目的:探究重症颅脑损伤患者院前急救中行早期气管插管的临床价值.方法:选取2013年1月-2015年4月收治的122例重症颅脑损伤患者,随机双盲分成观察组和对照组,各61例.观察组院前急救中行早期气管插管,对照组入院后行常规气管插管,对比两组临床效果.结果:入院后,两组血氧饱和度(SpO2)、动脉血氧分压/吸入氧浓度(PaO2/FiO2)水平比较,差异有统计学意义(P<0.05).观察组上机时间、监护时间、急性肺损伤/急性呼吸窘迫综合征(ALI/ARDS)、难治性肺炎发生率均明显低于对照组,差异有统计学意义(P<0.05).两组良好率、重残率、病死率对比,差异有统计学意义(P<0.05).但两组中残率、植物人发生率比较差异无统计学意义(P>0.05).结论:院前急救中,重症颅脑损伤实行早期气管插管处理,可减少患者病死率和病残率.%Objective:To explore the clinical value of early tracheal intubation in patients with severe craniocerebral injury.Methods:A total of 122 patients with severe craniocerebral injury were enrolled in this study from January 2013 to April 2015.The patients were randomly divided into observation group and control group.The observation group was treated with early tracheal intubation before the hospital,and the control group was treated with conventional tracheal intubation.The clinical effect was compared between the two groups.Severe craniocerebral injury patients with pre-hospital emergency clinical value analysis of boc early endotracheal intubation after admission,SpO2,PaO2 / FiO2 level compared two groups(P<0.05).Observation group of computer time,guardianship,ALI/ARDS,refractory pneumonia incidence,were significantly lower than the control group(P<0.05).Rate of two groups of good,heavy residue rate,mortality(P<0.05).But the residual rate,incidence of vegetative comparison in two groups(P>0.05).Conclusion pre-hospital first aid of severe craniocerebral injury early endotracheal intubation treatment,clinical effect is better.
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