Abstract:

Objective To retrieve，evaluate and summarize the evidence for management of blood pressure after mechanical embolectomy in patients with acute ischemic stroke，and provide evidence-based basis for clinical practice. Methods Clinical decisions，guidelines，evidence summaries，systematic reviews，expert consensus and meta-analyses on blood pressure management after mechanical thrombectomy in patients with acute ischemic stroke were searched by computer from domestic and foreign databases. The search period was from the establishment of the database to April 2024. Two researchers trained in evidence-based nursing independently performed quality assessment，evidence extraction and evidence synthesis on the included literature. Results A total of 13 articles were selected，including 7 guidelines，2 systematic reviews，and 4 expert consensus articles. Finally，26 pieces of evidence were summarized from 7 dimensions：disease assessment，blood pressure target，intervention measures，medication management，non-pharmacological treatment，quality control and continuous management. Conclusion This study summarized the best evidence of blood pressure management after mechanical embolectomy in patients with acute ischemic stroke. Medical staff should apply the evidence in a personalized way according to the actual situation of patients，standardize the postoperative blood pressure management behavior and ultimately improve the clinical outcome of patients.

Key words: Acute Ischemic Stroke, Mechanical Thrombectomy, Blood Pressure Management, Evidence Summary, Evidence-Based Nursing