Objective <p>To observe the efficacy of synchronous scalp acupuncture and rehabilitation training in the treatment of poststroke dysphagia.</p> Methods <p>A total of 106 participants were divided into an observation group and a control group using the random number table method, with 53 cases in each group. The control group was treated with scalp acupuncture in addition to conventional rehabilitation training. The observation group was treated with synchronous scalp acupuncture and conventional rehabilitation training. Water swallowing test (WST), blood oxygen-saturation change amplitude, mini-mental state examination (MMSE), and standardized swallowing assessment (SSA) were assessed before treatment, after 2 weeks of treatment, and at follow-ups at week 4 and week 6. The effective rate was calculated based on the change in the WST grading after 2 weeks of treatment.</p> Results <p>After 2 weeks of treatment, there was an insignificant difference in the total effective rate between the two groups (<i>P</i>&gt;0.05), but the inter-group difference in the cured plus markedly effective rate was significant (<i>P</i>&lt;0.01). The intra-group differences in the WST grading, blood oxygen-saturation change amplitude, and the scores of MMSE and SSA were significant among the 4 time points in the two groups (<i>P</i>&lt;0.01). At follow-up at week 6, the WST grading and SSA score in the observation group were superior to those in the control group (<i>P</i>&lt;0.01).</p> Conclusion <p>Both intervention protocols can improve the swallowing function, physical function, and psychological status; the observation group’s intervention is better than that of the control group in improving swallowing function.</p>