The invention provides a hearing sieving and monitoring method, which comprises the following steps of: performing a plurality of audio tests on a testee in a graded mode to establish a hearing detection data list, wherein in each audio test, an audio is transmitted to the testee within a preset distance, the response of the testee to the audio is judged, and a specified value within the preset distance is progressively decreased and an audio which does not pass the test is transmitted to the testee if the audio does not pass the test; recording the distance of the response of the testee to the audio in the hearing detection data list; and checking and adjusting hearing-aid auxiliary equipment, such as hearing-aid volume or cochlear implant frequency according to the hearing detection data list, and generally acquiring the hearing range or the auditory distance of the testee or suggesting whether to receive detailed hearing examination, otological examination and the like. The hearing detection data list is repeatedly established for a long time, hearing conditions of the testee and the efficiency of a hearing aid can be continuously monitored, an alarm is provided, and the method is particularly suitable for hearing-impaired preschool children who have low language expression capacity.