Abstract: Objective To observe the analgesic effect of iliac fascia plane block combined with wrist-ankle acupuncture after hip arthroplasty. Methods Sixty patients undergoing epidural subdural hip arthroplasty were randomly divided into two groups. Patients in both groups received ultrasound-guided iliac fascia block on the affected side before epidural anesthesia, while those in the experimental group received wrist-ankle acupuncture block. The patients with Visual Analogue Scale scoring more than 4 points were injected with tramadol hydrochloride injection. The Visual Analogue Scale(VAS)scores at 1, 6, 12, 24, 36 and 48 hours after operation was recorded, and postoperative analgesic dosage and adverse reactions of the two groups were recorded. Results The VAS scores at 6, 12 and 24 h after operation in the experimental group were lower than those in the control group(P<0.05).There were no significant differences in VAS scores between the two groups at 1, 36 and 48 h after operation(P>0.05).The dosage of tramadol hydrochloride injection in the experimental group was significantly less than that in the control group(P<0.05).The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05). Conclusion Iliofascial block combined with wrist-ankle acupuncture can significantly relieve postoperative pain, reduce the amount of postoperative analgesics and the incidence of postoperative complications.