Due to the complex ocean propagation environments, the underwater acoustic (UWA) multipath channel often exhibits block sparse time-varying features, and while dynamic compressed sensing (DCS) can mitigate the time-varying effects of the UWA channel, DCS-based algorithms have limited performance for the UWA channel with block sparsity. In this study, by formulating the UWA channel with blocks concatenation, a block sparse-based DCS approach (BS-CS) is proposed to explore the block and time-varying sparsity of UWA channel simultaneously. In detail, we firstly adopt a block sparse recovery algorithm, block orthogonal matching pursuit (BOMP), to compute the temporary estimate. Then, the CS approach is applied to compute the support additions, which are caused by the time-varying components of the UWA channel. Next, we use the selected support to perform the BOMP estimate, and obtain the estimated channel response. Finally, the numerical simulation and the sea experiment were carried out to verify the superior performance of the proposed BS-CS algorithm in the block sparse time-varying UWA channels.