The invention discloses an efficient breathable paper diaper for waist protection. The efficient breathable paper diaper for the waist protection comprises a paper diaper body, lower connecting lugs,upper connecting lugs, an elastic waistline, a vacuum bag, a hook-and-loop fastener, an anti-side-leakage protection napkin, a urine bag cup, an air hole, an elasticity rubber line, breathable holes,absorbent cotton and through holes, wherein the paper diaper body is composed of a base layer, a non-woven fabric outer layer, a breathable layer, a first water absorption layer, a drainage layer, a second water absorption layer and a flexible cotton layer, the top of the base layer is provided with the non-woven fabric outer layer, the top of the non-woven fabric outer layer is provided with thebreathable layer, the top of the breathable layer is provided with the first water absorption layer, the bottom of the base layer is provided with the drainage layer, the bottom of the drainage layeris provided with the second water absorption layer, the bottom of the second water absorption layer is provided with the flexible cotton layer, the two corresponding sides of the bottom of the paper diaper body are provided with the lower connecting lugs respectively, and the two corresponding sides of the top of the paper diaper body are provided with the upper connecting lugs respectively. The paper diaper is conductive to waist protection and breathability.