〔Abstract〕 Objective To explore the effect of repetitive transcranial magnetic stimulation combined with cognitive training in the treatment of cognitive impairment after stroke. Methods 60 patients with post-stroke cognitive impairment treated in Zaozhuang Municipal Second Hospital from January 2019 to January 2020 were randomly divided into observation group and control group, with 30 cases in each group. The control group was treated with traditional conventional therapy, while the observation group received repeated transcranial magnetic stimulation and cognitive training. The scores of Loewenstein cognitive function assessment scale (LOTCA) and Montreal cognitive assessment scale (MoCA) were compared between the two groups. Results After treatment, the scores of LOTCA and MOCA in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion Repetitive transcranial magnetic stimulation combined with cognitive training has a very positive significance for stroke patients to restore their cognitive ability.