The invention relates to a health state evaluation method, 
system and device for a 
numerical control machine tool and a medium, and the method comprises the steps: training 
model parameters of a health state analysis model based on each pre-obtained training sample 
data set, and calculating a corresponding likelihood probability, forming a preset 
model parameter set representing different preset working condition states of the 
machine tool by each group of trained 
model parameters, and forming a preset likelihood probability set by each likelihood probability; and based on the obtained preset 
model parameter set and the preset likelihood probability set, evaluating the health state of the current 
numerical control machine tool. According to the method, the historical 
monitoring data of the 
numerical control machine tool is utilized to construct the multi-dimensional 
data vector, the health state of the numerical control 
machine tool is evaluated by calculating the health degree, the number of 
machine tool sensors does not need to be increased, the model has wider practicability, the calculation complexity is reduced, and accurate, rapid and real-time health degree evaluation is achieved; the method can be widely applied to the numerical control machine tool health state monitoring field.