Acute ischemic stroke (AIS), also known as cerebral infarction, is an acute cerebrovascular disease with more than 7 million new cases worldwide every year, which is the second leading cause of death in the world. There are more than 24 million patients in China. Among the many risk factors, hypertension is the most important independent related factor of AIS, which is closely related to its morbidity and mortality. The hemodynamic changes after AIS affect the prognosis of the disease, so the management of blood pressure in the acute phase should be throughout the whole process. However, for patients with AIS, the management of blood pressure with different treatment methods is still an important outstanding issue. This paper reviews the research progress of blood pressure management in AIS in recent years.