The invention belongs to the technical field of civil engineering, and relates to a drilling and grouting construction method for a sand gravel stratum. The drilling and grouting construction method for the sand gravel stratum comprises the following steps that firstly, hole drilling is carried out, and pipe following drilling is conducted for downward feeding of a wall protection casing pipe; secondly, a grout pipe line is downwards fed; thirdly, an orifice blocking device is installed; fourthly, according to grouting procedures, a proper water cement ratio is adopted for grouting and grout proportioning changing till grouting completion; and fifthly, grouting construction is carried out. The drilling and grouting construction method for the sand gravel stratum has the beneficial effectsthat the problems caused when a perforated pipe enters the sand gravel stratum are solved; the setting depth is controllable, and compared with an inserting and beating method, the drilling and grouting construction method is easy to conduct; the problem that in the process of pulling out the casing pipe, the sand gravel stratum collapses, and consequently the perforated pipe is blocked is prevented, and the problem that slip casting cannot be effectively conducted in the sand gravel stratum is solved; the installation and operation difficulty of a stop-grouting plug is lowered; the effect onthe grouting diffusion radius is relatively small; the process defects are overcome, and the grouting quality is reliable; and the drilling and grouting construction method is suitable for any sand gravel stratum, can be implemented without process tests and has very obvious beneficial effects for a region where the stratum is complex.