There are several reasons for high blood pressure accompanied by sleepiness: 1) high blood pressure that is not corrected in time; 2) combined with hyperlipidemia; 3) the patient has a certain lack of oxygen and inadequate blood supply. Patients should first go to the hospital for oxygen therapy, such as inhalation of shielded oxygen, or at home when there is a home oxygen machine and oxygen bag at home. The antihypertensive drugs should be strictly selected, such as calcium antagonists, ACEI, ARB antihypertensive drugs can improve the drowsiness caused by high blood pressure, and certain drugs can be applied to improve the head ischemia, such as ginkgo biloba and other drugs have the above-mentioned effects. The clinical symptoms of drowsiness can be corrected at the same time.