An ultrasound needle guide apparatus to aid guidance of a puncturing needle to locate blood vessel positions of a living body and perform puncturing operation includes an ultrasound detection device, a display element connected to the ultrasound detection device in a rotatable manner and a needle positioning aid element fastened to the ultrasound detection device. The display element obtains ultrasonic signals from the ultrasound detection device and displays the blood vessel positions of the living body in an image fashion. The ultrasound needle guide apparatus is directly in contact with the intended ultrasound probing position so that users can directly and intuitively observe the blood vessel position through the display element, and swivel the display element according to operating position to control adjustment of display angle, and perform blood vessel puncturing operation via the needle positioning aid element to meet use requirement.