静脉溶栓治疗急性脑梗死与术后血压管理和预后的相关性研究进展
Intravenous Thrombolysis Treatment of Acute Cerebral Infarction and Postoperative Blood Pressure Management and Prognosis of the Correlation Research Progress
DOI: 10.12677/ACM.2022.125606, PDF,   
作者: 王 越*, 薛艺东#：延安大学附属医院，陕西 延安
关键词: 急性脑梗死；溶栓；血压；预后；Acute Cerebral Infarction； Thrombolysis； Blood Pressure； The Prognosis
摘要: 急性缺血性脑卒中是神经内科最常见的疾病之一，静脉溶栓是目前国内外指南推荐的改善急性脑梗死(AIS)结局最有效的药物治疗手段。关于AIS患者溶栓急性期血压的降压方式，目前指南并没有明确的指向性，只指出了允许的最高血压。通过分析国内外多篇关于溶栓急性期是否需要强化降压治疗的文献，神经内科医生可以对患者的出血风险及预后进行初步评估，具有一定的指导意义。
Abstract: Acute ischemic stroke is one of the most common diseases in the department of neurology. Intra-venous thrombolysis is the most effective drug therapy recommended by domestic and foreign guidelines to improve the outcome of AIS. As for the way to reduce blood pressure in the acute stage of thrombolysis in patients with AIS, the current guidelines do not have clear directivity, but only indicate the maximum allowable blood pressure. By analyzing many domestic and foreign litera-tures on the need for intensive antihypertensive therapy in the acute stage of thrombolysis, neu-rologists can preliminarily evaluate the bleeding risk and prognosis of patients, which has certain guiding significance.
文章引用：王越, 薛艺东. 静脉溶栓治疗急性脑梗死与术后血压管理和预后的相关性研究进展[J]. 临床医学进展, 2022, 12(5): 4181-4186. https://doi.org/10.12677/ACM.2022.125606

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