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    Home > Active Ingredient News > Study of Nervous System > The guidelines for blood pressure management in stroke prevention and treatment can be found here!

    The guidelines for blood pressure management in stroke prevention and treatment can be found here!

    • Last Update: 2021-10-11
    • Source: Internet
    • Author: User
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    The "Guiding Standards for Blood Pressure Management in Stroke Prevention and Treatment in China" provides a scientific basis for the management of stroke blood pressure for relevant medical staff through a systematic review of existing evidence-based medicine evidence and combined with domestic clinical practice.
    The main content includes blood pressure in the primary prevention of stroke Management, blood pressure management in the acute phase of stroke and blood pressure management in the secondary prevention of stroke
    .

    01 Blood pressure management guidelines for primary prevention of stroke: Standard blood pressure monitoring should be carried out for patients with hypertension; high-risk factors for stroke should be screened; patients with early and full treatment of hypertension should be managed by therapeutic life>
    .

     Figure 1 Primary stroke prevention management process 02 Blood pressure management guidelines in the acute phase of stroke Blood pressure should be closely monitored in the acute phase of stroke to reduce the incentives for blood pressure fluctuations
    .

    In patients with spontaneous cerebral hemorrhage, 160/90mmHg can be used as a reference blood pressure reduction target, and early active blood pressure reduction is safe
    .

    For ischemic stroke, if you are preparing for vascular recanalization treatment, it is recommended to use intravenous drugs to control blood pressure below 180/105mmHg; if vascular recanalization treatment is not performed, the current blood pressure control opinions are not fully clear due to insufficient evidence.
    Determine based on the specific situation of the patient
    .

    For patients with subarachnoid hemorrhage, it is recommended to control the blood pressure at the systolic pressure <160mmHg level, and pay attention to maintaining the cerebral perfusion pressure
    .

     Figure 2 Management process in the acute phase of stroke 03 Blood pressure management guidelines for secondary prevention of stroke The blood pressure should be closely monitored in the acute phase of stroke to reduce the incentives for blood pressure fluctuations
    .

    Patients with spontaneous intracerebral hemorrhage 160/90mmHg can be used as a reference blood pressure reduction target, and early active blood pressure reduction is safe
    .

    For ischemic stroke, if you are preparing for vascular recanalization treatment, it is recommended to use intravenous drugs to control blood pressure below 180/105mmHg; if vascular recanalization treatment is not performed, the current blood pressure control opinions are not fully clear due to insufficient evidence.
    Determine based on the specific situation of the patient
    .

    For patients with subarachnoid hemorrhage, it is recommended to control the blood pressure at the systolic pressure <160mmHg level, and pay attention to maintaining the cerebral perfusion pressure
    .

     Figure 3 Blood pressure management process for secondary prevention of stroke The above content is extracted from: Medical Administration and Hospital Administration.
    Chinese Guidelines for Stroke Prevention and Treatment (2021 Edition).
    2021-8-31.

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