Abstract: OBJECTIVE To observe the effect of posture control combined with respiratory rehabilitation exercise on improvement of dysphagia and prevention of pulmonary infection in intracerebral hemorrhage patients with dysphagia. METHODS A total of 224 intracerebral hemorrhage patients with dysphagia who received rehabilitation treatment in Beijing Daxing District People's Hospital from Jan 2020 to Dec 2020 were recruited as the study subjects and randomly divided into the rehabilitation exercise group and the control group, with 112 cases in each group. The control group was treated with conventional therapy, while the rehabilitation exercise group was given additional posture control and respiratory rehabilitation exercise therapy on basis of the treatment of the control group. The oral feeding ability, aspiration, incidence of pulmonary infection and clinical curative effect were observed and compared between the two groups of patients before the exercise and after the exercise for 30 days. RESULTS There was no significant difference in the classification of swallowing function between the two groups of patients before the exercise; the swallowing function classification of the two groups of patients was improved after the exercise（P＜0.05）; the swallowing function of the rehabilitation exercise group was better than that of the control group after the exercise（P＜0.05）. The cure rate and effective rate of clinical treatment of the intracerebral hemorrhage patients with dysphagia were respectively 75.00% and 98.22% in the rehabilitation exercise group, higher than 55.36% and 87.50% in the control group（P＜0.05）. The osmotic aspiration score and incidence of pulmonary infection were lower in the rehabilitation exercise group than in the control group after exercise（P＜0.05）. CONCLUSION The posture control combined with respiratory rehabilitation exercise can significantly improve the dysphagia, reduce the incidence of aspiration and prevention the pulmonary infection in the intracerebral hemorrhage patients with dysphagia.