In this study, a composite electrode (MXene/TiO2 NAs@CC) based on TiO2 nanotube arrays (NAs) and two-dimensional MXene-coated carbon cloth (CC) was prepared. The electrode greatly improved the catalytic activity by capturing protons through the abundant active sites of TiO2 nanotube arrays and promoting proton reduction with the high conductivity of MXene. Moreover, the composite electrode possessed the largest specific surface area (9.1660 m2·g−1) according to the results of the BET test. Under optimal conditions, the composite electrode degraded tigecycline (TGC) up to 86.66 % in 20 min. Furthermore, the electrocatalytic performance was not affected after 10 cycling experiments and 60 days of exposure to air, indicating its excellent stability. In addition, the cathodic co-catalytic reaction mechanism involving anode ·OH, HClO, and cathode H* was proposed. The degradation pathways of TGC and the toxicity of possible intermediates were also analyzed. Finally, a two-stage continuous wastewater reactor with high efficiency and low consumption (90.46 % removal rate, 0.061 kWh/m3) was designed. This study provides a new idea for designing an electrocatalytic reactor with high efficiency, stability, and low consumption, enriching the field of electrocatalytic treatment strategies for antibiotic wastewater. It is of great significance for the protection of the water environment and human health.