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目的探讨对于急性脑梗塞患者预后发生影响的危险因素以及实施干预管理的临床疗效。方法择取2010年1月至2012年1月间本院收治的急性脑梗塞患者48例设为研究组，本组所有患者入院后进行了详细的动态血压监测及控制血压处理，并在常规治疗的基础上针对其影响预后的不良因素，采用健康教育的方式对其进行危险因素管理。另选取本院同期入院并采用常规治疗方式的40例急性脑梗塞患者设为对照组。针对两组所有患者治疗干预3个月后临床效果及预后优良率进行回顾性对比分析。结果经实施有效干预后，其研究组患者血压、血糖、血胆固醇等基本血液指标显著优于对照组（p<0.05），而预后优良率也显著高于对照组，且结果差异（p<0.05）具有统计学意义。结论急性脑梗塞患者预后效果与血压、患者不良生活习惯等因素具有重要的关系，患者在治疗中应密切重视血压的控制以及通过健康教育等管理干预手段尽量纠正患者的不良生活习惯，排除危险因素，进一步改善其患者预后情况。“,” Objective: To explore the risk factors for prognosis in patients with acute cerebral infarction and the clinical curative effect of intervention management. Methods: The patients with acute cerebral infarction from 2010 January to 2012 January, among the 48 patients admitted to our hospital for the study group, the group of al the patients were treated with ambulatory blood pressure monitoring and blood pressure control in detail, and the adverse factors on the basis of conventional therapy on the prognosis, using the way of health education on the risk factor management. Select the hospital admitted in the same period and uses the conventional treatment of 40 cases of acute cerebral infarction were set as control group. Were retrospectively analyzed for al patients of two groups of treatment 3 months after the intervention of clinical effect and prognosis of the excelent and good rate. Results:After the implementation of effective intervention, the study of the basic blood indexes of blood pressure, blood sugar, cholesterol was significantly better than the control group ( p<0.05 ), and the excelent and good rate was significantly higher than that in control group, the prognosis, and the difference was statisticaly significant ( p<0.05 ). Conclusion: The prognosis of patients with acute cerebral infarction effect and blood pressure, patients with bad living habits and other factors have important relations, patients should pay close attention to blood pressure control and try to correct the bad habits of patients through the health education and management interventions in the treatment, eliminate risk factors, further improve the prognosis of the patients.