急性缺血性脑卒中机械取栓术后血压管理的研究进展

Advances in Blood Pressure Management After Mechanical Thrombectomy for Acute Ischemic Stroke

急性缺血性脑卒中(acute ischemic stroke,AIS)是一种高致残率、高死亡率的疾病。随着现代医学的发展,AIS治疗方式也得到了不断发展,机械取栓(mechanical thrombectomy,MT)已经成为治疗AIS的前沿有效手段。研究发现,MT后的血压管理至关重要,其与患者的短期及长期生存率存在着密切的联系。本文广泛查阅近几年相关研究文献,从MT术后血压的目标值、血压变异性(blood pressure variability,BPV)与预后的相关性、血压的监测、血压的管理等对AIS机械取栓术后血压管理进行系统阐述。

Acute ischemic stroke(AIS)is a disease characterized by high disability and mortality rates.With advances in modern medicine,the treatment of AIS has continuously evolved.Mechanical thrombectomy(MT)has become a cutting-edge and effective therapeutic approach for AIS.Previous evidence has revealed the significance of blood pressure management after MT,demonstrating a close correlation with both short-term and long-term survival rates.Here,we extensively review recent research literature and systematically describe blood pressure management after MT for AIS,involving target blood pressure values after MT,the correlation between blood pressure variability and prognosis,blood pressure monitoring,and blood pressure management.This review may provide references for future clinical practice and research.