The invention belongs to the technical field of medical equipment, and particularly relates to a rehabilitation exercise device for stroke patients. The device comprises a table board, a tension exercise mechanism and a gripping force exercise mechanism are installed on the table board, each of the tension exercise mechanism and the gripping force exercise mechanism comprises a supporting column, a weight stack, a connecting rod, a pin column, a top plate, a first hanging ring, a plastic-coated steel wire rope, a second threading pipe, a first threading pipe, a fixed pulley, a top cover and a microswitch, a palm rest and a finger fixing mechanism are mounted on the top cover in the tension exercise mechanism, a second hanging ring and a third hanging ring in the finger fixing mechanism are fixedly connected with plastic-coated steel wire ropes in the gripping force exercise mechanism and the tension exercise mechanism in a tying mode respectively, and a control box is installed on the front side of the table board. The tension exercise mechanism, the gripping force exercise mechanism and the finger fixing mechanism which are installed on the table board can enable a patient to conveniently and comprehensively perform rehabilitation exercise on hand muscle groups when the patient lies in bed, game equipment such as a mobile phone and a tablet computer is controlled during training, the interestingness and the engagement degree of training are improved, and the initiative of training of the patient is greatly improved.