Incorporating the health assessment of urban forest ecosystems into land use planning is of great significance to realize the virtuous cycle of the urban ecosystem. This paper takes Zhengzhou City as the research area, based on the land use data in 2009 and 2019, uses the CA-Markov model to predict the land use situation of Zhengzhou City in 2029 under four types of development scenarios, and builds a city that couples urban ecosystem services The forest ecosystem health assessment system evaluates the health of urban forest ecosystems under four types of development scenarios and discusses optimal land use strategies. According to the evaluation results, the urban health value under the ecological city construction scenario increased by 19.01% compared with 2019, the largest increase, while the urban health value under the rapid development scenario decreased by 17.03%, the largest decline. In addition, the number and size of urban core patches significantly impacted the health of urban forest ecosystems. To maximize the benefits of forest land expansion and effectively improve the health level of urban forest ecosystems, land use planning strategies that increase forest land construction at high-increment ecological corridors and potential ecological corridors can be adopted.