高血压是卒中的重要危险因素。对高血压病人进行降压治疗的临床试验表明,在开始治疗后几年内与血压变化相关的卒中可以大多数或全部得以避免。在这点上,利尿剂和β-阻滞剂没有显示明显差异。在未来卒中预防研究中的两个重要方面是:(1)有脑血管病病史的个体中降压治疗的预防效果;(2)高血压病人抗血小板治疗的效果。 Hypertension is an important risk factor for stroke. Clinical trials of antihypertensive therapy in hypertensive patients have shown that most or all of the stroke associated with changes in blood pressure can be avoided within a few years of starting treatment. At this point, diuretics and beta-blockers did not show significant differences. Two important aspects of future stroke prevention research are: (1) the prophylactic effect of antihypertensive treatment in individuals with a history of cerebrovascular disease and (2) the effect of antiplatelet therapy in hypertensive patients.