目的 观察全身麻醉联合髂筋膜神经阻滞在髋关节置换术中的应用价值。方法 选择2022年1月—2023年12月行择期手术治疗的80例髋关节置换术患者,按随机数字表法分为观察组（40例,全身麻醉联合髂筋膜神经阻滞）和对照组（40例,全身麻醉）。比较两组疗效。结果 观察组术后2、6、12、24 h疼痛评分显著低于对照组（P<0.05）。麻醉前,两组血流动力学指标的组间差异无统计学意义（P>0.05）;插管时、手术30 min时、拔管时,观察组血流动力学指标的波动显著低于对照组（P<0.05）。两组间不良反应发生率无统计学差异（P>0.05）。结论 全身麻醉联合髂筋膜神经阻滞应用于髋关节置换术可使患者血流动力学更加稳定,且不增加不良反应发生率。

Objective To evaluate the application value of general anesthesia combined with iliac fascia nerve block in total hip arthroplasty. Methods A total of 80 patients who underwent elective total hip arthroplasty from January 2022 to December 2023 were selected as study subjects, and randomly divided into an observation group （40 cases, general anesthesia combined with iliac fascia nerve block） and a control group （40 cases, general anesthesia）, and the efficacy of the two groups was compared. Results The pain scores of the observation group at 2, 6, 12 and 24 h postoperaitvely were significantly lower than those of the control group （P<0.05）. Before anesthesia, the hemodynamic indexes of the two groups were not statistically different （P>0.05）. At the time of intubation, 30 min after operation, and at the time of extubation, the hemodynamic variations of the observation group were significantly lower than those of the control group （P<0.05）. The incidence of adverse reactions between the two groups were not different （P>0.05）. Conclusion The application of general anesthesia combined with iliac fascia nerve block in total hip arthroplasty can achieve stable hemodynamic indexes while not increase adverse reactions.