·军事医学·美陆军战斗及军事作业应激控制的理念和启示刘雅贞1，张戎2，邹渝3，刘娟11．陆军军医大学大坪医院特勤医学科，重庆400042;2．陆军军医大学大坪医院战伤救治勤务研究室，重庆400042;3．陆军军医大学陆军卫勤训练基地，重庆400037【通信作者】刘娟，E-mail:liujuan961@163．com【摘要】战斗及军事作业应激反应(combatandoperationstressreaction，COSＲ)指军事人员在战斗或军事作业过程中暴露于应激或创伤事件中，所引起的身体、情绪、认知及行为反应。其中非适应性战斗应激反应可造成战斗及非战斗相关损伤，正确认识及防控COSＲ，使非适应性战斗应激反应转变为适应性战斗应激反应可提高军事人员的战训效能。美军应对战斗及军事作业应激反应有丰富的经验，值得借鉴学习。本文就美陆军对COSＲ概念的形成以及其控制体系建设做一详细阐述，参考美陆军《部队健康保护》条令，简述美军战斗应激控制体系的实施原则及方法。【关键词】战斗及军事作业;应激反应;应激控制【中图分类号】Ｒ82【文献标识码】A【DOI】10．3969/j．issn．1009－4237．2023．02．004TheconceptandinspirationofcombatandoperationstresscontrolinU．S．ArmyLiuYazhen1，ZhangＲong2，ZouYu3，LiuJuan11．SpecialServiceMedicalDepartment，DapingHospital，ArmyMedicalUniversity，Chongqing400042，China;2．WarWoundTreatmentServiceＲesearchOffice，DapingHospital，ArmyMedicalUniversity，Chongqing400042，China;3．ArmyMedicalServiceTrainingBase，ArmyMedicalUniversity，Chongqing400037，China【Abstract】Combatandoperationstressreaction(COSＲ)referstothephysical，emotional，cognitiveandbe-havioralreactionsinmilitarypersonnelexposedtostressortraumaeventsintheprocessofcombatormilitaryopera-tions．Nonadaptivecombatstressreactioncancausecombatandnon-combatrelatedinjuries．Correctunderstanding，preventionandcontrolofCOSＲandtransformingnonadaptiveCOSＲintoadaptiveCOSＲcanimprovethecombattrainingeffectivenessofmilitarypersonnel．TheU．S．militaryhasrichexperienceincopingwithCOSＲ，whichisworthlearningfrom．Inthispaper，theformationoftheconceptofCOSＲandtheconstructionofitscontrolsystemaredescribedindetail，andtheimplementationprinciplesandmethodsofthecombatandoperationalstresscontrolintheU．S．A...
