗隆骨折患者中的不安全因素。结论强化对专科医护的技能培训，提高其业务水平、并促进医护之间的良好沟通是防范高龄股骨粗隆骨折全髋关节置换术后患者护理中不安全因素的重要措施。“,”Objective To analysis of senile femoral trochanter fracture after total hip replacement in the nursing process of unsafe factors and some preventive measures. Methods A retrospective analysis of our department in April 2013 to May 2015 treated 86 cases of senile femoral trochanter fracture after total hip arthroplasty in patients with clinical data, and for the same period nursing of 15 medical personnel questionnaire. Results The elderly patients with femoral trochanter fracture after total hip replacement nurse unsafe factors existing in the process of nursing personnel business level accounted for 91.1%, followed by the unsafe factors on femoral trochanter fracture in aged patients. Conclusion To strengthen the skills training for the specialized subject hospital, improve the level of its business, and promote good communication between health care is to prevent total hip replacement elderly femoral trochanter fracture.