Stroke is one of the main causes of death and disability among residents in China, which imposes a heavy burden on patients and society. Digital therapy, as an emerging treatment method, has shown great potential in the management of the entire stroke course. This article reviewed the research progress of digital therapy in stroke screening, prevention, acute phase management, rehabilitation, and long-term follow-up. It analyzed the advantages and challenges of clinical application of digital therapy and looked forward to future development directions. Current research showed that digital therapy could significantly improve the coverage and accuracy of stroke risk screening, provided personalized and high-intensity intervention plans in rehabilitation training, and improved long-term patient management outcomes through remote monitoring. However, digital therapy still faces many challenges in standardized evaluation systems, evidence-based medicine, elderly patient adaptability, data security, and medical insurance policies. In the future, it is necessary to strengthen high-quality clinical research, improve standardized evaluation systems, promote interdisciplinary collaboration, and formulate reasonable medical insurance policies to promote the standardized application and development of digital therapies in stroke prevention and treatment.

脑卒中是我国居民死亡和残疾的主要原因之一，给患者和社会带来沉重负担。数字疗法作为一种新兴治疗手段，在脑卒中全病程管理中展现出巨大潜力。本文综述了数字疗法在脑卒中筛查、预防、急性期管理、康复和长期随访等方面的研究进展，分析了数字疗法临床应用的优势和面临的挑战，并对未来发展方向进行展望。当前研究显示，数字疗法可显著提高脑卒中风险筛查的覆盖率和准确性，在康复训练中可提供个性化、高强度的干预方案，并通过远程监测改善患者长期管理效果。然而，数字疗法在标准化评估体系、循证医学证据、老年患者适应性、数据安全和医保政策等方面仍面临诸多挑战。未来需加强高质量临床研究，完善标准化评价体系，推动多学科协作，并制定合理的医保政策，促进数字疗法在脑卒中防治中的规范应用与发展。