[Objective] Revealing the urban land intensive utilization in Beijing-Tianjin-Hebei area, to provide basis for the study of urban land intensive utilization under the perspective of ecological health and low-carbon development. [Methods] The relative entropy method of combination weighting, multi-factor comprehensive evaluation method, coordinate measuring method and obstacle factor diagnosis method were used in this study. [Results] (1) The urban land intensive utilization of Beijing-Tianjin-Hebei region showed a "cross" diffusion situation with Beijing City and Tianjin City as its core. (2) Correlation between coordination of the system and the intensive use of land was found significant and different regionally. (3) The main obstacle factors focused on the ecological health and low carbon-related indicators in Beijing and Tianjin cities, and focused on the land use structure-related indicators in Qinhuangdao and Tangshan cities. It is focused on the ecological health-related indicators in Shijiazhuang, Handan and Baoding cities, and in the low-carbon and ecological environment-related obstacle indicators in Cangzhou, Langfang and Xingtai cities. It is focused on the obstacle factors of economic development and investment in Chengde and Hengshui cities, and factors focused on the economic development and ecological protection in Zhangjiakou City. [Conclusion] Taking the concept of ecological health and low-carbon development into the study could provide us more scientific and comprehensive view to reflect the urban land intensive use, and provide support for the scientific land use in the future.