Climate and human activities are the basic driving forces that control and influence the spatial distribution and change of vegetation. Using trend analysis, the Hurst index, correlation analysis, the Moran index, path analysis, residual analysis, and other methods, the effects of human activities and climate factors on vegetation change were analyzed. The results show that: (1) The research area’s normalized difference vegetation index (NDVI) exhibited a substantial upward trend from 2001 to 2020, increasing at a rate of 0.003/a, and the vegetation cover was generally healthy. The generally constant NDVI region made up 78.45% of the entire area, and the grassland, cultivated land, and forest land showed the most visible NDVI aggregation features. (2) The Vegetation is mainly promoted by water and heat, particularly precipitation, have a major impact on plants, with the direct influence of precipitation on vegetation growth being much greater than the indirect effect through the temperature. (3) The trend of NDVI residuals showed obvious spatial variability, presenting a distribution characteristic of high in the south and low in the north. The results of this study can provide a basis for the scientific layout of ecological protection and restoration projects in the Yinshanbeilu area.