Influence of different anesthesia methods on outcome of elderly patients undergoing hip surgery

OBJECTIVE: To compare the effects of general anesthesia (GA) combined with ultrasound-guided iliac fascia compartment nerve block (NB) versus GA alone on perioperative outcomes, inflammatory response, and recovery in elderly patients undergoing hip surgery. METHODS: A retrospective analysis was conducted on 200 elderly patients undergoing hip surgery at Liuzhou People's Hospital between Jan 2022 and Jan 2023. Patients were divided into a control group (n=102, GA alone) and an observation group (n=98, GA+NB). Primary outcomes included anesthesia satisfaction, hemodynamic stability, recovery indices (anesthesia recovery time and extubation time), postoperative pain scores, and complications. Serum levels of pro-inflammatory cytokines, interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α), were detected preoperatively and 3 days postoperatively to evaluate the inflammatory response. RESULTS: