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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

66 years old

2.2.Weight

Weight

80 kg

2.3.Height

Height

1.72 m

2.4.BMI

BMI

27.04 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

157 mmHg

Systolic pressure T2

156 mmHg

Systolic pressure T3

149 mmHg

Systolic pressure T4

145 mmHg

Systolic pressure T5

149 mmHg

Systolic pressure T6

141 mmHg

Systolic pressure T7

128 mmHg

Systolic pressure T8

131 mmHg

Systolic pressure T9

138 mmHg

Systolic pressure T10

134 mmHg

Systolic pressure T11

139 mmHg

Systolic pressure T12

139 mmHg

Systolic pressure T13

133 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

85 mmHg

Diastolic pressure T2

79 mmHg

Diastolic pressure T3

95 mmHg

Diastolic pressure T4

82 mmHg

Diastolic pressure T5

85 mmHg

Diastolic pressure T6

72 mmHg

Diastolic pressure T7

74 mmHg

Diastolic pressure T8

74 mmHg

Diastolic pressure T9

79 mmHg

Diastolic pressure T10

72 mmHg

Diastolic pressure T11

75 mmHg

Diastolic pressure T12

87 mmHg

Diastolic pressure T13

70 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

129 mmHg

Mean arterial pressure T2

128 mmHg

Mean arterial pressure T3

122 mmHg

Mean arterial pressure T4

114 mmHg

Mean arterial pressure T5

106 mmHg

Mean arterial pressure T6

110 mmHg

Mean arterial pressure T7

102 mmHg

Mean arterial pressure T8

98 mmHg

Mean arterial pressure T9

111 mmHg

Mean arterial pressure T10

92 mmHg

Mean arterial pressure T11

96 mmHg

Mean arterial pressure T12

104 mmHg

Mean arterial pressure T13

91 mmHg

3.4.Heart rate

Heart rate T1

70 times/min

Heart rate T2

68 times/min

Heart rate T3

73 times/min

Heart rate T4

70 times/min

Heart rate T5

72 times/min

Heart rate T6

63 times/min

Heart rate T7

60 times/min

Heart rate T8

61 times/min

Heart rate T9

63 mmHg

Heart rate T10

60 times/min

Heart rate T11

60 times/min

Heart rate T12

62 times/min

Heart rate T13

67 times/min

3.5.Respiratory rate

Respiratory rate T1

18 times/min

Respiratory rate T2

15 times/min

Respiratory rate T3

16 times/min

Respiratory rate T4

13 times/min

Respiratory rate T5

13 times/min

Respiratory rate T6

13 times/min

Respiratory rate T7

18 times/min

Respiratory rate T8

19 times/min

Respiratory rate T9

16 times/min

Respiratory rate T10

20 times/min

Respiratory rate T11

11 times/min

Respiratory rate T12

12 times/min

Respiratory rate T13

16 times/min

3.6.Oxygen saturation

Oxygen saturation T1

96 %

Oxygen saturation T2

98 %

Oxygen saturation T3

97 %

Oxygen saturation T4

97 %

Oxygen saturation T5

96 %

Oxygen saturation T6

95 %

Oxygen saturation T7

96 %

Oxygen saturation T8

95 %

Oxygen saturation T9

95 %

Oxygen saturation T10

95 %

Oxygen saturation T11

96 %

Oxygen saturation T12

95 %

Oxygen saturation T13

97 %

3.7.BIS

BIS T1

97

BIS T2

96

BIS T3

98

BIS T4

98

BIS T5

94

BIS T6

96

BIS T7

96

BIS T8

89

BIS T9

93

BIS T10

98

BIS T11

96

BIS T12

93

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

3

4.6.Operation duration

Operation duration

60 min

4.7.Time-on

Time-on

08:40

4.8.End time

End time

09:40

4.9.Departure time

Departure time

09:54

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

26

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

24

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

29

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

30

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