Background: Oxygen-glucose deprivation (OGD), as a cell model in vitro, is closely related to nerve injury that has been widely used to investigate molecular mechanism and treatment strategy for cerebral ischemia (CI). As a condition injury induced by insufficient blood supply to meet metabolic obstacle, CI commonly results in several injury and cell at involved area, for which, effective treatments are still waiting to be developed. Objective: This study aims to investigate the therapeutic effect of scutellarin on neuronal repair in an OGD model and to determine the underlying molecular mechanism. Methods: Cell experiments were randomly divided into: the normal group, OGD group, OGD with Scutellarin (SCU), administration group, negative control (NC) group, and OGD administrated by SCU with Netrin-1-si group (NTN1). Cortical neurons were firstly extracted and cultured 3 days from SD rat embryos (16-18 days) under aseptic conditions, followed by scutellarin treatment and NTN1 knockdown, together with specimen collection after 24 hours. Analysis included immunofluorescence, Terminal deoxynucleotidyl transferase dUTP Nick End Labeling (TUNEL) staining, and quantitative reverse transcription polymerase chain reaction (qRT-PCR) were employed to assess netrin expression in brain tissue, and cell apoptosis rate was determined. Results: TUNEL and immunofluorescence staining showed a reduced neuronal apoptosis rate in the SCU-treated group, compared to OGD group (p < 0.05). qRT-PCR revealed a decreased NTN1 expression in OGD than seen in normal, while an upregulation was seen in the SCU-treated group compared to OGD (p < 0.05). NTN1 interference increases cell apoptosis and decreased cell count in OGD than in normal one (p < 0.05). Moreover, OGD with NTN1 knockdown administrated by SCU leads to increased cell apoptosis than in OGD administrated by SCU only. Mechanismly, qRT-PCR indicated Protein Kinase B/Phosphoinositide 3-kinase (AKT/PI3K) expression was involved in this process. Conclusions: Scutellarin may regulate NTN1 expression and affect the P13K/AKT pathway, thereby contributing to neuronal recovery in OGD model. These findings may provide a reference for the clinical treatment of CI in later clinical trials.