International Journal of Clinical Research

Objective To analyze and discuss the value and effectiveness of using inguinal superior iliac fascia block anesthesia in elderly hip replacement surgery. Methods 80 elderly patients undergoing hip replacement surgery admitted to our hospital from January 2023 to June 2024 were selected as the research subjects. They were evenly divided into an observation group (inguinal superior iliac fascia block anesthesia) and a control group (lumbar plexus block anesthesia). The changes in average arterial pressure levels, N-terminal pronatriuretic peptide levels, and heart rate were compared between the two groups at different time points. Results 1. The average arterial pressure level of observation group t2 (83.68 ± 4.54mmHg) was lower than that of the control group, while t3 and t4 (81.25 ± 4.69mmHg, 85.54 ± 4.26mmHg) were higher than those of the control group (P<0.05); 2. There was no significant difference in the average arterial pressure levels between the two groups at t0 and t4 (p>0.05). The levels of N-terminal pro brain natriuretic peptide in the observation group at t1, t2, and t3 (384.62 ± 43.27ng/L, 302.51 ± 47.89ng/L, 270.21 ± 34.79ng/L) were lower than those in the control group (P<0.05); 3. There was no significant difference in heart rate levels between the two groups at t0, t3, and t4 (p>0.05), while the heart rates at t1 and t2 (87.03 ± 3.56 beats/min, 76.29 ± 4.52 beats/min) were higher than those in the control group (P<0.05). Conclusion Upper inguinal iliac fascia block anesthesia has a significant effect on the implementation of hip replacement surgery in elderly patients and is worthy of wide promotion and application.

Elderly; Hip replacement surgery; Superior inguinal iliac fascia block anesthesia; Value