Wetlands play an important role in maintaining ecosystem functions. Wetlands in China have suffered intensive human disturbance, especially before 2000, resulting in great losses and degradation. Therefore, two national wetland resource surveys were carried out by the Chinese government during 1998-2003 and 2008-2013 to determine the status of wetlands, understand their dynamics, and provide substantial data that can aid scientific wetland conservation. Based on the survey data, the spatial pattern and spatial autocorrelation were explored using the standard deviation ellipse as well as global and local spatial autocorrelation statistics. GIS mapping was employed to display the results via the visualization of the spatial patterns and relationships. Results indicate that:① Changes in the wetlands of China are significant and exhibit obvious regional differences. The center of the ellipse of the total wetlands has moved to the west, and the degree of spatial differentiation between natural wetlands and artificial wetlands is increasing. There is no significant spatial autocorrelation for changes in artificial wetlands. ② The changes in natural wetlands are significantly spatially autocorrelated and clustered, which are identified by global Moran's I and local Moran's I. The hotspots of natural wetland change are concentrated primarily in Qinghai, Tibet, and Sichuan. The individual hotspot is in Inner Mongolia and the cold spot is in Henan. The difference in spatial autocorrelation between natural and artificial wetland changes indicates that natural wetland changes have shown spatial continuity, while artificial wetland changes have shown strong spatial randomness. ③ Some useful spatial associations are used to delineate wetland conservation effects. Then, three major or five minor effective protection management regions are identified. Wetland conservation efforts should be continuously strengthened and improved, especially in the middle-lower Yangtze River region of central China. The use of Moran statistics helps to reveal spatial autocorrelation and identify the conservation effects in wetland changes, which can provide a basis for decision-making in regional wetland conservation and management systems.