急性缺血性卒中血压管理的研究现状及进展

doi:10.11817/j.issn.1673-9248.2022.01.011

缺血性卒中急性期血压管理是影响临床预后的重要干预措施之一。多种因素可导致缺血性卒中患者急性期血压升高，该现象较为常见，少数可出现低血压现象。卒中急性期血压水平与临床预后相关，过高或过低血压均与不良预后相关，但急性期血压具体管理策略目前尚无定论。血管再通治疗的患者急性期血压升高与症状性颅内出血风险增加相关，血压管理需更为严格，但是否需要进一步积极降压需结合患者具体情况分析。

关键词: 卒中, 血压, 静脉溶栓, 机械取栓, 管理

Blood pressure (BP) management in acute ischemic stroke is one of the important intervention affecting clinical prognosis. Many factors in patients with ischemic stroke can lead to increased BP in the acute stage, which is relatively common, while few patients may manifest hypotension. BP is a key factor affecting the clinical outcomes according to the previous studies. Too high or too low BP is related to the poor prognosis, but the specific management strategy of BP in the acute stage has not been determined yet. Increased BP during the acute phase of recanalization treatment is associated with an increased risk of symptomatic intracranial hemorrhage. The management of BP needs to be more rigorous, but the need for intensive BP control should be analyzed in light of the individual patient's features.

Key words: Stroke, Blood pressure, Intravenous thrombolysis, Mechanical thrombectomy, Management

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Blood pressure management in acute ischemic stroke: the state-of-the-art and the prospects

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Blood pressure management in acute ischemic stroke: the state-of-the-art and the prospects