〔Abstract〕Objective： To observe the effect of dynamic scalp acupuncture on cognitive function and self-care ability of stroke patients. Methods Select strokes from May 2018 to May 2020 in the Department of Rehabilitation Medicine, Nan'ao People's Hospital, Shenzhen Dapeng New District, Department of Rehabilitation Medicine, Shenzhen Second People's Hospital, and the Inpatient Department of Shenzhen Hospital of Guangzhou University of Chinese Medicine (Shenzhen Futian District Traditional Chinese Medicine Hospital). There were 666 hospitalized patients with cognitive impairment. 666 patients with cognitive impairment after stroke were randomly divided into dynamic scalp acupuncture group (223), simple scalp acupuncture group (221) and scalp acupuncture combined with cognitive training group (222). All the patients in the three groups were given routine drug and rehabilitation exercise therapy,head acupuncture and computer cognitive training.The dynamic scalp acupuncture group carried out the head acupuncture and cognitive training simultaneously, and the simple head acupuncture group only performed the head acupuncture and cognitive training for 8 weeks. Before, at 4 weeks and at the end of the course of treatment to assess the cognitive function of the patients with the MMSE cognitive function scale and the Barthel index to assess the self-care ability of the patients. Results Before treatment, there was no signifi cant difference in MMSE scores among all groups (P > 0.05). MMSE scores of all groups were higher than those before treatment at the end of 4 weeks of treatment and at the end of treatment, and the MMSE scores of the interactive acupuncture group and the acupuncture + cognitive training group were higher than those after 4 weeks of treatment, with statistical signifi cance (P < 0.01). MMSE scores of the interactive acupuncture group were higher than those of the other two groups at the end of 4 weeks of treatment and the difference was statistically signifi cant (P < 0.05). There was no signifi cant difference between the acupuncture group and the acupuncture + cognitive training group after 4 weeks of treatment.At the end of the course of treatment, the MMSE score of the acupuncture + cognitive training group was higher than that of the acupuncture group alone, and the difference was statistically signifi cant (P < 0.01). Before treatment, there was no statistical signifi cance in Barthel scores among all groups (P > 0.05). After 4 weeks of treatment, Barthel scores of all patients in all groups were improved compared with before treatment, and at the end of the course of treatment, Barthel scores of all patients were improved compared with after 4 weeks of treatment, with statistical signifi cance (P < 0.01). After 4 weeks of treatment, Barthel scores in the acupuncturing + cognitive training group were not signifi cantly different from those in the acupuncturing alone group (P > 0.05), while Barthel scores in the interactive acupuncturing group were higher than those in the other two groups (P < 0.01). At the end of the course of treatment, Barthel score of the acupuncture + cognitive training group was higher than that of the acupuncture alone group, with statistical signifi cance (P < 0.01), and Barthel score of the interactive acupuncture group was higher than that of the acupuncture alone group and the acupuncture + cognitive training group (P < 0.01). Conclusion Dynamic scalp acupuncture can obviously improve cognitive function and selfcare ability of patients with cognitive impairment after stroke.