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

73 years old

2.2.Weight

Weight

70 kg

2.3.Height

Height

1.76 m

2.4.BMI

BMI

22.6 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

136 mmHg

Systolic pressure T2

127 mmHg

Systolic pressure T3

124 mmHg

Systolic pressure T4

126 mmHg

Systolic pressure T5

139 mmHg

Systolic pressure T6

129 mmHg

Systolic pressure T7

135 mmHg

Systolic pressure T8

137 mmHg

Systolic pressure T9

133 mmHg

Systolic pressure T10

136 mmHg

Systolic pressure T11

129 mmHg

Systolic pressure T12

131 mmHg

Systolic pressure T13

119 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

78 mmHg

Diastolic pressure T2

74 mmHg

Diastolic pressure T3

75 mmHg

Diastolic pressure T4

68 mmHg

Diastolic pressure T5

74 mmHg

Diastolic pressure T6

71 mmHg

Diastolic pressure T7

77 mmHg

Diastolic pressure T8

74 mmHg

Diastolic pressure T9

80 mmHg

Diastolic pressure T10

78 mmHg

Diastolic pressure T11

73 mmHg

Diastolic pressure T12

72 mmHg

Diastolic pressure T13

69 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

98 mmHg

Mean arterial pressure T2

87 mmHg

Mean arterial pressure T3

84 mmHg

Mean arterial pressure T4

95 mmHg

Mean arterial pressure T5

88 mmHg

Mean arterial pressure T6

84 mmHg

Mean arterial pressure T7

88 mmHg

Mean arterial pressure T8

89 mmHg

Mean arterial pressure T9

94 mmHg

Mean arterial pressure T10

88 mmHg

Mean arterial pressure T11

82 mmHg

Mean arterial pressure T12

83 mmHg

Mean arterial pressure T13

84 mmHg

3.4.Heart rate

Heart rate T1

62 times/min

Heart rate T2

60 times/min

Heart rate T3

57 times/min

Heart rate T4

58 times/min

Heart rate T5

58 times/min

Heart rate T6

55 times/min

Heart rate T7

54 times/min

Heart rate T8

53 times/min

Heart rate T9

54 mmHg

Heart rate T10

51 times/min

Heart rate T11

52 times/min

Heart rate T12

53 times/min

Heart rate T13

53 times/min

3.5.Respiratory rate

Respiratory rate T1

18 times/min

Respiratory rate T2

17 times/min

Respiratory rate T3

20 times/min

Respiratory rate T4

18 times/min

Respiratory rate T5

19 times/min

Respiratory rate T6

17 times/min

Respiratory rate T7

12 times/min

Respiratory rate T8

20 times/min

Respiratory rate T9

14 times/min

Respiratory rate T10

21 times/min

Respiratory rate T11

18 times/min

Respiratory rate T12

13 times/min

Respiratory rate T13

18 times/min

3.6.Oxygen saturation

Oxygen saturation T1

96 %

Oxygen saturation T2

97 %

Oxygen saturation T3

98 %

Oxygen saturation T4

99 %

Oxygen saturation T5

100 %

Oxygen saturation T6

99 %

Oxygen saturation T7

99 %

Oxygen saturation T8

98 %

Oxygen saturation T9

99 %

Oxygen saturation T10

100 %

Oxygen saturation T11

99 %

Oxygen saturation T12

99 %

Oxygen saturation T13

99 %

3.7.BIS

BIS T1

92

BIS T2

90

BIS T3

87

BIS T4

94

BIS T5

86

BIS T6

94

BIS T7

91

BIS T8

86

BIS T9

80

BIS T10

89

BIS T11

92

BIS T12

90

BIS T13

93

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

T8

4.4.Improved Bromage score

Improved Bromage score

3

4.5.

A-VAS

0

4.6.Operation duration

Operation duration

61 min

4.7.Time-on

Time-on

08:54

4.8.End time

End time

09:55

4.9.Departure time

Departure time

10:01

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

27

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

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