[摘要]目的 探讨喉罩和气管插管在重度颅脑损伤昏迷患者院前急救中的效果。方法 选取2017年5月～2019年1月我急救中心接诊的33例重度颅脑损伤昏迷患者作为研究对象，根据计算机随机化原则将其分为观察组(17例)与对照组(16例)。观察组患者进行喉罩通气，对照组患者接受气管插管。观察两组患者的插管用时、首次插管成功率、气道损伤率及复苏成功率。结果 观察组患者的插管用时明显短于对照组，差异有统计学意义(P<0.05)。观察组患者的首次插管成功率高于对照组，气道损伤率低于对照组，差异有统计学意义(P<0.05);两组患者的复苏成功率比较，差异无统计学意义(P>0.05)。结论 重度颅脑损伤昏迷患者应用喉罩置管的成功率较气管插管要高，能缩短置管时间，降低置管对患者的损伤。

    [关键词]颅脑损伤;喉罩;气管插管;重度;院前急救

    [中图分类号] R651.15 [文献标识码] A [文章编号] 1674-4721(2019)10(c)-0078-04

    [Abstract] Objective To investigate the effect of laryngeal mask and tracheal intubation on pre-hospital first aid in patients with severe craniocerebral injury and coma. Methods A total of 33 patients with severe craniocerebral injury who were admitted to our emergency medical center from May 2017 to January 2019 were selected as subjects. They were divided into observation group (17 cases) and control group (16 cases) according to the principle of computer randomization. Patients in the observation group underwent laryngeal mask ventilation ......