Underground grouting is a concealed project, and it is difficult to test the strength of grouting stones in engineering practice. Aiming at the problems of high confined water pressure and strong water-richness of the roadway floor, a pressure filtration test device was developed, and a PFC2D uniaxial compression model was established to study the variation law of stone strength and crack evolution mechanism of grouting materials under different grouting pressures. The results show that with the increase of pressure filtration value, the amount of slurry dehydration increases, the pore water pressure dissipates, the pores between particles are tightly compressed, the contact force between particle skeletons increases, and the strength of stone body increases. Under the condition of the same cement powder ratio (mass ratio of cement to stone powder) or stone powder particle size, the strength of stone body of stone powder-cement grouting material increases with the increase of pressure filtration value. The stress-strain curves of the stone body with different pressure filtration values all experienced three stages: continuous elasticity, fracture expansion and strength failure. Before the peak, the number of cracks increases slowly; after reaching the peak, the micro-cracks extend rapidly and the number increases rapidly, resulting in the final tensile failure of the specimen. This study can provide a basis for the selection of grouting engineering material ratio and grouting pressure parameters.