The invention provides an iron ore pre-reduction sintering method. The method comprises the steps that firstly, a traditional mixture is prepared, iron ore powder, a solvent and fuel are subjected to raw material matching, mixing and granulating are conducted, and the traditional mixture is obtained; secondly, a pre-reduction mixture is prepared, after the iron ore powder, an additive and the fuel are evenly mixed, pelleting is conducted, carbon-burdened pellets are obtained and placed in a cylinder mixer, fuel fine powder and quick lime or slaked lime are added for wrapping and granulating, and the pre-reduction mixture is obtained; thirdly, material distribution is conducted, a double-layer material distribution manner is adopted, the pre-reduction mixer prepared in the second step is placed on a sintering machine trolley in advance, and the traditional mixture prepared in the first step is placed on the pre-reduction mixture; and fourthly, sintering is conducted, ignition is conducted, and the traditional mixture and the pre-reduction mixture are subjected to smoke circulation type sintering on a sintering machine. The problem that CO smoke is hard to treat is solved, secondary oxidization in the pre-reduction sinter reducing process is reduced, the combustion atmosphere between material layers is improved, the material temperature is increased, and generation of the iron ore material reducing reaction is accelerated.