高频重复经颅磁刺激联合针灸疗法对卒中后 认知障碍的疗效观察
Efficacy Observation of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Acupuncture in the Treatment of Post-Stroke Cognitive Impairment
摘要: 目的：探究高频重复经颅磁刺激联合针灸疗法对卒中后认知障碍患者的影响。方法：选取30例本院卒中后认知障碍的患者，根据随机数字表将患者分为对照组和联合组，每组各15例。对照组患者接受针灸疗法，联合组患者接受高频重复经颅磁刺激(HF-rTMS)联合针灸疗法，两组患者均予以常规综合康复训练。结果：两组患者治疗前的MoCA评分、MMSE评分、MBI指数评分及认知测试工具评分均无明显差异(P > 0.05)。两组患者治疗后的MoCA评分、MMSE评分、MBI指数评分均较治疗前改善(P < 0.05)，认知测试工具测试评分均较治疗前降低(P < 0.05)；然而，治疗后联合组的MoCA评分、MMSE评分、MBI指数评分以及认知测试工具测试评分均较对照组的改善更显著。结论：高频重复经颅磁刺激联合针灸疗法在对卒中后认知障碍患者的康复治疗中，可有效提高患者的认知功能，改善患者的日常生活能力。
Abstract: Objective: To investigate the effect of high‑frequency repetitive transcranial magnetic stimulation combined with acupuncture on patients with post‑stroke cognitive impairment. Methods: Thirty patients with post‑stroke cognitive impairment in our hospital were enrolled and randomly divided into a control group and a combination group using a random number table, with 15 patients in each group. The control group received acupuncture therapy, while the combination group received high‑frequency repetitive transcranial magnetic stimulation (HF‑rTMS) combined with acupuncture. Both groups were given routine comprehensive rehabilitation training. Results: There were no significant differences in MoCA scores, MMSE scores, MBI scores, or cognitive test tool scores between the two groups before treatment (P > 0.05). After treatment, the MoCA scores, MMSE scores, and MBI scores in both groups were improved compared with those before treatment (P < 0.05), and the cognitive test tool scores were decreased compared with those before treatment (P < 0.05). Moreover, the improvements in MoCA scores, MMSE scores, MBI scores, and cognitive test tool scores in the combination group were significantly more notable than those in the control group after treatment. Conclusion: High‑frequency repetitive transcranial magnetic stimulation combined with acupuncture can effectively improve cognitive function and activities of daily living in the rehabilitation of patients with post‑stroke cognitive impairment.
文章引用：霍晓征, 陈南希, 房翠瑶, 陈和木. 高频重复经颅磁刺激联合针灸疗法对卒中后 认知障碍的疗效观察[J]. 临床医学进展, 2026, 16(4): 2692-2700. https://doi.org/10.12677/acm.2026.1641523

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