The invention relates to an inflatable hanging air conditioning comforter and an air conditioning mattress pad, in particular to an inflatable hanging comforter and a mattress pad with an air conditioner for regulating sleeping microenvironment. The air conditioner is arranged inside a bedside cabinet and composed of a refrigerator, a heater, a fan, a fan coil pipe, an air outlet pipe, a cold/hot water tank, a water circulating pump and a throttling valve; an inflatable supporting pipe and a blower pipe are arranged inside the air conditioning comforter, after inflation, the air conditioning comforter has a camp shape with the front, the back, the left, the right and the top five faces, and an air inlet port of the blower pipe is connected with the air outlet pipe of the air conditioner; a snake-shaped water pipe is arranged inside the air conditioning mattress pad, the water inlet port and the water outlet port of the snake-shaped water pipe are connected with the cold/hot water tank of the air conditioner; and the air conditioning comforter is connected with the left, the back and the right sides of the air conditioning mattress pad via zippers to form a sleeping microenvironment. The air conditioner is used for generating and delivering cold air or hot air and cold water or hot water into the comforter and the mattress pad for refrigerating or heating. All the electrical devices in the inventive comforter and mattress pad are arranged inside the bedside cabinet. The inventive comforter and mattress pad have the advantages of low energy consumption, comfort, convenient service, good health care effect, and safety.