当今世界,特别是在中国,脑卒中发病率有逐年上升趋势[1],同时伴随着血压的变化,有血压降低趋势,也有升高趋势,但以血压升高为主。美国的一项调查表明,超过60%卒中患者呈现卒中时高血压[2]。一项有18项研究的荟萃分析表明,52%卒中患者在急性期伴发高血压[3]。针对脑卒中急性期高血压的管理,各医院均存在差异,各个国家也制定了不同的降压方案,但临床上脑卒中后除血压升高 In today’s world, especially in China, the incidence of stroke is increasing year by year. At the same time, with the change of blood pressure, there is a trend of decreasing blood pressure and increasing tendency, but the main cause is increasing blood pressure. A U.S. survey shows that more than 60% of stroke patients develop stroke-induced hypertension [2]. A meta-analysis of 18 studies showed that 52% of stroke patients had hypertension in the acute phase [3]. For the management of acute stroke in stroke, there are differences among hospitals, and various countries have also made different plans for lowering blood pressure. However, in clinical practice, the blood pressure after stroke is increased