.

Оцінка факторів ризику при виборі хірургічної тактики в хворих з гострокровоточивими пілородуоденальними виразками: Автореф. дис… канд. мед. наук /

Язык: украинский
Формат: реферат
Тип документа: Word Doc
113 2334
Скачать документ

I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO

EICEIA NA?A?E IEEIEAEIAE*

OAeE 616.334 + 616.342]-005.1-036.11-035-089

IOe?IEA OAEOI??A ?ECEEO I?E AEAI?? O??O?A?*II? OAEOEEE A OAI?EO C
AINO?IE?IAIOI*EAEIE I?EI?IAeOIAeAIAEUeIEIE AE?ACEAIE

14.01.03 – O??o?a?y

A a o i ? a o a ? a o

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe?y ? ?oeiienii

?iaioo aeeiiaii o Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao?

?iai? aeaae. I.I.Aiaiiieueoey.

Iaoeiaee ea??aiee

Aeieoi? iaaee/ieo iaoe, i?ioani? OII?I IAO?I AeIEO?IAE*, Iaoe?iiaeueiee
iaaee/iee oi?aa?neoao ?i. I.I.Aiaiiieueoey IIC Oe?a?ie. caa?aeoaa/
eaoaae?ith oaeoeueoaonueei? o??o?a?? ?2.

Io?oe?ei? iiiiaioe:

Aeaaeai?e IAI oa AII Oe?a?ie, Ieaenaiae? Ieaen?eiae/ Oae?iia, aeieoi?
iaaee/ieo iaoe, i?ioani?, Ee?anueeee iaoeiai-aeine?aeiee ?inoeooo
ee?i?/ii? oa aenia?eiaioaeueii? o??o?a??.

Aeieoi? iaaee/ieo iaoe, i?ioani? NEEAA Aieiaeeie? A?eoi?iae/, caa?aeoaa/
eaoaae?ith o??o?a?/ieo oai?ia Iaaee/iiai ?inoeoooo Oe?a?inueei?
anioe?aoe?? ia?iaeii? iaaeeoeeie.

I?ia?aeia onoaiiaa:

Ee?anueea Iaaee/ia Aeaaeai?y i?neyaeeieiiii? ina?oe IIC Oe?a?ie
?i.I.E.Ooieea, eaoaae?a o??o?a?? c eo?nii oiiia?ao?/ii? aiaoii?? oa
iia?aoeaii? o??o?a??.

Caoeno a?aeaoaeaoueny “ 21 ” o?aaiy 1999 ?. i “ 13-00 ” aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee ii caoenoo aeena?oaoe?e ia
caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ca niaoe?aeuei?noth
“O??o?a?y” (Ae 26.003.03) i?e Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao?.
(Aae?ana: 252004, i. Ee?a, aoeueaa? Oaa/aiea 17)

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i.I.I.Aiaiiieueoey. (Aae?ana: 252057,
i.Ee?a-57, aoe. Ciieia?/ia 3)

Aaoi?aoa?ao ?ic?neaiee “ 20 ” ea?oiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? ?aaee

eaiae. iaae. iaoe, ss.I.A?oianueeee

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Iie?auaiiy ?acoeueoao?a e?eoaaiiy oai?eo c
aino?ie?iaioi/eaeie i?ei?iaeoiaeaiaeueieie ae?aceaie (AEIAeA)
caeeoa?oueny aeooaeueiei ieoaiiyi no/anii? o??o?a?? (A.A.Oaeeiia o
niaao., 1989; A.Ae.A?aoonue, 1990; I.I.Aaeeaioeeee o niaao., 1990;
E.E.Aa/aa, 1991; A.O.Caeoeaa e niaao., 1994; D. Lieberman, 1993; K.D.
Fan, 1993). Aeeneon?eieie ? ieoaiiy aeai?o oa?i?io, iaoiaeo iia?aoe??;
iacaaeia?eueieie ? ?acoeueoaoe on?o aeae?a e?eoaaiiy oai?eo c AEIAeA o
?ac? aeieeiaiiy ?aiiueiai ?aoeeaeeao e?iaioa/? (X. Mueller, J.M.
Rothenbuehler, 1994; K.P. Thon, H. Stoltzing, 1995; C. Martinez Ramos,
J.R. Nunez Pena, 1995). ?acaeoe?y oeoiea, ca aeaieie W. Jedrzejczyk oa
ni?aaaoi??a (1989), Ae.Aa?aoaaa oa ni?aaaoi??a (1993), A.Ieoiaa oa
ni?aaaoi??a (1993), B.Millat oa ni?aaaoi??a (1993), aaaaea?oueny
iia?aoe??th aeai?o iacaaaeath/e ia oa, ui noi?iaiaeaeo?oueny
eaoaeuei?noth ia aenio? e?iaioa/? a?ae 40-50% aei 95% (M.Lombardi oa
ni?aaao., 1985; G.Jatzko oa ni?aaao., 1993).

?aii?e ?aoeeaeea ae?aceiai? e?iaioa/? (??AE), ca aeaieie A.A.
Oa?aaa?thoa (1994), C. Villanueva (1993), J.L. Jaramillo (1994), S.
Loperfido (1994), C. Ell, F. Hagenmuller (1995), O. Caputi Iambrenghi
(1995), ui aeieea? a 15-38% aeiaaee?a, ca?eueoo? ia?aeiio e?iaiao?aoo,
iiaeeaeth? ii?ooaiiy aiiainoaco oa i?e?ioee?eoeyoe??, /ei coiiaeth?
iia??oaiiy oiia aeey aoaeue-yeiai aeaeo aeno?aiiai o??o?a?/iiai
ao?o/aiiy. O ca’yceo c oeei i?iaiicoaaiiy ??AE o oai?eo c
aino?ie?iaioi/eaeie i?ei?iaeoiaeaiaeueieie ae?aceaie ? aeooaeueiei o
aeai?? ?aoe?iiaeueii? o??o?a?/ii? oaeoeee.

O o??o?a?/i?e i?aeoeoe? oni?oii ?ic?iaeythoueny oa aeei?enoiaothoueny
no/ani? iaoaiaoe/i? iaoiaee ee?i?/iiai i?iaiicoaaiiy (I.I. Ieioea?,
1983; A.O.Ae?i, 1997; M.Morosini,1983; Shiu-Kum Lam,1983).
Aaaaoioaeoi?iee aiae?c ee?i?/ieo aeaieo c iaoith aeyaeaiiy oaeoi??a
?eceeo aeieeiaiiy ??AE oa ioe?iea aoaeoeaiino? ??cieo aeae?a iia?aoeaieo
ao?o/aiue noaiiaeoue aaeeeee iaoeiaee oa i?aeoe/iee ?ioa?an (A.A.
Oaeeiia e niaao., 1989; A.Ae. A?aoonue, I.Ae. Oii?i oa ni?aaao.,1997).

Ca’ycie oaie c ieaiii iaoeiaeo i?aoeue onoaiiae. Aeena?oaoe?eia ?iaioa ?
o?aaiaioii eiiieaenii? IAe?: “Aea/eoe aieea oaeoi??a ?eceeo a
iaa?aeeeaaei?e o??o?a?? ae?aceiai? oai?iae ia aaciina?aaei? oa
a?aeaeaeai? ?acoeueoaoe, ?ic?iaeoe aeai?eoie ae?aaiinoeee, e?eoaaiiy oa
i?io?eaeoeee i?neyiia?aoe?eieo oneeaaeiaiue”, ui aeeiioaaeanue ca ieaiii
IIC Oe?a?ie o Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao? ?iai?
I.I.Aiaiiieueoey, ? aea?ae?a?no?aoe?? 01964004713.

Iniiaia iaoa aeine?aeaeaiiy. I?iaiae?coaaoe oaeoi?e ?eceeo iia?aoeaiiai
e?eoaaiiy ? ?ic?iaeoe aeai?eoi aeai?o o??o?a?/ii? oaeoeee i?e
e?iaioi/eaeo i?ei?iaeoiaeaiaeueieo ae?aceao aeey iie?auaiiy ?acoeueoao?a
e?eoaaiiy oai?eo.

Aeey aeinyaiaiiy oe??? iaoe iio??aii aoei ae??oeoe oae? caaaeaiiy:

1. I?iaiae?coaaoe ??ciiiai?oi? aeaee iia?aoeaieo ao?o/aiue oa
aeno?ai?noue ?o aeeiiaiiy ye oaeoi?e ?eceeo, ui aieeaathoue ia
?acoeueoaoe e?eoaaiiy.

2. Aea/eoe /anoioo oa oa?i?i aeieeiaiiy ??AE ca aeiiiiiaith
aaaaoioaeoi?iiai aiae?co ee?i?/ieo, aaiiaeeiai?/ieo, aiaeineii?/ieo,
eaai?aoi?ieo aeaieo o oai?eo c AEIAeA.

3. ?ic?iaeoe iaoiae i?iaiicoaaiiy eiia??iino? ?icaeoeo ??AE oa aeae?eeoe
a?oie oai?eo c ??ciei nooiaiai ?eceeo eiai aeieeiaiiy.

4. ?ic?iaeoe aeai?eoi aeai?o o??o?a?/ii? oaeoeee o oai?eo c AEIAeA.

Iaoeiaa iiaecia. Iaea?aeaii iia? aeai? uiaei ?eceeo ??cieo aeae?a
iia?aoeaiiai ao?o/aiiy oa aeno?aiino? ?o aeeiiaiiy o oai?eo c AEIAeA.
Aea/aii /anoioo, oa?i?i aeieeiaiiy ??AE oa oaeoi?e, ui ia ieo
aieeaathoue. ?ic?iaeaii eiii’thoa?io i?ia?aio aaoiiaoeciaaiiai
ia/eneaiiy eiia??iino? aeieeiaiiy ??AE oa iaoiae eiai i?iaiicoaaiiy ca
aeiiiiiaith yeiai aia?oa aeae?eaii 3 a?oie oai?eo, ye? iathoue iaeee
(aei 5%), na?aaei?e (50-60%) oa aenieee (85-95%) nooi?iue ?eceeo
aeieeiaiiy ??AE. ?ic?iaeaii iiaee “Niin?a o??o?a?/iiai e?eoaaiiy
e?iaioi/eaeo iaaeieinini/eiaeo ae?acie aeaaiaaeoeyoeiaei? eeoee”, ia
yeee io?eiaii iaoaio Oe?a?ie ? 22940A. Cai?iiiiiaaii aeai?eoi
o??o?a?/ii? oaeoeee, yeee aeicaiey? ciaioeoe e?euee?noue iia?iaaieo
oai?eo ia aenio? ?aoeeaeeao e?iaioa/? a 4,8 ?aco, ?icoe?eoe ae?aiacii
i?aaiicaa??aath/eo ?aaeeeaeueieo iia?aoe?e (ICI) ca ?aooiie ciaioaiiy
e?eueeino? ?acaeoe?e oeoieo (?O) – a 3,2 ?aco.

I?aeoe/ia cia/aiiy ?iaioe. Cai?iiiiiaaiee iaoiae i?iaiicoaaiiy
eiia??iino? aeieeiaiiy ??AE oa aeae?eaiiy o?ueio a?oi iaoe??io?a ca
nooiaiai ?eceeo aeicaiey? aeeoa?aioe?thaaoe aeaee iia?aoeaiiai
ao?o/aiiy ia aeno?ai? (AI) o ?ac? i?iaeiaaeaiiy e?iaioa/?;
iaa?aeeeaaei?, ui aeeiiothoueny i?ioyaii 12-24 aiae o oai?eo c na?aaei?i
oa 6-12 aiae o oai?eo c aenieei ?eceeii ?aoeeaeeao ae?aceiai? e?iaioa/?;
?aii? a?aeno?i/ai? – /a?ac 1-4 aeiae o oai?eo c iaeei ?eceeii oa
noaa?eueiei aaiinoacii. Aeeiiaiiy i?aaiicaa??aath/eo iia?aoe?e iia’ycaia
c iaioei ?eceeii ?icaeoeo oneeaaeiaiue. O?aooaaiiy oaeoi??a ?eceeo
??cieo aeae?a iia?aoeaieo ao?o/aiue oa oa?i?i?a ?o aeeiiaiiy aeicaiey?
iie?aueoe ?acoeueoaoe e?eoaaiiy oai?eo ca ?aooiie ciaioaiiy e?eueeino?
i?neyiia?aoe?eieo oneeaaeiaiue. Aioo??oiueiai?oaeueiee oeyo aaaaeaiiy
?iooc?eieo na?aaeiaeu o oai?eo c yaeuaie aaii?aa?/iiai oieo ni?ey?
cieaeaiith e?eueeino? i?neyiia?aoe?eieo eaaaiaaeo oneeaaeiaiue.

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe a i?aeoeeo. ?acoeueoaoe i?iaaaeaieo
aeine?aeaeaiue ai?iaaaeaeai? a i?aeoeeo ?iaioe Ee?anueeiai i?nueeiai
oeaio?o iaa?aeeeaaeii? aeiiiiiae oai?ei c aino?eie oeoieiai-eeoeiaeie
e?iaioa/aie ia aac? o??o?a?/iiai a?aeae?eaiiy i?nueei? ee?i?/ii?
e?ea?i? ?12, e?ea?i? oaeaeei? aeiiiiiae III “Iaaeeoeeia eaoano?io”
i.Ee?a, iaeanii? e?ea?i? i.Oa?iiiiey, e?ea?i? i.Ioea/aaa,
canoiniaothoueny o iaa/aeueiiio i?ioean? ia eaoaae?ao o??o?a?? IIO ?i.
I.I.Aiaiiieueoey. Ca caaaeaiiyi I?i?noa?noaa c iaoee oa iaoeiaeo
oaoiieia?e iaoa??aee aeniiioaaeeny ia aenoaaoe? a Eaa?iao? i?i?no??a
Oe?a?ie (1997), aenoaaoe? “Oe?a?ia nueiaiaei?” IAOe Oe?a?ie (1998).

Iniaenoee aianie aeena?oaioa. Aeena?oaio iniaenoi ?ic?iaea aaco aeaieo
oai?eo c AEIAeA oa cae?eniea noaoenoe/io ia?iaeo, ?ic?iaea nenoaio
i?iaiicoaaiiy ??AE, i?ia?a ?? ?ao?iniaeoeaio oa ee?i?/io ai?iaaoe?th.
?ic?iaeaii eiii’thoa?io i?ia?aio aeey aaoiiaoeciaaiiai ia/eneaiiy
a??ia?aeiino? aeieeiaiiy ??AE. Cai?iiiiiaaii aeai?eoi aeai?o
?aoe?iiaeueii? o??o?a?/ii? oaeoeee o oai?eo c AEIAeA c o?aooaaiiyi
oaeoi??a ?eceeo ??AE oa aeno?aiino? aeeiiaiiy ??cieo aeae?a iia?aoeaieo
ao?o/aiue oa i?iaaaeaii ia?aa??eo eiai aoaeoeaiino?. Aaoi? i?eeiaa
aaciina?aaeith o/anoue o aeeiiaii? o??o?a?/ieo ao?o/aiue oa a
i?neyiia?aoe?eiiio e?eoaaii? oai?eo c AEIAeA.

Ai?iaaoe?y ?iaioe. Iaoa??aee aeena?oaoe?? aeeeaaeai? oa iaaiai?ai? ia:
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? i?iaeaie iaaeaiiy
aeno?aiii? aeiiiiiae i?e iaa?aeeeaaeieo noaiao” (Ee?a,1995);
?anioae?eainuee?e iaoeiai-i?aeoe/i?e eiioa?ai?? “Oe?o?ae/aneia ea/aiea
?aoeeaeeae?othueo aano?iaeoiaeaiaeueiuo yca e eo
ineiaeiaiee”(Ee?a,1995); 4th, 5th International Congress of
International Wound Assosiation (Tel-Aviv,1996,1998); ?anioae?eainuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? i?iaeaie iaa?aeeeaaeii?
o??o?a?? i?aai?a /a?aaii? ii?iaeieie oa o?iaai?oaeueiiai o?aeoo”
(Ee?a,1996); ?anioae?eainuee?e iaoeiai-i?aeoe/i?e eiioa?aioe??
“Aeeaaiinoeea e oe?o?ae/aneia ea/aiea caaieaaaiee e iia?aaeaeaiee
aiaia/aii/iuo aeae/iuo i?ioieia” (Ee?a,1996); ?anioae?eainuee?e
eiioa?aioe?? “Iiaua oaoiieiaee a oe?o?aee”; Al VIII-lea Congres de
chirurgie din Republica Moldova (Chisinau,1997), ?anioae?eainuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeooaeueiua aii?inu iaioeiaeiie
oe?o?aee i?aaiia a?thoiie iieinoe” (Oa?e?a,1998), II eiia?an? o??o?a?a
Oe?a?ie (Ee?a-Aeiiaoeuee,1998); can?aeaii? ai?iaaoe?eii? ?aaee
“Caaaeuei? ieoaiiy o??o?a??” IIO.

Ioae?eaoe?? ?acoeueoao?a aeine?aeaeaiiy. Ca oaiith aeena?oaoe??
iioae?eiaaii 26 ?ia?o o iaoeiaeo aeaeaiiyo, a oiio /ene? – 3 noaoo? o
aeo?iaeao, ?aeiiaiaeiaaieo AAE Oe?a?ie, 22 – o a?aeiieo a?o/eciyieo oa
?iicaiieo aeaeaiiyo, aeaeaii 1 ?ioi?iaoe?eiee eeno, iaea?aeaii iaoaio ia
aeiao?ae.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 142 noi??ieao
iaoeiiieniiai oaenoo ? neeaaea?oueny ?c anooio, ?icae?eo “Iaoa??aee ?
iaoiaee”, 3 ?icae?e?a aeanieo aeine?aeaeaiue, caeeth/aiiy, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e oa nieneo e?oa?aoo?e, ui ai?uo? 300 aeaea?ae,
?c ieo 102 – a?o/eciyieo ? 198 – ca?oa?aeieo. ?iaioa ?ethno?iaaia 3
iaethieaie ? 35 oaaeeoeyie.

CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy. A iniiao ?iaioe iieeaaeai?
?acoeueoaoe ae?aaiinoeee oa e?eoaaiiy 573 oai?eo c AEIAeA, yeei a
ia?aae- oa i?neyiia?aoe?eiee ia??iae aoei i?iaaaeaii 931
o?a?iaano?iaeoiaeaiineii?th c aeei?enoaiiyi ca iaiao?aeiino?
aiaeineii?/ieo cania?a aaiinoaco ie?aeiooai?thaaeueieie iie?ia?aie, 9268
caaaeueiiee?i?/ieo eaai?aoi?ieo aeine?aeaeaiue, 2310 aeine?aeaeaiue
nenoaie aaiinoaco, 3616 a?io?i?/ieo aeine?aeaeaiue, 3969 aeine?aeaeaiue
aaiiaeeiai?/ieo iieaciee?a (nenoie?/iee a?oa??aeueiee oene,
ae?anoie?/iee, ioeueniaee, na?aaei?e, oeaio?aeueiee aaiiciee oene,
oieiaee ?iaeaen (Allgover), ??ci? aeaee o??o?a?/iiai ao?o/aiiy o 364
iaoe??io?a c oa?aeoa?enoeeith ?io?aiia?aoe?eieo aeaieo; ioe?ithaaee
/anoioo oa oa?aeoa? i?neyiia?aoe?eieo oneeaaeiaiue, i?e/eie
eaoaeueiino?; i?ia?aie ?iooc?eii-o?ainooc?eii? oa?ai??.

Ianya e?iaiao?aoe ioe?ithaaee ca aeao?oeeoii oee?eoethth/i? e?ia? ca
aeiiiiiaith “?iaeeeaoi?a AeOeE” o??ie “R&C” (Naia?a, ?O). Nooi?iue
aaaeeino? e?iaioa/? aecia/aee ca?aeii c eeaneo?eaoe??th A.Ae.A?aoony
(1989). Aeai? eiaeiiai oai?iai o oi?iae?ciaaiiio aeaeyae? aoee
caianai? aei ?ic?iaeaii? eiiithoa?ii? niaoe?ae?ciaaii? aace aeaieo,
noai?aii? ia iniia? i?ia?aie EXCEL 5 (Microsoft Office). Io?eiai?
oeeo?ia? aeai? ii?aoeueiaai? noaoenoe/ii c aeei?enoaiiyi iaoiae?a
ia?iaee na?aaei?o cia/aiue (Student) oa a?aeiinieo iieaciee?a (Fisher)
(Ae.A.Naiaoeeaa, 1968; A.A.Aoaea?, 1978; I.I.Ieioea? n niaao., 1991) ia
IAII IBM PC AT 586 (iaeao noaoenoe/iiai aiae?co i?ia?ai EXCEL 5 oa EXCEL
7 Microsoft Office).

Aaaaoioaeoi?iee aiae?c noai?aii? aace aeaieo i?iaaaeaii ca iaoiaeeeith
iie?ieiaiai aeene?ei?iaioiiai aiae?co (Aeae.-I.Eei e niaao., 1989)
iaeaoo noaoenoe/iiai aiae?co SAS (SAS Institute Inc., 1987). sse
iaoaiaoe/ia iiaeaeue aeei?enoaia e?i?eia aeene?ei?iaioia ooieoe?y aeaeo:

Fkm= u1X1km+u2X2km+ … + u?X?km + const, (1)

aea Fkm – cia/aiiy aeene?ei?iaioii? ooieoe?? aeey m-ai ia’?eoo a a?oi?
k; Xikm – cia/aiiy aeene?ei?iaioii? ci?iii? O? aeey m-ai ia’?eoo a
a?oi? k; ui – eiao?oe??ioe cia/ouino?.

Aeine?aeaeaiiy i?iaiaeeee a o?ueio iai?yieao:

1. Aiae?c oaeoi??a ?eceeo ??cieo aeae?a aeno?aieo oa ?aii?o
a?aeno?i/aieo o??o?a?/ieo ao?o/aiue o 234 iia?iaaieo oai?eo c
aeine?aeaeaiiyi aeyaeaieo i?neyiia?aoe?eieo oneeaaeiaiue.

2. Iiooe oaeoi??a ?eceeo oa ?ic?iaeo nenoaie i?iaiicoaaiiy ??AE
i?iaiaeeee ia aac? aeaieo 354 oai?eo “iaa/aeueii?” aea??ee oa i?iaaaeaii
?? ioe?ieo o 69 oai?eo, ye? neeaee “aecaiaiaoe?eio” aea??eo.

3. ?ic?iaea oa ai?iaaaeaeaiiy aeai?eoio iioei?caoe?? o??o?a?/ii?
oaeoeee c o?aooaaiiyi nooiaiy ?eceeo ??AE o 130 oai?eo.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. Ia?aiao?aie ii??aiyeueiiai
aiae?co aaciina?aaei?o ?acoeueoao?a oa aeyaeaiiy oaeoi??a ?eceeo i?e
aeeiiaii? ??cieo aeae?a aeno?aieo ? ?aii?o a?aeno?i/aieo iia?aoeaieo
ao?o/aiue c i?eaiaeo AEIAeA aoee ia?ai?: a) iaoneeaaeiaiee ia?aa?a
i?neyiia?aoe?eiiai ia??iaeo; a) oneeaaeiaiee ia?aa?a i?neyiia?aoe?eiiai
ia??iaeo oa i?neyiia?aoe?eia eaoaeuei?noue.

A?aeiia?aeii c aeuacacia/aiei 234 i?iiia?iaaieo oai?eo aoee ?iciiae?eai?
ia 2 a?oie: a?oia A – 197 iaoe??io?a (84,2%), ye? ia iaee oneeaaeiaiue a
i?neyiia?aoe?eiee ia??iae, a?oia A – 37 iaoe??io?a (15,8%) c
oneeaaeiaiei (onueiai 89 oneeaaeiaiue, c ieo 52, iia’ycaieo c
oa?aeoa?ii iia?aoeaiiai ao?o/aiiy, ? 37, ia iia’ycaieo c iei) ia?aa?aii
i?neyiia?aoe?eiiai ia??iaeo. A oe?e a?oi? aoee aeae?eai? 2 i?aea?oie:
i?aea?oia A1 – oai?? c oneeaaeiaiiyie i?neyiia?aoe?eiiai ia??iaeo, ui ia
i?ecaiaeeee aei eaoaeueiiai ?acoeueoaoo (26 iaoe??io?a – 11,1%),
i?aea?oia A2 – oai?? c oneeaaeiaiiyie i?neyiia?aoe?eiiai ia??iaeo, ui
i?ecaiaeeee aei eaoaeueieo iane?aee?a (11 iaoe??io?a – 4,7%). O
?acoeueoao? i?iaaaeaiiai aiae?co aeyaeai? iniiai? oaeoi?e, ye?
i?aeaeuothoue ?ecee aeieeiaiiy i?neyiia?aoe?eieo oneeaaeiaiue oa
eaoaeueiino? (oaae. 1).

Oaaeeoey 1. Oaeoi?e ?eceeo aeieeiaiiy i?neyiia?aoe?eieo oneeaaeiaiue

Oaeoi?eA?oia oai?eo aac oneeaaeiaiue (a?oia A)A?oia oai?eo c
oneeaaeiaiiyie

(a?oia A) AA1+A2A21.AENO?AI?NOUe IIA?AOe??- Aeno?ai? (n=103)78 (75,7%)

25 (24,3%)9 (8,7%)

-?aii? a?aeno?i/ai? (n=131) 119 (90,9%)*

12 (9,1%)*2 (1,5%)*

2.AEAeE IIA?AOe?E 1 -?acaeoe?? oeoiea (n=47)25 (53,2%)22 (46,8%)7
(14,9%)

-I?aaiicaa??aath/? (n=185)172 (93,0%)***13 (7%)*** 7,0%)***2 (1,1%)**

3.NOOI?IUe E?IAIOA*?: – Iii??iee (n=97)91 (93,8%)6 (6,2%)0

– Na?aaei?e (n=64)54 (84,4%)*10(15,6%)*3 (4,7%)*

– Aaaeeee (n=73)52 (71,2%)*21(28,8%)*8(11%)*

6%)**

4. A?E OAI?EO – Aei 40 ?ie?a (n=52)50 (96.2%)2 (3,8%)0

-A?ae 40 aei 60 ?ie?a (n=116)107 (92,2%)9 (7,8%)2 (1,7%)*

-Noa?oeo ca 60 ?ie?a (n=66)40 (60,6%)*26(39,4%)*9 (13,6%)**

I?ei?oee: 1- aac o?aooaaiiy ia?aaeeeaeueieo ao?o/aiue, *- ?2 ni2. Noai aaiinoaco o ae?acoe? (X2)O2 = 1, aeii ae?acee
ae?eoi o?a?eiiiO2 = 2, ia aei? ae?acee iaea o?iiaiaaia noaeeia O2 = 3,
ia aei? ae?acee aaeeea o?iiaiaaia noaeeiaO2 = 4, ia aei? ae?acee
cai?oie e?ia? 3. Nooi?iue e?iaioa/? (X3)O3 = 1, iii??ieeO3 = 2
na?aaei?e O3 = 3, aaaeeee4. A?e oai?iai (O4)O4 = 1, a?e 3> 0,9549 (89,1%)**6
(10,9%)*Onueiai80274I?ei?oee: * – p0,05) a?ae oaei? o a?oi? “iaa/aeueii?” aea??ee. Oea iiaeoaa?aeaeo?
aaeaeaaoi?noue canoiniaaii? iaoaiaoe/ii? iiaeae? oa i?aeoe/io oeiiiinoue
?ic?iaeaiiai iaoiaeo i?iaiicoaaiiy, a oaeiae ?ic?aooieiao /ooeea?noue oa
niaoeeo?/i?noue iiaeae?. Iaaaaeaia nenoaia i?iaiicoaaiiy iiaea
aeei?enoiaoaaoeny ye eiii’thoa?ia i?ia?aia ia aac? i?ia?aiiiai i?iaeoeoo
“Excel 7.0” iaeaoo “Office”. Cao?aoiee /an iaeiiai ia/eneaiiy ia
ia?aaeuo? 30 n.

I?ney i?iaaaeaiiy iaoaiaoe/ieo ia?aoai?aiue ie io?eiaee ni?iuaiee
aa??aio ia/eneaiiy F, yeee iiaeooue canoiniaoaaoe i?aeoe/i? e?ea??:

?ecee ??AE (a aaeao) = 3O1 + 2O2 + O3 + O4
(6)

O ?ac? ia/eneaiiy e?eueeino? aae?a ca ??aiyiiyi (6) aeey oai?eo c iaeei
?eceeii aeieeiaiiy ??AE aiia neeaaeaea 0,05).

Ia iniia? aeaieo a?aeiinii /anoioe oa aeeiai?ee ?icaeoeo ??AE, a oaeiae
cai?iiiiiaaii? nenoaie i?iaiicoaaiiy ?o aeieeiaiiy aoa ?ic?iaeaiee
aeai?eoi o??o?a?/ii? oaeoeee, iaa?oioiaai? e?eoa??? aeno?aiino?
aeeiiaiiy iia?aoeaieo ao?o/aiue c o?aooaaiiyi a?oie ?eceeo ??AE. On?
iia?aoeai? ao?o/aiiy iiae?eai? ia o?e aeaee:

aeno?ai?, ye? aeeiiothoue a ia?o? 1-2 aiae o iaoe??io?a c iciaeaie
e?iaioa/?, ui i?iaeiaaeo?oueny, oa iaaoaeoeaiino? iaoiae?a
aiaeineii?/iiai aaiinoaco;

iaa?aeeeaaei?, ui aeeiiothoueny o oai?eo a?oie aenieiai ?eceeo ??AE o
ia?o? 6-12 aiae, a na?aaeiueiai ?eceeo – i?ioyaii 12-24 aiae c iiiaioo
aini?oae?caoe??;

?aii? a?aeno?i/ai?, ui aeeiiothoue /a?ac 2-4 aeiae o oai?eo c iaeei
?eceeii ??AE.

Oaeee i?aeo?ae aei o??o?a?/ii? oaeoeee caaacia/o? ciaioaiiy /enea
iia?iaaieo ia aenio? ?aoeeaeeaii?, ye i?aaeei, cia/ii aaae/i? e?iaioa/?.

Cai?iiiiiaaiee aeai?eoi aeei?enoaii o 130 oai?eo c AEIAeA oa i?iaaaeaii
aiae?c oaeoi??a ?eceeo aeieeiaiiy i?neyiia?aoe?eieo oneeaaeiaiue (oaae.
5).

Oaaeeoey 5. Oaeoi?e ?eceeo i?e cai?iiiiiaaiiio aeai?eoi? o??o?a?/iiai
e?eoaaiiy

Oaeoi?eA?oia oai?eo aac oneeaaeiaiue (a?oia A)A?oia oai?eo c
oneeaaeiaiiyie (a?oia A)AA1+A2A2

1.AENO?AI?NOUe IIA?AOe?? Aeno?aia (n=23)19 (82,6%)

4 (17,4%)2 (8,7%) Iaa?aeeeaaeia (n=41)37 (90,2%)4 (9,8%)-
?aiiy a?aeno?i/aia (n=66) 63 (95,5%)

3 (4,5%)-

2.AEAeE IIA?AOe?E 1 ?acaeoe?y oeoiea (n=14)12 (85,7%)2 (14,3%)-

I?aaiicaa??aath/? (n=114)107 (93,9%)7(6,1%)*-3.NOOI?IUe E?IAIOA*?:
Iii??iee (n=52)50 (96,2%)2 (3,8%)-

Na?aaei?e (n=43)39 (90,7%)4 (9,3%)-

Aaaeeee (n=35)30 (85,7%)5 (14,3%)2 (5,7%)

4. A?E OAI?EO aei 40 ?ie?a (n=49)48 (98.0%)1 (2,0%)-

a?ae 40 aei 60 ?ie?a (n=50)46 (92,0%)4 (8,0%)- noa?o? ca 60
?ie?a(n=31)25 (80,6%)6 (19,4%)*2 (6,4%)I?ei?oee: 1- aac o?aooaaiiy
ia?aaeeeaeueieo ao?o/aiue, * – p

Нашли опечатку? Выделите и нажмите CTRL+Enter

Похожие документы
Обсуждение

Ответить

Курсовые, Дипломы, Рефераты на заказ в кратчайшие сроки
Заказать реферат!
UkrReferat.com. Всі права захищені. 2000-2020