摘要
血压管理是急性缺血性卒中治疗中重要而复杂的一部分。接受静脉溶栓治疗的急性缺血性卒中患者的血压管理方案尚无共识。溶栓前后的血压水平和血压变异性以及血压干预时机对急性缺血性卒中患者的出血性转化、功能转归和复发风险均有显著影响。文章对急性缺血性卒中溶栓前后血压管理的必要性、安全性、血压调控目标以及对转归的影响进行了综述。
Blood pressure management is an important and complex part of the treatment of acute ischemic stroke.There is no consensus on blood pressure management options for patients with acute ischemic stroke receiving intravenous thrombolysis.Blood pressure levels and blood pressure variability before and after thrombolysis,and timing of blood pressure interventions have significant effects on hemorrhagic transformation,functional outcome,and recurrence risk in patients with acute ischemic stroke.This article reviews the necessity,safety,goals of blood pressure management before and after thrombolysis,and its impact on the outcomes in acute ischemic stroke.
作者
唐逸
张健煜
刘雨朦
金晶
何明利
Tang Yi;Zhang Jianyu;Liu Yumeng;Jin Jing;He Mingli(Department of Neurology,the Affiliated Lianyungang Hospital of Xuzhou Medical University,Lianyungang 222002,China)
出处
《国际脑血管病杂志》
2020年第3期196-201,共6页
International Journal of Cerebrovascular Diseases
关键词
卒中
脑缺血
血栓溶解疗法
血压
Stroke
Brain ischemia
Thrombolytic therapy
Blood pressure
