急性缺血性卒中机械取栓患者的血压管理研究进展

doi:10.3969/j.issn.1673-5765.2023.09.015

摘要/Abstract

摘要： 急性缺血性卒中血压管理水平与预后相关，过高或过低的血压都可能导致预后不良。机械取栓术广泛应用于临床，其术前、术中与术后的血压管理是影响临床预后的重要干预措施之一，但血压管理的具体目标值尚无定论，尤其是术后的血压管理仍存在争议。再通状态、再灌注损伤、血压变异性都影响机械取栓患者的血压水平，临床上需要结合患者具体情况，制定个体化方案，探索合理血压目标控制方案。

文章导读： 急性缺血性卒中血压波动与临床预后相关，寻求最佳的机械取栓术后血压管理方案是其治疗的重要课题。

关键词: 急性缺血性卒中; 机械取栓; 血压管理; 预后

Abstract: The level of blood pressure management in acute ischemic stroke is associated with prognosis. Too high or too low blood pressure may lead to poor prognosis. Mechanical thrombectomy is widely used in clinical practice, and its preoperative, intraoperative and postoperative blood pressure management is one of the important interventions affecting clinical prognosis. However, the specific target value of blood pressure management is still inconclusive, especially the postoperative blood pressure management is controversial. Its recanalization status, reperfusion injury, and blood pressure variability all affect its blood pressure management range. Clinically, it is necessary to formulate personalized plans and explore reasonable blood pressure target plans based on the specific conditions of patients.

Key words: Acute ischemic stroke; Mechanical thrombectomy; Blood pressure management; Prognosis

周雨萌, 陈丽霞. 急性缺血性卒中机械取栓患者的血压管理研究进展[J]. 中国卒中杂志, 2023, 18(9): 1073-1078.

ZHOU Yumeng, CHEN Lixia. Progress on Blood Pressure Management in Patients with Acute Ischemic Stroke Undergoing Mechanical Thrombectomy[J]. Chinese Journal of Stroke, 2023, 18(9): 1073-1078.

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