The invention discloses an anesthetic nasal spray and a preparation method thereof. The anesthetic nasal spray can be used for overcoming local anesthesia injection pain in a minor operation of an adult outpatient clinic, can fully solve the problems of preoperative and intraoperative tension, poor compliance and poor sensitivity; the anesthetic nasal spray is prepared from, by weight, 3-5 ml of adexmedetomidine hydrochloride injection, 0.5-2 ml of a sufentanil citrate injection and 8-10 ml of normal saline. The preparation method of the anesthetic nasal spray comprises the following steps that a, the dexmedetomidine hydrochloride injection is sucked by a medical syringe A; b, the sufentanil citrate injection is sucked by a medical syringe B; c, the normal saline is sucked by the medicalsyringe B to dilute the sufentanil citrate injection; d, the liquids in the medical syringe A and medical syringe B are mixed, and then standing is performed for 3-10 minutes.