高血压脑血管病的降压治疗

Antihypertensive therapy in cerebrovascular disease patients with hypertension

高血压脑血管病患者需要积极控制高血压,预防脑卒中的发生,脑卒中急性期血压可控制在160/100mmHg左右。脑卒中后降压治疗使目标血压<140/90mmHg是安全的。利尿剂,ACEI、ARB类药物,CCB类药物及联合用药均可用于脑卒中的二级预防。

Summary：The blood pressure of cerebrovascular disease patients with hypertension should be well controlled to prevent the occurrence of stroke. In the acute phase, blood pressure of stroke patients should be controlled around 160/100 mmHg. It is safe to make the blood pressure less than 140/90 mmHg after the stroke. Diuretics, ACEI, ARB, CCB and combination of anti- hypertensive drugs could be used for secondary prevention of stroke.