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脑卒中急性期血压研究进展 被引量：1

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摘要 世界范围内脑卒中仍然是导致死亡的第二大原因。与脑卒中的一级预防和二级预防不同，急性期血压管理目前仍存在争议。对于以下几点尚待明确：急性期血压与预后关系如何，急性期降压治疗是否会导致侧支血管到缺血半暗带的血流减少，早期积极降压安全性与效果如何，升压治疗是否能改善缺血脑组织的血流并且不增加脑出血风险。目前对于脑卒中急性期血压管理仍然是研究热点，新的循证医学证据的出现拓宽了我们的视野。现主要就血压与脑卒中预后及急性期血压管理进行综述。
作者 杨磊 胡文立
机构地区 首都医科大学附属北京朝阳医院神经内科
出处 《中国医师进修杂志》 2010年第22期71-73,共3页 Chinese Journal of Postgraduates of Medicine
关键词 脑卒中急性期 血压管理 循证医学证据 血流减少 降压治疗 缺血半暗带 缺血脑组织 世界范围
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献14

  • 1Tikhonoff V,Zhang H,Richart T,et al.Blood pressure as a prognostic factor after acute stroke.Lancet Neurol,2009,8 (10):938-948.
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二级参考文献15

共引文献5

同被引文献15

  • 1谭燕,刘鸣,王清芳,阳清伟,谈颂,吴波.脑卒中急性期血压与预后的关系[J].中华神经科杂志,2006,39(1):10-15. 被引量：84
  • 2Potter JF,Robinson TG,Ford GA,et al. Controlling hypertension and hypotension immediately post-stroke (CHHIPS) : a randomised, placebo-controlled, double-blind pilot triM. Lancet Neurol, 2009,8( 1 ) :48-56.
  • 3Okumura K, Ohya Y, Maehara A,et al. Effects of blood pressure levels on case fatality after acute stroke. J Hypertens, 2005,23(6) :1217-1223.
  • 4Chalmers J,MacMahon S,Mancia G,et al. 1999 World Health Organization-lntemational Society of Hypertension Guidelines for the management of hypertension. Guidelines sub-committee of the World Health Organization. Clin Exp Hypertens, 1999,21 (5/6): 1009-1060.
  • 5Carod-Artal J, Egido JA, Gonz lez JL,et al. Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit. Stroke, 2000,31 (12) : 2995-3000.
  • 6Robinson TG,Potter JF. Blood pressure in acute stroke. Age Ageing, 2004,33 ( 1 ) : 6-12.
  • 7Vemmos KN,Spengos K,Tsivgoulis G, et al. Factors influencing acute blood pressure values in stroke subtypes. J Hum Hypertens, 2004,18(4) : 253-259.
  • 8Patarroyo SX, Anderson C. Blood pressure lowering in acute phase of stroke: latest evidence and clinical implications. Ther Adv Chronic Dis, 2012,3(4) : 163-171.
  • 9Tikhonoff V,Zhang H,Richart T,et al. Blood pressure as a prognostic factor after acute stroke. Lancet Neurol, 2009,8 (10) : 938-948.
  • 10Willmot M, Leonardi-Bee J, Bath PM. High blood pressure in acute stroke and subsequent outcome: a systematic review. Hypertension, 2004,43( 1 ) : 18-24.

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中国医师进修杂志
2010年 第22期

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