AEAAeAI?ss IAAeE*IEO IAOE OE?A?IE
?INOEOOO EA?Ae?IEIA?? ?i. aeaae. I.Ae. NO?AAEANEA
EIAAEUeIA IEAENAIAe? NA?A?EIAE*
OAeE: 616/618.004. 58: 612.014. 482
O?CE*IA I?AOeACAeAOI?NOUe ? ?? CAAACIA*AIIss A O*ANIEE?A E?EA?AeAOe??
IANE?AeE?A *I?IIAEEUeNUeEI? EAOANO?IOE C A?IA?OII?*IITH OAI?IAITH
14.01.11 – Ea?ae?ieia?y
AAOI?AOA?AO
aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy
eaiaeeaeaoa iaaee/ieo iaoe
Ee?a – 1999
Aeena?oaoe?y ? ?oeiien
?iaioa aeeiiaia a ?inoeooo? ee?i?/ii? ?aae?ieia?? Iaoeiaiai oeaio?o
?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie, i. Ee?a.
Iaoeiaee ea??aiee:
aeieoi? iaaee/ieo iaoe, i?ioani? Oiiacthe ?iia Ieeiea?aia, caa?aeoaa/
a?aeae?eo ea?ae?ieia?? ?inoeoooo ee?i?/ii? ?aae?ieia?? Iaoeiaiai oeaio?o
?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie, i. Ee?a
Io?oe?ei? iiiiaioe:
aeieoi? iaaee/ieo iaoe, i?ioani? ssiianueeee Aai?a?e A?eoi?iae/,
aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eo na?oeaai? iaaeinoaoiino?
?inoeoooo ea?ae?ieia?? ?i. aeaae. I.Ae. No?aaeanea AII Oe?a?ie, i. Ee?a.
aeieoi? iaaee/ieo iaoe, i?ioani? Aaiaeao sse?a Aa?aiiae/, aieiaiee
iaoeiaee ni?a?ia?oiee a?aeae?eo caeiaooeo aaae na?oey ?inoeoooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie, i. Ee?a.
I?ia?aeia onoaiiaa:
Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I. Aiaiiieueoey, eaoaae?a
oaeoeueoaonueei? oa?ai?? ?2, IIC Oe?a?ie, i. Ee?a.
Caoeno a?aeaoaeaoueny 21 aa?aciy 2000 ?. i 10 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.616.01 i?e ?inoeooo? ea?ae?ieia??
?i. aeaae. I.Ae. No?aaeanea AII Oe?a?ie (252151, i. Ee?a, aoe.
Ia?iaeiiai Iiie/aiiy, 5).
C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
ea?ae?ieia?? ?i. aeaae. I.Ae. No?aaeanea AII Oe?a?ie (252151, i. Ee?a,
aoe. Ia?iaeiiai Iiie/aiiy, 5).
Aaoi?aoa?ao ?ic?neaiee 18 ethoiai 2000 ?.
A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee Aeaye N.?.
CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE
Aeooaeuei?noue oaie. Iacaaaeath/e ia oa, ui aeina?ae aea/aiiy o?ce/ii?
i?aoeacaeaoiino? (OI) a?aeia?aaeaiee o /eneaiieo ?iaioao (I.I. Aiinia,
ss.A. Aaiaeao, 1989; A.E. Ea?iiai e ae?., 1990; E.A. Aoeee 1990),
a?aeiiinoae, ui oa?aeoa?ecothoue ?? noai a in?a, ye? caciaee
ii?ii?iaiiy, aei *i?iiaeeuenueei? eaoano?ioe i?aeoe/ii ia aoei.
Ioae?eaoe?? i?i ci?ie OI ? i?aai?a o?ainii?oo eenith i?ae aieeaii
?ii?coth/iai aei?ii?ithaaiiy a iniiaiiio aoee i?enay/ai? aeiaaeeai
ii?ii?iaiiy aaeeeeie aeicaie ? eieaeueiiai aieeao ia iaeanoue na?oey c
oa?aiaaoe/iith oe?eeth. Iayai? niinoa?aaeaiiy ca iino?aaeaeaeeie, ye?
ia?aianee aino?o i?iiaiaao oai?iao a ??ci? ia??iaee i?ney
*i?iiaeeuenueei? eaoano?ioe (A.E. Aonueeiaa, O.N. Oi?oaa?ia, 1989; A.I.
I?aaa?neee, E.A. Oaeyaea, e ae?. 1991; I.I. Eiaaeaiei, 1998). O ieo
iienai? iaai? ci?ie OI e aoaeoeaiino? ?? caaacia/aiiy. Ie?ai?
aeine?aeaeaiiy OI, a in?a, ye? caciaee ?aae?aoe?eiiai aieeao a
ae?aiacii? aeic aei 1 Ca ia nenoaiaoeciaai?, aeeiiai? ia iaaaeeeiio
/ene? ianoaaeaieo, ?acoeueoaoe aeine?aeaeaiue noia?a/eea?.
Aea/aiiy noaio caei?ia’y ianaeaiiy, eio?a caciaei ii?ii?iaiiy
aiane?aeie *i?iiaeeuenueei? eaoano?ioe, iieacaei, ui aeniea iioe?ai?noue
oai?ia nenoaie e?iaiia?ao o iino?aaeaeaeeo i?aoeacaeaoiiai a?eo ?
na?eiciith i?e/eiith cieaeaiiy ?oiuei? OI. Aeia?a a?aeiii, ui nenoaia
e?iaiia?ao ? iniiaiith nenoaiith aia?aicaaacia/aiiy ? ?? ci?ie,
ianaiia?aae e?i?oothoue ni?iiiaei?noue i?aai?cio aeeiioaaoe o?ce/io
?iaioo.
A?ia?oii?/ia oai?iaa iaea?eueo iioe?aia na?aae iino?aaeaeaeeo
aiane?aeie *i?iiaeeuenueei? eaoano?ioe (?.I Ai?aanue, ?.I. Ni??iiaa, ?
ni?aaao., 1995; I.N. Khomazjuk, 1996). A?ia?oii?/ia oai?iaa (AO) ?acii c
?oai?/iith oai?iaith na?oey (?ON) ? iae/ano?oith i?e/eiith na?oeaai?
iaaeinoaoiino?. C iaeyaeo ia oea iiaeia i/?eoaaoe ci?ie OI o cia/iiai
/enea o/aniee?a e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe
(EIE) a aeoeaiiio oai?/iio a?oe?. Cieaeaiiy ? ao?aoa OI iiaeooue ?noioii
aieeaaoe ia ye?noue aeeooy iino?aaeaeaeeo, ciaioaiiy o?oaeiaeo ?ano?n?a
Oe?a?ie ? i?ecaanoe aei cia/ieo aeiiii?/ieo ao?ao.
Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie: Aeena?oaoe?eia
?iaioa aeeiiaia a ?aieao “Oe?a?inueei? aea?aeaaii? i?ia?aie e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe”, 1990-1995 ?.?., ca oaiith
“Aeiaaino?ieiaee iii?oi?eia noaio nenoaie e?iaiia?ao a in?a, ui caciaee
?aae?aoe?eiiai aieeao aiane?aeie *i?iiaeeuenueei? eaoano?ioe c
aenia?oecith o?ce/ii? i?aoeacaeaoiino?, ?ic?iaea oa oaeineiiaeaiiy
niinia?a ae?aaiinoeee, iiia?aaeaeaiiy oa e?eoaaiiy ?? caoai?thaaiue”
oeo? AN?* (2.2;6) 6.3; 5.082 *-93; ieaio iaoeiai-aeine?aeieo ?ic?iaie
I?i?noa?noaa ii ni?aaao caoenoo ianaeaiiy a?ae iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN, 1995-1998 ?.?., oaia: “?ic?iaea nenoaie caoiae?a
aeey e?eoaaiiy iino?aaeaeaeeo c iaea?eueo iioe?aieie caoai?thaaiiyie
nenoaie e?iaiia?ao o a?aeaeaeaiee ia??iae i?ney *i?iiaeeuenueei?
eaoano?ioe” oeo? 6/4-95; ieaio iaoeiai-aeine?aeieo ?ic?iaie AII Oe?a?ie
1997-1999 ?.?., oaia: “Aea/eoe caeiiii??iino? ? oaeoi?e, ui
iaoiiaeththoue ?icaeoie na?oeaai? iaaeinoaoiino? i?e a?ia?oii?/i?e
oai?ia? o iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe” oeo?
269.
Iaoa ? caaea/? aeine?aeaeaiiy. Ioe?ieoe noai o?ce/ii? i?aoeacaeaoiino?,
iniaeeaino? ?? caaacia/aiiy, aecia/eoe oaeoi?e, ui iaoiiaeththoue ??
ci?ie ? ?ic?iaeoe i?iiiceoe?? uiaei caa?aaeaiiy o?ce/ii?
i?aoeacaeaoiino? a o/aniee?a EIE c AO.
Aeey aeinyaiaiiy iinoaaeaii? iaoe noi?ioeueiaaii caaea/?:
1. Aea/eoe noai o?ce/ii? i?aoeacaeaoiino? a o/aniee?a EIE c AO.
2. Aea/eoe ?aaeoe?? nenoaie e?iaiia?ao ia o?ce/ia iaaaioaaeaiiy, ??
eeniaaa caaacia/aiiy a o/aniee?a EIE aaciina?aaeiuei i?ney o/ano? o
a?aeaoaeiaieo ?iaioao ? i?ioyaii ia?oiai aeanyoe??//y i?ney eaoano?ioe.
3. Cae?enieoe aiae?c ni?aa?aeiioaiiy ci?i o?ce/ii? i?aoeacaeaoiino? c
aeicith ciai?oiueiai ii?ii?iaiiy, o?eaae?noth o/ano? o EIE ?
ia?aae?aoe?eieie oaeoi?aie ?eceeo.
4. ?ic?iaeoe i?iiiceoe?? uiaei ioe?iee oa a?aeiiaeaiiy o?ce/ii?
i?aoeacaeaoiino?, iiia?aaeaeaiiy ?? ci?i a o/aniee?a EIE c AO.
Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa i?iaaaeaii aea/aiiy,
nenoaiaoecoaaiiy e ocaaaeueiaiiy aeaieo i?i noai OI, iniaeeaino? ??
caaacia/aiiy, oaeoi?e, ye? e?i?oothoue ?? a o/aniee?a EIE c AO, ye?
caciaee aieeao ?ii?coth/iai aei?ii?ithaaiiy a ae?aiacii? iaeeo aeic.
Ioe?iaii a?aei?iiino? OI a o/aniee?a EIE c AO i?e ca?eueoaii? aeice
ciai?oiueiai ii?ii?iaiiy (AeCI) a?ae 0,05 aei 0,5 Ca oa o?eaaeino?
o/ano? o a?aeaoaeiaieo ?iaioao. Aecia/aii oaeoi?e, eio?? e?i?oothoue OI
o cacia/aieo in?a. Ia iniia? niinoa?aaeaiiy o aeeiai?oe? anoaiiaeaii, ui
aaciina?aaeiuei i?ney o/ano? o a?aeaoaeiaieo ?iaioao OI cieaeoaaeanue o
60 % aeiaaee?a, aei e?ioey ?ieo a?aeiiaethaaeanue o 50 % aeiaaee?a ?
iaaeae? iniiaiee aieea ia ?? noai cae?enithaaee AO, a?ia?o?io?y e?aiai
oeoii/ea na?oey ? oaeoi?e ?eceeo, iaoiiaeai? iniaeeainoyie niiniao
aeeooy. Ia i?aenoaa? ?ice?eooy caeiiii??iinoae ?aaeoe?e o/aniee?a EIE ia
o?ce/ia iaaaioaaeaiiy (OI) aeae?eaii aa??aioe ?aaeoe?e. ?ic?iaeaii
iaoaiaoe/ia iiaeaeue ii?iaiai? iiooaeiino? oa iiaee niin?a ??
aecia/aiiy. Cai?iiiiiaaii oaeoeeo ? i?ia?aio a?aeiiaeaiiy OI c
aeei?enoaiiyi aaeio?aioaaiue a o/aniee?a EIE c AO.
I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Aeei?enoaiiy aeaieo i?i
noai ? iniaeeaino? caaacia/aiiy OI, aa??aioe ?aaeoe?e ia OI aea? ciiao
aeae?eeoe o/aniee?a EIE c AO c aenieei ?eceeii ci?i OI oa aecia/eoe
caoiaee uiaei ?? a?aeiiaeaiiy. Cai?iaaaeaeaiiy ?ic?iaeaiiai niiniao
ioe?iee ii?iaiai? iiooaeiino? aei i?aeoeee caeeaae?a ioi?iie caei?ia’y,
ye? cae?eniththoue niinoa?aaeaiiy ca iino?aaeaeaeeie a?aee?eaa? ?aaeuei?
iiaeeeaino? io?eioaaoe ?ioi?iaoe?th i?i OI aac i?iaaaeaiiy
iaaaioaaeoaaeueiiai oanoo. Cai?iiiiiaaia i?ia?aia aaeio?aioaaiue
iaaeanoue iiaeeea?noue iiia?aaeaeaoe ? a?aeiiaethaaoe OI o
iino?aaeaeaeeo c AO, ni?eyoeia a?eueo aoaeoeaiiio eiio?iethaaiith AO.
Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy o i?aeoeeo. ?acoeueoaoe
aeine?aeaeaiue aeei?enoiaothoueny o i?aeoe/i?e ?iaio? Oe?a?inueeiai
?anioae?eainueeiai aeeniaina?o ?aae?aoe?eiiai caoenoo ianaeaiiy,
iie?ee?i?ee ?1 I?inueeiai ?aeiio i. Ee?aa, a?aeae?eaiiy ooieoe?iiaeueii?
oa oeueo?acaoeiai? ae?aaiinoeee Aei?i?iiao?ianueei? iaeanii? ee?i?/ii?
e?ea?i?, ui i?aeoaa?aeaeaii aeoaie ai?iaaaeaeaiiy.
Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?y ? iniaenoith ?iaioith aaoi?a.
An? ee?i?/i? e ?ino?oiaioaeuei? aeine?aeaeaiiy, ui aeeth/athoue ca??
a?aeiiinoae i?i ?aae?aoe?eiee aieea, aaeia?aiiao??th c aea/aiiyi
aaciaiai neeaaeo aeaeeooaaiiai iia?o?y, aeaeo?i- ? aoiea?ae?ia?ao?/i?
aeine?aeaeaiiy, aeiaiaa iii?oi?oaaiiy AO, ca??, oi?ioaaiiy
aaoiiaoeciaaii? aace aeaieo, noaoenoe/ia ia?iaea, aiae?c ? ocaaaeueiaiiy
?acoeueoao?a, aeeiiai? aaoi?ii naiino?eii.
Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. ?acoeueoaoe i?iaaaeaieo
aeine?aeaeaiue aeiiia?aeaeeny ia iaoeia?e eiioa?aioe?? iieiaeeo o/aieo,
i?enay/ai?e 10-??//th iaoeiaiai oeaio?o ?aae?aoe?eii? iaaeeoeeie AII
Oe?a?ie “I?iaeaie ?aae?aoe?eii? iaaeeoeeie i?ney *i?iiaeeuenueei?
eaoano?ioe”, Ee?a 2-4.10.1996 ?.; ?anioae?eainueeiio nai?ia?? e?ea??a
naiaoi?ii-eo?i?oieo onoaiia “Naiaoi?ii-eo?i?oia e?eoaaiiy oa
icaei?iaeaiiy ianaeaiiy, ui iino?aaeaeaei aiane?aeie aaa??? ia
*i?iiaeeuenuee?e AAN”, Ee?a 27-29.11.1996 ?.; 2-e i?aeia?iaei?e
eiioa?aioe?? “A?aeaeaeai? iaaee/i? iane?aeee *i?iiaeeuenueei?
eaoano?ioe”, Ee?a 1-6.06.1998 ?.
Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 8 iaoeiaeo ?ia?o, a
oiio /ene? 2 noaoo? a iaoeiaeo aeo?iaeao, ?icae?e o iiiia?ao??:
“*a?iiaueueneay aoiiiay yeaeo?inoaioeey – Neaaooe/: iaaeeoeeineea
aniaeou” – Ee?a: Aeua oeiea, 1996. – N. 150-154, Iaoaio Oe?a?ie ia
aeiao?ae a aeo?iae? “I?iieneiaa aeani?noue” ? 4 oace.
Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 132 noi??ieao
ae?oeiaaiiai oaenoo, ia? 19 oaaeeoeue ? 10 ?enoie?a. Neeaaea?oueny ?c
anooio, 9 ?icae?e?a, cae?i/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ?
nieneo e?oa?aoo?e c? 143 aeaea?ae.
INIIAIEE CI?NO ?IAIOE
Oa?aeoa?enoeea ianoaaeaieo. Aei a?oie niinoa?aaeaiiy aeeth/aii 454
o/anieea EIE 1986-1987 ?.?. o a?oe? 20-49 ?ie?a, a oiio /ene? 280 c AO ?
174 aac caoai?thaaiue nenoaie e?iaiia?ao. O 94 anoaiiaeaia iaaeiaa
a?oa??aeueia a?ia?oii?y (IAA), 125 – AO I, ? 61 – AO II noaae??. Aeica
ciai?oiueiai ii?ii?iaiiy neeaea 0,05-0,5 Ca. O/aniee?a EIE, a yeeo AO
ii?aeioaaeany c ?ON, na?oeaaith iaaeinoaoi?noth, iaaeinoaoi?noth
eaaaiaai? aaioeeyoe??, ii?ooaiiyie ?eoio ? i?ia?aeiino?, oeo, ui
ia?aianee a ieioeiio ?ioa?eo i?iea?aea aai iiceiaee ?inoeueo, c ?ioeie
caoai?thaaiiyie, ye? iiaee ?noioii aieeaaoe ia OI ? ?? caaacia/aiiy, o
aeine?aeaeaiiy ia aeeth/aee. A?oio ii??aiyiiy neeaee 69 oai?eo ia AO,
ye? ia caciaee ii?ii?iaiiy. Aeey aea/aiiy ci?i OI oa ?? caaacia/aiiy
i?ioyaii ia?oiai aeanyoe??//y o 30 o/aniee?a EIE aeine?aeaeaiiy aeeiiaii
/a?ac 1, 5, ? 8-10 ?ie?a i?ney o/ano? o a?aeaoaeiaieo ?iaioao.
Iaoiaee aeine?aeaeaiiy. Aeine?aeaeaiiy aeeiiai? ca aeiiiiiaith
noaiaea?oeciaaii? nenoaie ianoaaeaiiy, aeei?enoai? oi?o?eiaai? e?eoa???
ae?aaiinoeee AO. Iine?aeiaii cae?enithaaee noaiaea?oia iieooaaiiy,
aiae?c ?aae?aoe?eiiai aieeao, oaeoi??a ?eceeo, o?ceeaeueia ianoaaeaiiy,
oiiiiao??th, aeiaiaa iii?oi?oaaiiy AO, aeaeo?i-, aoiea?ae?ia?ao?/ia
aeine?aeaeaiiy, ni??iaaeia?aiiao??th c aiae?cii aaciaiai neeaaeo
aeaeeooaaiiai iia?o?y.
Aiae?c ? ioe?ieo AO i?iaiaeeee ca aeaieie 2-aiaeeiii? oiiiiao??? oa
aeiaiaiai iii?oi?oaaiiy AO (AeIAO) c aeiiiiiaith ii?oaoeaiiai
?aa?no?aoi?a BR-102, Shiller. I?ia?aia AeIAO ia?aaeaa/aea aecia/aiiy
na?aaeiueiaeiaiaiai, aeaiiiai ? i?/iiai NAO, AeAO, aa??aaaeueiino? AO o
??ci? ia??iaee aeiae, ?iaeaeno /ano a?ia?oaic??, ui aecia/a? a?aenioie
aei???a AO, ye? ia?aaeuothoue 140/90 ii ?o. no. oaeaiue ? 120/80 ii ?o.
no. aii/?. ?ic?aoiaoaaee aeiaiaee ?iaeaen (Ae?) NAO ? AeAO, ui
a?aeia?aaea? nooi?iue cieaeaiiy AO a i?/iee /an. Iioeiaeueiei aaaaeaee
cia/aiiy Ae? 10-20 %, iaaeinoaoi?i – iaioa 10 % ? i?aeaeuaiei – a?eueoa
20 %. A?ao?/ia cia?aaeaiiy AeIAO ? e?euee?ni? aei??e aeei?enoiaoaaee
aeey aecia/aiiy aeiaiaiai i?io?eth AO.
Aoiea?ae?ia?ao?/ia aeine?aeaeaiiy i?iaiaeeee ca aeiiiiiaith aia?aoo
Toshiba SAS 77 o ?aaeueiiio ianooaa? /ano a I-iiaeaeueiiio, aeaii??iiio
?aaeeiao. Aecia/aee e?ioeaai-nenoie?/iee ? e?ioeaai-ae?anoie?/iee
?ici??e e?aiai oeoii/ea, oiaueio no?iie i?aeoeoii/eiai? ia?aoeiee ?
caaeiuei? no?iee e?aiai oeoii/ea a ae?anoieo. ?ic?aooiie ia?aiao??a, ye?
oa?aeoa?ecothoue nenoie?/io ooieoe?th i?iaiaeeany oeaio?aeueiei
i?ioeani?ii aoiea?ae?ia?aoa ca caaaeueiii?eeiyoeie oi?ioeaie.
A?aecia/aee e?ioeaai-nenoie?/iee, e?ioeaai-ae?anoie?/iee, oaea?iee
ia’?ie, o?aeoe?th aeeeaeo.
Aaeia?aiiao??th cae?enithaaee ca aeiiiiiaith aaeia?aiiao?a ?
iie?ea?ae?ia?aoa Bioset-6000 c aeei?enoaiiyi caniao ia?a?ea/anoiai
nooi?i/anoi-c?inoath/iai iaaaioaaeaiiy i?e oaeaeeino? iaaeaethaaiiy 60
ia/oa. Ii/aoeiao iiooaei?noue 50 Ao ia eiaeiiio nooiai? ca?eueooaaee ia
25 Ao. O?eaae?noue nooiaiy 4 oa. O aeo?aeiiio no?eeiio noai?, ia 2-e ?
4-e oa. iaaaioaaeaiiy, i?ney eiaeiiai aoaio iaaaioaaeaiiy i?ioyaii 1-?
oaeeeie ?a?no?oaaee AEA a 12 caaaeueiii?eeiyoeo a?aeaaaeaiiyo ?
aei??thaaee AO. Oi?iaeiaae anueiai aeine?aeaeaiiy iii?oi?oaaee *NN ? AEA
o a?aeaaaeaiiyo V2 ? V5. Aeine?aeaeaiiy aaciaiai neeaaeo aeaeeooaaiiai
iia?o?y i?iaiaeeee ia aaciaiae?caoi?? Oxycon-4 (Aieeaiae?y). Eiaei? 30
naeoiae ia i?ioyc? 10 oa. aeo?aeiiai ia??iaeo, i?ioyaii anueiai
aeine?aeaeaiiy c OI, oi?iaeiaae 10 oa. a?aeiiaiiai ia??iaeo ?a?no?oaaee
niiaeeaaiiy eenith (VO2) ? aeae?eaiiy aoaeaeeneiai aaco a e/oa,
eeniaaee ioeuen (O2Ps), oaeeeiiee ia’?i (OIAe) ? /anoioo (*Ae) aeeoaiiy,
eiao?oe??io aeei?enoaiiy eenith (EAI2), aeeoaeueiee eiao?oe??io (RQ).
Aeey ei?aeoe?? ci?i OI o 58 o/aniee?a EIE aeei?enoiaoaaee aaeio?aioaaiiy
a ?aaeei? ??aiii??iiai aacia?a?aiiai iaaaioaaeaiiy. Caaaeueio
aoaeoeai?noue canoinoaaiiy aaeio?aioaaiue ioe?ithaaee a?aeiia?aeii aei
oaeeo e?eoa???a:
– oi?ioa – caa??aaiiy ii?iaiai? iiooaeiino? ia ??ai? 150 Ao ? aeua;
aeinoia??ia ca?eueoaiiy ii?iaiai? iiooaeiino? i?e ?? aeo?aeieo cia/aiiyo
75-125 Ao, caaaeueiiai ia’?io aeeiiaii? ?iaioe, cieaeaiiy NAO o niiei?,
eiai i?e?inoo i?e o?ce/iiio iaaaioaaeaii?;
– caaeia?eueia – caa??aaiiy ii?iaiai? iiooaeiino? ia aeo?aeiiio ??ai?,
aea ia ieae/a 125 Ao, cieaeaiiy AO niieith, iie?ioaiiy caaaeueiiai
naiiii/oooy, ia?aiineiino? o?ce/iiai iaaaioaaeaiiy.
Aeey oi?ioaaiiy aace aeaieo ? noaoenoe/ii? ia?iaee ?acoeueoao?a
aeine?aeaeaiue aeei?enoiaoaaee eiii’thoa? oeio IBM 486 DX4-100, i?ia?aio
Microsoft Excel 7.0. Aeey ioe?iee iniiaieo noaoenoe/ieo oa?aeoa?enoee
iieaciee?a, ye? aea/aeeny, a ??cieo i?aea?oiao canoiniaoaaee caniae
iaeiii??iiai aiae?co. Ia?aa??eo noaoenoe/ieo a?iioac i?i ??ai?noue
na?aaei?o cia/aiue iieacieea o aeaio ??ciiiai?oieo i?aea?oiao i?iaiaeeee
ca t-e?eoa???i Nouethaeaioa. Aeey ioe?iee noaoenoe/ieo oa?aeoa?enoee
aca?iica’yceo a?oi iieaciee?a nei?enoaeeny ei?aeyoe?eiei ? ?aa?an?eiei
aiae?cii. Ei?aeyoe?eiee aiae?c aeeth/aa ia/eneaiiy ei?aeyoe?eii?
iao?eoe? caaeaiiai iaai?o iieaciee?a ? ia?aa??eo noaoenoe/ii? cia/eiino?
a?aeciaee eiao?oe??io?a ei?aeyoe?? (r) a?ae 0. Canoiniaoaaee caniae
a?ao?/iiai aiae?co ? a?ao?/iiai iiaeaiiy io?eiaieo ?acoeueoao?a.
?acoeueoaoe aeine?aeaeaiiy
Iiooaei?noue ii?iaiaiai iaaaioaaeaiiy a o/aniee?a EIE c AO caeiiii??ii
cieaeoaaeany i?e i?ia?anoaaii? oai?iae. I?e IAA a na?aaeiueiio aiia
neeaaeaea 144 Ao, ?noioii ia a?ae??ciyeany a?ae aeaieo a o/aniee?a EIE
aac caoai?thaaiue nenoaie e?iaiia?ao. O oai?eo AO I aiia aoea ieae/a ia
15 Ao, i?ae i?e IAA. Iaeiaioith ii?iaiaa iiooaei?noue aoea o oai?eo AO
II. A?eueo i?ae o iieiaeie c ieo aiia ia ia?aaeuoaaea 100 Ao, a o 12 %
aeiaaee?a aoea iaiaaeaia aei 50 Ao. A?aei?iiino? ii?iaiai? iiooaeiino? a
o/aniee?a EIE c AO ? a a?oi? ii??aiyiiy a na?aaeiueiio neeaee 4,4-11,2
Ao ? ia ia?aaeuoaaee 10 % (P>0,05).
Iniiaiei oaeoi?ii, yeee e?i?oo? aeeiiaiiy OI a o/aniee?a EIE c AO, aoei
i?aeaeuaiiy AO aei a?aie/ii i?eionoeiiai ??aiy. *anoioa eiai caeiiii??ii
c?inoaea a?ae 26 % i?e IAA, aei 52 % i?e AO II. Aiaeii/an ciaiooaaeany
e?euee?noue oai?eo, ye? aeinyaaee *NN, ui neeaaea? 75 % a?aeiinii
a?aie/ii i?eionoeii? aeey aeaiiai a?eo. Aeaeo?iea?ae?ia?ao?/i? ci?ie,
ye? oa?aeoa?ecothoue ?oai?th i?iea?aea, ca?a?no?iaai? o oai?eo AO a 2-6
% aeiaaee?a. O ?acoeueoao? aeyaeaiiy a oeeo aeiaaeeao a??ia?aeieo iciae
?ON a iiaeaeueoo ?ic?iaeo oaeeo ianoaaeaieo ia aeeth/aee. ??cieoey a
/anoio? aeyao iniiaieo i?e/ei, ye? e?i?ooaaee aeeiiaiiy oanoo aeey
oai?eo a?oi niinoa?aaeaiiy ? ii??aiyiiy neeaaea? 5-7 % (P>0,05).
I?e i?ia?anoaaii? AO ci?ithaaeeny ?aaeoe?? nenoaie e?iaiia?ao ia OI ?
cieaeoaaeany aoaeoeai?noue eiai eeniaaiai caaacia/aiiy. A o/aniee?a EIE
c IAA caaacia/aiiy ii?iaiai? iiooaeiino? cae?enithaaeiny i?e
ia?aaaaeiiio i?aeaeuaii? AO ii??aiyii c *NN. Ui noino?oueny in?a aac
caoai?thaaiue nenoaie e?iaiia?ao, oi a ieo a??ia?aeii ieae/ei aoa
o?iiio?iiiee ?aca?a na?oey (O?N), ?noioii c?inoaee NAO ii?iaiaee ?
aeo?aoe aia?a?? ia iaeeieoeth aeeiiaii? iiooaeiino?. I?e a?eueo?e
iio?aa? i?iea?aea o eeni? i?e iaaaioaaeaii? VO2 ciaiooaaeiny.
A?aei?iiino? c?inoaiiy *NN ? CAO o o/aniee?a EIE ? a a?oi? ii??aiyiiy
neeaee 1,0 oae/oa ? 5,7 ii ?o. no. (P>0,05). ??cieoey o aeo?aoao aia?a??
ia aeeiiaiiy ii?iaiai? iiooaeiino? a oeeo a?oiao aoea o na?aaeiueiio 5 %
(P>0,05), a VO2 – 80 ie/oa (P>0,05).
Caaacia/aiiy iaaaioaaeaiiy i?e AO ? cae?enithaaeiny i?e cia/iiio
ca?eueoaii? NAO ? iio?aae i?iea?aea a eeni?. Eeniaaa caaacia/aiiy
ii?iaiai? iiooaeiino? o oai?eo AO I cae?enithaaeiny a oiiaao a?eueoiai
iai?oaeaiiy ciai?oiueiai aeeoaiiy. Ca?eueoaiiy NAO ia ??ai? ii?iaiaiai
iaaaioaaeaiiy a o/aniee?a EIE ia 12,1 ii ?o. no. aoei iaioei, i?ae o
oai?eo a?oie ii??aiyiiy (P0,05). ??cieoey VI2 a
oeeo a?oiao neeaea 60 ie/oa (P>0,05), na?aaei?o cia/aiue OIAe – 6,1 e,
EAI2 – 4,2 ie/e (P>0,05).
O oai?eo AO II aeeiiaiiy iaaaioaaeaiiy noi?iaiaeaeoaaeiny iaea?eueo
aenieeie aeo?aoaie aia?a??, AO i?e OI o ieo aoa iaea?eueoei. O 72 %
aeiaaee?a a o/aniee?a EIE c AO II NAO i?aeaeuoaaany aei 210 ii ?o. no.,
o 46 % – aei 230 ii ?o. no. Caaacia/aiiy ii?iaiai? iiooaeiino? a
o/aniee?a EIE c AO ?? cae?enithaaeiny i?e ?iaeaen? a?aeiioaiiy II aei
ii?iaiai? iiooaeiino? – 2,78 oi. iae. ? aoei iaioei ia 12 % (P>0,05)
a?aeiinii aei a?oie ii??aiyiiy. I?e ii?iaia?e iiooaeiino? VI2 a
o/aniee?a EIA c AO II aoei iaeiaioei ? aeinyaaeiny i?e iaio aoaeoeai?e
eaaaiaa?e aaioeeyoe??. Ca?eueoaiiy OIAe i?e oeueiio a 4,5 ?ac?a ia
noi?iaiaeaeoaaeiny i?aeaeuaiiyi EAI2. Aeey oai?eo AO II aoea oa?aeoa?ia
iaa?aeiia?aei?noue iio?aae i?iea?aea a eeni? c eiai oaeoe/iei
niiaeeaaiiyi, ui, aieiaiei /eiii, aoei coiiaeaii iaaei??iei i?aeaeuaiiyi
AO.
Ia i?aenoaa? aiae?co ci?i eeniaaiai caaacia/aiiy aeae?eaii o?e aa??aioe
?aaeoe?e oai?eo AO ia OI (?en. 1).
?en. 1 Aa??aioe ?aaeoe?e ia o?ce/ia iaaaioaaeaiiy
Ia?oee aa??aio ?aaeoe?? ia OI (aeea. ?en. 1-?) oa?aeoa?eco?oueny
e?i?eiei aca?iiiaoiiaeaiei ca?eueoaiiyi *NN ? VO2 i?e c?inoaii?
iiooaeiino? iaaaioaaeaiiy aei 125 Ao ? a?eueoa. Aeey oeueiai aa??aioo
aoea oa?aeoa?ia ii?iaiaa iiooaei?noue 125-175 Ao ? a?aeiia?aei? ?e
aeniea niiaeeaaiiy eenith ? eaaaiaaa aaioeeyoe?y. Oaeee aa??aio
anoaiiaeaiee a o/aniee?a EIE c IAA a 70 %, AO I a 58 %, AO II a 33 %
aeiaaee?a, a a?oi? ii??aiyiiy 78 %, 62 % ? 25 % aeiaaee?a a?aeiia?aeii
(P>0,05).
Aa??aio ?aaeoe?? ia OI, i?e yeiio ianoaaaei a?aeoeeaiiy VO2 a?ae
e?i?eiiai ca?eueoaiiy c aeoiaeii ia “ieaoi” ia ??ai? iiooaeiino? 100-125
Ao (?en. 1-??), ?a?no?oaaee o 12 % o/aniee?a EIE c IAA ? 14 % c AO I. O
a?oi? ii??aiyiiy oaeee aa??aio ?aaeoe?? cono??/aany i?e IAA o 10 %, i?e
AO ? – 13 %. Oa?aeoa?ii aoei oa, ui a?aeoeeaiiy niiaeeaaiiy eenith a?ae
e?i?eiiai ca?eueoaiiy ianoaaaei aei iiyae caaaeueiiaeciaieo e?eoa???a
i?eieiaiiy iaaaioaaeaiiy.
Aeecueeei ca iniaeeainoyie aei aa??aioo c aeoiaeii VO2 ia “ieaoi” aoa
3-e aa??aio ?aaeoe?? (?en. 1-???). I?e oeueiio aa??aio? oaeiae
a?aecia/aee a?aeoeeaiiy VO2 a?ae e?i?eiiai ca?eueoaiiy. Oi/a a oeeo
aeiaaeeao ia ianoaaaei aeoiaeo VO2 ia “ieaoi”, i?e??no eiai ia ??ai? 50
Ao ?noioii oiia?eueithaaany. Aeey oeueiai aa??aioo oa?aeoa?iei aoa
iaeiaioee ??aaiue aa?iaii? i?aoeacaeaoiino? ? ae?aaeaia
iaa?aeiia?aei?noue iio?aae i?iea?aea a eeni? oa eiai niiaeeaaiiy. Oaeee
aa??aio niinoa??aaee o oai?eo AO II, /anoioa eiai neeaea 16 % ? 7 % a
o/aniee?a EIE oa a?oi? ii??aiyiiy a?aeiia?aeii (P>0,05). Aa??aioe
?aaeoe?e 2-e ? 3-e a?aeia?aaeaee a?eueo iecueeee ??aaiue aaeaioaoe?? aei
OI ? aoee iieacieeii aeey a?aeianaiiy oaeeo o/aniee?a EIE o a?oie
niaoe?aeueiiai niinoa?aaeaiiy a ieai? eiio?iethaaiiy iiaeeeaeo ii?ooaiue
ooieoe?e na?oey.
I?e aiae?c? ?aae?aoe?eiiai aieeao ia OI anoaiiaeaii, ui a o/aniee?a EIE
?c c?inoath/ith AeCI a?ae 0,05 aei 0,5 Ca a?aei?iiino? ii?iaiai?
iiooaeiino? i?e IAA a na?aaeiueiio neeaee 3-7 Ao, i?e AO I – 2-8 Ao, ?
AO II – 2-9 Ao (?en. 2). E?i?eii? caeaaeiino? ca?eueoaiiy aai ciaioaiiy
ii?iaiai? iiooaeiino? caeaaeii a?ae AeCI a?ae 0,05 aei 0,5 Ca o oai?eo
AO ia i?inoaaeaii. A?aoiaoth/e, ui ?noioia a?aeoeeaiiy iieacieea a
iaei?e a?oi? iiaeia ?icoe?ithaaoe o?eueee ye i???ioiaio aeac?aeo ia
?ieue ii?ii?iaiiy ? eeoa caeiiii??ia ci?ia ia iaioa i?ae o o?ueio a?oiao
aecia/a? iayai?noue aieeao ?aae?aoe?eiiai ii?ii?iaiiy, io?eiai? aeai? ia
aeaee i?aenoaa noaa?aeaeoaaoe oaeo caeiiii??i?noue.
O oai?eo AO c? c?inoath/ith AeCI ni?yiiaai?noue ?aaeoe?e nenoaie
e?iaiia?ao ia ci?ithaaeanue. I?e aeinyaiaii? ii?iaiai? iiooaeiino?
a?aei?iiino? *NN ? NAO a i?aea?oiao c IAA aoee a na?aaeiueiio ia a?eueoa
3 oae/oa ? 4 ii ?o. no., a?aeiinii a?oie ii??aiyiiy – 2-6 oae/oa ? 2-5
ii ?o. no. A?aei?iiino? i?e?inoo OIAe i?e iaaaioaaeaii? ii?iaiai?
iiooaeiino? o oai?eo c IAA i?e AeCI 0,05-0,5 Ca ia ia?aaeuoaaee 3-4,5 %.
I?e oeueiio VO2 neeaei 1,97-2,17 e/oa, o a?oi? ii??aiyiiy 2,08 e/oa.
?en.2 Iiooaei?noue ii?iaiaiai iaaaioaaeaiiy ? aeica ciai?oiueiai
ii?ii?iaiiy
?aaeoe?y nenoaie e?iaiia?ao ia ii?iaiao iiooaei?noue o oai?eo AO I c
AeCI 0,25-0,5 Ca aoea a?eueo aeiiii?/iith, i?ae i?e AeCI 0,05-0,1 Ca ?
cae?enithaaeany i?e a?eueo iecueeiio ?iaeaen? aia?aaoe/ieo aeo?ao ?
a?eueoiio aeei?enoaii? O?N. Iaeiae, ia iiaeia ia a?aoiaoaaoe ??aaiue
o?ce/ii? i?aeaioiaeaiino?. Na?aae oai?eo AO I c AeCI 0,25-0,5 Ca aoei
a?eueoa a?enueeiaineoaeaiaoe?a e in?a, /ey i?ioan?eia ae?yeuei?noue
iia’ycaia c o?ce/iith i?aoeath. A?aei?iiino? VO2 ? eaaaiaai? aaioeeyoe??
a oeeo aeiaaeeao aoee ianooo?aeie.
?aaeoe?y ia iaaaioaaeaiiy ii?iaiai? iiooaeiino? o oai?eo AO II c?
c?inoath/ith AeCI oa?aeoa?ecoaaeany ianooo?aeie a?aei?iiinoyie O?N ?
??N. Aeo?aoa aia?a?? o oai?eo AO II aoea iaea?eueo aenieith, ei?aeyoe??
?? c AeCI ia aeyaeaii. Aa?iaia i?aoeacaeaoi?noue cae?enithaaeany i?e VI2
1,5-1,7 e/oa.
A aeine?aeaeaiiyo OI o iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei?
eaoano?ioe aac ? c ?ioeie caoai?thaaiiyie nenoaie e?iaiia?ao ia io?eiaii
aeaieo, ye? aeiaiaeyoue, ui ci?ie ?? i?yii iia’ycai? c ae??th
?ii?coth/iai aei?ii?ithaaiiy o ae?aiacii? aeic, ye? ia aeeeeeathoue
i?iiaiaao oai?iao (A.A. ssiianeee, E.A. Ai?iieia e ae?.,1995; E.E.
Neaaecaaneay, A.A. Ayo/aiei, ss.TH. Ua?aae 1998; I.?. Iaeaaa, I.I.
Etha/aiei e ae?., 1994). Aea a oiiaao aaeeeiianooaaii? aaa??? ia iiaeia
ia a?aoiaoaaoe iani?eyoeeao ae?th ia OI ?ioeo oaeoi??a.
Ca ?acoeueoaoaie iiaoaiiiai ei?aeyoe?eiiai aiae?co, ii?yae c AO, a /ene?
oaeoi??a, ui nooo?ai aieeaathoue ia ii?iaiao iiooaei?noue, caaaeueiee
ia’?i aeeiiaiiai iaaaioaaeaiiy, aoaeoeai?noue eeniaaiai caaacia/aiiy
iaaaioaaeaiiy, a o/aniee?a EIE c AO aecia/ai? a?e, iaaeeeoeiaa iana o?ea
(IIO), a?ia?o?io?y e?aiai oeoii/ea (AEO), cae/ea iaeeoe.
C? ca?eueoaiiyi a?eo a o/aniee?a EIE anoaiiaeaia aeinoia??ia cieaeaiiy
ii?iaiai? iiooaeiino? ? caaaeueiiai ia’?io aeeiiaiiai iaaaioaaeaiiy. O
a?oiao ii??aiyiiy a?aeiia?aeia cieaeaiiy oeeo iieaciee?a ianooo?ai
a?ae??ciyeinue a?ae aeaieo a o/aniee?a EIE. Aiaeia?/i? ?acoeueoaoe ci?i
OI a caeaaeiino? a?ae a?eo io?eiai? ? a aeine?aeaeaiiyo in?a, ye? ia
caciaee aieeao ?ii?coth/iai aei?ii?ithaaiiy (I.A. Ei?eooei, TH.O.
ss?ioaiei, 1986). C? ca?eueoaiiyi a?eo iia??ooaaeany oaeiae
aoaeoeai?noue ?aaeoe?e nenoaie e?iaiia?ao ia OI. C?inoaea /anoioa
?aaeoe?e c i?aeaeuaiiyi AO aei a?aie/ii i?eionoeiiai ??aiy, cieaeoaaeeny
O?N e aa?iaia i?iaeoeoeai?noue. Iaeiaioith OI aoea a 40-49??/ieo oai?eo
ia AO ??.
Nooo?aa cieaeaiiy OI a o/aniee?a EIE a?aecia/aee i?e ?icaeoeo ?
ca?eueoaii? nooiaiy AEO. O oai?eo AO c AEO anoaiiaeaia e?i?eia iaa?iaia
caeaaei?noue i?ae ii?iaiaith iiooaei?noth ? oiaueiith caaeiuei? no?iee
e?aiai oeoii/ea (r= -0,42, P0,05). Ia 13,4 % ciaioeeany /anoioa aeieeiaiiy ianiaoeeo?/ieo ci?i
e?ioeaai? /anoeie oeoii/eiaiai eiiieaeno AEA. I?aeaeuoaaeany
aoaeoeai?noue aia?aaoe/iiai caaacia/aiiy OI, eaaaiaai? aaioeeyoe??,
aa?iaia i?iaeoeoeai?noue. Oe? aeai? ca ni?yioaaiiyi ocaiaeaeothoueny c
?acoeueoaoaie aeine?aeaeaiue o ?aeiiaaeanoeaio?a, ye? ia?aianee aino?o
i?iiaiaao oai?iao ? nooiaiy. I?ioa, o inoaii?o a?aeiiaeaiiy OI
ii/eiaeiny ia 8-9 oeaei? i?ney ?icaeoeo oai?iae ? aeinyaaei iaeaaeiiai
??aiy /a?ac 1-2 ?iee.
I?e eiio?iethaaii? AO c aeei?enoaiiyi aioea?ia?oaiceaieo cania?a ?
o?ce/ieo o?aioaaiue ii?iaiaa iiooaei?noue o ianoaaeaieo ianooii? 5 ?ie?a
?noioii ia ci?ithaaeany, iaeiae, c?inea /anoioa i?aeaeuaiiy AO aei
a?aie/ii i?eionoeiiai ??aiy i?e OI. O 30 % c oeeo oai?eo ?icaeioeanue
AEO. Aaeaeaaoiei caaacia/aiiy OI caa??aaeiny i?e aeinyaiaii?
noaiaeneiaeueii? *NN, oiae? ye aeiaaeee iia??oaiiy eeniaaiai
caaacia/aiiy aoee iia’ycai? c i?aeaeuaiiyi AO aei a?aie/ii i?eionoeiiai
??aiy.
Aei e?ioey aeanyoe??//y i?ney eaoano?ioe cieaeaiiy ii?iaiai? iiooaeiino?
neeaaeaei a na?aaeiueiio 27,5 Ao (P0,05). I?e oaeiio ??ai? ii?ii?iaiiy
ia OI ia?aaaaeii aieeaathoue ?io? ia?aae?aoe?ei? /eiieee eaoano?ioe:
ii?ooaiiy cae/aeieo oiia i?aoe?, iiaeiaaeaiiy ?iai/iai /ano, aeeiiaiiy
?ia?o o ?aaeei? aaooe.
4. Anoaiiaeaia iaa?iaia ei?aeyoe?y ii?iaiai? iiooaeiino? e aa?iaii?
i?aoeacaeaoiino? c a?eii, a?ia?o?io??th e?aiai oeoii/ea na?oey,
iaaeeeoeiaith ianith o?ea, cae/eith iaeeoe, ui iaa?oioiao?
iaiao?aei?noue eiio?iethaaiiy ia o?eueee AO, aea ? iiaeeo?eiaaieo
oaeoi??a ?eceeo, aeey caa??aaiiy iaeaaeii? OI a o/aniee?a EIE ?c AO.
5. Aeae?eaii o?e aa??aioe aaeaioaoe?? aei o?ce/iiai iaaaioaaeaiiy.
Iaea?eueo ni?eyoeeaee aa??aio oa?aeoa?eco?oueny e?i?eiei ca?eueoaiiyi
*NN ? VO2 i?e c?inoath/?e iiooaeiino?, o?aiey?oueny o 61 % aeiaaee?a.
Ae?oaee ? o?ao?e aeyaeythoueny i?e a?eueo aaaeeiio ia?aa?ao oai?iae,
aeey ieo caeiiii??ia a?aeoeeaiiy VO2 c aeoiaeii ia “ieaoi” ia ??ai?
100-125 Ao ? 50 Ao.
6. I?e o?eaaeiio niinoa?aaeaii? o/aniee?a EIE anoaiiaeaii, ui ??aaiue OI
oa ?? eeniaaiai caaacia/aiiy, aeinyaioo? i?ney a?aeiiaeaiiy, i?e
eiio?ieueiaaiiio ia?aa?ao AO caa??aathoueny aac nooo?aeo ci?i oi?iaeiaae
5 ?ie?a. Aei e?ioey aeanyoe??//y ii?iaiaa iiooaei?noue a o/aniee?a EIE c
AO o a?oe? 40-49 ?ie?a ciaioo?oueny o na?aaeiueiio ia 27,5 Ao.
7. Ia iniia? anoaiiaeaii? caeaaeiino? i?ae ii?iaiaith iiooaei?noth ? AO
na?aaeiueiaeiaiaei, a?ia?o?io??th e?aiai oeoii/ea ? a?eii ?ic?iaeaia
iaoaiaoe/ia iiaeaeue ? iiaee niin?a aecia/aiiy ii?iaiai? iiooaeiino?.
Eiai /ooeea?noue 75 %, niaoeeo?/i?noue 82,7 %. Niin?a aeinoaoiuei
?ioi?iaoeaiee aeey ioe?iee ii?iaiai? iiooaeiino?, aecia/aiiy ??aiy
o?aioth/iai o?ce/iiai iaaaioaaeaiiy, eiio?ieth OI i?e aeeiai?/iiio
niinoa?aaeaii?, aea? ciiao nei?ioeoe /ania? ? aeiiii?/i? aeo?aoe ia
io?eiaiiy ?ioi?iaoe??.
8. ?ic?iaeaii e ai?iaiaaii o nenoai? e?eoaaiiy o/aniee?a EIE c AO
i?ia?aio o?eaaeeo aaeio?aioaaiue, yea ni?ey? ca?eueoaiith ii?iaiai?
iiooaeiino?, caaaeueiiai ia’?io aeeiiaii? ?iaioe, aeiiii?caoe??
aaiiaeeiai?/iiai ? eeniaaiai caaacia/aiiy o?ce/iiai iaaaioaaeaiiy.
I?AEOE*I? ?AEIIAIAeAOe??
Aeey eiio?iethaaiiy OI oa ?? caaacia/aiiy a o/aniee?a EIE c AO
iaiao?aei? eiio?iethaaiiy ia o?eueee AO, a ? oaeoi??a ?eceeo, ye?
iiaeeo?eothoueny, ? ianaiia?aae ciaioaiiy iaaeeeoeiai? iane o?ea ?
a?aeiiaa a?ae iae?iiy.
I?e iaiiaeeeaino? aecia/aiiy ii?iaiai? iiooaeiino? ?c canoinoaaiiyi
iaaaioaaeoaaeueiiai oanoo o oai?eo AO c a?ia?o?io??th e?aiai oeoii/ea
na?oey, i?iiiio?oueny ?? ?ic?aoiaoaaoe ca aeiiiiiaith ?ic?iaeaii?
iaoaiaoe/ii? iiaeae?.
Cai?iiiiiaaia i?ia?aia aaeio?aioaaiue c o?aooaaiiyi iieacaiue aei ?o
aeei?enoaiiy a o/aniee?a EIE c AO iiaea aooe canoiniaaia ye naiino?eiee
iaoiae e?eoaaiiy aai a ii?aeiaii? c aioea?ia?oaiceaieie i?aia?aoaie. ??
ai?iaaaeaeaiiy ni?eyoeia caa??aaiith iaeaaeiiai ??aiy OI, noaa?e?caoe??
a?iioaiceaiiai aoaeoo.
NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe??
1. Oiiacthe E.I., Eiaaeaa A.N., Oenaiei E.E., Eiaiaea O.I.
Ainnoaiiaeaiea oece/aneie ?aaioiniiniaiinoe o o/anoieeia eeeaeaeaoeee
iineaaenoaee *a?iiaueueneie eaoano?iou n aieaciyie nenoaiu
e?iaiia?auaiey a oneiaeyo naiaoi?iiai ea/aiey // Iaaeeoeeineay
eo?i?oieiaey, ?aaaeeeoaoeey, oeceioa?aiey. – 1998. – ? 2 (14). – N.
7-10.
2. Eiaaeaa A.N., Oiiacthe E.I. Oece/aneay ?aaioiniiniaiinoue e aa
eciaiaiey i?e aicaeaenoaee eiiece?othuaai eceo/aiey // Oe?a?inueeee
iaaee/iee /aniien. – 1999. – ? 2 (10). – N. 83-85.
3. Aieacie nenoaiu e?iaiia?auaiey / Oiiacthe E.I., Eiaaeaa A.N.,
*aaaithe N.A., Aii/a?aiei E.E., Ianoeia A.I. / *a?iiaueueneay aoiiiay
yeaeo?inoaioeey – Neaaooe/: iaaeeoeeineea iineaaenoaey / Iiae ?aae. A.A.
Aaaaoei, A.A. Iinianeiai, Ae.A. Aacuee. – E.: Aeua oeiea, 1996. – N.
150-154.
4. Iao. 25589A Oe?a?ia, IE? A61A5/02, A61B8/10. Niin?a aecia/aiiy
oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy o oai?eo ia a?ia?oii?/io
oai?iao / ?.I. Oiiacthe, I.N. Eiaaeueia (Oe?a?ia). – ? 97094732, Cayae.
23.09.97; Iioae. 25.12.98; Io?oe. athe. “I?iieneiaa aeani?noue”. – ? 6.
5. Eiaaeaa A.N. Ninoiyiea e eciaiaiea oece/aneie ?aaioiniiniaiinoe i?e
aeia?oiie/aneie aieacie o ia?niiaea II *AYN // Iaoa?eaeu aeiee.
iao/.-i?aeo. eiio. “Aeooaeueiua i?iaeaiu nio?aiaiey caei?iauey II
“*a?iiaueueneay aoiiiay yeaeo?inoaioeey” e ianaeaiey i?eeaaathueo e AYN
oa??eoi?ee”. – Eeaa, 1995. – N. 78-80.
6. Eiaaeaa A.N. Oece/aneay ?aaioiniiniaiinoue e oaeoi?u, ii?aaeaeythuea
aa, o o/anoieeia eeeaeaeaoeee iineaaenoaee *a?iiaueueneie eaoano?iou //
Iaoa??aee tha?eaeii? iaoeiai? eiio. iieiaeeo o/aieo, i?enay/aii?
10-??//th Iaoeiaiai oeaio?o ?aae?aoe?eii? iaaeeoeeie “I?iaeaie
?aae?aoe?eii? iaaeeoeeie i?ney *i?iiaeeuenueei? eaoano?ioe”. – Ee?a,
1997. – N. 56-57.
7. Eiaaeaa A.N. Ninoiyiea oece/aneie ?aaioiniiniaiinoe e iniaaiiinoe aa
iaania/aiey o iino?aaeaaoeo i?e *a?iiaueueneie eaoano?ioa n
aeia?oiie/aneie aieaciueth // Nia?aiaiiua i?iaeaiu ?aaeeaoeeiiiie
iaaeeoeeiu: Nai?iee noaoae. – Eeaa, 1997. – N. 68-71.
8. Eiaaeaa A.N. Iniiaiua oaeoi?u, eeieoe?othuea oece/aneoth
?aaioiniiniaiinoue o o/anoieeia eeeaeaeaoeee iineaaenoaee *a?iiaueueneie
eaoano?iou // Oac. 2-ie iaaeaeoia?iaeiie eiioa?aioeee “Ioaeaeaiiua
iaaeeoeeineea iineaaenoaey *a?iiaueueneie eaoano?iou”. – Eeaa, 1998. –
N. 297.
AIIOAOe?ss
Eiaaeueia I.N. O?ce/ia i?aoeacaeaoi?noue ? ?? caaacia/aiiy a o/aniee?a
e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe c a?ia?oii?/iith
oai?iaith. – ?oeiien.
Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.11. – Ea?ae?ieia?y. – ?inoeooo
ea?ae?ieia?? ?i. aeaae. I. Ae. No?aaeanea AII Oe?a?ie, Ee?a, 1999.
Aeena?oaoe?y i?enay/aia nenoaiaoecaoe?? e ocaaaeueiaiith aeaieo i?i noai
o?ce/ii? i?aoeacaeaoiino? (OI) o 280 o/aniee?a e?ea?aeaoe?? iane?aee?a
*i?iiaeeuenueei? eaoano?ioe (EIE) c a?ia?oii?/iith oai?iaith (AO) ? 174
aac caoai?thaaiue nenoaie e?iaiia?ao. Ci?ie OI ? ?? caaacia/aiiy a
o/aniee?a EIE c AO ?c c?inoath/ith aeicith ii?ii?iaiiy a?ae 0,05 aei 0,5
Ca oa?aeoa?ecothoueny iae?i?eiith caeaaei?noth, a?aei?iiino? ii?iaiai?
iiooaeiino? neeaaeathoue 2-9 Ao (P>0,05). Aeae?eaii aa??aioe aaeaioaoe??
aei o?ce/iiai iaaaioaaeaiiy, cie?aia iani?eyoeea?, ui oa?aeoa?ecothoueny
a?aeoeeaiiyi a?ae e?i?eiiai ca?eueoaiiy niiaeeaaiiy eenith c aeoiaeii ia
“ieaoi” ia ??ai? 100-125 ? 50 Ao. Anoaiiaeaii cieaeaiiy OI o 60 %
o/aniee?a EIE c AO, ye? caciaee aieeao ?ii?coth/iai aei?ii?ithaaiiy o
ae?aiacii? 0,05-0,5 Ca c a?aeiiaeaiiyi o na?aaeiueiio /a?ac 2-6 i?nyoe?a
i?ney aeeiiaiiy ?ia?o ii EIE. Aei e?ioey aeanyoe??//y ii?iaiaa
iiooaei?noue ciaioeeany ia 27,5 Ao. Ca ?acoeueoaoaie aeine?aeaeaiue
?ic?iaeaii niin?a aecia/aiiy ii?iaiai? iiooaeiino? o oai?eo ia AO aac
i?iaaaeaiiy iaaaioaaeoaaeueiiai oanoo, cai?iiiiiaaii i?ia?aio
aaeio?aioaaiue, yea ni?ey? ca?eueoaiith ii?iaiai? iiooaeiino?,
aeiiii?caoe?? caaacia/aiiy o?ce/iiai iaaaioaaeaiiy.
Eeth/ia? neiaa: o?ce/ia i?aoeacaeaoi?noue, o/anieee e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe, ?aae?aoe?eiee aieea,
a?ia?oii?/ia oai?iaa.
SUMMARY
Kovalyov A.S. Physical working capacity and its supply in Chernobyl
disaster clean-up workers with hypertension. – Manuscript.
The dissertation is submitted for scientific degree of the candidate of
medical sciences in speciality 14.01.11 – Cardiology – The Strazhesko
Institute of Cardiology of the Academy of Medical Sciences of Ukraine,
Kiev, 1999.
Dissertation is devoted to systematisation of the data about physical
working capacity (PWC) in 280 Chernobyl disaster clean-up workers (DCW)
with essential hypertension and 174 healthy persons. The changes of PWC
and its oxygen supply in DCW in range of doses 0.05-0.5 Sv are
characterised by non-linear relation, the difference of threshold power
is not exceed 2-9 W (P>0.05). The versions of adaptation to physical
exercise are determined. Unfavourable versions are characterised by
deviation of consumption of oxygen from linear increasing with an output
on “plateau” at power of 100-125 and 50 W. The decreasing of PWC in 60 %
cases of DCW with hypertension, who had irradiation dose in range of
0.05-0.5 Sv was revealed. In DCW with controlled blood pressure during
six months after leaving the contamination zone the threshold power was
increased. To the end of decade it was reduced on the average to 27.5 W.
On the basis of the study results the method of assessment of threshold
power without using of the exercise tests in hypertensive patients is
elaborated. The program of bicycle exercise training that promotes to
increasing of PWC for the DCW with hypertension is proposed.
Key words: physical working capacity, Chernobyl disaster clean-up
workers, radiation influence, hypertension.
AIIIOAOeEss
Eiaaeaa A.N. Oece/aneay ?aaioiniiniaiinoue e aa iaania/aiea o o/anoieeia
eeeaeaeaoeee iineaaenoaee *a?iiaueueneie eaoano?iou n aeia?oiie/aneie
aieaciueth. – ?oeiienue.
Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.11 – Ea?aeeieiaey. – Einoeooo
ea?aeeieiaee ei. aeaae. I.Ae. No?aaeanei AII Oe?aeiu, Eeaa, 1999.
Aeenna?oaoeey iinayuaia nenoaiaoecaoeee e iaiauaieth aeaiiuo i ninoiyiee
oece/aneie ?aaioiniiniaiinoe (O?N) e aa eenei?iaeiiai iaania/aiey o 280
o/anoieeia eeeaeaeaoeee iineaaenoaee *a?iiaueueneie eaoano?iou (EIE) n
aeia?oiie/aneie aieaciueth (AA) e 174 aac caaieaaaiee nenoaiu
e?iaiia?auaiey. Aeica aiaoiaai iaeo/aiey (AeAI) o ianeaaeiaaiiuo
ninoaaeea 0,05-0,5 Ca. A?oiio n?aaiaiey ninoaaeee 69 aieueiuo AA ia
iiaeaa?aoeony iaeo/aieth. Eniieueciaaia noaiaea?oece?iaaiiay nenoaia
ianeaaeiaaiey, aeeth/athuay aiaeec ?aaeeaoeeiiiiai aicaeaenoaey e
i?ioeey oaeoi?ia ?enea nieaeaiey O?N, oiiiiao?eth e nooi/iia
iiieoi?e?iaaiea a?oa?eaeueiiai aeaaeaiey (AAe), oeceeaeueiia, yeaeo?i- e
yoiea?aeeia?oe/aneia enneaaeiaaiea, nie?iaaeiy?aiiao?eth n aiaeecii
aaciaiai ninoaaa auaeuoaaiiai aicaeooa. O o/anoieeia EIE n iia?aie/iie
a?oa?eaeueiie aeia?oiieae (IAA) ii?iaiaay iiuiinoue nio?aiyeanue ia
aunieii o?iaia e ninoaaeyea a n?aaeiai 144 Ao. I?e i?ia?anne?iaaiee
aieacie ii?iaiaay iiuiinoue e iauee iauai auiieiaiiie ?aaiou caeiiiia?ii
nieaeaeanue. O aieueiuo AA ? ii?iaiaay iiuiinoue auea a n?aaeiai iaiueoa
ia 15 Ao, /ai i?e IAA. Cia/eoaeueiia aa ia?aie/aiea auyaeaii o aieueiuo
AA II, o aieueoeinoaa ec eioi?uo iia ninoaaeea iaiaa 100 Ao. A ioee/ea
io o/anoieeia EIE aac caaieaaaiee nenoaiu e?iaiia?auaiey i?e AA
iaania/aiea oece/aneie iaa?ocee oa?aeoa?ecoaony i?aiaeaaeaieai i?e?inoa
nenoiee/aneiai AAe e iaiaa au?aaeaiiuie eciaiaieyie /anoiou na?aea/iuo
nie?auaiee, ia?anoaieai cao?ao yia?aee ia aaeeieoeo iiuiinoe, nieaeaieai
yooaeoeaiinoe eaai/iie aaioeeyoeee e iio?aaeaiey eenei?iaea. Eciaiaiey
yoe ei??aee?otho ni noaaeeae aieacie. Eciaiaiey O?N e aa eenei?iaeiiai
iaania/aiey o o/anoieeia EIE n AA a aeeaiaciia aeic 0,05-0,5 Ca
oa?aeoa?ecothony iaeeiaeiie caaeneiinoueth, ioee/ey ii?iaiaie iiuiinoe a
n?aaeiai ninoaaeytho 2-9 Ao (P>0,05). I?e oaeii o?iaia AeAI
i?aiaeaaeathuaa aicaeaenoaea ia O?N ieacuaatho ae?oaea ia?aaeeaoeeiiiua
oaeoi?u: oece/aneia e yiioeeiiaeueiia iai?yaeaiea, ia?ooaiea i?eau/iuo
oneiaee o?oaea, oaeeeiaiea i?iaeieaeeoaeueiinoe ?aai/aai aeiy,
eniieueciaaiea ?aaiou a ?aaeeia aaoou. ?aaeoeey o/anoieeia EIE ia
oece/aneoth iaa?oceo inouanoaeyaony ii o?ai aa?eaioai. Iaeaieaa
aeaaii?eyoiue aa?eaio ?aaeoeee oa?aeoa?ecoaony eeiaeiui oaaee/aieai
/anoiou na?aea/iuo nie?auaiee e iio?aaeaiey eenei?iaea ii ia?a
aic?anoaiey iiuiinoe. *anoioa aai io 70 % i?e IAA nieaeaeanue aei 33 %
i?e AA II. Ae?oaea aa?eaiou ?aaeoeee io?aaeaee nieaeaiea o?iaiy
aaeaioaoeee e oece/aneie iaa?ocea. Iniiaiui i?iyaeaieai aoi?iai aa?eaioa
auei ioeeiiaiea iio?aaeaiey eenei?iaea io eeiaeiiai oaaee/aiey n
auoiaeii ia “ieaoi” i?e iaa?ocea 100-125 Ao. Ii ano?a/aeny a 12 %
neo/aaa i?e IAA e 14 % i?e AA I. I?e o?aoueai aa?eaioa caiaaeeaiea
iio?aaeaiey eenei?iaea ianooiaei i?e iiuiinoe 50 Ao. Yoio aa?eaio
?aaeoeee iaeaieaa oa?aeoa?ai aeey aieueiuo AA II. Onoaiiaeaii
aeinoiaa?iia nieaeaiea ii?iaiaie iiuiinoe e iauaai iauaia auiieiaiiie
?aaiou o o/anoieeia EIE n AA, iiaeaa?aoeony aicaeaenoaeth eiiece?othuaai
eceo/aiey a aeeaiaciia 0,05-0,5 Ca, ii ioiioaieth e a?oiia n?aaiaiey.
Ainnoaiiaeaiea O?N i?e eiio?iee?oaiii AAe ianooiaei a n?aaeiai /a?ac 2-6
ianyoeaa e nio?aiyeinue aac nouanoaaiiuo eciaiaiee a oa/aiea 5 eao. E
eiioeo aeanyoeeaoey ii?iaiaay iiuiinoue o o/anoieeia EIE n AA a
aic?anoa 40-49 eao nieaeaeanue a n?aaeiai ia 27,5 Ao. I?e yoii o?iaaiue
O?N ii?aaeaeyee AAe n?aaeianooi/iia, eiaeaen a?aiaie aeia?oaicee,
aic?ano, aeia?o?ioey eaaiai aeaeoaei/ea na?aeoea, ecauoi/iay ianna oaea,
i?eau/ea eo?aiey. Iieo/aiiua ?acoeueoaou iainiiauaatho iaiaoiaeeiinoue
eiio?iee?iaaiey ia oieueei AAe, ii e iiaeeoeoee?oaiuo oaeoi?ia ?enea
aeey nio?aiaiey aeieaeiie O?N. Ia iniiaa onoaiiaeaiiie caaeneiinoe
iaaeaeo ii?iaiaie iiuiinoueth, AAe n?aaeianooi/iui, aeia?o?ioeae eaaiai
aeaeoaei/ea, aic?anoii ?ac?aaioaia iaoaiaoe/aneay iiaeaeue e iiaue
niinia ii?aaeaeaiey ii?iaiaie iiuiinoe, ia o?aaothuee i?iaaaeaiey
iaa?oci/iuo oanoia. Aai /oanoaeoaeueiinoue – 75 %, niaoeeoe/iinoue –
82,7 %. Niinia aeinoaoi/ii eioi?iaoeaai aeey ioeaiee ii?iaiaie iiuiinoe,
ii?aaeaeaiey o?iaiy o?aie?othuae oece/aneie iaa?ocee, eiio?iey
oece/aneie ?aaioiniiniaiinoe i?e aeeiaie/aneii iaaethaeaiee, iicaieyao
nie?aoeoue a?aiaiiua e yeiiiie/aneea cao?aou ia iieo/aiea eioi?iaoeee.
?ac?aaioaia e ai?iae?iaaia a nenoaia ea/aiey o/anoieeia EIE n AA
i?ia?aiia aaeio?aie?iaie, niinianoaothuay oaaee/aieth ii?iaiaie
iiuiinoe, yeiiiiecaoeee aaiiaeeiaie/aneiai e eenei?iaeiiai iaania/aiey
oece/aneie iaa?ocee, aioeaeia?oaiceaiiio yooaeoo e aai noaaeeecaoeee.
Eeth/aaua neiaa: oece/aneay ?aaioiniiniaiinoue, o/anoieee eeeaeaeaoeee
iineaaenoaee *a?iiaueueneie eaoano?iou, ?aaeeaoeeiiiia aicaeaenoaea,
aeia?oiie/aneay aieaciue.
IA?AE?E OIIAIEO IICIA*AIUe
AO – a?oa??aeueiee oene
AEO – a?ia?o?io?y e?aiai oeoii/ea
AO – a?ia?oii?/ia oai?iaa
AeAO – ae?anoie?/iee a?oa??aeueiee oene
AeCI – aeica ciai?oiueiai ii?ii?iaiiy
AEA – aeaeo?iea?ae?ia?ao?y
??N – ?iio?iiiee ?aca?a na?oey
?ON -?oai?/ia oai?iaa na?oey
EIE – e?ea?aeaoe?y iane?aee?a *i?iiaeeuenueei? eaoano?ioe
IAA – iaaeiaa a?oa??aeueia a?ia?oii?y
II – iiaea?eia iiiaeaiiy
NAO – nenoie?/iee a?oa??aeueiee oene
OI – o?ce/ia iaaaioaaeaiiy
OI – o?ce/ia i?aoeacaeaoi?noue
OIAe – oaeeeiiee ia’?i aeeoaiiy
O?N – o?iiio?iiiee ?aca?a na?oey
*Ae – /anoioa aeeoaiiy
*NN – /anoioa na?oeaaeo nei?i/aiue
O2Ps – eeniaaee ioeuen
RQ – aeeoaeueiee eiao?oe??io
_____________________________________________________
I?aeienaii aei ae?oeo 18.11.99 ?. Oi?iao 60o90/16
Oi. ae?oe. a?e. 0,9. Iae.-aeae. a?e. 0,9.
Iaeeaae 100. Cai. 483
_____________________________________________________
i. Ee?a-5, aoe. *a?aiiia?i?enueea 57/3, e.201.
Aeaeaaieoeoai “Iaoeiaee na?o”
227-41-23, 294-71-27
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