摘要超重或肥胖是心脑血管疾病等多种慢性病的危险因素。超重患者脑卒中发病风险增加。然而脑卒中患者的预后与体重之间的关系依然存在争议。目前存在2种相反的观点，一种结论认为体重高于正常对脑卒中患者的预后，包括疾病复发、功能恢复和死亡风险等，具有不利影响，而另一种相反的观点认为具有保护作用。本文对脑卒中患者体重与脑卒中预后之间关系进行综述，以期为脑卒中患者康复期体重管理提供指导和参考依据。

abstractsOverweight or obesity is a risk factor for many chronic diseases, such as cardiovascular and cerebrovascular disease. Overweighed people have higher risk of stroke occurrence. However the relationship between stroke patient prognosis and body weight is controversial. Based on many studies, there are currently two opposite opinions. One believes that the body weight higher than normal is associated with more adverse effects with regard to stroke patient prognosis, including stroke recurrence, functional recovery and risk of death. The opposite opinion believes that the body weight higher than normal is protective in stroke patients. The present article reviews the relationship between body weight and stroke occurrence and prognosis, in order to provide guidance and reference for weight management of stroke patients during their rehabilitation.