Hip arthroplasty is a common surgical procedure for the treatment of femoral fracture, rheumatoid arthritis and advanced femoral head necrosis. Reasonable and effective anesthesia is the key to the surgical treatment of hip arthroplasty [1], and different anesthesia methods will have different degrees of influence on the therapeutic effect of the surgery on the one hand, and affect the effect of the patient’s postoperative recovery on the other hand, so how to choose reasonable and effective clinical anesthesia methods is of great clinical significance for the improvement of the therapeutic effect of hip arthroplasty. Based on this, the author conducted a clinical study on the clinical application effect of different anesthesia treatments in hip arthroplasty, and the results are reported as follows. 1, clinical data and methods 1, 1 clinical data Selected from May 2010 to April 2013 to our hospital to receive hip arthroplasty treatment of 100 patients, age 63-78 years old, the average age of 73.8 ± 3.6 years old, the 100 patients, 30 patients with general anesthesia for anesthesia as a general anesthesia group, 30 patients with epidural anesthesia for anesthesia, as epidural group, and 40 patients were anesthetized by lumbar-rigid combined anesthesia as the combined group. The clinical treatment data of patients in the two groups are shown in Table 1. 1, 2 Methods 1, 2, 1 Clinical anesthesia methods Each group of patients was routinely given appropriate amounts of valium and scopolamine by intramuscular injection before surgery. When the patients entered the operation, a multifunctional monitor was used to closely detect the heart rate, electrocardiogram, blood pressure and oxygen saturation of the patients. Among the patients in the general anesthesia group, conventional isoflurane propofol sedation was used for general combined anesthesia. Patients in the epidural anesthesia group used epidural anesthesia, i.e., selecting the patient’s L2-3 intervertebral space as the puncture point, puncturing and fixing the placement tube, injecting 4 ml of 1.6% lidocaine along the placement tube, and determining that the patient’s anesthesia effect was good, then injecting 8-10 ml of a mixture of 1% lidocaine + 0.375% ropivacaine, and adjusting the anesthesia plane to T8 -T10, and if necessary, 1/2 of the first dose of anesthetic could be added. Patients in the lumbar-hard combined anesthesia group were anesthetized with lumbar-hard combined anesthesia, i.e., the patient’s L2-3 intervertebral space was selected as the puncture point [2], and after the successful puncture, a 26G lumbar needle was used to penetrate into the patient’s subarachnoid space, and at the same time, the heavily weighted fluid (1.6-2 ml 10% glucose solution + 1.5 ml 0.75% bupivacaine) was injected, and after the injection was completed, the lumbar needle was withdrawn, and a Epidural catheter, maintain the patient’s anesthesia block plane at about T9. 1,2,2 Clinical observation indexes The Ramsay score, sensory block time, nociceptive recovery time and block completion time of the three groups of patients were taken as the clinical observation indexes respectively.According to the Ramsay score standard, Grade I: the patients had bad emotions such as anxiety and anger, and could not cooperate with the clinical treatment; Grade II: the patients had obvious intention to cooperate with the medical care and were quiet; Grade III: the patients could correctly respond to the instructions of the clinicians, but they could not respond to the instructions of the clinical caregivers. Level III: the patient can respond correctly to the instructions given by the clinician, but is unable to move independently; Level IV: the patient has obvious awareness of stimulus sensation; Level V: falling asleep, the patient’s response to the stimulus is slow; Level VI: the patient is in deep sleep and does not wake up. 1, 2, 3 Statistical methods The results of clinical observation indexes of the two groups of patients were counted and statistically analyzed using the SPSS 13.0 software package, in which the t-test was conducted for the measurement data and the χ2 test was conducted for the counting data, and P<0.05< span=""> was taken as the basic test criterion for statistical significance. 2, results 2, 1 Comparison of sensory block time, block perfection time and nociceptive recovery time in the three groups Comparison of sensory block time, block perfection time and nociceptive recovery time in the three groups of patients revealed that the sensory block time, block perfection time and nociceptive recovery time of the patients in the combined group were significantly shorter than those in the general anesthesia group and the epidural group. Comparison of the results of the indicators of the three groups of patients. 3, Discussion The elderly due to the decline of their own body mechanics, very easy to fracture and other clinical diseases, in recent years, hip replacement surgery in the elderly group in the surgical application of more, clinical research shows that the elderly as long as the ability to work and self-care ability to accept surgical treatment [3], taking into account the recovery of the body of the elderly patients after the operation, so a reasonable choice of anesthesia to ensure that the elderly patient’s Hip arthroplasty surgical treatment effect and postoperative physical rehabilitation are crucial. General anesthesia is a kind of anesthesia commonly used in clinical practice, which has good analgesic effect, but the adverse reactions caused by general anesthesia are more and due to the weakening of the elderly’s own organ function, which can easily lead to the emergence of serious complications. This clinical study shows that the organization time and block perfection time of the patients in the combined group are significantly shorter than that of the general anesthesia group and the epidural group, indicating that lumbar and rigid combined anesthesia can effectively reduce the sensory block time and anesthesia perfection time of the patients during the process of anesthesia, reduce the overall consumption time of the operation, and improve the efficiency of the operation; at the same time, the study also found that the patients in the combined group also have significantly better Ramsay scores than the other two groups of patients, thus indicating that the lumbar and rigid combined anesthesia is better than the other two groups. At the same time, the study also found that the Ramsay score of patients in the combined group was significantly better than that of patients in the other two groups, thus indicating that the combined lumbar and rigid anesthesia method has fewer adverse reactions after anesthesia than the other two anesthesia methods, and the patients recover faster. In conclusion, lumbar-hard joint anesthesia can effectively shorten the time of sensory block and the time of block perfection in the process of anesthesia, which is of great significance for the surgical treatment of hip arthroplasty and has clinical application value.