Based on the panel data and DEA-Malmquist and Panel Tobit model during the Eleventh Five Year Plan and the Twelfth Five Year Plan of Beijing Tianjin Hebei Region, the energy and environmental utilization efficiency and influencing factors of 202 districts and counties in the region are analyzed. The results show that during the research period, the pure technical efficiency of Beijing Tianjin Hebei region was the highest, the scale efficiency is the second, and the comprehensive efficiency was the lowest. The change index of technological progress is the leading factor affecting the change index of total factor productivity. The proportion of tertiary industry and the degree of economic openness had a positive impact on the regional energy and environmental utilization efficiency of Beijing, Tianjin and Hebei, and energy consumption per unit GDP, government intervention and real estate investment had a negative impact on the regional energy and environmental utilization efficiency.