The invention discloses an LC-MS/MS method for quantitatively analyzing the plasma concentration of an antituberculous drug. The method can simultaneously detect isoniazide, rifampicin, pyrazinamide and ethambutol through S1 standard working solution preparation, S2 sample preparation, S3 sample treatment, S4 sample detection and S5 standard curve making and quantitative analysis, the sample pretreatment process is simple and is easy to operate, and all the reagents are conventional reagents, so that the cost is lower. According to the method, a reversed-phase C18 column of 150 mm*2.1 mm is adopted, the flow rate is controlled to be 0.3 mL/min, and the column temperature is 30 DEG C; the problem that the polarity difference of isoniazide, rifampicin, pyrazinamide and ethambutol is large can be well solved, the separation effect is better, and the cost is lower. The method has the advantages of higher sensitivity, accuracy and precision, wide detection linear range and short detection time, and can be used as a reliable detection method suitable for popularization and for monitoring the treatment concentration of clinical first-line anti-tuberculosis drugs.