| 1 | Alemasi Kahanbai (Neo) Xiakaini Aerchenghazi (Neo) Dasituer Tuersonghan (Senior) | CHN | 3:54.30 | | - |
| 2 | Chenglong Xu (Neo) Jiafan.93 Zhu (Senior) Bin Zhou (Neo) | CHN | 3:55.88 | | +1.580 |
| 3 | Zehao Liu (B2) Jiahui Ren (Neo) Song Wang (A1) | CHN | 3:58.20 | | +3.900 |
| 4 | Jiawei Yu (A1) Shen Hanyang (Neo) Enxue Chen (Neo) Yanzhe Xu (Neo) Xiang Wang (Neo) | CHN | 4:05.02 | | +10.720 |
| 5 | Boxi Li (Neo) Pengfei Gao (Senior) Xin Sun (Neo) | CHN | 4:06.48 | PB | +12.180 |
| 6 | Jiayao Zhu (Senior) Bowen Xuan (Senior) Zonghai Yu (Neo) | CHN | 4:06.62 | | +12.320 |
| 7 | Ayitinama Yerhanati (B1) Teenbuli Yeerken (B2) Xin Dai (B2) | CHN | 4:07.12 | NRJ | +12.820 |
| 8 | Helan Yertai (A1) Zhipeng Zhao (Neo) Jiaqi Yin (Neo) | CHN | 4:08.17 | | +13.870 |
| 9 | Jin Li (Neo) Guang Chen (Senior) | CHN | 4:08.92 | | +14.620 |
| 10 | Fu Xu (Neo) Qiaozhi Li (Neo) Xingguang Ma (Senior) | CHN | 4:10.25 | SB | +15.950 |
| 11 | Zhihao Liang (A1) Xihao Han (A2) Zihao.01 Wang (B2) | CHN | 4:12.92 | PB | +18.620 |
| 12 | Peng Cheng (A1) Tianhong Gong (Neo) Shuai Xu (B2) | CHN | 4:14.42 | | +20.120 |
| 13 | Zhibo Cui (Neo) Jiaxin Guan (Neo) Zhiwen Guo (Senior) | CHN | 4:14.92 | | +20.620 |
| 14 | Rehati Baoerjiang (Senior) Weihang Hao (A2) Dongbin Gao (A2) | CHN | 4:15.55 | | +21.250 |
| 15 | Bo Xing (B2) Guanglin Jiang (B2) Zhentian Wang (Neo) Jinbao Xiao (B1) Jiayun Zhang (A2) | CHN | 4:16.41 | SB | +22.110 |
| 16 | Fanzhi Wang (Neo) Shuai Lyu (C2) Yuan.98 Yue (Neo) | CHN | 4:16.48 | | +22.180 |
| 17 | Lianyong Shan (Neo) Junzhi.98 Zhang (Neo) Hao Rong (B2) | CHN | 4:18.17 | PB | +23.870 |
| 18 | Xing Xin (B2) Sixing Chen (Neo) Chunsheng Liu (B2) | CHN | 4:21.94 | SB | +27.640 |
| 19 | Senze Wang (Neo) | CHN | 4:27.04 | PB | +32.740 |