The invention discloses a speech audiometry device, and the speech audiometry device includes a host computer, an audiometer and an audiometric earphone. An answering device includes a single-chip microcomputer, a verification-storage module, a recognition-conversion module and an operation screen. The single-chip microcomputer is connected with the host computer, the audiometric earphone is connected with the audiometer, the single-chip microcomputer of the answering device is connected with the audiometer, and the verification-storage module, the recognition-conversion module and the operation screen are all connected with the single-chip microcomputer. The invention also provides an audiometry method, and the audiometry method includes the following steps: setting parameters, making preparation, carrying out audiometry, answering, repeating, etc. The answering device of the invention can be used together with the conventional audiometer in a matching way in the actual use process, and is operated by a subject independently, with strong subjectivity, small cooperation error, more accurate audiometry results and high reliability. The operation screen of the invention is in a distributed type structure and various in forms, capable of meeting various use requirements and users, convenient to use and operate and easy to realize an highly-efficient audiometry system.