摘要
伴有高血压的颅内动脉粥样硬化性狭窄(ICAS)是降压治疗的适应证。制定目标血压值,除了要考虑ICAS患者的血压水平外,还要考虑其基础疾病以及年龄。目前没有统一的目标血压值。对ICAS相关性急性缺血性脑卒中(AIS)的高血压是否要降压,以及降压的最佳血压值,尚无统一意见。对过高的血压进行降压,以及避免过度降血压,是业内学者的共识。要根据患者的基础疾病决定降低血压幅度,对伴有高血压的ICAS相关性缺血性脑卒中患者,降压治疗能防止其复发。目前,还没有关于ICAS及其相关性缺血性脑卒中的血压管理标准。
Intracranial atherosclerotic stenosis （ICAS） with hypertension is a treatment indication.While the target blood pressure values were being set,not only the level of blood pressure of patients with ICAS but their pre-existing conditions and age were considered.There are no unified target blood pressure values.There are no standard of lowering blood pressure,as well as the best blood pressure step-down value,in hypertension caused by ICAS-related acute ischemic stroke （AIS）.Lowering high blood pressure and avoiding excessive step-down are consensus.Blood pressure step-down value should be decided according to the patients＇ pre-existing conditions.For the patients with hypertension caused by ICAS-related ischemic stroke,antihypertensive therapy can prevent its recurrence.There are no hypertension management standards about ICAS and its related ischemic stroke.
出处
《中国临床神经科学》
2014年第3期352-355,360,共5页
Chinese Journal of Clinical Neurosciences
