当前位置:公众访问 >页面
简体中文 / English
1.Screening
1.1.Inclusion Criteria

Patients planning to undergo elective intraspinal anesthesia for prostate resection surgery

YES

Age 60 and above (including 60 years old)

YES

Body mass index (BMI) 18.5-30kg/m^2

YES

ASA grade I-III

YES

YES

1.2.Exclusion Criteria

Individuals with hearing and visual impairments

NO

BMI ≥ 30

NO

Individuals with contraindications for spinal anesthesia

NO

Severe hypertension (controlled with medication, still in stage III or above hypertension), heart failure (NYHA > II)

NO

Severe bradycardia (requiring pacemaker, <60bpm)

NO

Individuals with neurological or muscular system diseases, mental illness

NO

History of sedative, antidepressant medication use, alcoholism, and drug abuse

NO

History of severe cerebrovascular disease or complication after craniocerebral trauma (e.g., emotional disorders, language disorders)

NO

Individuals with dexmedetomidine use contraindications

NO

Individuals who are unwilling or unable to communicate

NO

1.3.Detachment Criteria

loss to follow-up

NO

Subject withdraws informed consent form

NO

Intraoperative use of other sedative drugs

NO

Change the anesthesia method to general anesthesia for patients

NO

Patients transferred to ICU after surgery

NO

2.Baseline
2.1.Age

Age

74 years old

2.2.Weight

Weight

62 kg

2.3.Height

Height

1.65 m

2.4.BMI

BMI

22.77 kg/m2

2.5.Degree of education

Degree of education

Middle school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

None

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

136 mmHg

Systolic pressure T2

131 mmHg

Systolic pressure T3

124 mmHg

Systolic pressure T4

124 mmHg

Systolic pressure T5

123 mmHg

Systolic pressure T6

119 mmHg

Systolic pressure T7

127 mmHg

Systolic pressure T8

127 mmHg

Systolic pressure T9

122 mmHg

Systolic pressure T10

131 mmHg

Systolic pressure T11

140 mmHg

Systolic pressure T12

151 mmHg

Systolic pressure T13

145 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

81 mmHg

Diastolic pressure T2

82 mmHg

Diastolic pressure T3

80 mmHg

Diastolic pressure T4

74 mmHg

Diastolic pressure T5

77 mmHg

Diastolic pressure T6

77 mmHg

Diastolic pressure T7

78 mmHg

Diastolic pressure T8

77 mmHg

Diastolic pressure T9

76 mmHg

Diastolic pressure T10

79 mmHg

Diastolic pressure T11

80 mmHg

Diastolic pressure T12

88 mmHg

Diastolic pressure T13

86 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

102 mmHg

Mean arterial pressure T2

92 mmHg

Mean arterial pressure T3

98 mmHg

Mean arterial pressure T4

96 mmHg

Mean arterial pressure T5

89 mmHg

Mean arterial pressure T6

87 mmHg

Mean arterial pressure T7

91 mmHg

Mean arterial pressure T8

98 mmHg

Mean arterial pressure T9

93 mmHg

Mean arterial pressure T10

102 mmHg

Mean arterial pressure T11

95 mmHg

Mean arterial pressure T12

97 mmHg

Mean arterial pressure T13

105 mmHg

3.4.Heart rate

Heart rate T1

68 times/min

Heart rate T2

68 times/min

Heart rate T3

65 times/min

Heart rate T4

56 times/min

Heart rate T5

55 times/min

Heart rate T6

53 times/min

Heart rate T7

53 times/min

Heart rate T8

51 times/min

Heart rate T9

52 mmHg

Heart rate T10

50 times/min

Heart rate T11

47 times/min

Heart rate T12

48 times/min

Heart rate T13

56 times/min

3.5.Respiratory rate

Respiratory rate T1

15 times/min

Respiratory rate T2

13 times/min

Respiratory rate T3

19 times/min

Respiratory rate T4

13 times/min

Respiratory rate T5

11 times/min

Respiratory rate T6

12 times/min

Respiratory rate T7

13 times/min

Respiratory rate T8

11 times/min

Respiratory rate T9

11 times/min

Respiratory rate T10

10 times/min

Respiratory rate T11

11 times/min

Respiratory rate T12

12 times/min

Respiratory rate T13

14 times/min

3.6.Oxygen saturation

Oxygen saturation T1

96 %

Oxygen saturation T2

97 %

Oxygen saturation T3

98 %

Oxygen saturation T4

97 %

Oxygen saturation T5

97 %

Oxygen saturation T6

97 %

Oxygen saturation T7

97 %

Oxygen saturation T8

97 %

Oxygen saturation T9

98 %

Oxygen saturation T10

98 %

Oxygen saturation T11

98 %

Oxygen saturation T12

98 %

Oxygen saturation T13

99 %

3.7.BIS

BIS T1

96

BIS T2

93

BIS T3

97

BIS T4

96

BIS T5

93

BIS T6

91

BIS T7

93

BIS T8

89

BIS T9

95

BIS T10

91

BIS T11

93

BIS T12

97

BIS T13

97

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L2-3

4.2.Dosage of ropivacaine

Dosage of ropivacaine

18 mg

4.3.Sensory blockade plane

Sensory blockade plane

T10

4.4.Improved Bromage score

Improved Bromage score

3

4.5.

A-VAS

0

4.6.Operation duration

Operation duration

80 min

4.7.Time-on

Time-on

12:57

4.8.End time

End time

14:17

4.9.Departure time

Departure time

14:33

4.10.Total dosage of dexmedetomidine

Total dosage of dexmedetomidine

0 mg

4.11.Satisfaction
4.4.11.4.11.1、Operator satisfaction

Operator satisfaction

5

4.4.11.4.11.2、Patient satisfaction

Patient satisfaction

5

4.12.Special circumstances during surgery
4.4.12.4.12.1、Physical movement

Physical movement

NO

4.4.12.4.12.2、Hypoxemia

Hypoxemia

NO

4.4.12.4.12.3、Bradycardia

Bradycardia

NO

5.Follow-up
5.1.
5.5.1.5.1.1、1 day preoperative STAI-S

1 day preoperative STAI-S

22

5.5.1.5.1.2、Postoperative day STAI-S

Postoperative day STAI-S

20

5.2.
5.5.2.5.2.1、1 day preoperative MMSE

1 day preoperative MMSE

28

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

28

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

28

5.3.Postoperative adverse reactions
5.5.3.5.3.1、Nausea

Nausea

NO

5.5.3.5.3.2、Vomit

Vomit

NO

5.5.3.5.3.3、Dizzy

Dizzy

NO

5.5.3.5.3.4、Headache

Headache

NO

5.5.3.5.3.5、Respiratory suppression

Respiratory suppression

NO