An O2O mode-based hearing health management system (10) and method, applicable to a terminal device (1) that is connected to a hearing health management platform (2) by means of a communication network (3). The O2O mode-based hearing health management system (10) comprises: a receiving module (101) for receiving a hearing test level for hearing test of a user (S31), and searching a sound frequency comparison table for a sound frequency corresponding to the hearing test level (S32) a test module (102) for making a corresponding hearing test sound by means of earphones (12) according to the found sound frequency (S33), detecting whether microphones (13) receive a reply voice responding to the hearing test sound (S34), and when the microphones (13) receive the reply voice responding to the hearing test sound, recording a hearing threshold of the user at the hearing test level and generating a hearing graph of the user according to the hearing threshold of the user at the hearing test level (S35) and a communication module (103) for sending the hearing graph of the user to the hearing health management platform (2) (S36), and receiving a type of hearing loss and hearing intervention prescription information sent by the hearing health management platform (2) (S37). The hearing health management system (10) and method can offer hearing health management services in an online and offline combined manner, thereby providing convenience for the user, and improving hearing health management efficiency.La présente invention concerne un système de gestion de santé auditive (10) en mode O2O et un procédé, applicable à un dispositif terminal (1) qui est connecté à une plateforme de gestion de santé auditive (2) à laide dun réseau de communication (3). Le système de gestion de santé auditive (10) en mode O2O comprend : un module de réception (101) pour recevoir un niveau de test daudition pour un test daudition dun utilisateur (S31), et la recherche dun tableau de comparaison des f