There is no direct relationship between persistent fluctuating tinnitus for 24 hours after cholecystectomy, which is considered to be related to cholecystectomy. It is related to neurotinnitus, being in a noisy environment, and acute otitis media. 1. Neurotic tinnitus: first of all, consider that it may be related to the excessive anxiety and tension before and after the operation, and lack of sleep, which causes ischemia and hypoxia in the ear, thus persistent tinnitus. 2. In the noise environment: when the patient is in excessive noise for a long time, it will also cause damage to the hair cells of the inner ear, which will cause tinnitus, it is recommended to wear earplugs and ensure sufficient sleep. 3. Acute otitis media: when patients with acute otitis media inflammation leads to dysfunction of the Eustachian tube, which leads to middle ear effusion and persistent tinnitus. It is recommended to get enough sleep for 24 hours after cholecystectomy, observe whether the tinnitus disappears, and consult the otorhinolaryngology department of a regular hospital if necessary.