Abstract: Objective To evaluate the predictive value of Standardized Swallowing Assessment (SSA) for the aspiration pneumonia in patients with Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) complicated with dysphagia. Methods From January 2013 to January 2015, 65 patients diagnosed as OSAHS combined with swallowing dysfunction were enrolled. SSA scale was adopted to evaluate the risk of aspiration pneumonia. The ROC curve was used to evaluate the accuracy of SSA in predicting aspiration pneumonia. Results By the end of follow-up, aspiration pneumonia occurred in 22 cases (33.33%), and the ROC analysis revealed a AUC value of 0.681. The cut-off value of SSA was 36.5 to achieve maximal Youden index of 0.326. Conclusion The SSA can predict aspiration pneumonia in patients with OSAHS and dysphagia. When the SSA score is over 36 points, the possibility of aspiration pneumonia will decrease.