急性缺血性脑卒中机械取栓血压管理前瞻性研究的范围综述

摘要/Abstract

摘要： 目的对急性缺血性脑卒中机械取栓血压管理前瞻性干预研究进行范围综述,为临床研究提供参考。方法遵循澳大利亚JBI循证卫生保健中心范围综述方法学框架,检索10个中英文数据库,检索时限为建库至2024年4月1日。结果共纳入13项研究,其中7项为已完成的研究,6项为正在进行的研究;12项为随机对照研究,1项为队列研究;7项为强化降压方案,4项为个性化血压管理,2项为升压方案。结论国内外脑卒中机械取栓血压管理研究尚处于初级阶段,相关研究者应该根据血压及预后相关因素制订个性化血压管理策略,进一步进行验证。

关键词: 机械取栓, 血压管理, 血管内治疗, 脑卒中, 范围综述

Abstract: Objective To review the prospective intervention research on mechanical thrombectomy for blood pressure management in AIS. Methods A total of 10 Chinese and English databases were searched from the establishment of the database to April 1, 2024. Results A total of 13 studies were included, of which 7 were completed studies and 6 were ongoing studies. There were 12 randomized controlled trials and 1 cohort study. The intervention protocols consisted of 7 intensive blood pressure lowering regimens, 4 personalized blood pressure management strategies, and 2 blood pressure raising regimens. Conclusion Relevant researchers should develop personalized blood pressure management strategies based on blood pressure and prognostic factors, and further verify and promote them.

Key words: mechanical thrombectomy, blood pressure management, endovascular therapy, stroke, scoping review

中图分类号:

R544
R473.5

陈玉祥, 王敏, 王沙沙, 王宗宇, 宋南南, 杨海燕. 急性缺血性脑卒中机械取栓血压管理前瞻性研究的范围综述[J]. 中华养生保健, 2025, 43(5): 1-4.

CHEN Yu-xiang, WANG Min, WANG Sha-sha, WANG Zong-yu, SONG Nan-nan, YANG Hai-yan. Prospective Research on Mechanical Thrombectomy for Blood Pressure Management in Acute Ischemic Stroke: A Scoping Review[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(5): 1-4.

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