The invention relates to a preparation method of a compound oral solid preparation containing Ticagrelor. According to the compound oral solid preparation, the content of Ticagrelor per unit of the preparation is 60-180 mg, preferably 60-90 mg; the content of aspirin or pharmaceutically acceptable salt or ester per unit of the preparation is 35-75 mg, preferrably 35-50 mg. The compound oral solid preparation is prepared from Ticagrelor, aspirin, a pellet core material, an adhesive, a film coating material, an enteric coating material, a diluent, a disintegrating agent and a lubricant. Ticagrelor granules, pellets or tablets and aspirin enteric pellets or enteric tablets are prepared separately, then mixed and bagged, capsulated or tableted, so that the purpose that Ticagrelor and aspirin are not directly contacted in a medicine composition preparation and can thereby keep stable is achieved.