To observe the clinical efficacy of electroacupuncture at Baihui (GV20) and Shenting (GV24) in the treatment of mild cognitive impairment after stroke，and to explore the related mechanism. Methods:A total of 120 cases of apoplectic sequelae with mild cognitive impairment were randomly selected，which were admitted to the department of acupuncture and moxibustion of Puyang City People's Hospital from January 2017 to January 2018. The cases were randomly divided into observation group and control group according to random number table method. The control group was treated with western medicine and received rehabilitation treatment. The observation group was treated with electroacupuncture in Baihui (GV20) and Shenting (GV24). After 4 weeks of treatment，the clinical efficacy and related indexes of the 2 groups were observed. Results:After 4 weeks of treatment，the total effective rate of treatment in the control group was 80%，the total effective rate of the observation group was 91.67%. The scores of MMSE，MoCa and FIM in the 2 groups were improved (P<0.05)，and the observation group was better than the control group (P<0.05)，while the serum IL-6 and TNF-α levels were significantly lower (P<0.05)，and the observation group was obviously better than the control group (P<0.05). Conclusion:Electroacupuncture of Baihui and Shenting can obviously improve the clinical symptoms of patients with mild cognitive impairment after apoplexy，and can be easily applied，and the curative effect is accurate. It is worth popularizing.