脑出血患者经急性期救治存活后，70%以上的患者仍存在意识、运动、认知、言语或吞咽等功能障碍。急性期救治后，康复治疗的临床实施仍面临启动时机不统一、评估标准不一致、院内外衔接不畅、康复资源差异大等问题，进而影响患者的长期功能恢复。脑出血康复不应仅局限于出院后短期训练，而应该从多方面、多层次对患者的各个功能障碍进行评价，在急性期、亚急性期和慢性期之间保持连续的管理。临床治疗决策要以高质量的循证证据为依据，联合多学科团队，创建医院-康复中心-社区-居家一体化体系，防止患者出院后康复治疗断层。神经调控技术可以作为传统康复的补充手段，但是其适用人群、启动时机、安全边界还需要根据血肿吸收情况、术后状态、癫痫风险、生命体征稳定性进行综合判断。本文以2019—2025年脑出血康复相关随机对照试验、系统综述、临床指南为依据，对急性期后功能恢复、神经调控干预、连续康复管理的研究进展进行梳理，归纳为立体化功能康复。鉴于现有证据多来源于缺血性脑卒中或混合脑卒中人群，立体化功能康复对脑出血患者的临床疗效仍需更多前瞻性研究验证。

More than 70% of patients who survive the acute phase of intracerebral hemorrhage continue to experience impairments in consciousness, motor function, cognition, speech, or swallowing. Following acute treatment, rehabilitation practice is often affected by inconsistent timing of initiation, non-uniform assessment standards, poor coordination between inpatient and post-discharge care, and regional disparities in rehabilitation resources, all of which may hinder long-term functional recovery. Rehabilitation for intracerebral hemorrhage should not be limited solely to short-term training following hospital discharge; instead, patients' functional impairments should be assessed from multiple perspectives, with continuous management throughout the acute, subacute, and chronic phases. Clinical decisions should be based on high-quality evidence, supported by multidisciplinary teamwork, and care should be delivered through an integrated system linking hospitals, rehabilitation centers, communities, and patients' homes, so as to avoid interruptions in rehabilitation after discharge. Neuromodulation may serve as an adjunct to conventional rehabilitation, but patient selection, timing of initiation, and safety limits should be determined according to hematoma resolution, postoperative status, seizure risk, and the stability of vital signs. Based on randomized controlled trials, systematic reviews, and clinical guidelines on rehabilitation after intracerebral hemorrhage published between 2019 and 2025, this article reviews advances in post-acute functional recovery, neuromodulation, and continuous rehabilitation management and integrates them into a multidimensional functional rehabilitation approach. Since most of the available evidence comes from patients with ischemic stroke or mixed stroke populations, further prospective studies are needed to determine the effectiveness of this approach specifically in patients with intracerebral hemorrhage