objective:to analyze the artiifcial femoral head replacement therapy-type unstable intertrochanteric fractures of the clinical effect. Methods:our hospital from February 2014 to May 2016 treated 80 cases of type unstable intertrochanteric fracture in aged patients were randomly divided into experimental group (artiifcial femoral head replacement therapy) and control group 40 cases (internal ifxation surgery), compare the intraoperative blood loss, operative time, bed time, complication rates, and the quality of life score. Results:no signiifcant differences between two groups of operation time, the quality of life score, intraoperative blood loss was signiifcantly higher than that of control group (), the incidence of complications, bed time 7.5%, (6.272.15) d respectively, was bet er than control group, signiifcant difference (), with statistical signiifcance. Conclusion:giving type unstable intertrochanteric fracture in aged patients with artiifcial femoral head replacement, has a high quality of life, disease incidence rate is low, the advantage of less time in bed, higher clinical value.%目的：分析人工股骨头置换术治疗高龄股骨粗隆间不稳定型骨折的临床效果。方法：将我院2014年2月～2016年5月收治的80例高龄股骨粗隆间不稳定型骨折患者随机分为实验组（人工股骨头置换术治疗）和对照组（内固定手术治疗）各40例，比较术中出血量、手术时间、卧床时间、并发症发生率以及生活质量评分。结果：两组手术时间差异不显著，实验组生活质量评分、术中出血量显著高于对照组（ p<0.05），其并发症发生率、卧床时间分别为7.5%、（6.27±2.15）d，明显优于对照组，差异显著（ p<0.05），具有统计学意义。结论：给予高龄股骨粗隆间不稳定型骨折患者采用人工股骨头置换术，具有生活质量高、发症发生率低、卧床时间少的优势，临床推广价值更高。
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