The invention belongs to the technical field of medicines, and particularly relates to a metronidazole tablet and a preparation method thereof. The preparation method comprises the following steps of:smashing metronidazole raw materials, and screening through a first-mesh sieve to obtain metronidazole, wherein the particle size of the metronidazole is not greater than 300 micrometers; according to preset parts by weight, weighing the metronidazole, a filler and disintegrant, evenly mixing the metronidazole, the filler and the disintegrant in a wet granulator, adding an adhesive for granulation, and screening the mixture by a second-mesh sieve to obtain wet particles, wherein the particle size of the filler is not greater than 150 micrometers; after the wet particles are dried, carrying out particle arrangement, adding a lubricating agent, and mixing in a mixer to obtain an intermediate particle; and carrying out tableting, coating and packaging on the intermediate particle to obtain the metronidazole tablet. The preparation method, which is provided by the embodiment of the invention, for the metronidazole tablet has a stable technology, the product quality of the metronidazole tablet which is finally obtained is guaranteed, the metronidazole table exhibits a better dissolution rate, the dissolution effect of the metronidazole tablet is effectively improved, and the quality and the curative effect of the metronidazole tablet are improved.