.

Функціональний стан системи кровообігу при пролабуванні мітрального клапана у постраждалих внаслідок Чорнобильської катастрофи: Автореф. дис… канд.

Язык: украинский
Формат: реферат
Тип документа: Word Doc
111 2763
Скачать документ

AEAAeAI?ss IAAeE*IEO IAOE OE?A?IE

?INOEOOO EA?Ae?IEIA?? ?i. aeaae. I.Ae. NO?AAEANEA

*AAAITHE NA?OEAIA AANEE?AIA

OAeE 616.1: 616.126. 42: 612.017. 1

OOIEOe?IIAEUeIEE NOAI NENOAIE E?IAIIA?AO

I?E I?IEAAOAAII? I?O?AEUeIIAI EEAIAIA

O IINO?AAEAeAEEO AIANE?AeIE *I?IIAEEUeNUeEI? EAOANO?IOE

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?th ? ?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

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe,

i?ioani? Neaaecaanueea ??eia Eaceie??aia,

aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eo aino?iai ?ioa?eoo i?iea?aea oa
a?aeiiaethaaeueiiai e?eoaaiiy

?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 IIC Oe?a?ie, i. Ee?a,

eaoaae?a i?iiaaeaaoeee aioo??oi?o oai?ia ? 2

Caoeno a?aeaoaeaoueny “ 16 ” eenoiiaaea 1999 ?. i 12 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 iaoeia?e 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 “ 12 ” aeiaoiy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee Aeaye N.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. A?aeiia aei *i?iiaeeuenueei? eaoano?ioe
?ioi?iaoe?y uiaei i?ieaino i?o?aeueiiai eeaiaia (IIE) caniiaaia ia
?acoeueoaoao aeine?aeaeaiiy in?a, ye? ia caciaee ?aae?aoe?eiiai aieeao.
*anoioa IIE o ieo neeaaea? 1,6-17 %, aa??thth/e a ??cieo a?oiao
ianaeaiiy (Barlow J.B., 1988; Barrett C.C., 1991). Iienai? ii?aeiaiiy
i?ieaaoaaiiy nooeie i?o?aeueiiai eeaiaia c iani?eyoeeaeie noiniaii
i?iaiico oai?iaaie nenoaie e?iaiia?ao. I?eaiaeyoueny aeai? i?i oae?
oneeaaeiaiiy, ye aaaeea i?o?aeueia ?aao?a?oaoe?y, ui iio?aao?
iia?aoeaiiai e?eoaaiiy (Eieoia A.A., Aaiaeao ss.A., 1997), ?ioaeoe?eiee
aiaeiea?aeeo, ii?ooaiiy ?eoio ? i?ia?aeiino? na?oey, o?iiaiaiaie?y c
i?eniiaoicii ci?iaieo nooeie eeaiaia. ?ecee ?aioiai? nia?o? i?e i?ieain?
neeaaea? 1,9 ia 10000 oai?eo (Kligfied P., Levy D. et al., 1987), a i?e
i?e?aeiaii? i?o?aeueii? ?aao?a?oaoe?? c?inoa? a 50-100 ?ac?a (Devereux
R.B., Fox R.K. et al., 1987). Iayai? aeai? uiaei noaio no?oeoo? e
iniiaieo ooieoe?e na?oey i?e IIE noia?a/eea? ? ia/eneaii?. Ia ?nio?
?aeeii? aeoiee i?i /anoioo ? ae?aaeai?noue i?o?aeueii? ?aao?a?oaoe?? i?e
IIE. Ae?anoie?/ia ooieoe?y e?aiai oeoii/ea (EO) na?oey i?aeoe/ii ia
aea/aia (Aiiniaa E.I. oa ?io?, 1997). Aeine?aeaeaiiy, i?enay/ai?
aea/aiith o?ce/ii? i?aoeacaeaoiino? oa ?? caaacia/aiiy, iiiaeeiie? ? ia
aeathoue ciiao ?iaeoe inoaoi/i? aeniiaee. A?aeiiinoae i?i IIE a in?a,
eio?? i?aoeththoue c aeaea?aeaie ?ii?coth/iai aei?ii?ithaaiiy ? caciaee
?aae?aoe?eiiai aieeao ca aaa??eieo neooaoe?e, aeiiei? ia aoei. Iaea?eueo
aeaoaeueii aieea ?ii?coth/iai ii?ii?iaiiy ia iaieiiee na?oey iienaiee
noiniaii ia?eea?aea ? i?iea?aea (Cosset R.G., 1987). Ci?ie aiaeiea?aea ?
aaciina?aaeiuei eeaiai?a na?oey i?ney ?ii?coth/iai aieeao a?aeiinyoueny
aei iaeiaio aea/aieo. I?e i?iiaiaa?e oa?ai?? aaciina?aaeiuei ia ae?eyieo
a?oaeii? ee?oeie iienai? iioiauaiiy aiaeiea?aea eeaiai?a, ye?
ii?aeioaaeeny c o?a?icii i?iea?aea ? iioiauaiiyi ia?eea?aea. *ano?oa oea
aoee ci?ie i?o?aeueiiai eeaiaia (IE) ? c’yaeyeeny aiie /a?ac 5-11 ?ie?a
i?ney ii?ii?iaiiy (Stewart I. R., 1984). *eneaii? iaae??oai? ieoaiiy,
??ciiiai?oi?noue ee?i?/ieo i?iya?a IIE iaa?oioiaothoue aeooaeuei?noue
oe??? i?iaeaie aeey e?ea??a aaaaoueio niaoe?aeueiinoae. Aea/aiiy ?? a
in?a, ye? caciaee aieeao ?ii?coth/iai ii?ii?iaiiy, iaiao?aeia aeey
ae??oaiiy i?e/eiii-iane?aeeiaeo a?aeiioaiue ?aae?aoe?eiiai aieeao,
ae?aaiinoeee, aeai?o oaeoeee aaaeaiiy oaeeo oai?eo, i?ioan?eiiai
a?aeai?o ia?niiaeo AAN, ui aeeiio? ?iaioe, ye? aeiaaathoue noaa?eueiiai
caaacia/aiiy aeniei? aaciaee.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aeeiiaia o ?aieao: Oe?a?inueei? aea?aeaaii? i?ia?aie e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe, 1993-1995 ?.?. ca oaiith:
“I?iaeiaaeaiiy aeiaaino?ieiaiai iii?oi?eiao noaio nenoaie e?iaiia?ao a
in?a, ui caciaee ?aae?aoe?eiiai aieeao aiane?aeie *i?iiaeeuenueei?
eaoano?ioe, ?ic?iaea oa oaeineiiaeaiiy niinia?a ae?aaiinoeee,
iiia?aaeaeaiiy oa e?eoaaiiy ?? caoai?thaaiue” oeo? 5.082 *-93; ieaio
I?i?noa?noaa o ni?aaao caoenoo ianaeaia a?ae iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN, 1995-1998 ?.?. ca oaiith: “?ic?iaea nenoaie
caoiae?a c i?io?eaeoeee oa e?eoaaiiy in?a, ui iino?aaeaeaee aiane?aeie
aaa??? ia *i?iiaeeuene?e AAN”, oeo? 6/4-95; ieaio iaoeiai-aeine?aeieo
?ic?iaie AII Oe?a?ie, 1997-1999 ?.?. ca oaiith: “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 aeine?aeaeaiiy: Ia i?aenoaa? aea/aiiy e ocaaaeueiaiiy aeaieo i?i
noai nenoaie e?iaiia?ao i?e i?ieaaoaaii? i?o?aeueiiai eeaiaia o
iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe ioe?ieoe
cia/ei?noue aeey eiai ia?aa?ao ee?i?/ieo i?iya?a, ci?i no?oeoo? ?
ooieoe?e na?oey, o?ce/ii? i?aoeacaeaoiino? ? ?ic?iaeoe oaeoeeo aaaeaiiy
oaeeo oai?eo.

Caaaeaiiy aeine?aeaeaiiy:

1. Aea/eoe /anoioo e iniiai? ee?i?/i? i?iyae IIE a in?a, ye? caciaee
?aae?aoe?eiiai aieeao i?e aaa??? ia *i?iiaeeuenueei? AAN.

2. Cae?enieoe aoi- ? aeiiea?ea?ae?ia?ao?/ia aeine?aeaeaiiy no?oeoo? ?
ooieoe?e na?oey o iino?aaeaeaeeo c IIE ? ioe?ieoe ?o ae?aaiinoe/io
cia/ei?noue.

3. Aea/eoe noai o?ce/ii? i?aoeacaeaoiino? o iino?aaeaeaeeo c IIE.

4. Ocaaaeueieoe ?acoeueoaoe aeine?aeaeaiue ? ioe?ieoe cia/aiiy ee?i?/ieo
i?iya?a, ci?i no?oeoo? ? ooieoe?e na?oey, o?ce/ii? i?aoeacaeaoiino? aeey
ia?aa?ao i?ieaino.

5. ?ic?iaeoe oaeoeeo aaaeaiiy iino?aaeaeaeeo i?e *i?iiaeeuenuee?e
eaoano?io? c i?ieaaoaaiiyi i?o?aeueiiai eeaiaia ? i?iiiceoe?? c
i?ioan?eiiai a?aeai?o.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa i?iaaaeaii aea/aiiy,
nenoaiaoecaoe?y e ocaaaeueiaiiy aeaieo i?i /anoioo oa ae?aaeai?noue
ee?i?/ieo i?iya?a, ci?i no?oeoo? ? ooieoe?e na?oey, o?ce/ii?
i?aoeacaeaoiino? i?e IIE a in?a, ye? caciaee aieeao ?ii?coth/iai
ii?ii?iaiiy. I?iaiae?ciaai? oa ioe?iai? a?aei?iiino? aeyaeaieo ci?i o
ae?aiacii? aeic ii?ii?iaiiy, ye? c?inoathoue, ? o?eaaeino? eiioaeoo c
?ii?coth/ei aei?ii?ithaaiiyi. Iieacaii cia/ei?noue i?e?iaeaeaieo
iniaeeainoae niieo/ii? oeaieie i?e noeeueiino? aei i?ieaino. Aia?oa
iienai? ? eeaneo?eiaai? caeiiii??iino? ci?i ae?anoie?/ii? ooieoe?? EO o
iino?aaeaeaeeo c IIE ? anoaiiaeaii ?oith i??i?eoaoio cia/ei?noue aeey
eiio?iethaaiiy ia?aa?ao IIE. Aecia/aii, ui ii?ooaiiy ooieoe?e na?oey,
o?ce/ii? i?aoeacaeaoiino? o iino?aaeaeaeeo c IIE ei?aeth? c eiai
nooiaiai, iayai?noth i?eniiaoicii? aeaaaia?aoe?? ? i?o?aeueii?
?aao?a?oaoe??. Ia i?aenoaa? niinoa?aaeaiiy a aeeiai?oe? anoaiiaeaii, ui
o iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe i?ioyaii ia?oeo
i’yoe ?ie?a /ano?oa, i?ae a in?a, ye? ia caciaee ?aae?aoe?eiiai aieeao c
IIE, ianooiaei ca?eueoaiiy oyaeeino? nooiaiy i?ieaaoaaiiy IE c
oi?ioaaiiyi ae?anoie?/ii? aeenooieoe?? EO. Ca ?acoeueoaoaie
aeine?aeaeaiue aecia/aii aa??aioe ee?i?/iiai ia?aa?ao IIE, e?eoa???
?icaeoeo ?eceeo oneeaaeiaiue, ?ic?iaeaii aeai?eoi eiai ae?aaiinoeee ?
oaeoeea aaaeaiiy iino?aaeaeaeeo c i?ieainii i?o?aeueiiai eeaiaia.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Canoinoaaiiy e?eoa???a
ae?aaiinoeee ? niaoe?aeueii ?ic?iaeaiiai aeai?eoio aea? ciiao i?aeaeueoe
aoaeoeai?noue aeyaeaiiy IIE, ciaioeoe e?euee?noue iiieeeiaeo aeniiae?a,
ni?ey? aeae?eaiith iino?aaeaeaeeo c aenieei ?eceeii iani?eyoeeaiai
ia?aa?ao IIE ?, oaeei /eiii, iiia?aaeaeaiith iiaeeeaeo oneeaaeiaiue.
Iaa?oioiaaii, ui IIE II-III nooiaiy c i?ia?anoth/ei ia?aa?aii ?
oneeaaeiaieie ? i?ioeiieacaiiyi aeey ae?iaie/eo ?ia?o c aenieei nooiaiai
aaciaee. C iaeyaeo ia oea i?aeaioiaai? i?iiiceoe?? aei iaeaco N 45 IIC
Oe?a?ie a?ae 31.03.94 “Iieiaeaiiy i?i iaaee/iee iaeyae i?aoe?aiee?a
iaaieo eaoaai??e”. Caaaeai? i?iiiceoe?? ia?aaeaa/athoue aeeth/aiiy
ia?aeiiiai IIE c oneeaaeiaiei ia?aa?aii aei /enea i?ioeiieacaiue i?e
a?aeai?? i?aoe?aiee?a AAN, ?iaioa yeeo iia’ycaia c aeaea?aeaie
?ii?coth/iai aei?ii?ithaaiiy ? aeiaaa? noaa?eueiiai caaacia/aiiy aeniei?
aaciaee. ?acoeueoaoe aeena?oaoe?eii? ?iaioe ai?iaaaeaeai? a ?iaioo
ee?i?ee ?inoeoooo ee?i?/ii? ?aae?ieia?? IOe?I AII Oe?a?ie, Oe?a?inueeiai
niaoe?ae?ciaaiiai aeeniaina?a ?aae?aoe?eiiai caoenoo ianaeaiiy,
iie?ee?i?ee ? 1 I?nueeiai ?aeiiiiai iaaee/iiai ia’?aeiaiiy,
oa?eoi??aeueiiai iaaee/iiai ia’?aeiaiiy Cae?cie/iiai ?aeiio i. Ee?aa,
Ee?anueei? i?nueei? ee?i?/ii? e?ea?i? ? 3. ?ic?iaeai? i?aeoe/i?
?aeiiaiaeaoe?? uiaei aeeoa?aioe?eiaaii? oaeoeee aaaeaiiy iino?aaeaeaeeo
c IIE aecia/athoue eiie?aoi? caoiaee, ni?yiiaai? ia caa?aaeaiiy ?oiueiai
caei?ia’y ? i?aoeacaeaoiino?.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?y ? iniaenoith ?iaioith aaoi?a.
On? ee?i?/i? e ?ino?oiaioaeuei? aeine?aeaeaiiy, ye? aeeth/athoue
aecia/aiiy oaiioei?/ieo iciae aeenieac?? niieo/ii? oeaieie, aeaeo?i-,
aoi-, aeiiea?ea?ae?ia?ao?/ia, aaeia?aiiao?e/ia aeine?aeaeaiiy, ca??,
oi?ioaaiiy aaoiiaoeciaaii? aace aeaieo, noaoenoe/io ia?iaeo, aiae?c ?
ocaaaeueiaiiy ?acoeueoao?a, aeeiiai? aaoi?ii naiino?eii.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe?eii?
?iaioe aeeeaaeai? ia i?aeia?iaei?e iaoeiai-i?aeoe/i?e eiioa?aioe??
“*i?iiaeeue ? caei?ia’y ianaeaiiy” – Ee?a, ea?oaiue 1994 ?.;
eiioa?aioe?? iieiaeeo a/aieo, i?enay/ai?e 10-??//th IOe?I AII Oe?a?ie
“I?iaeaie ?aae?aoe?eii? iaaeeoeeie i?ney *i?iiaeeuenueei? eaoano?ioe” –
Ee?a, aeiaoaiue 1996 ?.; 2-?e i?aeia?iaei?e eiioa?aioe?? “A?aeaeaeai?
iaaee/i? iane?aeee *i?iiaeeuenueei? eaoano?ioe” – Ee?a, /a?aaiue 1998 ?.

Ioae?eaoe?? ?acoeueoao?a aeine?aeaeaiue. Ca oaiith aeena?oaoe??
iioae?eiaaii 14 iaoeiaeo ?ia?o, a oiio /ene? 3 aeo?iaeuei? noaoo? ?
?icae?e iiiia?ao??: “*i?iiaueueneay aoiiiay yeaeo?inoaioeey – Neaaooe/:
iaaeeoeeineea aniaeou” – Ee?a: Aeua oeiea, 1996. – N. 157-162

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 163 noi??ieao
ae?oeiaaiiai oaenoo, ia? 45 oaaeeoeue ? 13 ?enoie?a. Neeaaea?oueny c?
anooio, 7 ?icae?e?a, cae?i/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ?
nieneo e?oa?aoo?e ?c 195 aeaea?ae.

INIIAIEE CI?NO ?IAIOE

Oa?aeoa?enoeea ianoaaeaieo. Ianoaaeaii 340 iino?aaeaeaeeo aiane?aeie
*i?iiaeeuenueei? eaoano?ioe c IIE. C ?o /enea noi?iiaaia a?oia
niinoa?aaeaiiy, yea aeeth/aea 142 iniae c ia?aeiiei IIE ? 198 – c
aoi?eiiei IIE, o yeeo a?i ii?aeioaaany c ?ioeie oai?iaaie nenoaie
e?iaiia?ao. O a?oi? ii??aiyiiy aoei 70 /ieia?e c ia?aeiiei IIE, ye? ia
caciaee ?aae?aoe?eiiai aieeao, ? i?iaeeaaee o Iieoaanueei? iaeano?, 20
caei?iaeo in?a neeaee eiio?ieueio a?oio. Na?aaei?e a?e ianoaaeaieo o
a?oiao niinoa?aaeaiiy c ia?aeiiei IIE aoa 34,10,8, c aoi?eiiei IIE –
42,21,4, o a?oi? ii??aiyiiy – 32,21,4, eiio?ieuei?e – 30,11,2 ?iee. ?c
caaaeueii? e?eueeino? ianoaaeaieo 82,3 % a?aee o/anoue o e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe (EIE), 9,4 % i?iaeeaathoue ia
eiio?ieueiaaieo oa?eoi??yo ? 8,2 % – aaaeoeiaai? c i. I?ei’youe. Na?aae
o/aniee?a EIE o?eaae?noue ?iaioe ii e?ea?aeaoe?? iane?aee?a
*i?iiaeeuenueei? eaoano?ioe neeaea a na?aaeiueiio 28,410,3 aei?a. O
ea?oi?-o?aai? 1986 ?ieo i?eeiaee o/anoue a EIE 50 %, o /a?ai?-na?ii?
17,3 %, o aa?ani? – a?oaei? – 7,7 % ianoaaeaieo, a 1987 ?ioe? – 5 %, o
ianooii? ?iee – 2,3 %. Na?aaeiy aeica ciai?oiueiai ii?ii?iaiiy (AeCI)
o/aniee?a EIE neeaea 20,91,6 nCa. Aeey iaoeaioe?a eiio?ieueiaaieo
oa?eoi??e AeCI eieeaaeanue a?ae 0,2 nCa aei 3,8 nCa, a na?aaeiueiio
1,40,3 nCa, aaaeoeiaaieo – 1,20,9 nCa. Aeey aiae?co n?iaeiiai i?iyao IIE
i?iaaaeaii ianoaaeaiiy 16 n?iae (36 in?a), a yeeo iaeei c ?? /eai?a aoa
o/anieeii EIE ? a iueiai aeyaeaii IIE.

Iaoiaee aeine?aeaeaiiy. Aeei?enoaia noaiaea?oeciaaia nenoaia
ianoaaeaiiy, eio?a aeeth/aea aiae?c ?aae?aoe?eiiai aieeao, oaiioei?/ieo
iciae aeenieac?? niieo/ii? oeaieie, caaaeueia ee?i?/ia, aeaeo?i-, aoi-,
aeiiea?ea?ae?ia?ao?/ia ? aaeia?aiiao?e/ia aeine?aeaeaiiy.

A?aoiaoaaee AeCI, aei??yi? aaciina?aaeiuei a ia??iae o/ano? a EIE aai
ye? ?aeiino?othaaeeny e ooi/ithaaeeny o a?aeae?e? aeiceiao??? oa
?aae?aoe?eii? a?a??ie IOe?I AII Oe?a?ie.

C oaiioei?/ieo ia?ea??a aeenieac?? niieo/ii? oeaieie aea/aee aiiiae??
aoae?ae? neaeaoo, oe??e, iea, iayai?noue neiae?iio a?ia?iia?eueiino?
noaeia?a, ieineinoiiino?, a?eae, aa?eeiciiai ?icoe?aiiy aai.
Aio?iiiiao?e/i? iniaeeaino? i?e IIE ioe?ithaaee ca?aeii c iieacieeaie
?inoo (ni), iane o?ea (ea), ieiu? iiaa?oi? o?ea (i2), ?iaeaeno iane o?ea
(ea/i2). Iiaeeea?noue n?iaeiiai i?iyao IIE aiae?coaaee ca iayaiino? o
e?iaieo ?iaee/?a i?ieaino eeaiai?a na?oey, aeiaaee?a ?aioiai? nia?o?,
caiaii?i/aiiy, i?ieeaeo ii?ooaiue iiceiaiai e?iaiia?ao a iieiaeiio
a?oe?, ae?aaiic i?aeoaa?aeaeoaaee ca aeiiiiiaith aoiea?ae?ia?ao??.

Aoiea?ae?ia?ao?/ia (AoiEA) aeine?aeaeaiiy i?iaiaeeee a I – ? A –
?aaeeiao ca aeiaaith ? ei?ioeith a?nyie a ia?anoa?iaeuei?e, o 2-o ?
4-eaia?i?e ai?eaeuei?e iiceoe?yo. Aeine?aeaeoaaee noai IE ? ?ioeo
no?oeoo? na?oey, ooieoe?? EO. Iciaeith IIE aaaaeaee iayai?noue
i?iaenaiiy iaei??? aai iaio nooeie IE a ii?iaeieio e?aiai ia?aaena?aey
(EI) a?eueo i?ae ia 3 ii ieae/a ??aiy i?o?aeueiiai e?eueoey, a oaeiae
ci?io oi?ie i?o?aeueiiai ioai?o e aiiiaeueio o?aeoe?th iai?ey?ieo
i’yc?a. Oi?io i?o?aeueiiai ioai?o aeine?aeaeoaaee c ia?anoa?iaeueii?
iiceoe?? ca ei?ioeith a?nnth a iiiaio iaeneiaeueiiai a?aee?eooy nooeie
IE. Aeine?aeaeoaaee noai ? iayai?noue aeaoi?iaoe?? naaiaio?a
(iaae?aeueiiai, na?aaeiueiai, eaoa?aeueiiai) ia?aaeiuei? oa caaeiuei?
nooeie IE. Aaee/eio o?aeoe?? iai?ey?ieo i’yc?a aecia/aee i?e
aeine?aeaeaii? a ai?eaeuei?e iiceoe??. Aei??thaaee a?aenoaiue a?ae
aa?o?aee caaeiueiai iai?ey?iiai i’yco aei e?i?? eeaiaiiiai e?eueoey ia
ii/aoeo ? a e?ioe? nenoiee. Ci?ia oe??? a?aenoai? ia i?ioyc? nenoiee
aaaaeaee aaee/eiith o?aeoe?? iai?ey?iiai i’yco (Sanfillipo A.J.,1992).
Eiiieaen AoiEA e?eoa???a (Takamoto T., 1991) aeei?enoaiee aeey aeyaeaiiy
i?eniiaoicii? aeaaaia?aoe?? (IAe) eeaiaiiiai aia?aoo. Oiaueio nooeie IE
aei??thaaee i?e aeine?aeaeaii? ca aeiaaith a?nnth a ae?anoieo a iiiaio
?o iaeneiaeueiiai a?aee?eooy. A?aoiaoaaee iioiauaiiy nooeie IE a?eueo 3
ii o ae?eyioe? ?? iaeneiaeueii? oiaueie. Aeey aeyaeaiiy IAe eeaiaiiiai
aia?aoo aeei?enoiaoaaee iaoiaeeeo iiaoaeiae aiie?ooaeieo a?noia?ai, ye?
a?aeaeaathoue ?iciiae?e aoiaaii?no? cia?aaeaiiy nooeie IE, caaeiuei?
no?iee EO, i?aeoeoii/eiai? ia?aoeiee, no?iee ai?oe. Aecia/aee ?ici??e EO
? oiaueio eiai no?iie: e?ioeaaee nenoie?/iee (EN?, ii), ae?anoie?/iee
(EAe?, ii) ?ici??e, oiaueio ? aeneo?n?th i?aeoeoii/eiai? ia?aoeiee
(IOIae, ii ? Yioi, ii), caaeiuei? no?iee EO (Oiae, ii ? Ycneo, ii).
Nenoie?/io ooieoe?th EO ioe?ithaaee ia i?aenoaa? aecia/aiiy e?ioeaaiai
nenoie?/iiai (ENI, ie), ae?anoie?/iiai (EAeI, ie) ? oaea?iiai (OI, ie)
ia’?i?a, o?aeoe?? aeeeaeo (OA, %), nooiaiy nei?i/aiiy
ia?aaeiueicaaeiueiai ?ici??o EO i?ae /an nenoiee (%S, %), oaeaeeino?
oee?eoey?iiai nei?i/aiiy aieieii i?iea?aea (Vcf,n-1). Ca aeiiiiiaith
?iioeuenii? aeiiea?aoiea?ae?ia?ao?? (AeAoiEA) ?a?no?oaaee
aeiiea?niaeo?ia?aio, yea a?aeaeaa? o?aini?o?aeueiee iio?e iaiiaiaiiy EO.
Aiae?coaaee oi?io niaeo?ia?aie, ?icoaooaaiiy i?e?a ?aiiueiai (A) ?
i?ciueiai (A) iaiiaiaiiy. E?euee?nio oa?aeoa?enoeeo niaeo?ia?aie
cae?enithaaee ca oaeeie ia?aiao?aie: A (ni/n) – i?eiaa oaeaee?noue
?aiiueiai iaiiaiaiiy, A (ni/n) – i?eiaa oaeaee?noue i?ciueiai
ae?anoie?/iiai iaiiaiaiiy, A/A (oiia. iae.) – a?aeiioaiiy iaeneiaeueieo
(i?eiaeo) oaeaeeinoae ?aiiueiai ? i?ciueiai iaiiaiaiiy EO, Ei (ni) –
?ioaa?ae oaeaeeino? ?aiiueiai ? Ai (ni) – ?ioaa?ae oaeaeeino? i?ciueiai
iaiiaiaiiy, ? (ii ?o. no.) – a?aae??io oeneo i?ae EI ? EO, Odec (in) –
/an oiia?eueiaiiy e?iaioieo a ?aiith ae?anoieo, IVRT (in) – /an
?ciiao?e/iiai ?icneaaeaiiy, yeee aecia/aee a iino?eii-oaeeueiaiio
?aaeei? c ai?eaeueii? iiceoe?? i?e iaeii/ani?e ?a?no?aoe?? ai?oaeueiiai
? o?aini?o?aeueiiai iioie?a. Aei??thaaee /an a?ae iiiaioo cae?i/aiiy
ai?oaeueiiai aei ii/aoeo o?aini?o?aeueiiai iioie?a ia aeiiea?ianeiio
niaeo??. Ca aeiiiiiaith ?iioeuenii? AeAoiEA a 4-o aai 2-oeaia?iie
iiceoe?? eiio?iethaaee iayai?noue i?o?aeueii? ?aao?a?oaoe?? (I?).
?aao?a?oaoe?th a?aoiaoaaee ca nooiaiai i?iieeiaiiy ?aao?a?ooth/iai
iioieo a ii?iaeieio EI: I no. – ia ??ai? nooeie eeaiaia; II no. – ia 1/3
?ici??o EI; III no. – a na?aaeei? ii?iaeieie EI; IV no. – aeinyaaea
i?ioeeaaeii? no?iee e?aiai ia?aaena?aey. Aei??thaaee ia?aaeiueicaaei?e
?ici?? EI (ii), ae?aiao? ai?oe (Aeai, ii), oiaueio ?? no?iee (Oai, ii).

Aeey ioe?iee o?ce/ii? i?aoeacaeaoiino? canoiniaoaaee i?iao ia
aaeia?aiiao??. Aeei?enoiaoaaee iaaaioaaeaiiy, yea iinooiiai c?inoaei.
Ioe?ithaaee iiooaei?noue ii?iaiaiai iaaaioaaeaiiy (Wii?., Ao); /anoioo
na?oeaaeo nei?i/aiue aeo?aeio (*NNaeo., oae/oa) ? ia aenio? ii?iaiaiai
iaaaioaaeaiiy (*NNii?., oae/oa); nenoie?/iee ? ae?anoie?/iee
a?oa??aeueiee oene aeo?aeiee (NAAeaeo., AeAAeaeo., ii ?o. no.) ?
ii?iaiaee (NAAeii?., AeAAeii?., ii ?o. no.); iiaea?eia iiiaeaiiy
aeo?aeia (IIaeo, oiia. iae.) ? ii?iaiaa (IIii?., oiia. iae.);
iaeneiaeueia niiaeeaaiiy eenith (INE, e/oa); o?iiio?iiiee ?aca?a na?oey
(O?N, oae/oa); ?iio?iiiee ?aca?a na?oey (??N, ii ?o. no.); aia?aaoe/iee
eiao?oe??io oiea?aioiino? (AEO, %).

Aeey aeeiiaiiy aeine?aeaeaiue aeei?enoiaoaaee aaaaoieaiaeueiee
iie?ea?ae?ia?ao Bioset-6000 (Aa?iai?y), oeueo?acaoeiaee ae?aaiinoe/iee
aia?ao Aloka SSD-630 c aeiiea?ianueeei i?eeaaeii UGR-38 (ssiii?y),
aaeia?aiiao? AY-05. Ca??, ioe?iea e aiae?c ?acoeueoao?a aeine?aeaeaiue
i?iaiaeeeeny ca aeiiiiiaith eiii’thoa?a IBM Pentium 166 ? iaeaoa
noaoenoe/ieo i?ia?ai Statgraf Version 3.0, Microsoft Excel 5.0.

?acoeueoaoe aeine?aeaeaiiy

I?e AoiEA ianoaaeaii? 5075 iino?aaeaeaeeo i?e *i?iiaeeuenuee?e
eaoano?io? a 6,7 % aeiaaeeao anoaiiaeaii IIE. Aeey iino?aaeaeaeeo c IIE
oa?aeoa?i? /eneaii? ??ciiiai?oi? nea?ae. Iae/ano?oeie aoee: a?eue o
ae?eyioe? na?oey, aieiaiee a?eue, caiaii?i/aiiy, ii/oooy ianoa/?
iia?o?y, noeeuei?noue aei ciai?eoiieaiiy, iiaaia ia?aiinei?noue o?ce/ieo
? aiioe?eieo iaaaioaaeaiue, ci?ia naiiii/oooy caeaaeii a?ae iiaiaeieo
oiia. Niaoeeo?/ieo noa’?eoeaieo i?iya?a IIE o in?a, ye? caciaee
?aae?aoe?eiiai aieeao, ia aeyaeaii.

Ia?aeiiee IIE caeiiii??ii ii?aeioaaany c oaiioei?/ieie iciaeaie
aeenieac?? niieo/ii? oeaieie, ui anoaiiaeaii o 94,8 % ianoaaeaieo. ?c
a?aoiaaieo iciae, e?euee?noue ?o i?e ia?aeiiiio IIE o a?oi?
niinoa?aaeaiiy neeaea, a na?aaeiueiio, 5,81,0, a?oi? ii??aiyiiy –
5,71,2, ui iaeaea a 2 ?ace a?eueoa, i?ae i?e aoi?eiiiio IIE – 3,10,9 ? a
5 ?ac?a, i?ae o caei?iaeo – 1,10,9 (P0,05). Ii?ooaiiy ?eoio ?
i?ia?aeiino? i?e IIE ?icaeyaeathoueny ye oneeaaeiaiiy eiai ia?aa?ao,
iniaeeai ca iayaiino? neeaaeieo aeaeyae?a noi?aaaio?eeoey?ieo ?
oeoii/eiaeo a?eoi?e (Ia?ouiia A.E. e niaa., 1998).

Aiae?c ?acoeueoao?a AoiEA aeine?aeaeaiiy iieacaa, ui a a?oi?
niinoa?aaeaiiy a 49 % aeiaaee?a i?e ia?aeiiiio ? a 47,2 % i?e aoi?eiiiio
IIE aoei iino?eia i?ieaaoaaiiy ia?aaeiuei? aai caaeiuei? nooeie II no.,
a a?oi? ii??aiyiiy – a 41,4 % (P>0,05). I?ieain III no. ia?aaaaeii c
aieinenoie?/iei i?ieaaoaaiiyi iaio nooeie IE anoaiiaeaii o 21 %
iino?aaeaeaeeo i?e ia?aeiiiio ? 20,8 % i?e aoi?eiiiio IIE (P>0,05) o
a?oi? niinoa?aaeaiiy ? 10 % – o a?oi? ii??aiyiiy (P0,05). O?ao?e ??aaiue iaa
“inaaaeiii?iaeueio” oi?io, ia?aaaaeaiiy i?eo A ? ca?eueoaiiy A/A
niieo/aeiny ?c cia/iei ca?eueoaiiyi IVRT. A?i ca?a?no?iaaiee a 15,0 % ?
13,9 % aeiaaee?a a?aeiia?aeii (P>0,05). Aeey oeueiai ??aiy
ae?anoie?/iiai iaiiaiaiiy oa?aeoa?i? i?ieaaoaaiiy IE a?eueo 10 ii,
iayai?noue I? ? i?eniiaoicii? aeaaaia?aoe??. O?ao?e ??aaiue
ae?anoie?/iiai iaiiaiaiiy EO i?iaiinoe/ii ia ni?eyoeeaee.

I?e aiae?c? A, Ei, A, Ai a ae?aiacii? aeic 0,2-65,5 nCa ia aeyaeaii
a??ia?aeieo a?aei?iiinoae. I?ioa, IVRT ? Tdec ca?eueooaaany a i?aea?oi?
c AeCI 25,0-65,5 nCa, neeaaeaee ca na?aaei?ie aeaieie 125,30,5 in ?
164,916,1 in a?aeiia?aeii ? aoee a??ia?aeii a?eueoeie, i?ae o i?aea?oi?
c AeCI iaio 25 nCa (P0,05), %S – 0,4-0,7 % (P>0,05), Vcf – 0,3-0,7 % (P>0,05),
ENI – 2,4-3,2 % (P>0,05), EAeI – 1,9-2,2 % (P>0,05). Cieaeaiiy
nei?ioeeaino? i?iea?aea aoei aeyaeaia i?e aoi?eiiiio IIE, aea a?i
niieo/aany c ?ON ? AO II no. Ii??aiyiiy iieaciee?a nenoie?/ii? ooieoe??
EO i?e IIE a i?aea?oiao caeaaeii a?ae aaee/eie aeice ii?ii?iaiiy
iieacaei, ui a?aei?iiino? aoee ia a??ia?aeieie.

Aiae?c o?ce/ii? i?aoeacaeaoiino? iieacaa, ui i?e ia?aeiiiio IIE a a?oi?
niinoa?aaeaiiy Wii?. aoea ieae/ith (138,23,4 Ao), i?ae o eiio?ie?
(146,55,6), aea ?ica?aeiino? ia aeinyaaee noaoenoe/iiai cia/aiiy.
Caaacia/aiiy o?ce/iiai iaaaioaaeaiiy i?e IIE ci?ithaaeinue a?eueo
iieaciaa: INE aoei a??ia?aeii ieae/a, aaee/eia aeo?aeiiai ? ii?iaiaiai
II, ?iaeaen II/Wii? aoee aeu?, i?ae oe? iieacieee a eiio?ie?. O?ce/ia
i?aoeacaeaoi?noue ? ?? caaacia/aiiy cieaeoaaeeny caeaaeii a?ae
ca?eueoaiiy nooiaiy IIE ? I?. Oae, Wii?. i?e IIE III no. aoea ieae/ith a
na?aaeiueiio ia 17,8 Ao ii??aiyii c I no. (P0,05). A?aeiia?aeii
aei ci?ie aeeaeie i?ieaaoaaiiy IE a?aeaoany ia?a?iciiae?e ianoaaeaieo ca
nooiaiai IIE. Ni?yiiaai?noue ci?i o a?oi? niinoa?aaeaiiy, ye ? a a?oi?
ii??aiyiiy, oa?aeoa?ecoaaeany iine?aeiaiei c?inoaiiyi aeiaaee?a IIE II
? III no. i?e a?aeiia?aeiiio ciaioaii? /anoioe IIE I no.

wmetafile8? ??.???-???????? ???????yyy????????????
oy???

?-???/???????????????????????????????AAA?AUeA?¦E??yu??  ¤?????y????y??
yy????y?y?y??yy?yyy????4?????5????’yy??????????

????yyy???? ???????’yy???

????yyy???? ???????oy???????’yy???

????yyy???? ???????oy???????ue??yyy??????-?
???u?????????”????-???? yyy???????????????????$???

??

??(??(??

????[?F?u? ???u?????yyy?”????-?????????

??????yyy????????

?????(????(?????

??? ???u??????????”????-????-????’yy???

????-????-????yyy???? yyy????oy????
???u??????????”????-?????????

??????????????(?????uey???????en.1 Ci?ie aeeaeie
i?ieaaoaaiiy ca aeaieie i’yoe??/iiai niinoa?aaeaiiy

I?ei?oea. * – aeinoia??i?noue ?icoiaeaeaiiy c aeo?aeii? aeeaeiith
i?ieaaoaaiiy (P0,05), ui aoei iia’ycaii c
i?ia?anoaaiiyi IIE, I?, i?e?aeiaiiyi oneeaaeiaiue. O ieo cieceeany
oaeiae ? aoaeoeai?noue aia?aicaaacia/aiiy o?ce/iiai iaaaioaaeaiiy
noiniaii aeo?aeiei aeaiei.

Ia i?aenoaa? ?acoeueoao?a niinoa?aaeaiue o aeeiai?oe? aeae?eaii o?e
aa??aioe ee?i?/iiai ia?aa?ao IIE: noaa?eueiee, i?ia?anoth/ee,
oneeaaeiaiee. ?c caaaeueii? e?eueeino? ianoaaeaieo a?oie niinoa?aaeaiiy
noaa?eueiee ia?aa?a caoai?thaaiiy anoaiiaeaiee a 43 % aeiaaeeao, a a?oi?
ii??aiyiiy – 63 % (P0,05).
Aiae?c aeeiai?ee ci?i ee?i?ei-?ino?oiaioaeueieo iieaciee?a caeaaeii a?ae
nooiaiy IIE i?e i’yoe??/iiio niinoa?aaeaii? iieacaa, ui IIE III no.
iaea?eueo ia ni?eyoeeaee aeey i?iaiico. I?e IIE III no. oneeaaeiaiiy
anoaiiaeai? a 60 % aeiaaee?a, oiae? ye i?e II no. – 36,8 %, I no. – 4,7
%.

Ia i?aenoaa? aaaaoi??/iiai niinoa?aaeaiiy ca iniaaie c IIE a?ae?a?ai?
e?eoa???, ui oa?aeoa?ecothoue nooi?iue ?eceeo ?icaeoeo oneeaaeiaiue
(oaae. 2).

Oaaeeoey 2

?ecee ?icaeoeo oneeaaeiaiue i?e i?ieain? i?o?aeueiiai eeaiaia

AenieeeIii??ieeIecueeeeIayai?noue iaei??? c iciae:

· IIE III no.

· IAe > 5 ii

· I? III – IV no.

· EI > 40 ii

· Aieinenoie?/iee ooi

· Nenoie?/ia aeenooieoe?y EO

· Niaaeei?ii? oai?iae niieo/ii? oeaieieA?aenooi?noue iciae aenieiai
?eceeo ? iayai?noue aeacaieo:

· IIE II – III no.

· IAe

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