Buzzing in the ears before going to bed at night, if the patient is occasional, the tinnitus sound is not very high pitched, can be relieved by themselves, disappear on their own, it may be physiological tinnitus, clinically do not need special treatment, it is recommended that the patient pay attention to rest, generally can be good. Neurogenic tinnitus sound is more high-pitched, sharp, persistent, may be accompanied by ear stuffiness and congestion, hearing loss, and even vertigo and other clinical manifestations, need to be treated. It is recommended that patients can use drugs that nourish the nerves and expand blood vessels to improve microcirculation in the inner ear and promote inner ear metabolism. At the same time, you can take oral hormones, supplemented by hyperbaric oxygen, acupuncture and other symptomatic treatment. Patients with neurotinnitus should pay attention to rest, avoid fire and bad mood triggers. Some patients with neurotinnitus have poor results, and it is recommended that patients gradually adapt to the state of tinnitus.