脑卒中后痉挛是引起脑卒中后高致残率的重要原因。脑卒中后痉挛性瘫痪因其“难识别、难治疗”的特点，已成为一个临床难题。如果痉挛未能得到及时且有效的治疗，不仅会引起患肢疼痛，还会导致患肢肌肉萎缩以及关节挛缩和变形，使关节活动受限，影响康复训练的效果，甚至加重病情。因此，有效防治脑卒中后痉挛性瘫痪是改善脑卒中后患者生活质量的重要举措。本文对脑卒中后痉挛性瘫痪可能的发病机制、评价方法及康复治疗进展进行综述，以期为脑卒中后痉挛性瘫痪的防治提供参考。

Post-stroke spasm is an important cause of high disability rate after stroke. Spastic paralysis after stroke has become a difficult clinical problem because of its “difficult to identify and treat”. If spasm is not treated promptly and effectively, it will not only cause limb pain, but also lead to muscle atrophy and joint contracture and deformation, which will restrict joint movement, affect the effectiveness of rehabilitation training, and even aggravate the condition. Therefore, effective prevention and treatment of spastic paralysis after stroke is an important measure to improve the quality of life of patients. This paper reviews the possible pathogenesis, evaluation methods and rehabilitation treatment of post-stroke spastic paralysis, in order to provide references for the prevention and treatment of poststroke spastic paralysis.