目的研究耳鸣与听力减退的相关性,为探索耳鸣的病因、治疗方法及预后提供临床证据。方法通过对门诊耳鸣为第一主诉的400例患者的临床资料进行分析,根据耳鸣与听力减退出现的部位、时间先后关系及听力减退情况,研究耳鸣与听力减退的相关性。结果400例耳鸣患者中,61.00%与其听力不相关(其中52.05%听力正常,47.95%听力减退),39.00%与其听力相关(其中70.51%明确相关,29.49%可能相关)。结论耳鸣与听力减退之间没有绝对相关性,二者之间并非互为因果关系,在临床工作中,不宜将耳鸣与听力减退进行同等看待和治疗。 Objective To study the correlation between tinnitus and hearing loss and provide clinical evidence for exploring the etiology, treatment and prognosis of tinnitus. Methods According to the clinical data of 400 patients with outpatient tinnitus as the first chief complaint, the relationship between tinnitus and hearing loss was studied according to the location, time relationship and hearing loss of tinnitus and hearing loss. Results Of the 400 patients with tinnitus, 61.00% were unrelated to their hearing (52.05% were normal hearing and 47.95% were hearing loss), and 39.00% were related to their hearing (70.51% and 29.49% were related). Conclusion There is no absolute correlation between tinnitus and hearing loss, the two are not mutually causal relationship between the tinnitus and hearing loss in clinical work should not be the same treatment and treatment.