急性大血管闭塞性卒中机械取栓围手术期血压管理的研究进展  

Research Progress of Blood Pressure Management in the Perioperative Period of Mechanical Thrombectomy in Acute Large Vessel Occlusion Stroke

作　　者：卢来明 唐景峰 郑华平[2] LU Laiming;TANG Jingfeng;ZHENG Huaping(The Second Affiliated Hospital of Guilin Medical College,Guilin 541199,China;不详)

机构地区：[1]桂林医学院第二附属医院,广西桂林541199 [2]桂林医学院附属医院

出　　处：《中外医学研究》2022年第1期181-184,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2017105)。

摘　　要：机械取栓术已成为治疗急性大血管闭塞性脑卒中安全有效的新方法。机械取栓围手术期的血压水平、血压变异性(BPV)及开始降压治疗的策略与脑卒中患者的预后密切相关。然而,目前关于机械取栓围手术期的最佳血压管理目标仍未确定。本综述将围绕急性缺血性卒中血压升高的病理生理及机械再通后血压管理的现有证据,为机械取栓术后患者提供血压管理策略。Mechanical embolectomy has become a safe and effective new method for the treatment of acute stroke with large vessel occlusion.The perioperative blood pressure level,blood pressure variability and the strategy of starting antihypertensive therapy are closely related to the prognosis of stroke patients.However,the goal of optimal blood pressure management in perioperative period of mechanical thrombectomy has not been determined.This review will focus on the pathophysiology of elevated blood pressure in acute ischemic stroke and the existing evidence of blood pressure management after mechanical recanalization,so as to provide blood pressure management strategies for patients after mechanical thrombectomy.

关 键 词：急性缺血性卒中 机械取栓 血压 围手术期 

分 类 号：R651.12[医药卫生—外科学]