目的：探讨急性脑卒中（ＡＣＶＤ）合并反射性交感神经营养不良（ＲＳＤ）的康复过程及影响因素。方法：对６７例ＡＣＶＤ并发ＲＳＤ患者进行回顾性分析。结果：性别、卒中类型、肩痛史和并存疾病的多少与康复时间无关。患肢肌力越差、神经功能损伤越重，患肢有骨质脱钙者，康复时间长。结论：ＡＣＶＤ并发ＲＳＤ患者康复时间差异很大，患肢瘫痪程度、神经功能损伤程度和患肢存在骨质疏松是重要的影响因素，肢体的功能活动可促进康复。 Objective: To investigate the rehabilitation process and influencing factors of acute stroke (ACVD) complicated with Reflex Sympathetic Dystrophy (RSD). Methods: A retrospective analysis was performed on 67 patients with ACVD complicated with RSD. Results: Gender, type of stroke, history of shoulder pain, and co-morbidity were not related to recovery time. The worse the limb muscle strength, the more severe neurological damage, limbs have decalcified bone, recovery time. Conclusion: The recovery time of patients with ACVD complicated with RSD varies greatly. The degree of paralysis of limbs, the degree of neurological damage and the presence of osteoporosis in limbs are important influencing factors. The functional activities of limbs can promote rehabilitation.