Hypertension is the most important independent risk factor of cerebral stroke. The etiology and hemodynamics of cerebral stroke are variable， which complicates the blood pressure management of patients with stroke. Therefore， accurate diagnosis and precise definition of treatment goals are needed. This article reviews the latest research advances in arterial blood pressure management to prevent first and recurrent stroke， and the hypertension subacute and acute blood pressure management， especially in the acute phase of hypertensive encephalopathy， hemorrhagic stroke， and ischemic stroke.