I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE
OE?A?INUeEEE IAOEIAI AeINE?AeIEE ?INOEOOO
IAAeE*II? ?AAA?E?OAOe?? OA EO?I?OIEIA??
EIAAEAANUeEA Ethaeieea Aiae???aia
OAeE 616.12-009.72:615.847.8
EA*-OA?AI?ss O EIIIEAENIIIO
E?EOAAII? OAI?EO
IA NOAA?EUeIO NOAIIEA?Ae?TH
14.01.33 – eo?i?oieia?y oa o?c?ioa?ai?y
Aaoi?aoa?ao
aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
Iaeana – 1999
Aeena?oaoe?y ? ?oeiienii.
?iaioa aeeiiaia ia aac? Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo
IIC Oe?a?ie, eaoaae?a aini?oaeueii? oa?ai??.
Iaoeiaee ea??aiee: TH?eia Aeaaeeneaa Ieoaeeiae/,
aeieoi? iaaee/ieo iaoe, i?ioani?, Iaeanueeee aea?aeaaiee iaaee/iee
oi?aa?neoao, caa?aeoaa/ eaoaae?e aini?oaeueii? oa?ai??.
Io?oe?ei? iiiiaioe: Aieioeia Ieaia Ai?en?aia,
aeieoi? iaaee/ieo iaoe, noa?oee iaoeiaee ni?a?ia?oiee, Iaeanueeee
aea?aeaaiee iaaee/iee oi?aa?neoao, i?ioani? eaoaae?e ia?iaeii? oa
n?iaeii? iaaeeoeeie.
Iaee?ia Aaeeia Iao??aia, aeieoi? iaaee/ieo iaoe, i?ioani?, Aieiaiee
aenia?o IIC Oe?a?ie, Iaeanueea o?e?y Eienaio?iaiai? eiiiai?? “A?oii”,
aee?aeoi?.
I?ia?aeia onoaiiaa: Oa?e?anueeee ?inoeooo oaeineiiaeaiiy e?ea??a IIC
Oe?a?ie, eaoaae?a o?c?ioa?ai?? oa eo?i?oieia??.
Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 9 ” ea?oiy 1999 ?. i 12 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? A/aii? ?aaee Ae 41.608.01 i?e Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??
IIC Oe?a?ie (270014, Iaeana, Ea?iiioianueeee i?ia., 6).
C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Oe?a?inueeiai IAe?
iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia?? ca aae?anith: 270014, Iaeana,
Ea?iiioianueeee i?ia., 6.
Aaoi?aoa?ao ?ic?neaiee “ 7 ” o?aaiy 1999 ?.
A/aiee nae?aoa? niaoe?ae?ciaaii? A/aii? ?aaee, eaiaeeaeao iaaee/ieo
iaoe, noa?oee
iaoeiaee ni?a?ia?oiee A.I.Aeieo???aa
Caaaeueia oa?aeoa?enoeea ?iaioe
Aeooaeuei?noue oaie
?oai?/ia oai?iaa na?oey (?ON) – iaeia c iaea?eueo iioe?aieo
caoai?thaaiue na?oeaai-noaeeiii? nenoaie a na?o? oa a Oe?a?i?, yea ?
iniiaiith i?e/eiith nia?o? oa ?iaaeeaeecaoe?? ianaeaiiy,
caoai?thaai?noue ia ianoaa?eueio noaiiea?ae?th, ca?aeii ?.A.Ianoeay
(1998 ?.), noaiiaeoue 33 iniae ia 100 000 ianaeaiiy, oiaoi ui??/ii
caoai?thaaiiy aeieea? a?eueo, i?ae o 16 000 ethaeae.
O ca’yceo c iaaeinoaoiueith aoaeoeai?noth iaaeeeaiaioicii? oa?ai??,
aaeeeith e?euee?noth ?? iia?/ieo ?aaeoe?e, aeey ca?eueoaiiy iiaeeeainoae
iaoiaaiaoe/iiai e?eoaaiiy, cia/ia e?euee?noue aeine?aeiee?a ?icaeyaea?
iiaeeeaino? aeei?enoaiiy o eiiieaeniiio e?eoaaii? oai?eo ia ?ON
i?aoi?iiaaieo o?ce/ieo oaeoi??a, ye? iathoue cia/i? ea?ae?ii?ioaeoi?i?
oa ea?ae?inoeioethth/? aeanoeaino? (A.I.Aiaiethaia c ni?aaao.,
1985,1989; ?.?.Ni?ie?ia, 1989; E.Ae.Oiiae?e c ni?aaao., 1989, 1990;
A.A.I?aeaoeianueeee c ni?aaao.,1992; E.Ae.Aaaia, E.TH.I?oii, 1993;
?.E.Neaaecaanea c ni?aaao., 1994; I.A.Aieioeia, 1995 oa ?io?).
Aiae?c aeaieo e?oa?aoo?e aeaiiino?o?, ui i?ae aie?aii aeaeo?iiaai?oieo
oaeeue i?e?iao?iaiai ae?aiaciio aeoeao?oueny neioac AOO, ia? i?noea
aieea ia o?ainii?o ?ii?a, ca?eueoo?oueny aeoeai?noue O-e?ioioeeo?a,
a?aeaoaa?oueny ei?aeoe?y aiiainoaco, iai?io e?iii?ioa?ae?a,
i?e?ioee?eoeyoe??, iaoaaie?cio i?iea?aea, i?aeaeuo?oueny
aioeieneaeaioiee caoeno ee?oeiieo iaia?ai; aecia/a?oueny cieaeaiiy
a?oa??aeueiiai oeneo o oai?eo ia a?ia?oii?/io oai?iao, iie?auo?oueny
ee?i?/iee noai oai?eo ia noaiiea?ae?th iai?oae, ca?eueoo?oueny
oiea?aioi?noue aei o?ce/ieo iaaaioaaeaiue (N.N.Ia?oeia,1991;
I.Ae.Eieoeia c ni?aaao., 1992; E.TH.I?oii c ni?aaao., 1993;
?.C.Naiinthe c ni?aaao., 1998).
Aea aoaeoeai?noue ae?? aeaeo?iiaai?oieo oaeeue i?e?iao?iaiai ae?aiaciio
i?e na?oeaai-noaeeii?e iaoieia?? aea/aii iaaeinoaoiuei, ia ooi/iai?
ieoaiiy aieeao EA*-oa?ai?? ia nei?ioeeao ooieoe?th e?aiai oeoii/ea,
aeaye? aioo??oiueiee?oeii? i?ioeane i?e ?ON, a oiio /ene? ia?aeenia
ieeneaiiy e?i?ae?a oa aioeieneaeaioiee caoeno a a?eo?ioeeoao o oai?eo ia
noaiiea?ae?th iai?oae, ye? a?ae?a?athoue aaaeeeao ?ieue o iaoiaaiac?
oeueiai caoai?thaaiiy.
Iaiao?aeiith ? oa?aeoa?enoeea oaeoi??a, ye? aecia/athoue cieaeaiiy
aoa?iaaiiino? e?i?ae?a.
Iio?aaothoue ooi/iaiiy iieacaiiy oa i?ioeiieacaiiy aei aeei?enoaiiy
aeaeo?iiaai?oieo oaeeue i?e?iao?iaiai ae?aiaciio a eiiieaeniiio
e?eoaaii? oai?eo ia noaa?eueio noaiiea?ae?th.
Ca’ycie ?iaioe c iaoeiaeie oaiaie, i?ia?aiaie, ieaiaie
?iaioa ? o?aaiaioii ieaiiai? IAe? eaoaae?e aini?oaeueii? oa?ai??
Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo, yea aea/a? ieoaiiy
a?aeiiaethaaeueiiai e?eoaaiiy ??cieo caoai?thaaiue, a oiio /ene?
iaoieia?? na?oeaai-noaeeiii? nenoaie, iiia? aea?aeaaii? ?a?no?aoe?? 0195
022686.
Iaoa ?iaioe
?ic?iaeoe iaoiae a?aeiiaethaaeueiiai e?eoaaiiy oai?eo ia noaiiea?ae?th
iai?oae II-III ooieoe?iiaeueieo eean?a c aeei?enoaiiyi EA*-oa?ai??.
Caaaeaiiy aeine?aeaeaiiy
1. Aea/eoe ee?i?/io aoaeoeai?noue o oai?eo ia noaa?eueio noaiieaae?th
iai?oae II – III ooieoe?iiaeueieo eean?a i?e eiiieaeniiio e?eoaaii? c
aeei?enoaiiyi EA*-oa?ai??.
2. Aeine?aeeoe oiea?aioi?noue aei o?ce/ieo iaaaioaaeaiue (OOI) o oai?eo
ia noaiiea?ae?th iai?oae II – III OE i?e aeei?enoaii? EA*-oa?ai??.
3. Aeine?aeeoe noai ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea o oai?eo ia
noaiiea?ae?th iai?oae II – III OE i?ae aieeaii eiiieaeniiai e?eoaaiiy c
aeei?enoaiiyi EA*-oa?ai??.
4. Aea/eoe aieea eiiieaeniiai e?eoaaiiy c aeei?enoaiiyi EA*-oa?ai?? ia
e?i?aeiee iai?i; ia?aeenia ieeneaiiy e?i?ae?a oa aioeieneaeaioiee caoeno
a a?eo?ioeeoao oa ieaci? e?ia? o oai?eo ia noaiiea?ae?th iai?oae II –
III OE.
5. ?ic?iaeoe e?eoa??? aeey eiiieaeniiai e?eoaaiiy oai?eo ia
noaiiea?ae?th iai?oae II – III OE c aeei?enoaiiyi EA*-oa?ai??.
6. Aea/eoe a?aeaeaeai? ?acoeueoaoe caa?aaeaiiy no?eeiai ee?i?/iiai
aoaeoo o oai?eo ia noaiiea?ae?th iai?oae II – III OE i?ae aieeaii
EA*-oa?ai?? a eiiieaeniiio e?eoaaii?.
Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a
1. ?ice?eo? iia? aniaeoe iaoai?cio ae?? EA*-oa?ai??: – aia?oa
anoaiiaeaii iiceoeaiee aieea EA*-oa?ai?? ia oe? aaceniiai e?eoaaiiy ia
noai ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea o oai?eo ia noaiiea?ae?th
iai?oae II – III OE;
– iaea?aeaii iia? aeai? i?i aieea EA*-oa?ai?? ia ee?oeiio eaieo
ia?aeeniiai ieeneaiiy e?i?ae?a (cieaeaiiy ai?noo iaeiiiaiai
ae?aeueaeaa?aeo a a?eo?ioeeoao oai?eo ia noaiiea?ae?th iai?oae II – III
OE);
– aia?oa ooi/iaiee iaoai?ci i?aeaeuaiiy /ooeeaino? oai?eo ia NI II – III
OE aei i?o?iae?oea?eio i?ae aieeaii EA*-oa?ai??, iniiaith yeiai ?
ca?eueoaiiy ai?noo noeueoa?ae?eeueieo a?oi (SH-) ia o?eueee a ieaci?
e?ia?, a e a a?eo?ioeeoao.
2. Aecia/ai? aeey an?o oai?eo ia NI II – III OE aeaye? iieacieee
?ino?oiaioaeueii-a?io?i?/ieo aeine?aeaeaiue (iiaea?eiee aeiaooie,
iieacieee o?aini?o?aeueiiai e?iaiia?ao, noai IIE a a?eo?ioeeoao,
eiao?oe??io aoa?iaaiiino?), e?euee?nia cia/aiiy yeeo aeicaiey?
i?iaiicoaaoe aoaeoeai?noue i?ecia/aii? EA*-oa?ai?? a eiiieaeniiio
e?eoaaii?.
3. Iaea?aeaii iiceoeaia ??oaiiy ? 9801444 ia naiino?eii ?ic?iaeaiee
iaoaio “Niin?a e?eoaaiiy noaiiea?ae??” a?ae 1.12.98 ?. (Oe?a?ia).
I?aeoe/ia cia/aiiy ?iaioe
Aecia/ai? iieacaiiy aei i?ecia/aiiy EA*-oa?ai?? i?e eiioaeoi?e ae?? ia
iaeanoue i?iaeoe?? aa?o?aee na?oey a eiiieaen? c aaceniei e?eoaaiiyi o
oai?eo ia noaiiea?ae?th iai?oae II – III OE.
Aeei?enoaiiy aeinooiiiai o?ce/iiai oaeoi?o aeaeo?iiaai?oieo i?e?iao?iaeo
oaeeue o e?eoaaii? oai?eo ia noaiiea?ae?th iai?oae II – III OE a
eiiieaeniiio e?eoaaii? aeeeeea? no?eeee oa?aiaaoe/iee aoaeo, cia/ii
ciaioo? e?euee?noue iaiaae?a noaiiea?ae?? ( a oiio /ene? aacaieueiaeo);
ni?ey? ca?eueoaiith oa?i?i?a no?eeiai ee?i?/iiai aoaeoo e?eoaaiiy (o 72%
oai?eo ia noaiiea?ae?th iai?oae II OE aei 6 i?nyoe?a oa o 28,4% oai?eo
ia noaiiea?ae?th iai?oae III OE – aei 3 i?nyoe?a), i?aeaeuo? /ooeea?noue
oai?eo aei i?o?ao?a, ui aeicaiey? ia’?eoeaii ciaioeoe ?oith aeico.
Iaoa??aee aeena?oaoe?eii? ?iaioe ai?iaaaeaeai? a ee?i?/io i?aeoeeo
ea?ae?ieia?/iiai ? o?c?ioa?aiaaoe/iiai a?aeae?eaiue 411 Iaeanueeiai
a?enueeiaiai oieoaeth, ee?i?/ieo e?ea?aiue ? 2 oa ?3, i. Iaeane.
?acoeueoaoe aeine?aeaeaiiy aeei?enoiaothoueny a iaa/aeueiiio i?ioean? ia
eaoaae?? aini?oaeueii? oa?ai?? Iaeanueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.
Ai?iaaoe?y ?iaioe
Iniiai? iaoa??aee aeena?oaoe?? aeeeaaeai? ia can?aeaii? Iaeanueeiai
iaeaniiai oa?aiaaoe/iiai oiaa?enoaa (10.04.98 ?.), ia ? Iaoe?iiaeueiiio
Eiia?an? o?c?ioa?aiaao?a oa eo?i?oieia?a (Oiaeueiee, 1998). Ai?iaaoe?y
?iaioe i?iaaaeaia ia ?icoe?aiiio can?aeaii? oi?aa?neoaonueei? i?iaeaiii?
eii?n?? Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo, ia can?aeaii?
ee?i?/iiai a?aeae?eo Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo
iaaee/ii? ?aaa?e?oaoe?? ? eo?i?oieia??. O?aaiaioe aeena?oaoe?eii? ?iaioe
aeei?enoai? a ??/ieo ca?oao 1996-98 ?.?. o?c?ioa?aiaaoe/iiai oa
ea?ae?ieia?/ieo a?aeae?eaiue 411 Ai?iiiai aini?oaeth a ?icae?eao
“Iaoeiai-aeine?aeia ?iaioa” oa “Ai?iaaaeaeaiiy” (aeia?aeea ? 437 a?ae
21.09.98 ?.), a ca??ieeo iaoeiaeo ?ia?o, ui i?enay/aiee 200 ??/ieoe? 411
Iaeanueeiai a?enueeiaiai oieoaeth oa a ca??ieeo 14 c’?caeo Oa?aiaao?a
Oe?a?ie (23-25.09.1998 ?.), iaae?oeiaaii oace ca oaiith aeena?oaoe??.
Ioae?eaoe?y ?acoeueoao?a iaoeiaeo aeine?aeaeaiue
Ca iaoa??aeaie aeine?aeaeaiiy iaae?oeiaaii 7 ?ia?o, c ieo 6 – noaoae
(3-naiino?ei? a aeo?iaeao “Oe?a?inueeee ea?ae?ieia?/iee aeo?iae”,
“Iaeanueeee iaaee/iee aeo?iae”, “Iaaeeoeeineay ?aaaeeeoaoeey,
eo?i?oieiaey, oeceioa?aiey”.
No?oeoo?a oa ianya ?iaioe
?iaioa aeeeaaeaia ia 143 noi??ieao iaoeiiieno, ?ethno?iaaia 22
oaaeeoeyie oa 18 iaethieaie, neeaaea?oueny c anooio, 3 aeaa, ui i?noyoue
iaeyae e?oa?aoo?e, iaoa??aee oa iaoiaee aeine?aeaeaiiy, ?acoeueoaoe
aeanieo niinoa?aaeaiue, aeniiaee, ia?ae?e e?oa?aoo?e, ui aeeth/a? 156
aeaea?ae, c ieo a?o/eciyieo – 140 , ?iicaiieo – 16.
Aeaeea?aoe?y eiie?aoiiai iniaenoiai aianeo aeena?oaioa a io?eiaii?
?acoeueoao?a aeine?aeaeaiiy
Naiino?eii i?iaiaeeea a?aea?? oai?eo (157 in?a) oa ?oi? ee?i?/ia oa
ooieoe?iiaeueia ianoaaeaiiy. Naiino?eii i?iaiaeeea aaeia?aiiao??th,
aeaeo?iea?ae?ia?ao?th, Oieoa?ianueeee iii?oi?eia. Ioe?iea ia?eoa??eii?
aaiiaeeiai?ee oa ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea aeeiioaaeenue
naiino?eii i?e eiinoeueoaoeai?e aeiiiiic? ia aac? 2 IEE. Naiino?eii
aeeiiai? iniiai? aoaie a?io?i?/ieo aeine?aeaeaiue – aecia/aiiy e?i?ae?a,
iaeiiiaiai ae?aeueaeaa?aeo, aethoao?ii?aaeoeoace, ieeneaieo oa
a?aeiiaeaieo oi?i eioa?iaio?a, ai?noo SI-, SS-a?oi a a?eo?ioeeoao oa
ieaci? e?ia? oai?eo ia noaiiea?ae?th iai?oae II – III OE. Naiino?eii
ioi?ieaia oa ia?iaeaia ia?aeiia aeieoiaioaoe?y uiaei aeena?oaoe?eiiai
aeine?aeaeaiiy, aeeiiaia ee?i?/ia ?ioa?i?aoaoe?y io?eiaieo ?acoeueoao?a
aeine?aeaeaiiy. Aea/ai? oai?aoe/i? iniiae EA*-oa?ai??, naiino?eii
aeeiioaaea an? aoaie e?eoaaeueii? o?c?ioa?aiaaoe/ii? EA*-oa?ai??.
Naiino?eii noi?ioeueiaai? iaoa, caaaeaiiy aeine?aeaeaiiy, aeniiaee ii
iaoa??aeao aeine?aeaeaiiy.
Ci?no ?iaioe
Ianoaaeaii 157 oai?eo ia noaiiea?ae?th iai?oae II – III OE (ca
eeaneo?eaoe??th AEIOe AII N?N?, 1982 ?.). A aeine?aeaeaiiy aeeth/ai?
o?eueee /ieia?ee a a?oe? a?ae 39 aei 72 ?ie?a (na?aaei?e a?e- 54,0±3,4
?.). A aeine?aeaeaiiy aoee aeeth/ai? oai?? aac ee?i?/ieo i?iya?a
iaaeinoaoiino? e?iaiia?ao (OA a?eueoa 48 %), aeno?anenoie?/ii? a?eoi??
aenieeo nooiai?a a?aaeaoe?e oa ?ioeo ii?ooaiue ?eoio oa i?ia?aeiino?,
ye? aieeaathoue ia noai aaiiaeeiai?ee oa iio?aaothoue i?ecia/aiiy
aeiaeaoeiaeo iaaeeeaiaioicieo cania?a, aac ee?i?/ii cia/oueo noiooieo
caoai?thaaiue ia/?iee, i?aeoeoieiai? caeice, ie?ie, a?iio?a, oeoe?iaiai
ae?aaaoo. An?i iaoe??ioai ?c noaiiea?ae??th iai?oae II OE i?ae /an
niinoa?aaeaiiy i?ecia/aany ?cini?a?aea aeei?o?ao 30±5,5 ia,
aoeaoeenae?oeeeiaa eeneioa 160±50,6 ia. An? oai?? ia noaiiea?ae?th
iai?oae III OE io?eioaaee ?cini?a?aea aeei?o?ao 60±20,5 ia,
aoeaoeenae?oeeeiao eeneioo 325±50,9 ia. I?e aeieeiaii? iaiaae?a
noaiiea?ae?? an? oai?? aeiaeaoeiai iaea?aeoaaee i?o?iae?oea?ei,
e?euee?noue oaaeaoie yeiai a?aoiaoaaee. A ia??iae noaa?eueiiai ia?aa?ao
caoai?thaaiiy oai?? io?eioaaee i?i?iaeueio i?aeo?eioth/o aeico
i?aia?ao?a.
An?o oai?eo aoei ianoaaeaii ia?aae ii/aoeii e?eoaaiiy, ia 5-7 aeaiue
eo?no EA*-oa?ai??, i?ney cae?i/aiiy eo?no oa?ai?? (ia 3 oeaeaeaiue), a
oaeiae /a?ac 3 oa 6 i?nyoe?a i?ney e?eoaaiiy ca oiia caa?aaeaiiy
noaa?eueiiai ia?aa?ao noaiiea?ae?? iai?oae oa no?eeino? aeinyaiooiai
aoaeoo. An?i iaoe??ioai aeeiioaaee caaaeueii-ee?i?/ia ianoaaeaiiy e?ia?
oa na/?, ?a?no?oaaee AE A a 12 noaiaea?oieo a?aeaaaeaiiyo, aeeiioaaee
oe?eiaeiaiaee Oieoa?ianueeee iii?oi?eia, i?iaiaeeee
Aeiiiea?-aoiea?ae?ia?ao?th ca noaiaea?oiith iaoiaeeeith I.I.Iooa?eyiiaa
(1987). I?ney cae?i/aiiy e?eoaaeueii-?aaa?e?oaoe?eiiai eo?no (3 oeaei?)
ca ee?i?/ieie e?eoa??yie oa iieacieeaie Oieoa?ianueeiai iii?oi??iao
ioe?ithaaee aoaeoeai?noue e?eoaaiiy ca ianooiieie e?eoa??yie ioe?iee
i?iaaaeaii? oa?ai??: aeia?ee – iiaia i?eieiaiiy i?eeiio i?o?iae?oea?eio
(IA) oa cieeiaiiy ai?ciae?a A?I; caaeia?eueiee – cieaeaiiy e?eueeinoe
IA ia ai?ciae?a A?I ia 50% oa a?eueoa a ii?aiyii? c aeo?aeieie aeaieie;
noii?aiee – ciaioaiiy e?eueeino? oaaeaoie IA oa ai?ciae?a A?I a iaaeao
25-50%; aac aoaeoo – ciaioaiiy e?eueeino? oaaeaoie IA oa ai?ciae?a A?I
ia a?eueo i?ae 25%; iia??oaiiy – ca?eueoaiiy e?eueeino? oaaeaoie IA oa
ai?ciae?a A?I a?eueo i?ae ia 25% a ii??aiyii? c aeo?aeieie aeaieie.
Oai??, ui aoee aeeth/ai? a aeine?aeaeaiiy, aoee ?iciiae?eai? ia 3
ci?anoaai? ca a?eii, iaoiaeeeith e?eoaaiiy a?oie niinoa?aaeaiiy: ia?oa
(n = 67) – io?eioaaee eiiieaenia e?eoaaiiy c aeei?enoaiiyi EA*-oa?ai??;
ae?oaa (n = 65) – (a?oia ii??aiyiiy) – io?eioaaee iaaeeeaiaioicia
e?eoaaiiy; o?aoy (n = 25) – a?oia – ieaoeaai. Eiaeia c a?oi aoea
?iciiae?eaia ia aea? iiaea?oie: A – oai?? ia noaiiea?ae?th iai?oae II
OE, A – oai?? ia noaiiea?ae?th iai?oae III OE. Aeey iaea?aeaiiy
ii?iaeueieo o?ce/ieo cia/aiue an?o aeine?aeaeaieo iieaciee?a ianoaaeaii
a?oio c 25 i?aeoe/ii caei?iaeo in?a, ci?anoaaieo ca a?eii oa noaooth c
oai?eie 1 – 3 a?oi.
Ia?aae i?iaaaeaiiyi eo?no EA*-oa?ai?? oa i?ney eiai caaa?oaiiy, a oaeiae
/a?ac 3 oa 6 i?nyoe?a, ca oiia caa?aaeaiiy no?eeiai aeinyaiooiai aoaeoo,
aeeiioaaee ia?i? AAI. A?aoiaoaaee aeeiiaio ?aaioo, ii?iaiao
iiooaei?noue, iiaea?eiee aeiaooie (IAe = *NN o AOneno/100). Iiaoi?io AAI
aeeiioaaee /a?ac 1-3 oaeeeie i?ney noae?iaaaeueiiai i?eeiio 0,0001
i?o?iae?oea?eio. ?a?no?aoe?th AEA aeeiioaaee o a?aeaaaeaiiyo ii Iaao.
Aeine?aeaeaiiy ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea i?iaiaeeee oeyoii
e?euee?nii? Aoiea?ae?ia?ao?? ia aia?ao? “Sim-5000” (?oae?y). Aecia/aee
o?aeoe?th aeeeaeo. Aeine?aeaeaiiy ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea
i?iaiaeeee ca iieacieeaie o?aini?o?aeueiiai e?iaiia?ao iaoiaeii
Aeiiiea?-AoiEA ?iioeueniith oaeeath (J.L. Ronlean et. all., 1991).
E?i?aeiee iai?i aeine?aeaeoaaee, aecia/ath/e e?euee?noue caaaeueiiai
oieanoa?eio (cON) (A.A. Eiea, A.N. Eaiuoieeia, 1976), ai?no
e?iii?ioa?ae?a aeniei? u?eueiino? (EIAU) (A.N. Oeoia oa ni?aaao., 1980),
ai?no o?aeoe?e oieanoa?eio – e?iii?ioa?ae?a i?cueei? u?eueiino? (EIIU),
e?iii?ioa?ae?a aeoaea iecueei? u?eueiino? (EIAeIU), caaaeuei?
oinoie?i?aee ieacie e?ia? (cOE) (A.A. Eiea, A.N. Eaiuoieeia, 1976).
Oaeiae ?ic?aoiaoaaee eiao?oe??io aoa?iaaiiino? (EAO) (A.I. Eeeiia,
1975).
I?e aeine?aeaeaii? ia?aeeniiai ieeneaiiy e?i?ae?a aecia/aee iaeiie/aiiy
iaeiiiaiai ae?aeueaeaa?aea (IAeA) ca iaoiaeii E.Ae. Noaeueii?, A.A.
Aa??oa?e? (1977). Aioeieneaeaioiee caoeno ioe?ithaaee ca aeoeai?noth
aethoao?ii?aaeoeoace (O.?. Ioo?e?ia, 1982). I?e aeine?aeaeai? noaio
o?ie-aeenoeueo?aeii? nenoaie aecia/aee ai?no noeueoa?ae??eueieo a?oi
(SH-) oa aeenoeueo?aeieo a?oi (SS-) a aiaei?ic/eiieo a?eeao (I.A.
Aa?aaeeia c ni?aaao., 1977). Aeey aea/aiiy
ieenethaaeueii-a?aeiiaethaaeueieo i?ioean?a a a??o?ioeeoao oa ieaci?
e?ia? aecia/aee ai?no i?eioeiai?aeieo eioa?iaio?a – ieeneaii? (IAAe) oa
a?aeiiaeaiii? (IAAeI) oi?i ca iaoiaeii I.I.I?ioi?iai? (1982).
Aeey i?iaaaeaiiy EA*-oa?ai?? aeei?enoiaoaaee iaaee/iee aia?ao
“Yeaeo?iieea-EA*-101”.
?iaeoeoi? ?icoaoiaoaaee eiioaeoii, ia iaeanoue i?iaeoe?? aa?o?aee
na?oey. ?icoaooaaiiy aei?ii?ithaa/a – ia?ooiii. ?aaeei ?iaioe –
?iioeuenia aaia?aoe?y, iiooaei?noue aei?ii?ithaaiiy aei 10 iAo,
aeiaaeeia oaee? – 7,1 ii, /anoioa – 45 AAoe. Eo?n e?eoaaiiy – 15
naain?a, aeniiceoe?y – 30 oaeeei. I?ioeaaeo?e aeeiioaaee uiaeaiii.
?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy
Ia?aae e?eoaaiiyi oai?? 1 a?oie ?c noaiiea?ae??th iai?oae II OE (i=29)
i?eeiaee i?o?iae?oea?ei – 4,6±0,3 oaaeaoee/aeiao oa 6,4± 0,6 oaae./aeiao
?c noaiiea?ae??th III OE (i=38). ?acii c iaiaaeaie noaiiea?ae??
?a?no?oaaee ai?ciaee aacaieueiai? ?oai?? i?iea?aeo (A?I) – 5,5±0,6 oa
0,8±0,79 ai?ciaee/aeiao, a?aeiia?aeii, o in?a c? noaiiea?ae??th iai?oae
II-III OE. Caaaeueiee /an ?oai?? neeaa, a?aeiia?aeii, 23,8±6,1 oa
59,3±2,3 oaeeeie/aeiao o oai?eo ?c noaiiea?ae??th II oa III OE.
Caaaeueia o?eaae?noue ?oai?? ia /an cae?i/aiiy e?eoaaiiy neeaaeaea a 1-e
a?oi? – 11,2±2,4 oaee./aeiao oa 32,2±1,8 oa./aeiao, a?aeiia?aeii, o
oai?eo ia noaiiea?ae?th iai?oae II-III OE, ui aoei nooo?ai iaioa (? ‹
0,01), i?ae o an?o aeiaaeeao a ii??aiyii? c iieacieeaie aei e?eoaaiiy. A
2-e a?oi? caaaeueiee /an ?oai?? ciaioeany, a?aeiia?aeii, 18,4±3,7 oa
47,3±2,8 oa./aeia. o iaoe??io?a ?c noaiiea?ae??th iai?oae II-III
ooieoe?iiaeueieo eean?a (? › 0,01) o an?o aeiaaeeao. I?ney i?iaaaeaiiai
e?eoaaiiy io?eiaii iie?auaiiy naiiii/oooy, ui ae?aaeaeinue a cieaeaii?
/anoioe ee?i?/ieo iaiaae?a noaiiea?ae??, cieaeaii? a?ae/oooy aoiie.
A ia?o?e a?oi? caaaeueia aoaeoeai?noue e?eoaaiiy o oai?eo ia
noaiiea?ae?th iai?oae II OE neeaea 88,8%, ui cia/ii ia?aaeooaaei
cia/aiiy a 2 oa 3 a?oiao, o iaoe??io?a ?c noaiiea?ae??th iai?oae III OE
– 69,5%, ui oaeiae aoei a?eueoa a ii??aiyii? c ?ioeie a?oiaie – 61,8% (
2 a?.) oa 61,1% (3 a?.). I?e oeueiio, a iniiai?e a?oi? o iaoe??io?a ?c
noaiiea?ae??th iai?oae II OE aeia?ee aoaeo iaea?aeaii o 76,3%,
caaeia?eueiee – 12,5%, iaia?aeiieeaee – 22,5%, aac aoaeoo – 7,1%,
iia??oaiiy 0,9%. Iia??oaiiy ca?a?no?iaaia o oai?eo, ui a aeo?aeiiio
noai? iaee cieaeaio oiea?aioi?noue aei o?ce/ieo iaaaioaaeaiue oa
ca?eueoai? iieacieee e?iii?ioa?ae?a iecueei? u?eueiino?, eiao?oe??ioo
aoa?iaaiiino?, na?aaeiuei? oaeaeeino? o?aini?o?aeueiiai e?iaia?ao a
nenoieo e?aiai ia?aaena?aey, ieiu? i?ae e?eaith oace nenoiee e?aiai
ia?aaena?aey, ai?noo iaeiiiaiai ae?aeueaeaa?aea oa e?eueeino?
aeenoeueo?aeieo a?oi a a?eo?ioeeoao oa ieaci?, ciaioai? cia/aiiy
na?aaeiuei? oaeaeeino? o?aini?o?aeueiiai e?iaia?ao a oaco ?aiiueiai
ae?anoie?/iiai iaiiaiaiiy, ni?aa?aeiioaiiy na?aaeiuei? oaeaeeino?
o?aini?o?aeueiiai e?iaiia?ao a oaco oaeaeeiai ae?anoie?/iiai iaiiaiaiiy
aei caaaeueiiai o?aini?o?aeueiiai e?iaia?ao, ??ai?a noeueoa?ae?eeueieo
a?oi a a?eo?ioeeoao oa ieaci?.
E?euee?noue oaaeaoie i?o?iae?oea??io ia e?iaoeue e?eoaaiiy o oai?eo ia
noaiiea?ae?th iai?oae II OE a??ia?aeii ciaioeeiny ia 71,3% (a 2 a?.,
iai?eeeaae – ia 50,7%), o iaoe??io?a ?c noaiiea?ae??th iai?oae III OE –
ia 31,2% (a 2 a?. – ia 24,5%). Ia e?iaoeue e?eoaaiiy e?euee?noue
oaaeaoie ?cini?a?aea ae?i?o?aoa a??ia?aeii ciaioeeanue o oai?eo ia
noaiiea?ae?th iai?oae II OE ia 44,8% (a 2 a?. – ia 23,7%), aeey oai?eo
ia noaiiea?ae?th iai?oae III OE – ciaioaiiy ia aoei a??ia?aeiei.
Aiae?c ci?i iieaciee?a oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy
aecia/ea a 1 a?. cia/ia oa a??ia?aeia c?inoaiiy aeeiiaii? ?iaioe oa
ii?iaiai? iiooaeiino? a ii??aiyii? c ?ioeie a?oiaie. Nooi?iue oeueiai
c?inoaiiy o oai?eo ia noaiiea?ae?th iai?oae II OE ia?aaeooaaa iieacieee
(a?aeiia?aei?) o oai?eo ia noaiiea?ae?th iai?oae III OE. I?e oeueiio, o
oai?eo c iaiia eeanaie aei 6 i?nyoey cia/aiiy ?iaioe aoei a?eueoa
aeo?aeieo aeaieo, a ia 3 i?nyoe? a?eueoa, i?ae a 2 oa 3 a?. Aiae?c ci?i
iieaciee?a iiaea?eiiai aeiaooeo aecia/ea a??ia?aeia c?inoaiiy eiai
cia/aiiy. A iniiai?e a?oi? ia e?iaoeue e?eoaaiiy cia/aiiy iiaea?eiiai
aeiaooeo ia aeinyaa? iieaciee?a o caei?iaeo, aea a??ia?aeii ia
a?ae??ciythoueny a?ae aeo?aeieo o oai?eo ia noaiiea?ae?th iai?oae II OE
(ia 6-e i?nyoeue). Ia e?iaoeue 3 oeaeiy e?eoaaiiy a 1 a?oi? aecia/aii
cia/ia oa a??ia?aeia c?inoaiiy an?o iieaciee?a, ye? oa?aeoa?ocothoue
iie?auaiiy ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea oa nenoiee/ii?
ooieoe?? e?aiai oeoii/ea o oai?eo ia noaiiea?ae?th iai?oae II OE
(ii?iae?caoe?y iieaciee?a ca?a?no?iaaia a 79% aeiaaee?a), ca
aeeeth/aiiyi iieaciee?a, ui oa?aeoa?ecothoue ooieoe?th e?aiai
ia?aaena?aey (na?aaeiuei? oaeaeeino? o?aini?o?aeueiiai e?iaia?ao a
nenoieo e?aiai ia?aaena?aey, ieiu? i?ae e?eaeie oace nenoiee
ia?aaena?aey). A a?oi? ii??aiyiiy o oai?eo ia noaiiea?ae?th iai?oae II
OE ia aecia/aii a??ia?aeiiai iie?auaiiy AeOEO. Aeey iaoe??io?a ?c
noaiiea?ae??th iai?oae III OE 1i? a?oie ii?iae?caoe?y iieaciee?a
ae?anoie?/ii? ooieoe?? e?aiai oeoii/ea ca?a?no?iaaii eeoa a 53%
aeiaaee?a.
Aiae?c ci?i o e?i?aeiiio iai?i? aecia/ea a 1 a?.cieaeaiiy eiao?oe??ioa
aoa?iaaiiino? ca ?aooiie ca?eueoaiiy ai?noo e?iii?ioa?ae?a aeniei?
u?eueiino?, cieaeaiiy caaaeueiiai oieanoa?eio, e?iii?ioa?ae?a aeoaea
iecueei? u?eueiino? oa iecueei? u?eueiino?, e?ea?aeiaaii aeao?oeeo
ai?noo caaaeueieo oinoie?i?ae?a. A a?oi? ii??aiyiiy oa ieaoeaai
aeeiai?eo a noai? e?i?aeiiai iai?io ia aecia/aii. Aecia/aiee iaaaoeaiee
ei?aeyoe?eiee ca’ycie i?ae cieaeaiiyi eiao?oe??ioa aoa?iaaiiino? oa
c?inoaiiyi aeeiiaii? ?iaioe.
Aiae?c iaoa?iaioaoeaii? eaiee aioeieneaeaioiiai caoenoo ee?oei aecia/ea
aeey oai?eo ia noaiiea?ae?th iai?oae II OE 1 a?oie a??ia?aeii a?eueoa
c?inoaiiy ai?noo noeueoa?ae?eeueieo a?oi (SH-), nieaeaiiy ??aiy
aeenoeueo?aeieo a?oi (SS-) a a?eo?ioeeoao, ca?eueoaiiy cia/aiue
ni?aa?aeiioaiiy SH/SS. Ia e?iaoeue e?eoaaiiy aeoeai?noue
aethoao?ii?aaeoeoace ca?eueooaaeanue o oai?eo ia noaiiea?ae?th iai?oae
II OE 1 a?oie ia 322% a ii??aiyii? c aeo?aeieie cia/aiiyie. Aecia/aii
oaiaeaioe?th aei ca?eueoaiiy ieeneaieo oi?i (IAAe), a?aeiia?aeii,
ni?aa?aeiioaiiy ieeneaieo oi?i oa a?aeiiaeaieo oi?i (IAAe/IAAeI),
iaeiie/aiith ai?noo IAeA, a 2 a?.- ca?eueoaiiy cia/aiue ni?aa?aeiioaiiy
SH/SS, IAAe/IAAeI, ca?eueoaiiy aeoeaiino? aethoao?ii?aaeoeoace.
O iaoe??io?a ?c noaiiea?ae?th iai?oae III OE ia 3 oeaeaeaiue a iaio
a?oiao aecia/aia aeoeaaoe?y aioo??oiueiee?oeiieo ieenethaaeueieo
i?ioean?a – c?inoaiiy a?aeiiaeaieo oi?i (IAAeI) aac aaeaeaaoii? ?aaeoe??
iaia?aiieo eiiiiiaio?a aioeieneaeaoiiai caoenoo – aeoeai?noue
aethoao?ii?aaeoeoace cieaeo?oueny, ia aeinyaath/e ii?ie, ui na?ae/eoue
i?i ciaioaiiy iioaioe?aeo aioeieneaeaoiiai caoenoo a?eo?ioeeo?a. Ia
e?iaoeue eo?no e?eoaaiiy a ieaci? e?ia? oai?eo ia noaiiea?ae?th iai?oae
II – III OE 1 a?oie aecia/aia cieaeaiiy ai?noo aeenoeueo?aeieo a?oi, ui
ia?aaeooaaei cia/aiiy a 2 a?oi?. I?e iacia/ouiio ca?eueoaii? e?eueeino?
noeueoa?ae?eeueieo a?oi a iniiai?e a?oi?, ni?aa?aeiioaiiy SH/SS aoei
ieae/ei o an?o oai?eo ii a?aeiioaiith aei a?oie ii??aiyiiy. O an?o
iaoe??io?a aecia/aii cia/ia ? a??ia?aeia cieaeaiiy ai?noo IAeA, i?e
oeueiio o iaoe??io?a ?c noaiiea?ae?th iai?oae II OE aecia/aia
oaiaeaioe?y aei cieaeaiiy ai?noo ieeneaieo oi?i (IAAe) oa ca?eueoaiiy
a?aeiiaeaieo oi?i (IAAeI), a aeey oai?eo noaiiea?ae?th iai?oae III OE –
cieaeaiiy a?aeiiaeaieo oi?i (IAAeI). Oea na?ae/eoue i?i i?eai?/aiiy
iaioicioinoaoiiai oeeeeo i?iaeoeoe?? ieeio?iai?aeieo eioa?iaio?a.
E??i oiai, ia e?iaoeue e?eoaaiiy aeoeai?noue aethoao?ii?aaeoeoace a 1
a?oi? o oai?eo ia noaiiea?ae?th iai?oae III OE iaia?aeiieeai
ca?eueooaaeanue, a a 2 – ia a??ia?aeii ciaiooaaeanue, ui na?ae/eoue i?i
ae/a?iaiiy oa?iaioaoeaii? eaiee i?ioeano ia?aeeniiai ieeneaiiy e?i?ae?a
oa aioeieneaeaioiiai caoenoo ieaci? e?ia?.
Oaeei /eiii, yeui a a?eo?ioeeoao oai?eo ia noaiiea?ae?th iai?oae III OE
iaeiie/aiiy ieeneaieo oi?i (IAAe) i?ecaiaeeoue aei ca?eueoaiiy ?I
aioo??oiueiee?oeiiiai na?aaeiaeua, oi a ieaci? e?ia? ca?eueoo?oueny
aeoeai?noue eiiiainaoi?ieo ?aaeoe?e o aeaeyae? ca?eueoaiiy ai?noo ?ii?a
aiaeith, ui i?ecaiaeeoue aei ca?eueoaiiy a?aeiiaethaaeueieo aeanoeainoae
ia o?eueee ieacie, aea e aioo??oiueiee?oeiiiai na?aaeiaeua a?eo?ioeeo?a.
AENIIAEE
1. Eiiieaenia e?eoaaiiy oai?eo ia noaiiea?ae?th iai?oae II-III OE c
aeei?enoaiiyi EA*-oa?ai?? ? a?eueo aoaeoeaiei iaoiaeii a ii??aiyii? c
aaceniith iaaeeeaiaioiciith oa?ai??th. E?auee ee?i?/iee aoaeo
eiiieaeniiai e?eoaaiiy c aeei?enoaiiyi EA*-oa?ai?? iaea?aeaiee o oai?eo
ia noaiiea?ae?th iai?oae II OE – 88,8%, a ii??aiyii? c iaoe??ioaie ?c
noaiiea?ae?th iai?oae III OE – 69,5%.
Aoaeoeai?noue iaaeeeaiaioiciiai e?eoaaiiy neeaea 76% oa 61,8%,
a?aeiia?aeii.
2. Iaeiei c i?ia?aeieo iaoai?ci?a iie?auaiiy ooieoe?iiaeueiiai noaio
i?iea?aea ia oe? EA*-oa?ai?? ? ei?aeoe?y ae?anoie?/ii? ooieoe?? e?aiai
oeoii/ea, i?i ui na?ae/eoue iiceoeaia aeeiai?ea iieaciee?a, ye?
oa?aeoa?ecothoue oaco ?aiiueiai ae?anoie?/iiai iaiiaiaiiy, na?aaeiuei?
oaeaeeino? o?aini?o?aeueiiai e?iaiia?ao a oaco ?aiiueiai ae?anoie?/iiai
iaiiaiaiiy, ni?aa?aeiioaiiy na?aaeiuei? oaeaeeino? a oaco ?aiiueiai
ae?anoie?/iiai iaiiaiaiiy oa na?aaeiuei? oaeaeeino? a oaco nenoiee
e?aiai ia?aaena?aey, ieiu? i?ae e?eaith ?aiiueiai ae?anoie?/iiai
iaiiaiaiiy, ni?aa?aeiioaiiy na?aaeiuei? oaeaeeino? a oaco ?aiiueiai
ae?anoie?/iiai iaiiaiaiiy ? caaaeueiiai o?aini?o?aeueiiai e?iaia?ao.
3. Anoaiiaeaii, ui aaaeeeaei /eiieeii ee?i?/ii? aoaeoeaiino? EA*-oa?ai??
? iie?auaiiy iieaciee?a ia?aeeniiai ieeneaiiy e?i?ae?a (cieaeaiiy ai?noo
iaeiiiaiai ae?aeueaeaa?aeo) oa aioeieneaeaoiiai caoenoo (ca?eueoaiiy
cia/aiue a?aeiioaiiy ??ai?a noeueoa?ae?eeueieo oa aeenoeueo?aeieo a?oi,
c?inoaiiy aeoeaiino? aethoao?ii?aaeoeoace) ia o?eueee a ieaci? oai?eo ia
noaiiea?ae?th iai?oae II-III OE, aea e ia ee?oeiiiio ??ai? – a
a?eo?ioeeoao. Oe? ci?ie ? iaeiei c aaaeeeaeo /eiiee?a, ui caaacia/othoue
oeeoii?ioaeoi?io ae?th EA*-oa?ai?? ia oe? eiiieaeniiai e?eoaaiiy.
4. Aeeiai?ea iieaciee?a, ui oa?aeoa?ecothoue oeeoii?ioaeoi?io ae?th
EA*-oa?ai?? a eiiieaeniiio e?eoaaii? oai?eo ia noaiiea?ae?th iai?oae
II-III OE, oa?aeoa?eco?oueny a?aei?iieie oaiaeaioe?yie, o oai?eo ia
noaiiea?ae?th iai?oae II OE aecia/aii c?inoaiiy e?eueeino?
noeueoa?ae?eeueieo a?oi i?e i?aeaeuaii? aeoeaiino? aethoao?ii?aaeoeoace
ye a a?eo?ioeeoao, oae ? a ieaci?. Aeey oai?eo ia noaiiea?ae?th iai?oae
III OE anoaiiaeaii ca?eueoaiiy ai?noo noeueoa?ae?eeueieo a?oi o?eueee a
a?eo?ioeeoao, i?e cieaeaii? aeoeaiino? aethoao?ii?aaeoeoace ye a
a?eo?ioeeoao, oae ? a ieaci?.
5. Eiiieaenia oa?ai?y c aeei?enoaiiyi EA*-aei?ii?ithaaiiy i?aeaeuo?
oiea?aioi?noue aei o?ce/iiai iaaaioaaeaiiy (ca?eueoaiiy aeeiiaii?
?iaioe, ii?iaiai? iiooaeiino?), iie?auo? e?i?aeiee niaeo? (cieaeaiiy
ei?o?oe??ioa aoa?iaaiiino? ca ?aooiie ciaioaiiy ai?noo caaaeueiiai
oieanoa?eio oa c?inoaiiy o?aeoe?e e?iii?ioa?ae?a aeniei? u?eueiino?,
ciaioaiiy ai?noo e?iii?ioa?ae?a iecueei? oa aeoaea iecueei? u?eueiino?).
6. I?ae aieeaii EA*-oa?ai?? ia oe? eiiieaeniiai e?eoaaiiy o oai?eo ia
noaiiea?ae?th iai?oae II-III OE ca?eueoo?oueny /ooeea?noue aei i?o?ao?a
ca ?aooiie c?inoaiiy ai?noo noeueoa?ae?eeueieo a?oi ia ee?oeiiiio ??ai?,
a aeey oai?eo ia noaiiea?ae?th iai?oae II oaeiae a ieaci?, ui aeicaiey?
ciaioeoe aeico ?cini?a?aeo aeei?o?aoo ia 44%, o iaoe??io?a ?c
noaiiea?ae?th iai?oae III OE – ia 17,9%.
7. ?ic?iaeai? e?eoa???, ca aeiiiiiaith yeeo iiaeia i?iaiicoaaoe
aoaeoeai?noue EA*-oa?ai?? aeey oai?eo ia noaiiea?ae?th iai?oae II OE:
eiao?oe??io aoa?iaaiiino? ia aeuee ca 1,990,02; ai?no iaeiiiaiai
ae?aeueaeaa?aeo a a?eo?ioeeoao ia a?eueo, i?ae 6,020,33 ieiieue/e;
cia/aiiy ni?aa?aeiioaiiy noeueoa?ae?eeueieo oa aeenoeueo?aeieo a?oi a
a?eo?ioeeoao ia iaio, i?ae 0,170,015, cia/aiiy iiaea?eiiai aeiaooeo ia
ieae/a 2011,2 oiia.iae. oa cia/aiiy ni?aa?ae- iioaiiy na?aaeiuei?
oaeaeeino? o?aini?o?aeueiiai e?iaia?ao a oaco oaeae- eiai ae?anoie?/iiai
iaiiaiaiiy e caaaeueiiai o?aini?o?aeueiiai e?iaiia?ao ia iaio 3,760,02
n-1.
Aeey iaoe??io?a ?c noaiiea?ae?th iai?oae III OE: ei?o?oe??io
aoa?iaaiiino? 3,600,02; ??aaiue iaeiiiaiai ae?aeueaeaa?aeo a
a?eo?ioeeoao 9,720,03 ieiieue/e; ai?no iaeiiiaiai ae?aeueaeaa?aeo a
ieaci? 6,64077 ieiieue/e; ni?aa?aeiioaiiy noeueoa?ae?eeueieo a?oi oa
aeenoeueo?aeieo a?oi a ieaci? 2,430,09; cia/aiiy iiaea?eiiai aeiaooeo
1623,4 oiia.iae.; cia/aiiy ni?aa?aeiioaiiy na?aaeiuei? oaeaeeino?
o?aini?o?aeueiiai e?iaia?ao a oaco oaeaeeiai ae?anoie?/iiai iaiiaiaiiy
oa caaaeueiiai o?aini?o?aeueiiai e?iaia?ao 3,610,07 n-1.
8. Aeei?enoaiiy EA*-oa?ai?? a eiiieaeniiio e?eoaaii? ni?ey? ca?eue-
oaiith oa?i?i?a caa?aaeaiiy no?eeiai ee?i?/iiai aoaeoo o 77% oai?eo ia
noaiiea?ae?th iai?oae II OE aei 6 i?nyoe?a, o 28,4% oai?eo ia NI III OE
– aei 3-o i?nyoe?a.
IA?AE?E ?IA?O, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe??
1. E.A. Eiaaeaaneay. Aeeyiea EA*-oa?aiee ia aeeanoiee/aneoth ooieoeeth
eaaiai aeaeoaei/ea e aa eniieueciaaiea a eiiieaeniii ea/aiee aieueiuo
noaaeeueiie noaiiea?aeeae. // Iaaeeoeeineay ?aaaeeeoaoeey, eo?i?oieiaey,
oeceioa?aiey. –Iaeanna.- 1997. – ?2. – n.18-21.
2. E.A. Eiaaeaaneay. Eciaiaiea aeeanoiee/aneie ooieoeee eaaiai
aeaeoaei/ea o aieueiuo ni noaaeeueiie noaiiea?aeeae iiae aeeyieai
eiiieaeniiai ea/aiey n i?eiaiaieai EA*-oa?aiee. // Oe?a?ineee
ea?ae?ieia?/iee aeo?iae. – Ee?a. – 1997. – Aeione II ?4. – n. 26-28.
3. E.A. Eiaaeaaneay. Aeeiaieea iieacaoaeae aeeanoiee/aneie ooieoeee
eaaiai aeaeoaei/ea e ia?aeeniiai ieeneaiey eeieaeia o aieueiuo
noaaeeueiie noaiiea?aeeae iiae aeeyieai EA*-oa?aiee. //Oe?a?ineee
ea?ae?ieia?/iee aeo?iae. – 1998. – Ee?a. – ?2. – n.17-18
4. E.A. Eiaaeaaneay. Ninoiyiea aeeanoiee/aneie ooieoeee eaaiai
aeaeoaei/ea o aieueiuo noaaeeueiie noaiiea?aeeae a eiiieaeniii ea/aiee n
i?eiaiaieai EA*-oa?aiee. // Iaeanueeee iaaee/iee aeo?iae. — Iaeana. –
1998. — ?4(48). – n. 50-52.
5. Aeeyiea EA*-oa?aiee ia ninoiyiea eeneioii-uaei/iiai aiiainoaca e
ia?aeeniiai ieeneaiey eeieaeia o aieueiuo noaiiea?aeeae. // Aeooaeueiua
i?iaeaiu iaoieiaee (iiaia a aeeaaiinoeea e ea/aiee): na. iao/iuo
o?oaeia. – a niaao. A.I. TH?eia, I.I. Ia?aiaethe, O.U. Iaoiiiaa, A.A.
Aie/oe. – Iaeanna – 1997. – O1. – n. 131-135.
6. E.A. Eiaaeaaneay. Aeeiaieea iieacaoaeae aeeanoiee/aneie ooieoeee
eaaiai aeaeoaei/ea e ia?aeeniiai ieeneaiey eeieaeia o aieueiuo
noaaeeueiie noaiiea?aeeae iiae aeeyieai EA*-oa?aiee.// Iaoa?eaeu XIV
Nuacaea oa?aiaaoia Oe?aeiu (oacenu). – Eeaa. – 1998. –n. 48-49
7. Iiceoeaia ??oaiiy ia aeaea/o iaoaioo Oe?a?ie ? 9801444 a?ae 1.12.98
?. “Niin?a e?eoaaiiy noaiiea?ae??” / E. A. Eiaaeaanueea.
AIIOAOe?ss
Eiaaeaanueea E.A. EA*-oa?ai?y a eiiieaeniiio e?eoaaii? oai?eo ia
noaa?eueio noaiiea?ae?th
?oeiien. Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo
iaoe ca oaoii 14.01.33 – Eo?i?oieia?y ? o?c?ioa?ai?y.
Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iaaee/ii? ?aaa?e?oaoe?? oa
eo?i?oieia??, Iaeana, 1999.
Aeena?oaoe?y i?enay/aia aea/aiith iniaeeainoae aieeao aeaeo?iiaai?oieo
oaeeue i?e?iao?iaiai ae?aiaciio a eiiieaeniiio e?eoaaii? 157 oai?eo ia
noaiiea?ae?th iai?oae II – III ooieoe?iiaeueieo eean?a ca ee?i?ei-
ooieoe?iiaeueieie oa eaai?aoi?ieie aeaieie (oiea?aioi?noue aei o?ce/iiai
iaaaioaaeaiiy, noai ae?anoie?/ii? ooeioe?? e?aiai oeoii/ea, e?i?ae?iee
iai?i, ci?ie a ia?aeeniiio ieeneaii? e?i?ae?a ? aioeieneaeaioiiio
caoeno?, o?ie-aeenoeueo?aeia nenoaia ieacie e?ia? ? ia ee?oeiiiio ??ai?
– a a?eo?ioeeoao ). Anoaiiaeaii, ui EA*-oa?ai?y ia oe? aaceniiai
e?eoaaiiy iie?auo? ooieoe?iiaeueiee noai i?iea?aea, ia?
oeeoii?ioaeoi?iee aoaeo, ni?ey? ca?eueoaiith /ooeeaino? aei i?o?ao?a ca
?aooiie c?inoaiiy ai?noo noeueoa?ae?eeueieo a?oi a ee?oeii?e eaioe?, a
aeey oai?eo ia noaiiea?ae?th iai?oae II ooieoe?iiaueiiai eeano ? a
ieaci? e?ia?.
?ic?iaeai? e?eoa???, ui aeicaieythoue i?iaiicoaaoe aoaeoeai?noue
EA*-oa?ai?? a eiiieaeniiio e?eoaaii?.
Aeiaaaeaii, ui aeei?enoaiiy EA*-oa?ai?? ? aoaeoeaiei oa aeinooiiei
iaoiaeii o?c?ioa?ai??, o yeiai a?aenooiy iia?/ia ae?y, yeee aeicaiey?
ciaioeoe e?euee?noue oaaeaoie ?cini?a?aea aeei?o?aoa, ca?eueoo? oa?i?ie
caa?aaeaiiy no?eeiai ee?i?/iiai aoaeoo.
Eeth/ia? neiaa : noaiiea?ae?y iai?oae II – III ooieoe?iiaeueiiai eeano,
EA*-oa?ai?y, oiea?aioi?noue aei o?c?/iiai iaaaioaaeaiiy, ae?anoie?/ia
ooieoe?y e?aiai oeoii/ea, e?i?aeiee iai?i, ia?aeenia ieeneaiiy e?i?ae?a,
aioeieneaeaoiee caoeno, o?ie-aeenoeueo?aeia nenoaia.
ANNOTATION
Kovalevskaya L.A. Usage of UFH-therapy in complex treatment in patients
with stenocardia. – Manuscript.
The Thesis for candidate of medical science degree by specialty 14.01.33
– Courortology and Physio therapy. Ukraine Scientific Research Medical
Rehabilitation and Courortology Institute, Odessa, 1999.
The thesis describes the clinical experiment which envolved 157 patients
with II and III functional classes of stable stenocardia and studied the
peculiarities of milimetre waves influencing the physical excursus
tolerance, left ventricle diastolic function, lipid metabolism, changes
of peroxide lipid oxidation, anti-oxidant protection, tiol-disulfide
system in plasma & erythrocyte. The experiment had been based on
clinic-functional and laboratory data. It has been found that
UFH-therapy used along with the basis treatment improves the functional
state of myocardium, acts as a cytoprotector, enhances the reception of
nitrates by increasing the cellular amount of sulfide-hydridic group.
The same happens to the plasma sulfide-hydride groups count of II
functional class patients.
The criteria of UFH-therapy efficiency had been worked out.
It has been proved that UHF-therapy is an efficient and available mean
of physiotherapy with no adverse effects. It is possible to decrease of
isosorbide dinitrate doses, become available and the time of strong
clinical effect increases.
Key words: Stable stenocardia of II-III functional classes, UHF-therapy,
physical excersise tolerance, left ventricle diastolic function, lipid
metabolism, peroxyde lipid oxydation, anti oxidant protection,
thyol-disulfide system.
Aiiioaoeess
Eiaaeaaneay E.A. EA*-oa?aiey a eiiieaeniii ea/aiee aieueiuo noaaeeueiie
noaiiea?aeeae. – ?oeiienue.
Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.33 – eo?i?oieiaey e oeceioa?aiey. – Oe?aeineee
iao/ii-enneaaeiaaoaeueneee einoeooo iaaeeoeeineie ?aaaeeeoaoeee e
eo?i?oieiaee, Iaeanna, 1999.
Aeenna?oaoeey iinayuaia eco/aieth iniaaiiinoae aeeyiey yeaeo?iiaaieoiuo
aiei ieeeeiao?iaiai aeeaiaciia (iiuiinoue eceo/aiey – aei 10 Ao; aeeeia
aieiu – 7,1 ii; ?aaeei ?aaiou – eiioeueniay aaia?aoeey; ?aniieiaeaiea
eiaeoeoi?a – iaeanoue i?iaeoeee aa?oooee na?aeoea) a eiiieaeniii ea/aiee
157 aieueiuo noaiiea?aeeae iai?yaeaiey II-III ooieoeeiiaeueiuo eeannia
ia oiea?aioiinoue e oece/aneie iaa?ocea (oaaee/eaathony iieacaoaee
auiieiaiiie ?aaiou, ii?iaiaie iiuiinoe, aeaieiiai i?iecaaaeaiey);
ninoiyiea aeeanoiee/aneie ooieoeee eaaiai aeaeoaei/ea (ii?aaeaeeeanue
aeeiaieea iieacaoaeae, oa?aeoa?ecothueo oaco ?aiiaai aeeanoiee/aneiai
iaiieiaiey); eeieaeiue iaiai (caoeene?iaaii nieaeaiea eiyooeoeeaioa
aoa?iaaiiinoe ca n/ao oiaiueoaiey niaea?aeaiey iauaai oieanoa?eia e
?inoa o?aeoeee eeiii?ioaeaeia aunieie ieioiinoe, a oaeaea oiaiueoaiey
o?aeoeee eeiii?ioaeaeia ieceie e i/aiue ieceie ieioiinoe); eciaiaiea
ia?aeeniiai ieeneaiey eeieaeia (nieaeaiea o?iaiy iaeiiiaiai
aeeaeueaeaaeaea), aioeieneaeaioiie caueou e oeie-aeenoeueoeaeiie nenoaiu
a ieacia e?iae e ia eeaoi/iii o?iaia – a y?eo?ioeeoao.
Ia eeeie/aneii iaoa?eaea onoaiiaeaii, /oi eco/aaiue oece/aneee oaeoi? ia
oiia aaceniiai ea/aiey oeo/oaao ooieoeeiiaeueiia ninoiyiea ieiea?aea;
iaeaaeaao oeeoii?ioaeoi?iui yooaeoii, au?aaeaiiinoue eioi?iai ?acee/ia o
aieueiuo noaiiea?aeeae iai?yaeaiey i?aaeinoaaeaiiuo aeaoo eeannia;
niinianoaoao oaaee/aieth /oanoaeoaeueiinoe e ieo?aoai ca n/ao ?inoa
eiee/anoaa noeueoaeae?eeueiuo a?oii a eeaoi/iii caaia (y?eo?ioeeoao), a
aeey aieueiuo noaiiea?aeeae iai?yaeaiey II ooieoeeiiaeueiiai eeanna –
aeiiieieoaeueii e a ieacia e?iae. Aiaeiae/iay aeeiaieea a?ea ii?aaeaeaia
e aeey aeoeaiinoe aethoaoeii?aaeoeoacu o aieueiuo noaiiea?aeeae
iai?yaeaiey II ooieoeeiiaeueiiai eeanna. O iaoeeaioia ni noaiiea?aeeae
iai?yaeaiey III ooieoeeiiaeueiiai eeanna onoaiiaeaii nieaeaiea
aeoeaiinoe aethoaoeii?aaeoeoacu e a y?eo?ioeeoao, e a ieacia.
?ac?aaioaiu e?eoa?ee, iicaieythuea i?iaiice?iaaoue yooaeoeaiinoue
i?iaiaeeiie EA*-oa?aiee a eiiieaeniii ea/aiee. Aeieacaii, /oi
eniieueciaaiea EA*-oa?aiee yaeyaony yooaeoeaiui e aeinooiiui iaoiaeii
oeceioa?aiee, oa?aeoa?ecothueiny ionoonoaeai iiai/iuo yooaeoia;
aiciiaeiinoue nieaeaiey eiee/anoaa oaaeaoie ecini?aeaea aeeieo?aoa;
niiniaiinoueth oaaee/eaaoue n?iee nio?aiaiey noieeiai eeeie/aneiai
yooaeoa.
Eeth*aaua neiaa: noaiiea?aeey iai?yaeaiey II-III ooieoeeiiaeueiuo
eeannia, EA*-oa?aiey, oiea?aioiinoue e oece/aneie iaa?ocea,
aeeanoiee/aneay ooieoeey eaaiai aeaeoaei/ea, eeieaeiue iaiai, ia?aeeniia
ieeneaiea eeieaeia, aioeieneaeaioiay caueoa, oeie-aeenoeueoeaeiay
nenoaia.
Нашли опечатку? Выделите и нажмите CTRL+Enter
