中国卒中患者高血压管理专家共识 Chinese Expert Consensus on Hypertension Management in Stroke Patients

Abstract

卒中后血压升高与患者死亡和神经功能恢复不良相关，积极有效地控制血压对改善预后非常重要。《中国卒中患者高血压管理专家共识》基于现有循证医学证据，对出血性卒中和缺血性卒中早期降压治疗的时机、目标和用药措施进行了推荐；考虑到临床实际中多病共存的现状，还对合并心力衰竭、颈部大血管狭窄、主动脉夹层、肾功能衰竭、心房颤动、肺部感染等特殊病情卒中患者的降压时机、目标和用药措施进行了推荐；同时就卒中一级、二级预防中的血压管理进行了介绍。《中国卒中患者高血压管理专家共识》的发布有利于临床实践中卒中患者高血压的规范化管理。 Abstract: Stroke patients with elevated blood pressure are associated with death and poor recovery of neurological function. Active and effective blood pressure control is very important for improving prognosis. Based on existing evidence-based medical evidence, this consensus recommended the timing, target, and medication measures for early blood pressure reduction therapy for hemorrhagic and ischemic stroke. Considering the current situation of multiple diseases coexisting in clinical practice, the consensus also recommended the timing, target, and medication measures of blood pressure reduction in stroke patients with special conditions such as heart failure, carotid artery stenosis, aortic dissection, renal failure, atrial fibrillation, and pulmonary infection. At the same time, the consensus introduced the content of blood pressure management for primary and secondary prevention of stroke. It is conducive to guiding the standardized management of hypertension in stroke patients in clinical practice.

Keywords

• 卒中
• 高血压
• 降压
• 治疗
• stroke
• hypertension
• blood pressure reduction
• treatment