The construction of ecological irrigation districts is of great significance to protect the Yellow River ecology and achieve sustainable development of the local ecological economy. Taking the ecological irrigation district of Helan County as the study area, a health evaluation index system of the irrigation district was established, including three primary indexes of ecological environment, modernization level, and agricultural production and benefit, and 20 secondary indexes. Then, the Topsis method, entropy weight evaluation method, fuzzy pattern recognition model, and variable fuzzy model were used to evaluate the health of the Helan ecological irrigation district. In order to avoid the one-sidedness of the evaluation results of a single evaluation method, a combined evaluation method named deviation maximization combined evaluation method was used to combine each single evaluation result. The evaluation results by the combined evaluation method showed the following: (1) The ecological health of Helan irrigation district had a trend of becoming better from 2007 to 2016. (2) The grey correlation analysis showed that the soil salt content, groundwater depth, canal lining rate, ratio of efficient water-saving irrigation area, information level of the irrigation district, water productivity, agricultural unilateral aquatic output value, irrigation water consumption per mu, and coefficient of effective utilization of farmland irrigation water were closely related to the evaluation results. (3) In order to effectively improve the ecological health of Helan irrigation districts, it is necessary to reduce soil salt content and groundwater salinity, increase canal linings, promote water-saving irrigation measures, and agricultural information construction, etc.