Objective:To investigate the efficacy of bilateral cerebellar high-frequency repetitive transcranial magnetic stim-ulation(rTMS)combined with Beckman oropharyngeal rehabilitation exercises for dysphagia after stroke.Methods:83 patients with dysphagia following stroke were divided into an observation group(n=42)and a control group(n=41)according to dif-ferent treatment methods.The control group received Beckman oropharyngeal rehabilitation therapy,and the observation group received bilateral cerebellar high-frequency rTMS in addition to Beckman oropharyngeal rehabilitation therapy for the same du-ration,both groups were treated for 4 weeks.The two groups were compared in terms of swallowing function[Kubota Water Swallowing Test,Eating Assessment Tool-10(EAT-10),Standard Swallowing Assessment(SSA)],swallowing time parame-ters,hyoid-laryngeal complex excursion,surface electromyography(sEMG)maximum amplitude and duration,fiberoptic endo-scopic evaluation of swallowing(FEES)findings,and Swallowing Quality of Life(SWAL-QOL)scores.Results:After treat-ment,the Kubota Water Drinking Test scores,EAT-10 scores,and SSA scores of both groups were lower than those before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).The oral transit time and swal-lowing reaction time of both groups were shorter than those before treatment(P<0.05),and the observation group was shor-ter than the control group(P<0.05).The hyoid-laryngeal complex movement,including the maximum hyoid elevation,maxi-mum hyoid anterior movement,maximum laryngeal elevation,and maximum laryngeal anterior movement,in both groups in-creased compared to before treatment(P<0.05),and the observation group was greater than the control group(P<0.05).The sEMG amplitude of both groups decreased compared to before treatment(P<0.05),and the duration shortened compared to before treatment(P<0.05),with the observation group was lower than the control group(P<0.05).The proportion of vo-cal cord paralysis,nasopharyngeal reflux,saliva stasis,and aspiration in FEES evaluation were all lower in the observation group compared to the control group(P<0.05).The SWAL-QOL scores of both groups increased compared to before treatment(P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion:Bilateral cerebellar high-fre-quency rTMS combined with Beckman oral-pharyngeal rehabilitation significantly improves post-stroke dysphagia,reduces swallowing-related complications,and enhances quality of life through the synergistic effect of neuromodulation and functional training.