| Objective: To observe the efficacy of repetitive transcranial magnetic stimulation (rTMS) for cognitive and ingestion disorders in stroke patients. Methods: A total of 60 patients with cognitive and ingestion disorders after stroke were randomly assigned into control group (n=30) and observation group (n=30). All patients in both groups were given conventional drug therapy. The control group received routine cognitive training and ingestion training. The observation group received rTMS on the basis of the control group. After treatment for 4 weeks, the cognition and ingestion of the two groups were evaluated and analyzed respectively. Results: The score of Mini-mental state examination (MMSE), the 24-h intake, the score of video fluoroscopic dysphagia scale (VDS), the oral transit time (OTT) and the soft palate elevation time (SET) were significantly improved after treatment in both groups (P<0.01), and those in the observation group were better than in the control group (P<0.01). In the observation group, the MMSE score was significantly and positively related with 24-h intake (rs=0.757, P<0.01), the MMSE score was negatively related with VDS score (rs=-0.432, P<0.05), the MMSE score was negatively related with OTT (rs=-0.422, P<0.05), and the MMSE score was negatively related with SET (rs=-0.430, P<0.05). Conclusion: rTMS can effectively improve the cognitive and ingestion functions in patients with cognitive impairment and ingestion disorders after stroke. |
