摘要老年髋部骨折部位特殊，对患者生命安全和生活质量造成极大的威胁。老年髋部骨折患者往往合并多种基础疾病，围手术期管理和综合治疗复杂，手术治疗只是其中的一个环节。随着对疾病认识的不断深入，越来越多的学者认识到老年髋部骨折的综合管理重在预防。结合预防医学中三级预防的概念和理念，对老年髋部骨折的常见病因及预防措施、用于跌倒防护和监测的智能设备、髋部骨折收治绿色通道、基于多学科团队的老年综合病房管理模式、手术方式的演变、围手术期综合治疗等方面进行综述，以期为卫生健康工作者提供参考，通过多层面、多系统的防治措施降低老年髋部骨折的发生率，提高治疗效果及改善疾病预后。

abstractsThe life safety and quality of life of elderly patients with hip fractures face great threat due to the particularity of fracture site. Elderly patients with hip fracture are often complicated with a variety of basic medical diseases, thus the perioperative management and comprehensive treatment are relatively complex and diverse, and surgical treatment is only one of the links. With the deepening understanding of senile hip fractures, we increasingly realized that the comprehensive management of senile hip fractures should focus on prevention. Combined with the conception and connotation of tertiary-prevention in preventive medicine, this review summarize the common etiology and preventive measures of senile hip fractures, the application of intelligent devices for fall prevention and monitoring, the green channel for hip fracture patient admission, the management mode of the comprehensive geriatric ward based on multi-disciplinary team, the evolution of surgical methods, and the perioperative comprehensive treatments, which in order to provide reference for medical and health workers to reduce the incidence and improve the treatment effects and prognosis of the senile hip fracture via multifaceted and systematic prevention and treatment measures.