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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

69 years old

2.2.Weight

Weight

72.5 kg

2.3.Height

Height

1.72 m

2.4.BMI

BMI

24.51 kg/m2

2.5.Degree of education

Degree of education

Middle school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

Diabetes

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

156 mmHg

Systolic pressure T2

152 mmHg

Systolic pressure T3

143 mmHg

Systolic pressure T4

143 mmHg

Systolic pressure T5

154 mmHg

Systolic pressure T6

152 mmHg

Systolic pressure T7

136 mmHg

Systolic pressure T8

137 mmHg

Systolic pressure T9

129 mmHg

Systolic pressure T10

126 mmHg

Systolic pressure T11

122 mmHg

Systolic pressure T12

108 mmHg

Systolic pressure T13

110 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

81 mmHg

Diastolic pressure T2

75 mmHg

Diastolic pressure T3

74 mmHg

Diastolic pressure T4

73 mmHg

Diastolic pressure T5

73 mmHg

Diastolic pressure T6

73 mmHg

Diastolic pressure T7

70 mmHg

Diastolic pressure T8

70 mmHg

Diastolic pressure T9

66 mmHg

Diastolic pressure T10

63 mmHg

Diastolic pressure T11

66 mmHg

Diastolic pressure T12

63 mmHg

Diastolic pressure T13

61 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

106 mmHg

Mean arterial pressure T2

110 mmHg

Mean arterial pressure T3

102 mmHg

Mean arterial pressure T4

104 mmHg

Mean arterial pressure T5

100 mmHg

Mean arterial pressure T6

117 mmHg

Mean arterial pressure T7

103 mmHg

Mean arterial pressure T8

102 mmHg

Mean arterial pressure T9

95 mmHg

Mean arterial pressure T10

88 mmHg

Mean arterial pressure T11

88 mmHg

Mean arterial pressure T12

78 mmHg

Mean arterial pressure T13

71 mmHg

3.4.Heart rate

Heart rate T1

50 times/min

Heart rate T2

53 times/min

Heart rate T3

48 times/min

Heart rate T4

43 times/min

Heart rate T5

45 times/min

Heart rate T6

42 times/min

Heart rate T7

44 times/min

Heart rate T8

44 times/min

Heart rate T9

43 mmHg

Heart rate T10

44 times/min

Heart rate T11

43 times/min

Heart rate T12

48 times/min

Heart rate T13

45 times/min

3.5.Respiratory rate

Respiratory rate T1

12 times/min

Respiratory rate T2

12 times/min

Respiratory rate T3

12 times/min

Respiratory rate T4

16 times/min

Respiratory rate T5

12 times/min

Respiratory rate T6

144 times/min

Respiratory rate T7

14 times/min

Respiratory rate T8

16 times/min

Respiratory rate T9

14 times/min

Respiratory rate T10

19 times/min

Respiratory rate T11

14 times/min

Respiratory rate T12

14 times/min

Respiratory rate T13

14 times/min

3.6.Oxygen saturation

Oxygen saturation T1

99 %

Oxygen saturation T2

100 %

Oxygen saturation T3

100 %

Oxygen saturation T4

100 %

Oxygen saturation T5

100 %

Oxygen saturation T6

100 %

Oxygen saturation T7

100 %

Oxygen saturation T8

100 %

Oxygen saturation T9

100 %

Oxygen saturation T10

100 %

Oxygen saturation T11

100 %

Oxygen saturation T12

96 %

Oxygen saturation T13

97 %

3.7.BIS

BIS T1

98

BIS T2

98

BIS T3

97

BIS T4

98

BIS T5

97

BIS T6

91

BIS T7

65

BIS T8

48

BIS T9

54

BIS T10

45

BIS T11

86

BIS T12

95

BIS T13

97

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

98

4.2.Dosage of ropivacaine

Dosage of ropivacaine

17 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

90 min

4.7.Time-on

Time-on

12:40

4.8.End time

End time

14:10

4.9.Departure time

Departure time

14:15

4.10.Total dosage of dexmedetomidine

Total dosage of dexmedetomidine

45.675 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

26

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

25

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

29

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