The stroke unit is a new concept in the world in the treatment of cerebrovascular disease and is a current international and national model of optimal treatment for cerebrovascular disease. It is not a drug and a modality, but a new ward management model. It is a ward management system dedicated to the treatment of stroke patients, providing medication, physical rehabilitation, speech training, psychological rehabilitation and health education; it is a multidisciplinary, collaborative and integrated medical program that can be involved in the disposition of the patient in the first instance of stroke. What is the most effective treatment for cerebrovascular disease? Since the 1960s, international clinical neurology has gone through the stages of stroke care units, stroke rehabilitation units, and only in the mid-1980s was the stroke unit model of care introduced. for more than 10 years, stroke units have been very well established in the United States, Australia, and many European countries. An authoritative controlled clinical study in Copenhagen confirmed that stroke units reduce the risk of death during hospitalization by 40% compared with general wards, especially in patients with severe stroke by 86%, reduce the risk of incapacity by 50% in severe patients by 83%, and shorten the average length of stay by 2 weeks. The superiority of the stroke unit is thus demonstrated. A stroke unit (SU) is a separate or relatively independent comprehensive ward for the diagnosis, treatment, care, nutrition, physical rehabilitation, psychotherapy and medical education of acute stroke patients. Its basic goal is to intervene with preventive measures, to create a medical environment that allows patients to “actively accept treatment” and to prevent all possible complications. Patients should receive rehabilitation and health education in addition to medication. In addition to neurologists and nurses in the stroke unit, there is a medical team with specialized training from medical schools and a paramedical focus, including physical therapists, occupational trainers, speech trainers, neuropsychologists and medical social workers. Formal meetings are held at least once a week to discuss common and specific problems in stroke care, to evaluate outcomes, and to develop further treatment plans and goals. In addition, informal meetings are held when necessary to address clinical problems that arise. It emphasizes early patient activity and early nutritional support. In both hemorrhagic and ischemic strokes, patients are asked to leave their beds within 24 hours as long as their condition is stable. Patients in moderate or above coma are placed in “good posture” with active guidance and psychological support from the psychiatrist. In general, the application of drugs no longer occupies an important place. In the better working stroke units, the patient as well as the family is also instructed to participate in the whole treatment plan. Stroke units emphasize that stroke patients should be given rehabilitation treatment as early as possible and that rehabilitation should follow the principles of systematization, individualization and phased continuity, with the rehabilitation therapist formulating the appropriate rehabilitation plan and implementation principles according to the patient’s specific situation. When should stroke rehabilitation start? In recent years, various studies have confirmed that stroke rehabilitation should start early, i.e. 48 hours after the patient’s vital signs are stable and neurological symptoms no longer develop, and when the impairment of consciousness is scored >8 on the Glazgow Coma Scale. The course of stroke is generally divided into three phases, i.e., acute, stable, and chronic (recovery); from the perspective of rehabilitation medicine, it is divided into bed-resting, sitting, and out-of-bed (i.e., walking) phases. The start time of rehabilitation treatment and the content of rehabilitation should be different according to the condition and nature. In particular, different rehabilitation contents should be started at different times in the bed-resting phase of cerebrovascular disease. In China, the first stroke unit in China was built in 2001 at Beijing Tiantan Hospital. With the support of the leadership of Zibo Chinese Hospital, the stroke unit was firstly built in 2003 in our city. The unit has been actively engaged in the acute stage of cerebrovascular disease (stroke disease), the early standardized modern rehabilitation (motor paralysis, swallowing disorder, speech disorder, intellectual disorder, post-stroke depression, etc.), Chinese herbal medicine treatment, acupuncture treatment, thrombolysis treatment, anticoagulation treatment, and stroke rehabilitation. The integrated stroke unit provides early standardized modern rehabilitation (motor paralysis, swallowing, speech disorders, post-stroke depression, etc.), Chinese herbal medicine, acupuncture, thrombolysis, anticoagulation, stroke health education and post-discharge patient follow-up. Compared to general medical units, comprehensive stroke units treat patients with lower short-term and long-term mortality, shorter hospital stays, and a higher percentage of patients discharged back to society. It can significantly improve patients’ quality of life and their ability to live independently, which is positive in terms of both quality of life and economy. The negative effects of stroke units have not been reported and are currently the most effective treatment known . The development of stroke units has led to a more scientific and systematic treatment of stroke. The development of stroke units will be improved as the pathogenesis of stroke is explored.