The invention provides a high and low voltage cable pay-off reel and a use method, and relates to the technical field of machines. The pay-off reel comprises a pay-off reel body, the pay-off reel bodycomprises a bottom reel, a top reel and a vertical shaft, the diameter of the top reel is smaller than that of the bottom reel, the top reel is arranged on the upper portion of the bottom reel in parallel, the bottom of the vertical shaft is fixedly connected with the bottom reel, the top reel is rotatably connected with the bottom reel through the vertical shaft, multiple top reel rotating wheels are arranged on the bottom of the top reel, and the top reel rotating wheels do circumferential rotation along the upper surface of the bottom reel. An anti-cable-off fence is arranged on the upperportion of the top reel, a cable groove is formed in the side face of the anti-cable-off fence, an anchorage device is arranged on the bottom of the pay-off body and a brake device is arranged on thepay-off reel body. The bottom reel achieves the supporting effect, a cable roller to be subjected to pay off is placed on the top reel, the top reel rotates through the top reel rotating wheels relative to the bottom reel, and the pay-off smoothness of the cable roller can be improved. The reel has the beneficial effects that it is ensured that a cable cannot be scattered, stranded and extruded during pay off.