Objective To explore the effect of rehabilitation training based on dynamic aspiration risk assessment on swallowing function in advanced age patients. Methods Totally 120 advanced age patients with dysphagia were divided into an experimental group and a control group chronologically, with 60 cases in each group.The control group received routine aspiration prevention nursing intervention and swallowing function rehabilitation training; while the experimental group additionally received swallowing rehabilitation training according to their grade of aspiration risk, which were assessed repeatly every 2 weeks, then the rehabilitation trai-ning measures were adjusted according to the assessment result. The score of swallowing function and the incidence of aspiration between the two groups before and 8 weeks after the intervention were compared. Results After the intervention, the score of swallowing function and the incidence rate of aspiration in the experimental group were significantly lower than those in the control group （P＜0.05,P＜0.01）. Conclusion The graded rehabilitation training according to the result of dynamic aspiration risk assessment for advanced age patients with dysphagia, can promote their swallowing function recovery, and reduce the occurrence of aspiration, then improve patients′ recovery.