Swallowing disorders in the elderly are often seen clinically, and the probability of swallowing disorders in patients with a previous history of cerebrovascular disease is very high. Unilateral damage to the cortical brainstem bundle, called pseudobulbar palsy, can restore swallowing function in more than 90% of patients. Improvement of swallowing function can be achieved through a combination of Chinese and Western medicine, swallowing training, and acupuncture methods. General swallowing disorders to prevent choking methods are as follows: 1, first of all, the preparation of food, such as some ribs, fish must be shaved off the bones, prepare suitable food, as far as possible to make food into paste and pills, which is conducive to the patient’s swallowing; 2, eating position is best to take a sitting position or semi-recumbent position, bedridden patients should be shaken more than 60 ° high head of the bed to reduce the choking chances of eating; 3, swallowing Patients with swallowing disorders, as far as possible to reduce the intake of liquid and semi-liquid food, juicy food, juicy fruit, the patient has more chances to choke and cough; 4, the process of ingestion of food, family members, caregivers to send food to the back of the patient’s tongue as much as possible, which is conducive to the patient’s swallowing; 5, rehabilitation training, improve swallowing function is the most important interventions and preventive factors to prevent choking.