Objective：To observe the effect of long-time indwelling needle of sculp acupuncture at early stage combined with rehabilitation training on cognitive disorder of stroke patients.Methods：Selected 100 cases of stroke patients with cognitive disorder，and divided them into the control group and the observation group randomly，50 cases in each group.Both groups receivedthe routine medicine treatment of nourishing nerves，improving microcirculation and so on according to their conditions，and the control group additionally received rehabilitation training，while the observation group additionally received the long-time indwelling needle of sculp acupuncture at early stage for treatment.Observed the improvements of cognitive function，living ability and the level of latency potentials of patients after treatment.Results：After treatment，the scores of Montreal cognitive assessment(MoCA)and mini-mental state examination(MMSE)in both groups were higher than those before treatment(P＜0.05).Comparing with the control group，the scores of MoCA and MMSE in the observation group were increased more evidently(P ＜ 0.05).After treatment，the scores of activity of daily living scale(ADL)in both groups were higher than those of before treatment(P ＜ 0.05)；the scores of ADL in the observation group were increased more evidently than those in the control group(P ＜ 0.05).After treatment，the potential levels of N2 and P3 in both groups were lower than those before treatment(P ＜ 0.05)；the potential levels of N2 and P3 in the observation group were lower than those in the control group(P＜0.05).Conclusion：Long-time indwelling needle of sculp acupuncture at early stage combined with rehabilitation training can effectively enhance the cognitive function and living ability of stroke patients with cognitive disorder.