This study examines the interference problem between screw dislocation and elliptical inclusion in one-dimensional hexagonal piezoelectric quasicrystals. The general solutions are obtained using the complex variable function method and the conformal transformation technique. When the screw dislocation is located outside or inside the elliptical inclusion, the perturbation method and Laurent series expansion are employed to derive explicit analytical expressions for the complex potentials in the elliptical inclusion and the matrix, respectively. Considering four types of far-field force and electric loading conditions, analytical solutions for various specific cases are obtained by using matrix operations. Expressions for the phonon field stress, phason field stress, and electric displacement are given for special cases, including the absence of a dislocation, the presence of an elliptical hole, and the interference between a screw dislocation and circular inclusion, as well as the case of a circular hole. The design and analysis of quasicrystal inclusion structures can benefit from the results of this work.