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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

85 kg

2.3.Height

Height

1.70 m

2.4.BMI

BMI

29.41 kg/m2

2.5.Degree of education

Degree of education

Middle school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

Hypertention
/
Diabetes

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

173 mmHg

Systolic pressure T2

158 mmHg

Systolic pressure T3

184 mmHg

Systolic pressure T4

159 mmHg

Systolic pressure T5

166 mmHg

Systolic pressure T6

153 mmHg

Systolic pressure T7

142 mmHg

Systolic pressure T8

152 mmHg

Systolic pressure T9

159 mmHg

Systolic pressure T10

171 mmHg

Systolic pressure T11

168 mmHg

Systolic pressure T12

174 mmHg

Systolic pressure T13

168 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

110 mmHg

Diastolic pressure T2

112 mmHg

Diastolic pressure T3

113 mmHg

Diastolic pressure T4

92 mmHg

Diastolic pressure T5

99 mmHg

Diastolic pressure T6

96 mmHg

Diastolic pressure T7

92 mmHg

Diastolic pressure T8

94 mmHg

Diastolic pressure T9

97 mmHg

Diastolic pressure T10

100 mmHg

Diastolic pressure T11

99 mmHg

Diastolic pressure T12

118 mmHg

Diastolic pressure T13

96 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

128 mmHg

Mean arterial pressure T2

125 mmHg

Mean arterial pressure T3

136 mmHg

Mean arterial pressure T4

114 mmHg

Mean arterial pressure T5

115 mmHg

Mean arterial pressure T6

116 mmHg

Mean arterial pressure T7

106 mmHg

Mean arterial pressure T8

118 mmHg

Mean arterial pressure T9

111 mmHg

Mean arterial pressure T10

123 mmHg

Mean arterial pressure T11

116 mmHg

Mean arterial pressure T12

129 mmHg

Mean arterial pressure T13

134 mmHg

3.4.Heart rate

Heart rate T1

113 times/min

Heart rate T2

105 times/min

Heart rate T3

109 times/min

Heart rate T4

110 times/min

Heart rate T5

109 times/min

Heart rate T6

101 times/min

Heart rate T7

97 times/min

Heart rate T8

95 times/min

Heart rate T9

89 mmHg

Heart rate T10

89 times/min

Heart rate T11

88 times/min

Heart rate T12

89 times/min

Heart rate T13

94 times/min

3.5.Respiratory rate

Respiratory rate T1

19 times/min

Respiratory rate T2

18 times/min

Respiratory rate T3

18 times/min

Respiratory rate T4

17 times/min

Respiratory rate T5

14 times/min

Respiratory rate T6

18 times/min

Respiratory rate T7

13 times/min

Respiratory rate T8

15 times/min

Respiratory rate T9

18 times/min

Respiratory rate T10

14 times/min

Respiratory rate T11

14 times/min

Respiratory rate T12

20 times/min

Respiratory rate T13

12 times/min

3.6.Oxygen saturation

Oxygen saturation T1

93 %

Oxygen saturation T2

94 %

Oxygen saturation T3

95 %

Oxygen saturation T4

97 %

Oxygen saturation T5

98 %

Oxygen saturation T6

95 %

Oxygen saturation T7

97 %

Oxygen saturation T8

96 %

Oxygen saturation T9

96 %

Oxygen saturation T10

97 %

Oxygen saturation T11

97 %

Oxygen saturation T12

97 %

Oxygen saturation T13

98 %

3.7.BIS

BIS T1

96

BIS T2

98

BIS T3

98

BIS T4

95

BIS T5

91

BIS T6

93

BIS T7

98

BIS T8

98

BIS T9

97

BIS T10

95

BIS T11

96

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

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

68 min

4.7.Time-on

Time-on

10:03

4.8.End time

End time

11:11

4.9.Departure time

Departure time

11:20

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