陆军飞行人员心理应激障碍的影响因素及应对措施概述

王永堂; 杨策

doi:10.16016/j.2097-0927.202308006

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陆军飞行人员心理应激障碍的影响因素及应对措施概述

专题报道: 陆军航空医学 | 更新时间：2026-01-09

- 陆军飞行人员心理应激障碍的影响因素及应对措施概述
- Influencing factors and countermeasures of psychological stress disorder in army aviators
- 陆军军医大学学报 2024年46卷第1期页码：27-32
- 作者机构：
  
  400042 重庆，陆军军医大学(第三军医大学)大坪医院特殊环境战伤防治研究室，创伤与化学中毒全国重点实验室
- 作者简介：
  
  [王永堂，E-mail: wangytlu@163.com WANG Yongtang, E-mail: wangytlu@163.com
- 基金信息：
  
  国家自然科学基金面上项目(82172194);陆军特色医学中心人才创新能力培养计划项目(ZXZYTSYS05)
- DOI：10.16016/j.2097-0927.202308006
  中图分类号： R395.1;R749.5;R821.21
- 收稿：2023-08-01，
  
  修回：2023-08-24，
  
  纸质出版：2024-01-15
- 稿件说明：
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王永堂, 杨策. 陆军飞行人员心理应激障碍的影响因素及应对措施概述[J]. 陆军军医大学学报, 2024,46(1):27-32.

Yongtang WANG, Ce YANG. Influencing factors and countermeasures of psychological stress disorder in army aviators[J]. Journal of Army Medical University, 2024, 46(1): 27-32.
王永堂, 杨策. 陆军飞行人员心理应激障碍的影响因素及应对措施概述[J]. 陆军军医大学学报, 2024,46(1):27-32. DOI： 10.16016/j.2097-0927.202308006.

Yongtang WANG, Ce YANG. Influencing factors and countermeasures of psychological stress disorder in army aviators[J]. Journal of Army Medical University, 2024, 46(1): 27-32. DOI： 10.16016/j.2097-0927.202308006.

摘要

陆军航空兵是陆军编制序列中的现代高技术兵种，具有灵活机动、快速打击的优点。陆军飞行人员在长时间执飞任务中面临低压、缺氧、噪声、振动等恶劣环境以及各种军事应激，承受着比普通人群更大的身心压力，更易发生心理应激障碍，严重影响战斗力。在执飞过程中面临的特殊外界环境会导致陆军飞行人员出现情绪不稳定，空中不适应，以及紧张、焦虑、抑郁等一系列心理应激障碍。科学优化心理选拔、培训标准，加强心理耐受训练，定期进行心理咨询、干预和疏导，尤其注重平时精神健康的检测与评估等措施可有效促进陆军飞行人员心理健康，预防心理应激障碍的发生。明确陆军飞行人员心理应激障碍的影响因素及应对措施，对提高陆军航空兵部队作业能力及战斗力具有重要意义。

Abstract

Army aviation is a modern high-tech branch in the army establishment sequence

and has the advantages of flexible mobility and rapid strikes. However

the army aviators face harsh environments

such as low pressure

lack of oxygen

noise

and vibration during long-term flight missions

and often develop various military stresses

bearing greater physical and mental pressure than ordinary people

which is often more likely to lead to psychological stress disorders

thus seriously affecting the combat effectiveness of the army aviation. In this paper

we mainly introduce a series of psychological stress disorders

such as emotional instability

air discomfort

nervousness

anxiety and depression caused by the special circumstances of army aviation while flying

and put forward corresponding countermeasures on this basis

such as optimizing the psychological selection and training standards of army aviation pilots

strengthening psychological tolerance training

paying special attention to the detection and evaluation of mental health in ordinary times

and regularly conducting psychological consultation

intervention and counseling. These measures are of great significance to promote the mental health of army aviators and prevent the occurrence of psychological stress disorder in future wars. Identifying the influencing factors and countermeasures of psychological stress disorder are essential to improve the operational capacity and combat effectiveness of army aviation force.

关键词

Keywords

references

孙喜庆, 肖海峰. 陆军航空医学[M]. 西安: 第四军医大学出版社, 2012: 1-10.

SUN X Q, XIAO H F. Army aviation medicine[M]. Xi'an: Fourth Military Medical University Press, 2012: 1-10.

严军, 余静, 刘可, 等. 陆军航空医学研究现状和展望[J]. 创伤外科杂志, 2022, 24(6): 412-415. DOI: 10.3969/j.issn.1009-4237.2022.06.003.

YAN J, YU J, LIU K, et al . Research status and enlightenment of army aviation medicine[J ] . J Trauma Surg, 2022, 24(6): 412-415. DOI: 10.3969/j.issn.1009-4237.2022.06.003.

陈宏, 王萍, 魏冰倩, 等. 陆航部队飞行人员疲劳及心理健康分析[J]. 解放军预防医学杂志, 2017, 35(9): 1114-1117. DOI: 10.13704/j.cnki.jyyx.2017.09.029.

CHEN H, WANG P, WEI B Q, et al . Fatigue and mental health of flight personnel in military air army[J ] . J Pre Med Chin PLA, 2017, 35(9): 1114-1117. DOI: 10.13704/j.cnki.jyyx.2017.09.029.

申淑英, 王芳, 张炯, 等. 我军军事飞行员心理健康研究进展[J]. 解放军预防医学杂志, 2012, 30(4): 309-311. DOI: 10.13704/j.cnki.jyyx.2012.04.004.

SHEN S Y, WANG F, ZHANG J, et al . Research progress on mental health of military pilots in our army[J ] . J Pre Med Chin PLA, 2012, 30(4): 309-311. DOI: 10.13704/j.cnki.jyyx.2012.04.004.

全军航空航天医学专业委员会. 军事飞行人员鼻窦气压功能训练方法与评定指南(2022)[J]. 解放军医学院学报, 2022, 43(12): 1233-1236, 1247. DOI: 10.3969/j.issn.2095-5227.2022.12.006.

Military Aviation and Aerospace Medicine Professional Committee. Training method and evaluation guide for sinus barometric function of military pilots (2022)[J]. Acad J Chin Pla Med Sch, 2022, 43(12): 1233-1236, 1247. DOI: 10.3969/j.issn.2095-5227.2022.12.006.

徐先荣, 张扬, 金占国. 气压损伤性航空病的诊治和医学鉴定[J]. 空军总医院学报, 2009, 25(3): 103-104.

XU X R, ZHANG Y, JIN Z G. Diagnosis, treatment and medical evaluation of barotrauma aeropathy[J]. J Gen Hosp Air Force PLA, 2009, 25(3): 103-104.

赛晓勇, 张建国, 闫永平, 等. 122例直升机飞行员精神健康测评结果分析[J]. 解放军预防医学杂志, 2004, 22(3): 201-202. DOI: 10.3969/j.issn.1001-5248.2004.03.016.

SAI X Y, ZHANG J G, YAN Y P, et al . Analysis of mental health evaluation results of 122 helicopter pilots[J ] . J Pre Med Chin PLA, 2004, 22(3): 201-202. DOI: 10.3969/j.issn.1001-5248.2004.03.016.

李全, 杨青, 余琳, 等. 陆航飞行员飞行疲劳问题与对策探讨[J]. 人民军医, 2015, 58(6): 623-624, 639.

LI Q, YANG Q, YU L, et al . Study on the problems and countermeasures of flight fatigue in army aviation pilots[J ] . People Mil Surg, 2015, 58(6): 623-624, 639.

王一牛, 张国锋, 张永娜, 等. 陆军航空兵心理问题的特点与应对[J]. 第四军医大学学报, 2005, 26(5): 424.

WANG Y N, ZHANG G F, ZHANG Y N, et al . Chara cteristics of mental disorders in corps of army aviation and the coping strategies[J ] . J Fourth Mil Med Univ, 2005, 26(5): 424.

曹善云, 吕天翔, 李少军. 民航1994-2000年飞行人员因病停飞原因调查[J]. 中华航空航天医学杂志, 2001, 12(4): 237-238.

CAO S Y, LYU T X, LI S J. Investigation of disease entities in civil flying personnel grounded in 1994-2000[J]. Chin J Aerosp Med, 2001, 12(4): 237-238.

黄华, 汤竣杰, 冯爽, 等. 特殊环境下军事心理应激及相关因素的研究现状[J]. 中华诊断学电子杂志, 2020, 8(2): 82-85. DOI: 10.3877/cma.J.issn.2095-655X.2020.02.003.

HUANG H, TANG J J, FENG S, et al . Research status of military psychological stress and related factors in special environment[J ] . Chin J Diagn Electron Ed, 2020, 8(2): 82-85. DOI: 10.3877/cma.J.issn.2095-655X.2020.02.003.

UNGS T J. Safety concerns as a factor in pilot desire to change aircraft[J]. Aviat Space Environ Med, 1993, 64(1): 20-23.

晏碧华, 杨仕云, 游旭群. 飞行员心理健康现状、影响因素及保健措施[J]. 中国民航飞行学院学报, 2012, 23(1): 5-10. DOI: 10.3969/j.issn.1009-4288.2012.01.002.

YAN B H, YANG S Y, YOU X Q. Status, relative factors and healthy strategies of pilots mental health[J]. J China Civil Aviat Fly Coll, 2012, 23(1): 5-10. DOI: 10.3969/j.issn.1009-4288.2012.01.002.

吴龙保, 杨继训. 高考及心理测试成绩对飞行学生技术停飞的影响[J]. 中国民航飞行学院学报, 2000(1): 13-16. DOI: 10.3969/j.issn.1005-7811.2011.05.043.

WU L B, YANG J X. Influence of college entrance examination and psychological test results on flying students' technical grounding[J]. J China Civil Aviat Fly Coll, 2000(1): 13-16. DOI: 10.3969/j.issn.1005-7811.2011.05.043.

娄振山, 伏广清, 程军莉. 空军飞行员心身疾病心理社会因素研究[J]. 中国行为医学科学, 1998, 7(3): 232-234.

LOU Z S, FU G Q, CHENG J L. Study on psychosocial factors of psychosomatic diseases in Air Force pilots[J]. Chin J Behav Med Sci, 1998, 7(3): 232-234.

娄振山, 伏广清, 程军莉. 飞行员心理健康及其影响因素[J]. 中国心理卫生杂志, 1999, 13(1): 53-54.

LOU Z S, FU G Q, CHENG J L. Mental health of pilots and its influencing factors[J]. Chin Ment Health J, 1999, 13(1): 53-54.

于均涛, 姜忠东, 孙忠华, 等. 陆航团官兵创伤后应激障碍流行病学调查[J]. 东南大学学报(医学版), 2015, 34(3): 397-398. DOI: 10.3969/j.issn.1671-6264.2015.03.016.

YU J T, JIANG Z D, SUN Z H, et al . Epidemiological investigation of post-traumatic stress disorder in army aviation regiment[J ] . J Southeast Univ Med Sci Ed, 2015, 34(3): 397-398 . DOI: 10.3969/j.issn.1671-6264.2015.03.016.

王焕林, 过伟, Hua Jin, 等. 中国汶川地震现场救援军人创伤后应激障碍及相关因素的调查[J]. 中华精神科杂志, 2010, 43(2): 97-101. DOI: 10.3760/cma.j.issn.1006-7884.2010.02.011.

WANG H L, GUO W, HUA J, et al . The prevalence of post traumatic stress disorder and impact factors in military first responders 6 months after Wenchuan earthquake in China[J ] . Chin J Psychiatry, 2010, 43(2): 97-101. DOI: 10.3760/cma.j.issn.1006-7884.2010.02.011.

田卫卫, 何玲玲, 胡光涛, 等. 1例直升机飞行员创伤后应激障碍分析[J]. 西南国防医药, 2018, 28(2): 200, 封3. DOI: 10.3969/j.issn.1004-0188.2018.02.041.

TIAN W W, HE L L, HU G T, et al . Analysis of a helicopter pilot with post-traumatic stress disorder[J ] . Med J Natl Defending Forces Southwest China, 2018, 28(2): 200, Cover 3. DOI: 10.3969/j.issn.1004-0188.2018.02.041.

VINOKUR A D, PIERCE P F, LEWANDOWSKI-ROMPS L, et al . Effects of war exposure on air force personnel's mental health, job burnout and other organizational related outcomes[J ] . J Occup Health Psychol, 2011, 16(1): 3-17. DOI: 10.1037/a0021617.

刘永平, 陈宏, 汪红荣. 歼击机与直升机飞行人员腰腿痛的分析[J]. 东南国防医药, 2014, 16(5): 485-486. DOI: 10.3969/j.issn.1672-271X.2014.05.012.

LIU Y P, CHEN H, WANG H R. Analysis of backleg pain in fighter and helicopter pilot[J]. Mil Med J Southeast China, 2014, 16(5): 485-486. DOI: 10.3969/j.issn.1672-271X.2014.05.012.

于宝成, 何建政, 董魁星. 陆航直升机飞行环境对飞行人员睡眠质量的影响[J]. 航空航天医学杂志, 2015, 26(8): 948-949. DOI: 10.3969/j.issn.2095-1434.2015.08.017.

YU B C, HE J Z, DONG K X. Influence of flight environment of Luhang helicopter on sleep quality of pilots[J]. J Aerosp Med, 2015, 26(8): 948-949. DOI: 10.3969/j.issn.2095-1434.2015.08.017.

ZHAO C L, ZHAO M, LIU J P, et al . Electroence-phalogram and electrocardiograph assessment of mental fatigue in a driving simulator[J ] . Accid Anal Prev, 2012, 45: 83-90. DOI: 10.1016/j.aap.2011.11.019.

曾义霞, 罗显荣, 吴新, 等. 陆海军直升机飞行员疲劳程度和心理健康水平调查与分析[J]. 人民军医, 2014, 57(5): 469-470.

ZENG Y X, LUO X R, WU X, et al . Investigation and analysis on fatigue and mental health level of army and Navy helicopter pilots[J ] . People Mil Surg, 2014, 57(5): 469-470.

文童, 李小龙, 池巍, 等. 缺氧对不同军种、机种飞行人员心率变异性与生理参数的影响[J]. 海军医学杂志, 2021, 42(2): 133-137. DOI: 10.3969/j.issn.1009-0754.2021.02.002.

WE N T, LI X L, CHI W, et al . Effects of hypoxia on the heart rate variability and physiological parameters of aviators who were from different armed services and flew different types of aircaft[J ] . J Navy Med, 2021, 42(2): 133-137. DOI: 10.3969/j.issn.1009-0754.2021.02.002.

谭红涛, 吴新, 罗显荣, 等. 陆航部队官兵心理与疲劳的关系[J]. 华南国防医学杂志, 2013, 27(11): 812-813, 849. DOI: 10.3969/j.issn.1009-2595.2013.11.013.

TAN H T, WU X, LUO X R, et al . Relation of fatigue and psychology of army aviation servicemen[J ] . Mil Med J South China, 2013, 27(11): 812-813, 849. DOI: 10.3969/j.issn.1009-2595.2013.11.013.

房龙梅, 王若永, 穆慧玲, 等. 不同机型飞行人员SCL-90调查及心理健康状况评估[J]. 空军航空医学, 2022, 39(3): 36-38. DOI: 10.3969/j.issn.2097-1753.2022.01.008.

FANG L M, WANG R Y, MU H L, et al . Mental health status for flight personnel of different types of aircraft by SCL-90[J ] . Med J Air Force, 2022, 39(3): 36-38. DOI: 10.3969/j.issn.2097-1753.2022.01.008.

季猛, 张立立, 张巧, 等. 正念干预对陆航机务官兵认知重评、正性注意偏向和抑郁的影响[J]. 陆军军医大学学报, 2023, 45(9): 994-1000. DOI: 10.16016/j.2097-0927.202207050.

JI M, ZHANG L L, ZHANG Q, et al . Effects of mindfulness-based intervention on cognitive reappraisal, positive attention bias and depression in army aviation maintenance personnel[J ] . J Army Med Univ, 2023, 45(9): 994-1000. DOI: 10.16016/j.2097-0927.202207050.

POT-KOLDER R M C A, GERAETS C N W, VELING W, et al . Virtual-reality-based cognitive behavioural therapy versus waiting list control for paranoid ideation and social avoidance in patients with psychotic disorders: a single-blind randomised controlled trial[J ] . Lancet Psychiatry, 2018, 5(3): 217-226. DOI: 10.1016/S2215-0366(18)30053-1.

SHIN B, OH J, KIM B H, et al . Effectiveness of self-guided virtual reality-based cognitive behavioral therapy for panic disorder: randomized controlled trial[J ] . JMIR Ment Health, 2021, 8(11): e30590. DOI: 10.2196/30590.

孙枞昊, 金欣, 戴红, 等. 艾司西酞普兰联合虚拟现实认知行为疗法治疗抑郁症的临床观察[J]. 中国现代医生, 2021, 59(29): 108-112.

SUN C H, JIN X, DAI H, et al . Clinical observation of escitalopram combined with virtual reality cognitive behavioral therapy in treatment of depression[J ] . China Mod Dr, 2021, 59(29): 108-112.

王卫军, 宗安汉, 王建, 等. 直升机飞行训练系统的研究与应用[J]. 自动化仪表, 2022, 43(6): 67-71. DOI: 10.16086/j.cnki.issn1000-0380.2021060057.

WANG W J, ZONG A H, WANG J, et al . Research and application of helicopter flight training system[J ] . Process Autom Instrum, 2022, 43(6): 67-71. DOI: 10 .16086/j.cnki.issn1000-0380.2021060057.

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