Objective To investigate the clinical effect of electroacupuncture combined with catheter balloon dilatation in the treatment of dysphagia caused by achalasia of the cricopharyngeus muscle after stroke. Methods A total of 60 patients were randomly divided into observation group and control group, with 30 patients in each group. The patients in the control group received catheter balloon dilatation alone, and those in the observation group were given electroacupuncture in addition to the treatment in the control group at the acupoints of Lianquan, Jialianquan, Yifeng, and Fengchi with continuous wave at a frequency of 2 Hz. The patients in both groups were treated once a day, 6 days a week for 4 consecutive weeks. Water swallow test and standardized swallowing assessment (SSA) were used to evaluate swallowing function, and the scores of 9 symptoms including "hoarseness and sluggish speech" were observed. The change in grade based on water swallow test was observed to evaluate clinical outcome. Results After 4 weeks of treatment, both groups had significant reductions in water swallow test score, SSA score, and symptom scores (P<0.05), and the observation group had significantly greater reductions than the control group (P<0.05). The observation group had a significantly better clinical outcome than the control group (P<0.05). Conclusion Electroacupuncture combined with catheter balloon dilatation can alleviate the clinical symptoms associated with swallowing and thereby improve overall clinical outcome.