The invention belongs to the field of plastic tubular product, and more specifically relates to an antibacterial wear-resistant plastic tubular product, and a preparation method thereof. The antibacterial wear-resistant plastic tubular product is prepared from, by weight, 100 to 150 parts of high density polyethylene, 10 to 30 parts of acetylated monoglyceride, 10 to 30 parts of coumarone resin, 5to 10 parts of anti-oxidant 1010, 20 to 40 parts of hollow glass bead, 10 to 15 parts of nanometer silver, 1 to 6 parts of chlorinated polyethylene, 3 to 7 parts of high resistant carbon black, 5 to8 parts of silane coupling agent, 5 to 10 parts of nanometer titanium dioxide, 3 to 6 parts of zinc oxide, 10 to 15 parts of acrylic resin, and 15 to 20 parts of an auxiliary agent. The antibacterialwear-resistant plastic tubular product possesses excellent heat resistance, wear resistance, antibacterial performance, and mildew resistance. The mechanical strength of the antibacterial wear-resistant plastic tubular product is not influenced by the antibacterial performance and mildew resistance, wear resistance is excellent, service life is long, and market application prospect and economic benefit are excellent.