Superheated steam flow during multipoint steam injection technology has a good effect on improving the steam absorption profile of heavy oil thermal recovery wells, enhancing the production degree of horizontal section of thermal recovery wells, and enhancing oil recovery. Based on the structure of multipoint steam injection horizontal string, considering the characteristics of variable mass flow, pressure drop of steam-liquid two-phase flow, and throttling pressure difference of steam injection valve in the process of steam injection, this paper establishes the calculation model of various parameters of multipoint steam injection horizontal wellbore and calculates the distribution of steam injection rate, temperature, pressure gradient, and dryness along the section of multipoint steam injection in horizontal wellbore. The results show that the temperature and pressure decrease gradually from heel to toe, and the steam dryness decreases gradually. Considering the influence of throttle pressure difference of steam injection valve and pressure drop of gas-liquid two-phase flow in the wellbore, the traditional calculation model of steam injection thermodynamic parameters is optimized, and the optimization of wellbore structure and steam injection parameters is an effective method to achieve uniform steam injection in horizontal wells. The steam injection uniformity of horizontal wells can be effectively improved by adjusting the steam injection valve spacing and steam injection parameters. When the steam injection volume is 200 m3/d and the steam injection valve spacing is 20 m, a more stable steam injection effect can be obtained. The findings of this study can help for better understanding of improving the uniformity of steam injection and enhancing the recovery factor.