Abstract：Objective：To observe the effects of acupuncture at Lianquan （CV23） points combined with feedingswallowing training on swallowing function and surface electromyographic （sEMG） signals in elderly patients with poststroke dysphagia. Methods：A total of 80 patients with post-stroke dysphagia admitted to Huzhou Central Hospital from January to August 2025 were enrolled and randomly divided into a control group and an observation group using a random number table method， with 40 cases in each group. The control group received feeding-swallowing training， while the observation group received acupuncture at Lianquan （CV23） points on the basis of the feeding-swallowing training. Swallowing function [Functional Oral Intake Scale （FOIS） and Standardized Swallowing Assessment （SSA）]， sEMG indices（ swallowing duration and maximum amplitude），nutritional status [plasma albumin（ Alb） and Body Mass Index （BMI）]， and quality of life [Swallowing Quality-of-Life Scale （SWAL-QOL）] were compared between the two groups. Results：After treatment，the FOIS scores in both groups were significantly increased （P＜0.05），while the SSA scores were significantly decreased （P＜0.05） compared with those before treatment； the observation group showed significantly higher FOIS scores and lower SSA scores than the control group （P＜0.05）. After treatment，the swallowing duration in both groups was significantly shortened （P＜0.05）， while the maximum amplitude was significantly increased （P＜0.05） compared with those before treatment； the observation group showed significantly shorter swallowing duration and higher maximum amplitude than the control group （P＜0.05）. After treatment，the Alb levels and SWAL-QOL scores in both groups were significantly increased compared with those before treatment （P＜ 0.05）， and the observation group showed significantly higher Alb levels and SWAL-QOL scores than the control group （P＜0.05）； there was no statistically significant difference in BMI within either group before and after treatment （P＞0.05）. Conclusion：The addition of acupuncture at Lianquan （CV23） points to conventional feedingswallowing training can further improve swallowing function，enhance the neuromuscular excitability and coordination of the swallowing muscles， and contribute to the improvement of nutritional status and quality of life in elderly patients with post-stroke dysphagia.