战斗应激心理伤早期救治进展

冯正直

doi:10.16016/j.2097-0927.202204092

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战斗应激心理伤早期救治进展

专题报道：军人心理效能提升 | 更新时间：2026-01-09

- 战斗应激心理伤早期救治进展
- Advances in early treatment of combat stress psychological injury
- 陆军军医大学学报 2022年44卷第19期页码：1905-1910
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)医学心理系
- 作者简介：
  
  [ 冯正直，陆军军医大学医学心理系主任，教授，博士生导师，中国社会心理学会常务理事，教育部心理学类指导委员会委员，中国社会心理学会军事心理学专业委员会主任委员，全军心理卫生技术指导专家组成员，军队心理服务组组长，陆军军人自杀干预委员会副主任委员，重庆市社会心理学会候任理事长，重庆市教委中小学生心理危机干预组组长。主持国家、军队重大、重点科研项目30余项，在国内外发表论文400余篇，主编国家规划教材、专著30余部，获得军队及省部级二等奖及以上科研成果奖励7项，国家专利2项。培养心理学硕士、博士研究生100多名，参与起草军队和地方相关文件8份，为国家和军队提建议案12份，采纳5份。荣获全军育才银奖、金奖，军队二等津贴，重庆英才创新领军人才，重庆市心理学学术技术带头人，陆军军医大学教学名师、科技工作先进个人和最受学生欢迎导师。主要从事军事心理训练和抑郁症负性认知神经机制研究。E-mail: fzz@tmmu.edu.cn FENG Zhengzhi, E-mail: fzz@tmmu.edu.cn
- 基金信息：
  
  “506行动”卫勤保障专项课题(ZX2022XJ309)
- DOI：10.16016/j.2097-0927.202204092
  中图分类号： R395.1;R821.2
- 收稿：2022-04-13，
  
  修回：2022-05-24，
  
  纸质出版：2022-10-15
- 稿件说明：
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冯正直. 战斗应激心理伤早期救治进展[J]. 陆军军医大学学报, 2022,44(19):1905-1910.

Zhengzhi FENG. Advances in early treatment of combat stress psychological injury[J]. Journal of Army Medical University, 2022, 44(19): 1905-1910.
冯正直. 战斗应激心理伤早期救治进展[J]. 陆军军医大学学报, 2022,44(19):1905-1910. DOI： 10.16016/j.2097-0927.202204092.

Zhengzhi FENG. Advances in early treatment of combat stress psychological injury[J]. Journal of Army Medical University, 2022, 44(19): 1905-1910. DOI： 10.16016/j.2097-0927.202204092.

摘要

战斗应激心理伤是官兵在战时条件下出现的一种失能性心理损伤，类同战时生理损伤、道德损伤等。战斗应激心理伤发生率在30%~75%，关键在72 h的早期救治。目前，战斗应激心理伤的研究有了许多新的理论与技术，本文进行了三个方面的文献梳理和总结：①从概念的认识发展来看，主要经历了性格与情绪问题、神经与精神疾病、战斗应激反应和战斗应激心理伤四个阶段；②战斗应激心理伤发生率主要影响因素是战斗强度、战争持续时间、战斗所处阶段、参与战斗的次数和部队士气及自身心理防护能力等；③战斗应激心理伤早期救治三个重要的时间窗口是“白金10 min复苏急救期”“黄金半小时症状控制期”“72 h战斗力重建期”。今后应从战斗应激心理伤的发生机制、防控救治关键技术和战时心理卫生勤务保障和培训模式等三个方面进行研究与实践，为我军战场一线救治能力提升训练提供新思路和新方法。

Abstract

Combat stress psychological injury

with an incidence of 30% to 75%

is a kind of incapacitating psychological injury in officers and soldiers during wartime

which is similar to physical injury and moral injury. The key to its rehabilitation lies in early treatment within 72 h. Many new theories and technologies have been reported over the years. In order to provide new ideas and methods and promote the rescue capabilities of Chinese PLA on the battlefield

we have sorted out the literature in 3 aspects. ①From the perspective of the development

the cognition of this concept mainly experienced 4 stages: personality and emotional problems

neurological and mental diseases

combat stress reactions and combat psychological injury. ②The main factors affecting the incidence of combat psychological injury are the combat intensity

the duration of the war

the stage of the battle

the number of times of participating in the battle

the morale of the troops and their own psychological resources. ③ There are 3 "Golden Times" for early treatment

namely "the 10-minute first aid period"

"the half-hour symptom control period"

and "the 72-hour combat effectiveness reconstruction period". Further research and practice should be carried out to explore the mechanism of combat stress psychological injury

key technologies for prevention

control and treatment

and service support and training mode of psychological health in wartime.

关键词

Keywords

references

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