脑卒中患者血压管理的研究进展

Research progress on blood pressure management in stroke patients

高血压是脑卒中最重要的独立危险因素。脑卒中的病因和所引发的血流动力学具有多变性,这使得脑卒中患者的血压管理变得复杂,因此需要准确的诊断和精准定义治疗目标。现回顾最新关于动脉血压管理预防脑卒中首发和反复发作的研究进展,并对高血压亚急症和急症的血压管理,特别是高血压脑病、出血性脑卒中和缺血性脑卒中急性期的血压管理进行综述。

Hypertension is the most important independent risk factor of cerebral stroke.The etiology and hemodynamics of cerebral stroke are variable,which complicates the blood pressure management of patients with stroke.Therefore,accurate diagnosis and precise definition of treatment goals are needed.This article reviews the latest research advances in arterial blood pressure management to prevent first and recurrent stroke,and the hypertension subacute and acute blood pressure management,especially in the acute phase of hypertensive encephalopathy,hemorrhagic stroke,and ischemic stroke.