(Disclaimer: This article is only for popularization purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: Noise deafness belongs to the chronic hearing damage, is due to long-term exposure to the noise environment triggered by the hearing loss, the slow decline in hearing. This article introduces a 45-year-old male patient who came to the clinic with hearing loss and tinnitus in both ears. After detailed inquiries about his condition, pure tone audiometry, otoscopy, and middle ear CT, he was diagnosed with noise deafness and was given medication for conservative treatment, and his hearing loss and tinnitus improved with medication. Basic information] Male, 45 years old [Type of disease] Noise deafness [Hospital] General Hospital of the Northern Theater of Operations [Time of consultation] June 2021 [Treatment plan] Oral medication (Ginkgo biloba extract tablets + cytarabine sodium capsule) + acupuncture + hearing aids [Period of treatment] Hospitalization for 1 month [Effect of treatment] The patient’s hearing loss and tinnitus improved after the use of medication I. Initial interview Patient’s description Patient’s medical history, indicated that he was a machine tool factory worker, and could often hear the sound of mechanical impact, friction, and rotation, which resulted in hearing loss over time. He reported that his hearing had been declining year by year, accompanied by tinnitus, which had lasted for five years, and in severe cases, headache and dizziness occurred, affecting his normal work and life, and he had not cared about it when the symptom was relatively mild, and considered it as a problem when it seriously affected his work and life. According to the patient’s present symptoms and auxiliary examination, noise deafness was considered, and conservative medication was recommended. First of all, it is recommended that the patient get out of the noise environment, especially during the treatment with medication, if personal reasons must insist on working, you can consider wearing anti-vibration earplugs, headphones, to reduce the contact with noise, medication is recommended to improve the circulation of oral ginkgo biloba leaf extract tablets, the use of cytarabine sodium capsule nutrient nerves, with the Department of Traditional Chinese Medicine acupuncture treatment, listening to soft music to cover up the tinnitus at night when you go to bed, and informing the patient of the disease course of five years, the use of medication is very important for the patient. The patient was told that the disease had lasted for 5 years, the medication might improve the tinnitus to a certain extent, but the hearing loss might not be effective, and that hearing aids could be considered if the effect was not good, and that getting out of the noise contact was the first principle of the treatment, and the patient expressed his understanding and cooperated with the active treatment. Third, the effect of treatment 2 weeks later, the patient reported that the tinnitus symptoms than before the use of drugs slightly improved, headache, dizziness symptoms than before the use of drugs has improved significantly, but the hearing has not improved, the review of pure tone audiometry results with the initial examination did not see any improvement. Communicate with the patient, suggest that the patient wear hearing aids, the patient understands, the patient fitting hearing aids, can communicate with others normally, and the patient has no abnormalities, was allowed to leave the hospital, hospitalization duration of 1 month. After treatment, the patient’s tinnitus improved, and the communication problem was solved, and he was satisfied with the treatment effect. After treatment, the patient’s tinnitus symptoms have improved and hearing loss has been solved by wearing hearing aids. It is recommended that the patient should avoid staying in a noisy environment or being exposed to it for too long, avoid the use of ototoxic drugs, avoid smoking and drinking alcohol, and live a regular life to ensure sufficient sleep. When the tinnitus is serious, you can cooperate with Chinese acupuncture treatment, listen to light music, the sound of running water, birds chirping to cover up the tinnitus. Usually can be appropriate physical exercise, promote blood circulation, appropriate eating seafood animal offal, supplement zinc, iron, for tinnitus, deafness has a certain effect. During the treatment, you need to ensure a good state of mind, and if the condition worsens, you can go to the hospital in time for follow-up to clarify the changes in the condition. Noise deafness is a relatively common disease in otolaryngology clinic, avoid contact with noise, improve the environment is to prevent noise hazards the most positive and effective way to work in a noisy environment, you can wear ear plugs, earmuffs, or anti-sound cap, and at the same time, we need to actively carry out the prevention and control of noise hazards, treatment and other related publicity work, so that more people have a sense of prevention and control of noise to avoid the formation of noise. Noise deafness, tinnitus, affecting work and life, early detection, early treatment can also improve the cure rate of this disease.