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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

Change the anesthesia method to general anesthesia for patients

NO

Intraoperative use of other sedative drugs

NO

Patients transferred to ICU after surgery

NO

2.Baseline
2.1.Age

Age

66 years old

2.2.Weight

Weight

70 kg

2.3.Height

Height

1.78 m

2.4.BMI

BMI

22.09 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

165 mmHg

Systolic pressure T2

166 mmHg

Systolic pressure T3

158 mmHg

Systolic pressure T4

159 mmHg

Systolic pressure T5

151 mmHg

Systolic pressure T6

150 mmHg

Systolic pressure T7

153 mmHg

Systolic pressure T8

166 mmHg

Systolic pressure T9

173 mmHg

Systolic pressure T10

170 mmHg

Systolic pressure T11

163 mmHg

Systolic pressure T12

177 mmHg

Systolic pressure T13

159 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

80 mmHg

Diastolic pressure T2

79 mmHg

Diastolic pressure T3

79 mmHg

Diastolic pressure T4

93 mmHg

Diastolic pressure T5

92 mmHg

Diastolic pressure T6

90 mmHg

Diastolic pressure T7

92 mmHg

Diastolic pressure T8

91 mmHg

Diastolic pressure T9

89 mmHg

Diastolic pressure T10

91 mmHg

Diastolic pressure T11

99 mmHg

Diastolic pressure T12

90 mmHg

Diastolic pressure T13

92 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

120 mmHg

Mean arterial pressure T2

116 mmHg

Mean arterial pressure T3

111 mmHg

Mean arterial pressure T4

115 mmHg

Mean arterial pressure T5

113 mmHg

Mean arterial pressure T6

110 mmHg

Mean arterial pressure T7

109 mmHg

Mean arterial pressure T8

116 mmHg

Mean arterial pressure T9

104 mmHg

Mean arterial pressure T10

104 mmHg

Mean arterial pressure T11

109 mmHg

Mean arterial pressure T12

104 mmHg

Mean arterial pressure T13

104 mmHg

3.4.Heart rate

Heart rate T1

59 times/min

Heart rate T2

55 times/min

Heart rate T3

61 times/min

Heart rate T4

54 times/min

Heart rate T5

54 times/min

Heart rate T6

51 times/min

Heart rate T7

53 times/min

Heart rate T8

50 times/min

Heart rate T9

48 mmHg

Heart rate T10

48 times/min

Heart rate T11

50 times/min

Heart rate T12

55 times/min

Heart rate T13

58 times/min

3.5.Respiratory rate

Respiratory rate T1

18 times/min

Respiratory rate T2

18 times/min

Respiratory rate T3

19 times/min

Respiratory rate T4

17 times/min

Respiratory rate T5

13 times/min

Respiratory rate T6

12 times/min

Respiratory rate T7

14 times/min

Respiratory rate T8

15 times/min

Respiratory rate T9

14 times/min

Respiratory rate T10

13 times/min

Respiratory rate T11

18 times/min

Respiratory rate T12

16 times/min

Respiratory rate T13

16 times/min

3.6.Oxygen saturation

Oxygen saturation T1

96 %

Oxygen saturation T2

96 %

Oxygen saturation T3

95 %

Oxygen saturation T4

96 %

Oxygen saturation T5

96 %

Oxygen saturation T6

95 %

Oxygen saturation T7

96 %

Oxygen saturation T8

97 %

Oxygen saturation T9

96 %

Oxygen saturation T10

97 %

Oxygen saturation T11

96 %

Oxygen saturation T12

96 %

Oxygen saturation T13

98 %

3.7.BIS

BIS T1

96

BIS T2

98

BIS T3

97

BIS T4

97

BIS T5

92

BIS T6

91

BIS T7

88

BIS T8

75

BIS T9

78

BIS T10

83

BIS T11

84

BIS T12

95

BIS T13

98

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L3-4

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

54 min

4.7.Time-on

Time-on

08:42

4.8.End time

End time

09:36

4.9.Departure time

Departure time

09:42

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

YES

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

1 day preoperative STAI-S

20

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

30

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

30

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