伴有高血压的颅内动脉粥样硬化性狭窄及相关性缺血性脑卒中的降血压治疗

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。

The Intracranial Atherosclerotic Stenosis and Treatment of Ischemic Stroke

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.