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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

62 years old

2.2.Weight

Weight

85 kg

2.3.Height

Height

1.77 m

2.4.BMI

BMI

27.13 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

146 mmHg

Systolic pressure T2

147 mmHg

Systolic pressure T3

141 mmHg

Systolic pressure T4

144 mmHg

Systolic pressure T5

137 mmHg

Systolic pressure T6

126 mmHg

Systolic pressure T7

122 mmHg

Systolic pressure T8

119 mmHg

Systolic pressure T9

116 mmHg

Systolic pressure T10

133 mmHg

Systolic pressure T11

131 mmHg

Systolic pressure T12

131 mmHg

Systolic pressure T13

117 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

111 mmHg

Diastolic pressure T2

107 mmHg

Diastolic pressure T3

110 mmHg

Diastolic pressure T4

114 mmHg

Diastolic pressure T5

108 mmHg

Diastolic pressure T6

96 mmHg

Diastolic pressure T7

91 mmHg

Diastolic pressure T8

91 mmHg

Diastolic pressure T9

90 mmHg

Diastolic pressure T10

89 mmHg

Diastolic pressure T11

99 mmHg

Diastolic pressure T12

107 mmHg

Diastolic pressure T13

95 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

111 mmHg

Mean arterial pressure T2

107 mmHg

Mean arterial pressure T3

110 mmHg

Mean arterial pressure T4

114 mmHg

Mean arterial pressure T5

108 mmHg

Mean arterial pressure T6

96 mmHg

Mean arterial pressure T7

91 mmHg

Mean arterial pressure T8

91 mmHg

Mean arterial pressure T9

90 mmHg

Mean arterial pressure T10

89 mmHg

Mean arterial pressure T11

99 mmHg

Mean arterial pressure T12

107 mmHg

Mean arterial pressure T13

95 mmHg

3.4.Heart rate

Heart rate T1

86 times/min

Heart rate T2

83 times/min

Heart rate T3

83 times/min

Heart rate T4

73 times/min

Heart rate T5

70 times/min

Heart rate T6

65 times/min

Heart rate T7

64 times/min

Heart rate T8

65 times/min

Heart rate T9

63 mmHg

Heart rate T10

66 times/min

Heart rate T11

61 times/min

Heart rate T12

62 times/min

Heart rate T13

63 times/min

3.5.Respiratory rate

Respiratory rate T1

14 times/min

Respiratory rate T2

22 times/min

Respiratory rate T3

15 times/min

Respiratory rate T4

13 times/min

Respiratory rate T5

14 times/min

Respiratory rate T6

16 times/min

Respiratory rate T7

16 times/min

Respiratory rate T8

17 times/min

Respiratory rate T9

17 times/min

Respiratory rate T10

22 times/min

Respiratory rate T11

11 times/min

Respiratory rate T12

12 times/min

Respiratory rate T13

12 times/min

3.6.Oxygen saturation

Oxygen saturation T1

96 %

Oxygen saturation T2

98 %

Oxygen saturation T3

100 %

Oxygen saturation T4

100 %

Oxygen saturation T5

99 %

Oxygen saturation T6

100 %

Oxygen saturation T7

99 %

Oxygen saturation T8

99 %

Oxygen saturation T9

99 %

Oxygen saturation T10

99 %

Oxygen saturation T11

99 %

Oxygen saturation T12

99 %

Oxygen saturation T13

100 %

3.7.BIS

BIS T1

98

BIS T2

95

BIS T3

98

BIS T4

98

BIS T5

88

BIS T6

63

BIS T7

74

BIS T8

74

BIS T9

68

BIS T10

76

BIS T11

98

BIS T12

98

BIS T13

98

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L2-3

4.2.Dosage of ropivacaine

Dosage of ropivacaine

20 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

83 min

4.7.Time-on

Time-on

12:20

4.8.End time

End time

13:43

4.9.Departure time

Departure time

13:55

4.10.Total dosage of dexmedetomidine

Total dosage of dexmedetomidine

53.81 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

YES

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

29

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