目的探讨醒脑开窍针法治疗脑卒中后认知功能障碍的临床效果。方法2013 年7 月~2015 年12 月，54 例脑卒中后认知功能障碍住院患者随机等分为试验组和对照组，试验组予醒脑开窍针法加重复经颅磁刺激，对照组仅予重复经颅磁刺激。治疗前及治疗4 周后，采用简易精神状态检查(MMSE)、蒙特利尔认知评定量表(MoCA)进行评定。结果两组治疗后MMSE、MoCA评分均较治疗前明显改善(t>3.52, P<0.01)，试验组优于对照组(t>2.29, P<0.05)。结论醒脑开窍针法能进一步改善重复经颅磁刺激对脑卒中后认知功能障碍的疗效。

Objective To observe the effect of Xingnao Kaiqiao Acupuncture on cognitive impairment post stroke. Methods Fifty-four patients from July, 2013 to December, 2015 with cognitive impairment post stroke were randomly divided into experimental group (accepted Xingnao Kaiqiao Acupuncture and repetitive transcranial magnetic stimulation) and control group (repetitive transcranial magnetic stimulation only). They were assessed with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) before and 4 weeks after treatment. Results The scores of MMSE and MoCA improved after treatment in both groups (t>3.52, P<0.01), and improved more in the experimental group than in the control group (t>2.29, P<0.05). Conclusion Xingnao Kaiqiao Acupuncture may further improved the recovery of cognitive impairment post stroke based on repetitive transcranial magnetic stimulation.