中国妇幼保健

目的 探讨重复经颅磁刺激治疗绝经后期脑卒中患者认知障碍和言语障碍的效果。方法 选取2020年5月—2023年5月在浙江中医药大学附属温州市中医院治疗的100例绝经后期脑卒中患者，根据是否接受重复经颅磁刺激治疗分为重复经颅磁刺激组(采取重复经颅磁刺激治疗，50例)和常规治疗组(采取常规治疗，50例)。比较两组治疗后认知功能、言语功能及吞咽功能的恢复情况。结果 治疗后，重复经颅磁刺激组蒙特利尔认知评估量表(MoCA)评分为(28.32±2.12)分，常规治疗组MoCA评分为(23.49±1.83)分，差异有统计学意义(t=12.195,P<0.05)。治疗后，重复经颅磁刺激组言语功能评分为(166.50±18.12)分，常规治疗组言语功能评分为(99.39±13.58)分，差异有统计学意义(t=20.957,P<0.05)。治疗后，重复经颅磁刺激组洼田饮水试验(WST)评分为(1.32±0.17)分，常规治疗组WST评分为(2.12±0.21)分，差异有统计学意义(t=20.937,P<0.05)。结论 重复经颅磁刺激对改善绝经后期脑卒中患者的认知障碍和言语障碍有积极作用，值得临床推广。

Objective To explore the effect of repetitive transcranial magnetic stimulation in treatment of cognitive impairment and speech disorder of postmenopausal stroke patients.Methods One hundred postmenopausal stroke patients who were treated in Wenzhou TCM Hospital of Zhejiang Chinese Medical University from May 2020 to May 2023 were selected and divided into repetitive transcranial magnetic stimulation group(treated with repetitive transcranial magnetic stimulation, 50 cases) and conventional therapy group(treated with conventional therapy, 50 cases) according to whether they received repetitive transcranial magnetic stimulation therapy.The recovery situations of cognitive function, speech function, and swallowing function after treatment in the two groups were compared.Results After treatment, Montreal Cognitive Assessment Scale(MoCA) scores were(28.32±2.12) points in repetitive transcranial magnetic stimulation group and(23.49±1.83) points in conventional therapy group, and the difference was statistically significant(t=12.195, P<0.05).After treatment, speech function scores were(166.50±18.12) points in repetitive transcranial magnetic stimulation group and(99.39±13.58) points in conventional therapy group, and the difference was statistically significant(t=20.957, P<0.05).After treatment, Water Swallow Test(WST) scores were(1.32±0.17) points in repetitive transcranial magnetic stimulation group and(2.12±0.21) points in conventional therapy group, the difference was statistically significant(t=20.937, P<0.05).Conclusion Repetitive transcranial magnetic stimulation has a positive effect on improving cognitive impairment and speech disorder in postmenopausal stroke patients, which is worthy of clinical promotion.