| 1 | Ayitinama Yerhanati (Neo) Hanahati Muhamaiti (Neo) Zhihan Deng (A2) | CHN | 3:52.63 | TR | - |
| 2 | Alemasi Kahanbai (Senior) Zebin Wang (A1) Teenbuli Yeerken (Neo) | CHN | 3:54.29 | | +1.660 |
| 3 | Xiaochun Ma (A2) Helan Yertai (Neo) Yanan.97 Jin (Senior) | CHN | 3:57.01 | | +4.380 |
| 4 | Jiawei Yu (Neo) Wenhao Li (A1) Hongli Wang (Senior) | CHN | 3:57.96 | | +5.330 |
| 5 | Jianshi Shen (A1) Baishan Yeerjianati (A2) Shuaihan Wang (Neo) | CHN | 4:03.28 | PB | +10.650 |
| 6 | Zihan Zhou (Neo) Hanzhi Yang (Neo) Jinbao Xiao (Neo) | CHN | 4:03.34 | | +10.710 |
| 7 | Yang.01 Wang (Neo) Zezheng Rong (A2) Jiaxin Guan (Senior) | CHN | 4:04.29 | | +11.660 |
| 8 | Jian.05 Zhang (A1) Pengxiang Gao (Neo) Peng Cheng (Neo) | CHN | 4:05.86 | | +13.230 |
| 9 | Jian Guo (A1) Xietian Dong (B2) Yuhaochen Li (B2) | CHN | 4:06.65 | | +14.020 |
| 10 | Xin Yang (Neo) Chengxu Qin (Neo) Jitao Jin (A1) | CHN | 4:08.48 | | +15.850 |
| 11 | He.02 Zhang (Neo) Sheng Tan (Neo) Zhengxi Piao (Neo) | CHN | 4:11.47 | | +18.840 |
| 12 | Quanzheng Duan (Neo) Qiwen Zhu (A1) Baoshuo Pan (B1) | CHN | 4:12.52 | SB | +19.890 |
| 13 | Xihao Han (Neo) Yunchao Cai (Neo) Lei Chen (A2) | CHN | 4:13.18 | | +20.550 |
| 14 | Shipeng Gong (A1) Haoxuan Qin (A2) Shuiqing Luo (n/a) | CHN | 4:13.82 | | +21.190 |
| 15 | Sixing Chen (Senior) Fan.96 Yang (Senior) Zhaoyu Zhu (Neo) | CHN | 4:17.56 | SB | +24.930 |
| 16 | Yanli Hou (Neo) Xiaofeng Gao (B2) Wenjie Jiao (A1) | CHN | 4:18.28 | PB | +25.650 |
| 17 | Hongyu Mu (A2) Ze Zhao (A2) Ziyang Lu (A1) | CHN | 4:18.93 | | +26.300 |
| 18 | Hanbin Liu (B1) Yanyang Zheng (A1) Peifu Jing (B2) | CHN | 4:22.24 | | +29.610 |