The invention provides an automatic shockable rhythm identification and classification method combined with electrocardio time-frequency domain feature analysis. The method comprises specific steps as follows: S1, pretreating electrocardio signals; S2, automatically identifying cardiac arrest rhythms, and if discrimination conditions are not met, implementing S3; S3, on the basis of an integral coefficient band-pass filter, calculating the maximum amplitude proportion value (Pa), the average amplitude proportion value (Pb) and the average deviation proportion value (Pc) of output signals; S4, S5, S6 and S7, discriminating shockable rhythms and non-shockable rhythms according to frequency domain feature values such as the Pa, the Pb, the Pc and the like, and implementing S8 in case of failure; S8, calculating an electrocardio standard grid bar projection standard deviation; S9, discriminating the shockable rhythms and the non-shockable rhythms according to the standard deviation. The method can be applied to instruments and equipment which automatically identify and classify the shockable rhythms according to body surface electrocardiograms, the shockable rhythm identification sensitivity and the non-shockable rhythm specificity are improved, and the algorithm operating efficiency is improved.