目的 研究急诊绿色通道对颅脑外伤患者临床疗效的影响。方法 将漯河市第二人民医院急诊科2016年1月-2017年10 月间收治的60例颅脑外伤患者随机分为观察组(急诊绿色通道，n=30)与对照组(传统急救，n=30)，观察两组急救 时间、抢救效果，并随访3个月，评估两组生活质量。结果 与对照组比，观察组就诊到达时间、评估时间、接诊 时间、急救时间与转送时间均显著缩短(P<0.05)；观察组抢救率为93.33%高于对照组的76.67%(P<0.05)；随访3个 月，两组患者生活质量均较治疗前显著改善，且观察组3个月后生活质量得分为(61.21±7.22)分，高于对照组的 (55.21±7.14)分(P<0.05)。结论 急诊绿色通道可显著缩短颅脑外伤患者急救时间，提高急救效果，有效改善患者 生活质量。

Objective To study the effects of emergency medical service on the clinical efficacy of patients with craniocerebral trauma. Methods 60 cases of patients with craniocerebral trauma admitted to the emergency department of the Second People’ s Hospital of Luohe City from January 2016 to October 2017 were randomly divided into observation group (emergency medical service, n=30) and control group (traditional first aid, n=30). The first aid time and rescue effects were observed in the two groups, and the patients were followed up for 3 months, and the quality of life was evaluated in the two groups. Results Compared with control group, the visiting arrival time, evaluation time, consultation time, first aid time and transfer time in observation group were significantly shortened (P<0.05). The rescue rate in observation group was higher than that in control group (93.33% vs 76.67%) (P<0.05). At 3 months of follow-up, the quality of life in the two groups was significantly improved compared with that before treatment, and the quality of life score after 3 months in observation group was higher than that in control group [(61.21±7.22) points vs (55.21±7.14) points] (P<0.05). Conclusion Emergency medical service can significantly shorten the first aid time of patients with craniocerebral trauma, improve the first aid effects, and effectively improve the quality of life of patients.