Abstract: Aim\ To study the relation of the presbyacusis to the hypertension.\ Methods\ The hearing thresholds of 66 hypertensive men and women aged 60￣79 years were compared with those of 40 healthly men and women aged 62￣72 years.\ Hypertensive group was evaluated by circadian variation with ambulatory pressure monitoring（ABPM） and divided into dipper and nondipper group.\ Results\ The hearing threshlod rose with increase of age.\ 025￣8 kHz mean puretone threshlods of the hypertensive rose more markedly than the healthy（P＜005 and 001）.\ The occurrences of hearing loss in nondipper group was much more greater than in dipper group（P＜005）.\ 24h SBP and SBP load in hearing loss group rose more markedly（P＜005）.\ Conclusion\ Hypertension apparently affect on hearing lose in elderly.