Objective To investigate the clinical efficacy of electrophysiological therapy combined with swallowing-feeding training in the treatment of dysphagia after stroke. Methods A total of 135 patients with dysphagia after stroke who admitted to our hospital from June 2016 to December 2017 were recruited as the observation subjects, and were randomly divided into 3 groups, with 45 cases in each group. The patients from the rehabilitation training group were treated with only swallowing-feeding training, those of the electrophysiological therapy group were given electrophysiological therapy, and those of the combined treatment group underwent both the training and the therapy. After 4 weeks′ treatment, the effective rate, score of Gugging swallowing screen (GUSS), and results of functional oral intake scale (FOIS) were compared among the 3 groups, as well as the rate of complications. SPSS statistics 19.0 was used to perform the statistical analysis. Student′s t test or Chi-square test was employed in inter-group comparison for different data types. Results The combined treatment group obtained significantly higher markedly effective rate (53.3%) and total effective rate (95.6%) when compared with the rehabilitation training group (33.3%, 73.3%) and electrophysiological therapy group (35.6%, 75.6%, all P<0.05). What′s more, the GUSS score [(14.26±2.59) vs(11.43±2.31) vs(11.98±2.40)] and FOIS score [(4.02±1.27) vs(2.91±0.75) vs(3.52±0.74)] were also obviously higher in the combined treatment group than the other 2 groups (all P<0.05). The total incidence of complications in the combined treatment group (4.4%) was also significantly lower than that in the rehabilitation training group (44.4%) and electrophysiological therapy group (26.7%, both P<0.05). Conclusion The combination of electrophysiological therapy and swallowing-feeding training is effective in the treatment of dysphagia after stroke, and can effectively improve the swallowing function and reduce occurrence of complications.