Abstract：Objective To compare the effect of different ultrasound-guided block methods in the posture of lumbar anesthesia for patients with hip fracture. Methods A total of sixty patients with hip fracture treated in our hospital from March to December 2020 were selected, were randomly divided into two groups （n=30 each）： low fascia iliaca compartment block （FICB） group （Group L） with traditional FICB and high FICB group （Group H） with modified high FICB. The anesthesia position was set after 20 min of block operation. The VAS scores after admission （T0）, 10 min （T1） and 20 min （T2） after the block operation, and at the time of changing the position before puncture of intradural anesthesia （T3） were compared between the two groups, as well as the time of nerve block operation, the time of apparent effect of nerve block, the time of intradural anesthesia, and the related complications. Results Compared with T0, the VAS scores from T1 to T3 of both groups were significantly lower, and Group H was significantly lower than Group L, and the differences were statistically significant when comparing the groups （F＝123.040, 5.628, both P＜0.05）; the time of nerve block operation in Group H was longer than that of Group L, and the time of nerve block efficacy was shorter than that of Group L, and the differences were statistically significant when comparing the groups （t＝2.037, 2.467, both P＜0.05）; the difference between the two groups was not statistically significant when comparing the time of intravertebral anesthesia （t＝0.240, P＞0.05）; no perioperative complications, such as bleeding and local anesthetic drug toxicity, occurred in the two groups. Conclusion High FICB is superior to traditional FICB and has a faster effect, which is advantageous for clinical application.