Використання фізичних та хірургічних методів в лікуванні вазомоторного риніту: Автореф. дис… канд. мед. наук / М.І. Нікулін, Київ. НДІ отоларинголог

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

Ee?anueeee iaoeiai-aeine?aeiee ?inoeooo ioiea??iaieia??

?i.i?ioani?a I.N.Eieii?e/aiea

I?EOE?I IEOAEEI ?AAIIAE*

OAeE: 616.211.-002-009.86-085.8-059-089

Aeei?enoaiiy o?ce/ieo oa o??o?a?/ieo

iaoiae?a a e?eoaaii? aaciiioi?iiai

?ei?oo

14.01.19. — ioi?eiiea?eiaieia?y.

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Caii??cueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?.

Iaoeiaee ea??aiee: Caneoaeaiee ae?y/ iaoee oa oaoi?ee Oe?a?ie,

ae.i.i.,i?ioani? A?eoi? Oiie/
O?eaoia, Oa?e?anueeee

aea?aeaaiee iaaee/iee oi?aa?neoao

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani? Ieeiea I?ieiiiae/

O?ioeiaiei, Aeiiaoeueeee
aea?aeaaiee iaaee/iee

oi?aa?neoao, caa?aeoaa/ eaoaae?ith
ioi?eiiea?eiaieia??

Aeaiaieia Aaeaioei ?iiaiiae/, aeieoi? iaaee/ieo iaoe, i?ioani?.
Eoaainueeee aea?aeaaiee iaaee/iee oi?aa?neoao, caa?aeoaa/ eaoaae?ith
ioi?eiiea?eiaieia??.

I?ia?aeia onoaiiaa – Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. aeaae.
I.I. Aiaiiieueoey,

eaoaae?a ioi?eiiea?eiaieia??, IIC
Oe?a?ie.

Caoeno a?aeaoaeaoueny 22 /a?aiy 1999 ?. i 14-00 aiae. ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.611.01 Ee?anueeiai
iaoeiai-aeine?aeiiai ?inoeoooo

ioiea??iaieia?? ?i.i?ioani?a I.N.Eieii?e/aiea IIC Oe?a?ie ca aae?anith:
252057 i. Ee?a, aoe.Ciieia?/ia, 3.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueeiai
iaoeiai-aeine?aeiiai ?inoeoooo ioiea??iaieia?? ?i.i?ioani?a
I.N.Eieii?e/aiea

Aaoi?aoa?ao ?ic?neaii 20 o?aaiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe
A.?.?iceeaaeea

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Aaciiioi?iee ?ei?o — iaeia ?c iaea?eueo
?iciianthaeaeaieo caoai?thaaiue ii?iaeieie iina, ieoiia aaaa yeiai
neeaaea? a?ae 6 aei 18 a?aenioe?a na?aae caoai?thaaiue EI? — i?aai?a
(Inoaieiae/ A.A., Iaieiaa A.A.,1980; Oeeaoia A.O. e niaao.,1982;
Ieneoiia A.C. e niaao.,1991; Moneret Vautrin D.A. et al. 1988), a eiai
aea?a?/ia oi?ia a aeayeeo ?aeiiao aei??aith? 25-50 a?aenioe?a na?aae
ianiaoeeo?/ieo caoai?thaaiue aa?oi?o aeeoaeueieo oeyo?a (Aaei A.Ae.,
Aiaiaa A.A.,1975; Iooeee N.I., 1996; Denis I.,1997). Aaciiioi?iee ?ei?o
i?ecaiaeeoue aei caa?ice aeieeiaiiy neio?o?a, caiaeaiiy na?aaeiueiai
aooa, a?iio?aeueii? anoie (Ae?aaiie?aoeueeee A.Ae. e niaao.,1980;
Aeoaei/ee ?.A., 1989; Brydon M., 1993; Philip Fireman, 1997).

Aeooaeuei?noue i?iaeaie iieyaa? a oiio, ui e?euee?noue oai?eo ia
aaciiioi?iee ?ei?o c eiaeiei ?ieii c?inoa? (Ieoei TH.A. e niaao., 1994;
Caeoeaa A.N. e niaao., 1997), a ?nioth/? caniae e?eoaaiiy ia aeathoue
caaei-a?eueieo ?acoeueoao?a (Aeaeiye E.A., 1979; Oeeaoia A.O. e
niaao.,1989; Ae?aaiie?aoeueeee A.Ae.,1995; Ieoei TH.A., Ieoaeeianeee
Ae.I., 1995). Ca?aene aei?aaaeaia ni?iaa aeine?aeiee?a aieeaaoe ia
o?eueee ia ooieoe?th neeciai? iaieiiee ii?iaeieie iina, ??
aaiiaeeiai?eo, neiiaoe/i? ? ia?aneiiaoe/i? a?aeae?ee aaaaoaoeaii?
ia?aiai? nenoaie, a oaeiae ia ?ioiio nenoaio i?aai?cio (Oeeaoia A.O. e
niaao., 1989; Ieoei TH.A., Ieoaeeianeee Ae.I., 1991; THaeaeei A. Ea?i.,
Oii Ae. Oiia, 1995; Lenders H et al., 1990).

Oaeei /eiii, i?eaaaeai? aeai? na?ae/aoue i?i oa, ui aaciiioi?iee ?ei?o
caeia? iaeia c ia?oeo i?noeue na?aae ianiaoeeo?/ieo caoai?thaaiue
aa?oi?o aeeoaeueieo oeyo?a. A ieoaiiyo aoeieia??, iaoiaaiaco ? iniaeeai
a caniaao e?eoaaiiy aeaii? iaoieia?? ?niothoue ??ci? oi/ee ci?o. Ne?ae
i?aee?aneeoe, ui aei ianooiiiai /ano i?iaeiaaeothoueny aeeneon?? c
ieoaiue aoaeoeaiino? eiina?aaoeaieo, o??o?a?/ieo oa o?ce/ieo iaoiae?a
e?eoaaiiy aaciiioi?iiai ?ei?oo.

Ana oea na?ae/eoue i?i iaiao?aei?noue oaeineiiaeaiiy cania?a
ae?aaiinoeee oa ?ic?iaeo iiaeo aoaeoeaieo iaoiae?a e?eoaaiiy iacaaii?
iaoieia??.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, oaiaie. Aeena?oaoe?eia ?iaioa
aeeiiaia ia eaoaae?? ioi?eiiea?eiaieia?? Caii??cueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo a ?aieao i?ia?aie: «?ic?iaeoe niin?a
eiiieaeniiai e?eoaaiiy oai?eo aaciiioi?iei ?ei?oii» (oeo? oaie: A.I.
32.00.0027.87, ? aea?aeaaii? ?a?no?aoe?? 0187. 0043815).

Iaoa ? caaaeaiiy aeine?aeaeaiiy. Iaoith i?iaaaeaieo aeine?aeaeaiue aoei
iaa?oiooaaiiy oa ?ic?iaea iioeiaeueieo iaoiae?a canoinoaaiiy iecueeeo
oaiia?aoo? oa o??o?a?/iiai ao?o/aiiy, a oaeiae ?o ii?aeiaiiy aieeao aeey
i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy oai?eo ia aaciiioi?iee ?ei?o.

Aeey aeinyaiaiiy oe??? iaoe aoee iinoaaeai? oae? caaaeaiiy:

1. I?iaanoe aeine?aeaeaiiy ooieoe?? neeciai? iaieiiee ii?iaeieie iina c
o?aooaaiiyi ?? aaiiaeeiai?ee oa ?ioiieo i?ioean?a i?aai?cio o oai?eo ia
aaciiioi?iee ?ei?o, i?inoaaeeoe aeeiai?eo oeeo iieaciee?a a i?ioean?
e?eoaaiiy oa o a?aeaeaeai? oa?i?ie.

2. Aeaoe ioe?ieo e??iaie?eaoe?eiiio iaoiaeo e?eoaaiiy aaciiioi?iiai
?ei?oo a aeeiai?oe?, aecia/eoe eiai aieea ia neeciao iaieiieo ii?iaeieie
iina oa ?? ooieoe?th.

3. Oaeineiiaeeoe iaoiae o??o?a?/iiai ao?o/aiiy aeey a?aeiiaeaiiy
ii?ooaieo ooieoe?e ii?iaeieie iina i?e aeaiiio caoai?thaaii? oa i?iaanoe
eiai ee?i?/io ai?iaaoe?th.

4. Aea/eoe e?eoaaeuei? iiaeeeaino? canoinoaaiiy iaeiiaoaiiiai
iuaaeeeaiai — i?aeneeciaiai e??io??o?a?/iiai ao?o/aiiy a ii??aiyii? c
aie?eaoe?eiei e??iaieeaii oa o??o?a?/iei ao?o/aiiyi, ioe?ieoe ?o
aoaeoeai?noue oa iniaeeaino? aieeao ia o?ae ?aia?aoeaieo i?ioean?a a
neecia?e iaieiioe? ii?iaeieie iina.

5. I?inoaaeeoe aieea i?noeaaiai canoinoaaiiy eaaai?ciea ia caaeeaeaiiy
oa ?aaeoe?th neeciai? iaieiiee ii?iaeieie iina i?ney e??io??o?-a?/iiai
ao?o/aiiy o oai?eo ia aaciiioi?iee ?ei?o.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a.

1. Ia aaeeeiio ee?i?/iiio iaoa??ae? aeyaeai? iniaeeaino? ii?ooaiue
ooieoe?iiaeueiiai noaio ii?iaeieie iina o oai?eo c ??cieie oi?iaie
aaciiioi?iiai ?ei?oo, aecia/aia ?ieue oa cia/aiiy ii?ooaiiy
i?e?ioee?eoeyoe?? neeciai? iaieiiee ii?iaeieie iina a iaoiaaiac?
caoai?thaaiiy, a oaeiae aeeiai?eo oeeo iieaciee?a i?ney canoinoaaiiy
??cieo iaoiae?a e?eoaaiiy (e??iaie?eaoe?eiee, o??o?a?/iee, iaeiiaoaiiee
e??io??o?a?/iee) ? aeaia ioe?iea ?o aoaeoeaiino? a iaeaeeae/ee ?
a?aeaeaeai? oa?i?ie i?ney e?eoaaiiy ? ia i?ioyc? 3-5 ?ie?a a eaoaiiac?.

Aeieacaia ?ieue ii?ooaiue aaiiaeeiai?/ieo i?ioean?a neeciai? iaieiiee
ii?iaeieie iina, a oaeiae ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo a
iaoiaaiac? aaciiioi?iiai ?ei?oo ? i?inoaaeaia ?o aeeiai?ea a
iaeaeeae/iio ? a?aeaeaeaiiio ia??iae? i?ney ??cieo iaoiae?a e?eoaaiiy.
I?e oeueiio aeyaeai? a?eueo aeeaie? ii?ooaiiy aeaieo nenoai o oai?eo ia
aea?a?eio oi?io aaciiioi?iiai ?ei?oo.

2. Oaeineiiaeaii iaoiae o??o?a?/iiai e?eoaaiiy aaciiioi?iiai ?ei?oo, a
oaeiae ?ic?iaeaii eiia?iiaaiee iaoiae e?eoaaiiy aeaii? iaoieia??.
Iaoeiai iaa?oioiaai? ? ?ic?iaeai? e?eoa??? canoinoaaiiy e??iaaieo,
o??o?a?/ieo oa ii?aeiaieo iaoiae?a i?e ??cieo oi?iao aaciiioi?iiai
?ei?oo.

3. Ii?aeiaiiy iia?aoeaiiai ao?o/aiiy ia ieaei?o iiniaeo ?aeiaeiao c
i?aeneeciaei e??iaieeaii, i?iyaey?oueny iiceoeaiei ee?i?/iei aoaeoii o
90,6% (a eaoaiiac?) 3-5 ?ie?a.

4. Iieacaii, ui eiia?iiaaiee iaoiae, aeiiiaiaiee aeei?enoaiiyi
?io?aiacaeueieo ?iaaeyoe?e eaaai?cieo, ni?ey? ?aiiueiio a?aeiiaeaiith
ii?ooaieo ooieoe?e iina ? caaacia/o? no?ee? a?aeaeaeai? ?acoeueoaoe,
iniaeeai i?e aea?a?eieo ?ei?oao, a ii??aiyii? c ?ioeie iaoiaeaie
e?eoaaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a.

1. Oaeineiiaeaia o??o?a?/ia oaoiieia?y e?eoaaiiy oai?eo ia aaciiioi?iee
?ei?o. Iaoiae i?inoee a aeeiiaii?, ia oe?aeeeaee aeey oai?eo oa a?eueo
aoaeoeaiee a ii??aiyii? c ?nioth/eie.

2. Ai?iaaaeaeaiee a ee?i?/io i?aeoeeo uaaeeeaee iaeiiiiiai-oiee iaoiae
e?eoaaiiy (i?aeneeciaa aacioii?y, i?aeneeciaa e??iaeano?oeoe?y i’yeeo
oeaiei ieaei?o iiniaeo ?aeiaei oa ?o eaoa?iiiceoe?y), i?e yeiio ia
ii?ooo?oueny oe?e?ni?noue neeciai? iaieiiee iina.

3. Ai?iaiaai? iaoiaee iiaeooue canoiniaoaaoenue ye naiino?eii, oae ? a
ii?aeiaii? i?e ??cieo oi?iao aaciiioi?iiai ?ei?oo.

Iniaenoee aianie caeiaoaa/a iieyaa? a i?aeai?? oaiaoe/ieo oai?eo a
oiiaao EI? — eaa?iaoo iie?ee?i?ee oa EI? — a?aeae?eaiyo noaoe?iia?o 3-?
ee?i?/ii? e?ea?i? i.Caii??aeaey.

Aaoi?ii naiino?eii i?iaaaeai? an? aeine?aeaeaiiy, aea/ai?
ioi?eiiea?eiaieia?/i?, o?ceieia?/i?, aaiiaeeiai?/i? oa ?ioiieia?/i?
iieacieee o oai?eo ia aaciiioi?iee ?ei?o. Iniaenoi aeena?oaioii
i?iaaaeaii aiae?c e?oa?aoo?ieo aeaieo, ?acoeueoao?a aeine?aeaeaiiy,
noaoenoe/ia ii?aoethaaiiy io?eiaieo aeaieo, a oaeiae iaienai? an?
i?ae?icae?ee aeena?oaoe??, c?iaeai? aeniiaee oa cai?iiiiiaai? i?aeoe/i?
?aeiiaiaeaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??.

Iniiai? iieiaeaiiy ?iaioe iia?aeiieai? oa iaaiai?ai? ia: V??? c’?cae?
ioi?eiiea?eiaieia?a Oe?a?ie (Ee?a, 1995); ? — io c’?cae? Oe?a?inueeiai
oiaa?enoaa e??ia?ieia?? oa e??iiaaeeoeeie (Oa?e?a, 1995); ?? — eiia?an?
Ana?in?enueeiai oiaa?enoaa ?eiieia?a (i.Ni/?, 1995); I?aeaoc?anuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? iieiaeeo a/aieo ? oao?aoe?a — iaaeee?a
Caii??cueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a oa Caii??cueeiai
iaaee/iiai oi?aa?neoaoo (Caii??aeaey, 1996); can?aeaii? Caii??cueeiai
iaeaniiai iaoeiai-i?aeoe/iiai oiaa?enoaa ioi?eiiea?eiaieia?a (1997-1998
??.); ?anioae?eainuee?e iaoeiai-i?aeoe/i?e eiioa?aioe??
ioi?eiiea?eiaieia?a Oe?a?ie, i?enay/ai?e 75-??//th eaoaae?e
ioi?eiiea?eiaieia?? EIAII (Ee?a, 1997); Caii??cuee?e iaeani?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? e?ea??a-ioi?eiiea?eiaieia?a oa
e?ea??a-aea?aieia?a (Caii??aeaey, 1998); tha?eaei?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? ioi?eiiea?eiaieia?a, i?enay/ai?e 100-??//th c aeiy
ia?iaeaeaiiy i?io. I.N.Eieii?e/aiea (Ee?a, 1998); iaoeiai-i?aeoe/i?e
eiioa?aioe?? ioi?eiiea?eiaieia?a Oe?a?ie (Iaeana, 1998).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 14 iaoeiaeo
i?aoeue, c ieo — 5 noaoae a iaoeiaeo oaoiaeo aeaeaiiyo, 4 — aeo?iaeueieo
oaciaeo aeiiia?aeae, 5 noaoae a iaoeiaeo ca??eao c’?cae?a oa
eiioa?aioe?e.

Ianya oa no?oeoo?a ?iaioe.

Aeena?oaoe?y aeeiiaia ia 156 noi??ieao ae?oeiaaiiai oaenoo ?
?ethno?iaaia 37 oaaeeoeyie oa 5 iaethieaie. ?iaioa neeaaea?oueny c?
anooio, iaeyaeo e?oa?aoo?e, iaoiae?a aeine?aeaeaiue, ?acoeueoao?a
aeanieo ee?i?/ieo oa eaai?aoi?ieo aeine?aeaeaiue, caeeth/aiiy,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e oa nieneo e?oa?aoo?e, yeee i?noeoue
273 aeaea?ae, c yeeo 73 ca?oa?aeieo aaoi??a.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy.

Ianoaaeaii 287 oai?eo, na?aae yeeo o 190 iaoe?aio?a anoaiiaeaia
iae?iaaaaoaoeaia ? o 97 — aea?a?eia oi?ia o?ii?/iiai aaciiioi?iiai
?ei?-oo. C iaoith ii??aiyiiy io?eiaieo aeaieo ee?i?/ieo aeine?aeaeaiue
ianoaaeaii eiio?ieueio a?oio, yeo neeaee 25 i?aeoe/ii caei?iaeo in?a.
E??i oiai, i?iaiae?ciaaii 50 a?o?aieo ?noi??e oai?ia oai?eo ia
aaciiioi?iee ?ei?o, ye? e?eoaaeenue a ee?i?oe? o?aaeeoe?eieie iaoiaeaie.

O an?o oai?eo aea/ai? ee?i?/i? neiioiie caoai?thaaiiy, aeeoaeueia oa
ithoaeueia ooieoe?? iina, noai neeciai? iaieiiee ii?iaeieie iina:

?eiioeeoieia?y, ?I iiniaiai nae?aoa, ieaioeeaa aeoeai?noue
ioeioeee?a?iiai ai?oae?y, aeae?eueia ooieoe?y, aaiiaeeiai?ea oa
iieacieee ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo. Ianoaaeaiiy
i?iaiaeeeinue o aeeiai?oe?: aei e?eoaaiiy, /a?ac oeaeaeaiue, i?nyoeue oa
18 i?nyoe?a i?ney e?eoaaiiy (eaoaiiac 3-5 ?ie?a).

Aeeoaeueia ooieoe?y iina aeine?aeaeoaaeanue ca aeiiiiiaith nie?oiaiai
?eiiiaiiiao?a I.?.Eeeiaiea (1990), ithoaeueia — ca iaoiaeii
E.A.A?iieueae? ? ni?aaao. (1990) oa A.?.Aiy/aiea (1934).
?eiioeeoieia?/ia aeine?aeaeaiiy iace?a c ii?iaeieie iina aeeiioaaeinue
ca iaoiaeii A.I.Naeiae/a ? O.I.Ia/a?aiea (1989). ?aaeoe?th na?aaeiaeua
ii?iaeieie iina (?I) aeine?aeaeoaaee ca aeiiiiiaith oi?aa?naeueiiai
?iaeeeaoi?iiai iaia?o. Aeeiai?/io aeoeai?noue ieaioeeaiai ai?oae?th
neeciai? iaieiiee ii?iaeieie iina aea/aee ca aeiiiiiaith iiaeeo?eiaaiiai
a iao?e ee?ieoe? iaoiaea N.C. I?neoiiaa ? ni?aaao. (1983) oa G.Puchelle
et al.(1981). Aeae?eueia ooieoe?y neeciai? iaieiiee ii?iaeieie iina
aeine?aeaeoaaeanue ca aeiiiiiaith iie?ia?ii? ?ic/eiii? ie?aee (N.C.
Ieneoiia ? ni?aaao., 1983), yea aoea oaeineiiaeaia a iao?e ee?i?oe?.
Noai aaiiaeeiai?ee oeaiei aioo??oiueiai ? ciai?oiueiai iina ioe?ithaaee
ca aeiiiiiaith ?eii?aia?ao?? (??A), yea i?iaiaeeeanue ia 4-o eaiaeueiiio
?aia?ao? (?A-4-01) c ?a?no?aoe??th ia aioeaoaeia?ao?? (AAAI-4-02).
Aea?a?eiee noai i?aai?cio aea/aany ca iieacieeaie ?aaeoe?? ia
aioo??oiueioe??iiai aaaaeaiiy aaeoa??aeueieo oa iaaaeoa??aeueieo
aea?aai?a ? ioe?ithaaany ca iaoiaeii A.N.Iioeaae/a (1973). Aeey
oa?aeoa?enoeee ee?oeiiiai oa aoii?aeueiiai ?ioi?oaoo a ianoaaeaieo aoee
aeei?enoai? iaoiaeeee ?.A.Iao?iaa ? ni?aaao.,(1976), oa G.Manchini et
al.(1985).

Oaeoe/iee iaoa??ae iaoiae?a aeine?aeaeaiiy a aeeiai?oe? aoa
ii?aoeueiaaiee iaoiaeii aa??aoe?eii? noaoenoeee ca iaoiaeii ?.A.Iea?ia
(1960).

?acoeueoaoe aeine?aeaeaiiy, ?o aiae?c oa iaa?oiooaaiiy.

I?iaaaeai? aeine?aeaeaiiy na?ae/aoue i?i ae?aaeai? ee?i?/i? ci?ie o
oai?eo ia aaciiioi?iee ?ei?o, ye? i?iyaeythoueny ye a i?noeaaeo
ii?ooaiiyo, oae ? a caaaeueiiio noaoon? i?aai?cio. Ae?aaiic eiaeii?
oi?ie aaciiioi?iiai ?ei?oo anoaiiaethaaany ca aeaieie aiaiiaco, nea?a
iaoe??io?a, ia’?eoeaieo ee?i?/ieo iieaciee?a, eaai?aoi?ieo aeaieo
(aiae?c e?ia?, na/?, ?aioaaiia?ao?? iaaeieiiiniaeo iacoo) oa
niaoe?aeueieo aeine?aeaeaiue.

I?ia?aeiith nea?aith oai?eo aoei oo?oaeiaiiy aai a?aenooi?noue iiniaiai
aeeoaiiy, ui neeaaea? i?e iae?iaaaaoaoeai?e oi?i? ?ei?oo 67,3%; i?e
aea?a?ei?e oi?i? o 84,46% oai?eo aiii aoei oo?oaeiaia ? o 15,4% —
a?aenooi?. ?iceaae ithoo o aeaeyae? a?ii- aai aiini?? aoa o 74,2% i?e
iae?iaaaaoaoeaiiio ?ei?o? ? o 68,4% — i?e aea?a?eiiio. ?c caaaeueieo
nea?a iaee i?noea: neaae?noue, aieiaiee a?eue, ii?ooaiiy nio, i?enooie
?eii?a? oa ia?aeneciaeueia /oaiiy.

I?e ianoaaeaii? ii?iaeieie iina ca aeiiiiiaith ia?aaeiuei? oa caaeiuei?
?eiineii?? niinoa??aaeanue iaa?yeea, oeeaiioe/ia, c ia?io?iaei
a?aeo?ieii neeciaa iaieiiea. Iinia? oiaee aoee caoaeai? ? caiiaiai?
neecii. Ia ?aioaaiia?aiao iaaeieiiiniaeo iacoo aecia/aii i?eno?ieiaa
iioiaoaiiy neeciai? iaieiiee, aai aiiiaaiia cieaeaiiy i?ici?ino?
aa?oiueiuaeaiieo iacoo oa ee?oei ?ao?o/aoiai eaa??eioo o 35,3%
ianoaaeaieo i?e iae?iaaaaoaoeai?e oi?i?, oa o 89% i?e aea?a?ei?e.

A ?eiioeeoia?aiao iace?a c ii?iaeieie iina aecia/ai? iiiaeeiie?
aiceiio?ee oa iiiioeeoe i?e iae?iaaaaoaoeaiiio ?ei?o?; i?e aea?a?ei?e
oi?i? — aiceiio?ee niinoa??aaeenue o e?eueeino? a?ae 5 aei 15% o an?o
ianoaaeaieo, a oo/i? ee?oeie aeyaeai? o 71,6% oai?eo.

?aaeoe?y na?aaeiaeua ii?iaeieie iina (?I) i?e iae?iaaaaoaoeai?e oi?i?
aaciiioi?iiai ?ei?oo neeaaeaea 7,5±0,5, i?e aea?a?ei?e — 8,5±0,3, (a
ii?i? — 6,7±0,15).

Aeoeai?noue ?ooiiino? ieaioeeaiai ai?oae?th neeciai? iaieiiee ii?iaeieie
iina aei??aithaaea 30-35 oaeeei i?e iae?iaaaaoaoeai?e oi?i?
aaciiioi?iiai ?ei?oo, i?e aea?a?ei?e — 36-42 oa., (ii?ia — 15-20 oa.),
ui aiai?eoue i?i cieaeaiiy aeoeaiino? ioeioeee?a?iiai ai?oae?th.
Aeae?eueia ooieoe?y neeciai? iaieiiee i?e aeai?e iaoieia?? i?aeaeuaia ?
neeaaea? 3 — 6 oaeeei i?e iaio oi?iao aaciiioi?iiai ?ei?oo (ii?ia — 8-10
oa.).

I?e aeine?aeaeaii? aea?a?eiiai noaoono i?aai?cio aeyaeaii i?aeaeuaiiy
e?eueeino? aiceiio?e?a a ia?eoa??/i?e e?ia? o 9,6% ianoaaeaieo,
iiceoeai? oe??ii-aea?a?ei? i?iae o 4,2% oai?eo ia iae?iaaaaoaoeaiee
?ei?o; i?e aea?a?ei?e oi?i? i?aeaeuaiiy e?eueeino? aiceiio?e?a
niinoa??aaeinue o 59,7% oai?eo, a iiceoeai? oe??ii-aea?a?ei? i?iae
aeyaeai? o 94,8% ianoaaeaieo.

Nooo?a? ci?ie niinoa??aaeeny o aaiiaeeiai?oe? oeaiei iina. Oae, oa?i?i
aaiiciiai a?aeoieo (eaoae?ioa) neeciai? iaieiiee iina i?e
iae?iaaaaoaoeaiiio ?ei?o? neeaaea? 0,56±0,03nae., a i?e aea?a?ei?e oi?i?
— 0,61±0,04 (ii?ia — 0,45±0,02nae.); iai?oaa a?oa??aeueieo noaeei
(aiae?ioa) ca oi?iaie caoai?thaaiiy aei??aithaaea 28,3±3,1% oa 26,5±2,6%
(ii?ia — 40,2±3,5%). Aeai? iieacieee na?ae/aoue i?i aaiiciee cano?e oa
aoii?th noaeei neeciai? iaieiiee ii?iaeieie iina i?e ??cieo oi?iao
aaciiioi?iiai ?ei?oo, ui aeaco? ia aaaaoi-noaeeiio aeenoii?th neeciai?
iaieiiee iina.

Aea/aiiy ?ioiieia?/ieo iieaciee?a ia?eoa??eii? e?ia? oa ne?iaaoee e?ia?
na?ae/aoue i?i e?euee?nia ? ye?nia ii?ooaiiy ee?oeiiiai oa aoii?aeueiiai
?ioi?oaoo i?e iaio oi?iao aaciiioi?iiai ?ei?oo.

Caaaeueia e?euee?noue e?ioioeeo?a i?e caoai?thaaii? aaciiioi?iei ?ei?oii
i?aeaeuo?oueny aei 43,5±0,5 (ii?ia — 22,5±1,0), oa niinoa??aa?oueny
cieaeaiiy e?eueeino? O-e?ioioeeo?a oa ?o iiioeyoe?e: Th (oaeia?e), Ts
(noi?ani?e). Ii oi?iai ?ei?oo oe? iieacieee iaei a?ae??ciythoueny ?
neeaaeathoue a %: O-e?ioioeeoe — 50,4±0,5 (ii?ia 54,8±0,5); Th —
30,02±0,4 (ii?ia 45,5±0,3); Ts — 16,5±0,3 (ii?ia 18,0±0,5).
?ioiiaeiaoe?ie ne?iaaoee e?ia? eean?a G, A, M a ia/ie i?e aaciiioi?iiio
?ei?o? cieaeai? iaaeinoaoiuei a ii??aiyii? c ii?iith, a ii oi?iai ?ei?oo
?o ??cieoey noaoenoe/ii iaaeinoia??ia (? >0,05). Oaeei /eiii, i?e
aaciiioi?iiio ?ei?o? niinoa??aa?oueny cieaeaiiy ee?oeiiiai ?
aoii?aeueiiai ?ioi?oaoo, iniaeeai ee?oeiiiai i?e aea?a?ei?e oi?i?.

An?i 287 oai?ei ia o?ii?/iee aaciiioi?iee ?ei?o aoea i?iaaaeaia
ii??aiyeueia ioe?iea aoaeoeaiino? 4-o iaoiae?a e?eoaaiiy:
e??iaie?eaoe?eiiai, o??o?a?/iiai, eiia?iiaaiiai, yeee neeaaea?oueny c
o??o?a?/iiai ? e??iaaiiiai oa eiiieaeniiai, i?e yeiio i?ney o??o?a?/iiai
? e??io??o?a?/iiai ao?o/aiiy canoiniaoaaany ?ioiiei?aeoi? — eaaai?cie.
An? iaoiaee aeeiioaaeenue i?ney i?noeaai? (aeeea?i 2%) oa
?io?eueo?aoeaii? (1% iiaiea?i) aianoac??.

Aoaeoeai?noue eiaeiiai iaoiaeo ioe?ithaaeanue ca e?eoa??yie: «aeia?ee
aoaeo», «caaeia?eueiee», oa «aac aoaeoo» o aeecueeiio oa a?aeaeaeaiiio
ia??iae? (oaaeeoey 1).

«Aeia?ee aoaeo» aaaaeaany oiae?, eiee niinoa??aaeanue ?ai?n?y a?ae 1,5
aei 3 ?ie?a. I?e oeueiio o iaoe??io?a iiiiaethaaeenue aeeoaiiy oa itho,
i?eieiyeenue aeae?eaiiy c iino oa aoa a?aenooi?e aieiaiee a?eue. I?e
ia’?eoeaiiio ianoaaeaii? iiniaa iaieiiea ii?iaeieie iina aoea a iaaeao
ii?ie, ooieoe?? iina, eiai aaiiaeeiai?ea oa ?ioii? iieacieee
ii?iae?coaaeenue.

«Caaeia?eueiee aoaeo» aoa oiae?, eiee oa?i?i ?ai?n?? aeinyaaa 1-1,5
?ie?a. I?e oeueiio niinoa??aaeiny ia??iaee/ia cao?oaeiaiiy iiniaiai
aeeoaiiy, aeae?eaiiy neeco c iina. I?e ia’?eoeaiiio aeine?aeaeaii?
neeciaa iaieiiea ii?iaeiei iina caeeoeeanue iaa?yeeith. Iie?iooaaeenue
o?ceieia?/i? ooieoe?? iina oa iieacieee aaiiaeeiai?ee ? ?ioi?oaoo.

«Noai aac aoaeoo» iaa i?noea oiae?, eiee iiniaa aeeoaiiy a?aenooi? aai
iaaeinoaoiuei iie?auaia, o?ceieia?/i? ooieoe?? iina, aaiiaeeiai?ea oa
?ioii? iieacieee caeeoaeeny ia oiio ae ??ai?, ye ? aei e?eoaaiiy.

Ca iaoiaeaie e?eoaaiiy oai?? aoee ?icae?eai? ia 4 a?oie.

Ia?oo a?oio neeaee 66 oai?eo, na?aae yeeo iae?iaaaaoaoeaia oi?ia
aaciiioi?iiai ?ei?oo aoea o 38 iaoe??io?a, a aea?a?eia — o 28. Oai?ei
oe??? a?oie i?iaiaeeeiny e??iaie?eaoe?eia e?eoaaiiy oeyoii
caii?iaeoaaiiy neeciai? iaieiiee ieaei?o iiniaeo ?aeiaei ca aeiiiiiaith
e??iciiaea aia?aoa EAI — 02. A i?noe? ciie caii?iaeoaaiiy oaiia?aoo?a
neeaaeaea 70-80i ca Oeaeuen??i. ?aaeoeai? yaeua a neecia?e iaieiioe?
ii?iaeieie iina i?ney e?eiaieeao ii/eiaee auooaoe ia 4-6 aeaiue.

*a?ac i?nyoeue i?ney e?eoaaiiy iiniaa aeeoaiiy iie?aueeinue, aea
caeeoeeinue cieaeaiei o 40,2% ianoaaeaieo i?e iae?iaaaaoaoeai?e oi?i?
aaciiioi?iiai ?ei?oo ? o 48,4% — i?e aea?a?ei?e. Aeae?eaiiy c iina
caa??aaeinue o 28,4% iaoe??io?a. Neeciaa iaieiiea iina aoea iaa?yeeith
oa a?ia?aiiaaiith o 26,7% ianoaaeaieo. Aeae?eueia ooieoe?y neeciai?
iaieiiee iina oa ?I iiniaiai nae?aoo cieceeeny o 64,4% iaoe??io?a i?e
iae?iaaaaoaoeai?e oa o 60,2% — i?e aea?a?ei?e oi?i? aaciiioi?iiai
?ei?oo. ?eii?aia?ao?/i? aeai? aeacothoue ia iie?auaiy i?e?ioee?eoeyoe??
oeaiei iina. Oae, oiion a?oa??aeueieo noaeei iineeeany ? neeaa 34,3±5%
(cai?noue 28,3±3,1%); oa?i?i aaiiciiai canoith ciaioeany ? neeaaeaa
0,51±0,3nae. (cai?noue 0,56±0,3 nae.) i?e iae?iaaaaoaoeaiiio ?ei?o?; i?e
aea?a?eiiio oe? iieacieee aei??aithaaee 31,5±4,3% (cai?noue 26,5±2,8%)
oa 0,53±0,5 nae. (cai?noue 0,61±0,3 nae.). Nooo?aeo ci?i a iieacieeao
?ioi?oaoo /a?ac i?nyoeue ia niinoa??aaeiny ? aiie noaoenoe/ii ia
a?ae??ciyeenue a?ae iieaciee?a aei e?eoaaiiy (? > 0,05). O a?aeaeaeaiiio
ia??iae? /a?ac 1,5 ?iee i?ney e??iaieeao, o?c?ieia?/i? ooieoe?? neeciai?
iaieiiee ii?iaeieie iina aoee a?aeiiaeai? o 79,1% iaoe??io?a i?e
iae?iaaaaoaoeai?e oi?i? aaciiioi?iiai ?ei?oo oa o 73,4% — i?e aea?a?ei?e
.

Oaeei /eiii, i?iaaaeai? aeine?aeaeaiiy na?ae/eee i?i oa, ui
e??iaie?eaoe?eia e?eoaaiiy aeyaeeinue aoaeoeaiei o 73,7% iaoe??io?a c
iae?iaaaaoaoeaiith oi?iith aaciiioi?iiai ?ei?oo oa o 67,6% — c
aea?a?eiith.

E??i oiai, i?e oeueiio iaoiae? ii?ooo?oueny oe?e?ni?noue ieaioeeaiai
ai?oae?th ia i?noeyo e??iaeano?oeoe??, eiai ia?a?iaeaeaiiy, a a aeayeeo
aeiaaeeao (2,81%) niinoa??aaeany iiyaa n?iao?e a ii?iaeiei? iina. Ana
oea ciaia’yco? aeine?aeiee?a aei oaeineiiaeaiiy oa iioei?caoe?? iaeiiai
iaoiaeo.

O??o?a?/ia e?eoaaiiy aoei i?iaaaeaii a 2-e a?oi? oai?eo (110
iaoe??io?a), na?aae yeeo o 80 aoea iae?iaaaaoaoeaia, a o 30 — aea?a?eia
oi?ia aaciiioi?iiai ?ei?oo. Aeaiee iaoiae e?eoaaiiy neeaaeaany c
i?aeneeciai? aacioii?? oa eaoa?iiiceoe?? ieaei?o iiniaeo ?aeiaei.

A i?neyiia?aoe?eiiio ia??iae? ?aaeoeai? yaeua neeciai? iaieiiee
ii?iaeieie iina auooaee ia 4-5 aeaiue. Iiniaa aeeoaiiy ii/aei
iie?auoaaoenue ia 3-e aeaiue i?ney iia?aoe?? o a?eueoino? oai?eo.

*a?ac i?nyoeue i?ney e?eoaaiiy iiniaa aeeoaiiy ii?iae?coaaeinue aai
cia/ii iie?ioeeinue o 82% oai?eo ia iae?iaaaaoaoeaio oi?io ?ei?oo oa o
78,8% — ia aea?a?eio, ui niinoa??aaeinue ? /a?ac 1,5 ?iee i?ney
e?eoaaiiy. Ithoaeueia ooieoe?y ye /a?ac i?nyoeue, oae ? /a?ac 1,5 ?iee
ii?iae?coaaeanue aai iie?iooaaeanue o 83% ianoaaeaieo iaio a?oi.
?eiioeeoieia?/i? iieacieee, eeneioii-eoaeiee aaeain (?I), ieaioeeaa
ooieoe?y ai?oae?th neeciai? iaieiiee iina oa ?? aeae?eueia ooieoe?y
cia/ii iie?i-oeeenue o 84% a oeae ia??iae. ?eii?aia?ao?/i? iieacieee a
1-e oeaeaeaiue i?ney iia?aoe?? aoee ia ??ai? aeiiia?aoe?eieo aai
ia?aaeuoaaee ?o. Oea na?ae/eoue i?i cia/ia ii?ooaiiy noaeeiieo no?oeoo?
i?ae neeciaith iaieiieith ieaei?o iiniaeo ?aeiaei. *a?ac i?nyoeue i?ney
e?eoaaiiy aaiiaeeiai?/i? i?ioeane cia/ii iie?iooaaeenue, aea ia
aeinyaaee ii?ie. *a?ac 1,5 ?ieo aaiiaeeiai?ea iina a?aeiiaeeanue o 83,4%
ianoaaeaieo ia iae?iaaaaoaoeaio oa o 68,2% ia aea?a?eio oi?ie
aaciiioi?iiai ?ei?oo.

Iieacieee ?ioi?oaoo /a?ac oeaeaeaiue i?ney e?eoaaiiy ia a?ae??ciyeenue
a?ae aeiiia?aoe?eieo, a /a?ac i?nyoeue cia/ii iie?iooaaeenue, aea ia
aeinyaaee ii?ie. *a?ac 1,5 ?iee aeayee iieacieee ee?oeiiiai oa
aoii?aeueiiai ?ioi?oaoo ii?iae?coaaeenue /e cia/ii iie?ioeeenue o 84,7%
iaoe??io?a i?e iaio oi?iao ?ei?oo.

Aiae?c a?aeaeaeaieo aeaieo /a?ac 1,5 -5 ?ie?a na?ae/eoue, ui aeia?ee
aoaeo niinoa??aaany o 64,3%, caaeia?eueiee — o 20,4% ? aac aoaeoo —
15,3% i?e iae?iaaaaoaoeai?e oi?i? aaciiioi?iiai ?ei?oo. I?e aea?a?ei?e
oi?i? oe? iieacieee a?aeiia?aeii aoee: 60,7%, 24,1%, 15,2%.

Oaeei /eiii, i?ney aeaiiai iaoiaea e?eoaaiiy ?acoeueoaoe aoee iaeiaeia?
iacaeaaeii a?ae oi?ie ?ei?oo.

Eiia?iiaaiei iaoiaeii (3-y a?oia) e?eoaaeenue 111 oai?eo, na?aae yeeo o
75 aoea aeyaeaia iae?iaaaaoaoeaia, a o 36 — aea?a?eia oi?ia
aaciiioi?iiai ?ei?oo. I?e oeueiio iaoiae? aeei?enoiaoaaeanue i?aeneeciaa
aacioii?y, i?aeneeciaa e??iaeano?oeoe?y oeaiei ieaei?o iiniaeo ?aeiaei ?
?o eaoa?iiiceoe??.

?c 111 oai?eo oe??? a?oie 55 iaoe??io?a e?eoaaeenue eiiieaeniei
niiniaii. Oeae niin?a aeeth/aa a naaa eiia?iiaaiee iaoiae ?
?io?aiacaeuei? ?iaaeyoe?? ?ioiiei?aeoi?a — eaaai?ciea a
i?neyiia?aoe?eiiio ia??iae?.

O an?o iaoe??io?a ia iae?iaaaaoaoeaio oi?io ?ei?oo i?ney eiia?iiaaiiai —
o??o?a?/iiai oa e??iaaiiiai ao?o/aiiy ia 3-4 aeaiue cia/ii
iie?i-ooaaeinue iiniaa aeeoaiiy, ciaiooaaeanue ?eii?ay, cieeaei /eoaiiy.
O oai?eo ia aea?a?eio oi?io ?ei?oo, yeei i?iaiaeeeenue ?io?aiacaeuei?
?iaaeyoe?? eaaai?ciea, i?ney 3-4 naaina (5 aeaiue i?ney iia?aoe??)
nae?aoi?ia ooieoe?y neeciai? iaieiiee ii?iaeieie iina cia/ii
cieaeoaaeanue. *a?ac 10-12 aei?a i?ney e?eoaaiiy eiia?iiaaiei ?
eiiieaeniei iaoiaeii o?c?ieia?/i? ooieoe?? iina ? iiniaa aeeoaiiy o an?o
ianoaaeaieo cia/ii iie?auoaaeenue. E?au? ?acoeueoaoe i?e aea?a?ei?e
oi?i? ?ei?oo i?inoaaeoaaeenue o oai?eo, ye? i?eeiaee ?ioiiei?aeoi?.

*a?ac i?nyoeue i?ney e?eoaaiiy iniaeeai? ??cieoe? a iieacieeao
aeine?aeaeaiiy o oai?eo c iae?iaaaaoaoeaiei ?ei?oii, yeei canoinoaaee
eiia?iiaaiee ? eiiieaeniee iaoiaee, ia aoei. Iiniaa aeeoaiiy oe??? a?oie
a oeae oa?i?i ii??aithaaeinue c ii?iith o 91,2% ianoaaeaieo. O
iaoe??io?a c aea?a?eiith oi?iith, ye? e?eoaaeenue eiia?iiaaiei iaoiaeii,
iiniaa aeeoaiiy ca oeae /an a?aeiiaeaii o 88,4%, a o oeo, ui i?eeiaee
eaaai?cie — 93,7%. Oe? iieacieee oo?eioaaeenue ? /a?ac 1,5-5 ?ie?a i?ney
e?eoaaiiy.

Iiceoeai? iane?aeee a ooieoe?? ieaioeeaiai ai?oae?th neeciai? iaieiiee
iina /a?ac i?nyoeue e?eoaaiiy eiia?iiaaiei niiniaii oai?eo ia
iae?iaaaaoaoeaiee ?ei?o niinoa??aaeenue o 90% ianoaaeaieo, ia aea?a?eiee
— o 88%, a i?ney canoinoaaiiy eaaai?cieo — o 92% iaoe??io?a, oae?ae
iieacieee aoee a eaoaiiac? /a?ac 3-5 ?ie?a.

Aeae?eueia ooieoe?y neeciai? iaieiiee iina i?ney e??io??o?a?/iiai
ao?o/aiiy /a?ac i?nyoeue ciaiooaaeanue o 93,6% oai?eo ia
iae?iaaaaoaoeaiee ?ei?o, a i?e aea?a?ei?e oi?i? — o 89,4%; o iaoe??io?a,
ui i?eeiaee eaaai?cie — o 92,3%. A eaoaiiac? /a?ac 3-5 ?ie?a oe?
iieacieee a iniiaiiio iaei a?ae??ciyeenue a?ae i?ny/ieo iieaciee?a.

I?e?ioee?eoeyoi?i? i?ioeane neeciai? iaieiiee iina i?e iae?iaaaaoaoeai?e
oi?i? ?ei?oo i?ney e??io??o?a?/iiai e?eoaaiiy oa?aeoa?ecoaaeenue
a?eueoei ii?ooaiiyi aaiiaeeiai?ee a ia?o? aei?. *a?ac 1 i?nyoeue i?ney
e?eoaaiiy an? ia?aiao?e aaiiaeeiai?ee iaaeeaeaeenue aei ii?ie:

aaiiciee a?aeoie aei??aithaaa 0,46±0,5nae. (ii?ia 0,45±0,2nae.), oiion
a?oa??aeueieo noaeei — 39,5±4,5% (ii?ia 40,2±3,5%). *a?ac 1,5 ?iee
iacaai? iieacieee ia ci?ieeeny o 93,7% iaoe??io?a oe??? a?oie. I?e
aea?a?eiiio ?ei?o? iieacieee a oae?ae oa?i?ie aoee e?au? o 92,8%
ianoaaeaieo, ye? i?eeiaee eaaai?cie ? 89,4% na?aae oeo, ooi ia i?eeiaa
?ioiiei?aeoi?.

?ioiieia?/i? iieacieee /a?ac i?nyoeue i?ney e??io??o?a?/iiai ao?o/aiiy
i?e iae?iaaaaoaoeaiiio ?ei?o? aei??aithaaee ii?i? o 91,5%, a /a?ac 1,5
?iee o 91,2%. I?e aeai?e oi?i? caoai?thaaiiy i?eeii eaaai?cieo i?ney
eiia?iiaaiiai e?eoaaiiy ia aieeaa? ia iieacieee ?ioieoaoo. O iaoe??io?a
ia aea?a?eio oi?io aaciiioi?iiai ?ei?oo /a?ac i?nyoeue i?ney
eiia?iiaaiiai e?eoaaiiy iiceoeai? c?ooaiiy a ?ioii?e nenoai? aeyaeai? o
88,4%, a /a?ac 1,5 ?iee — o 89,4%; o iaoe??io?a oe??? a?oie, ui
iaea?aeoaaee eaaai?cie a i?neyiia?aoe?eiiio ia??iae?, iieacieee
neeaaeaee /a?ac i?nyoeue 93,7%, a /a?ac 1,5 ?iee — 92,8%.

Caaaeuei? aeai? an?o iaoiae?a e?eoaaiiy iaaaaeai? a oaaeeoe? 1.

Cai?iiiiiaai? iaoiaee e?eoaaiiy i?ino? a aeeiiaii?, i?e ?o canoinoaaii?
ia aoei oneeaaeiaiue. Iaea?eueoa aoaeoeai?noue ia?aaeaa/a?oueny i?e
eiia?iiaaiiio — e??io??o?a?/iiio iaoiae?, aeiiiaiaiiio ?iaaeyoe?yie
eaaai?cieo, iniaeeai i?e aea?a?eiiio aaciiioi?iiio ?ei?o?.

Eiaeai iaoiae iiaea ?icaeyaeaoeny ye iaoiae aeai?o e?eoaaiiy
aaciiioi?iiai ?ei?oo.

AENIIAEE

1. O oai?eo ia aaciiioi?iee ?ei?o ii?ooothoueny aaiiaeeiai?/i? i?ioeane
a neecia?e iaieiioe? ii?iaeiei iina, ui i?iyaey?oueny a oii-a?eueiai?
?ooo aaiiciiai iioieo, a cieaeaii? oiiono a?oa??aeueieo noaeei, a
iineeai? a?oa??aeueiiai e?iaiiaiiaiaiiy oa ?icaeoeo noaeeiii? aeenoii??.
Aeai? i?ioeane oi?aa?naeuei?, aiie iaei caeaaeaoue a?ae oi?ie ?ei?oo ?
iathoue eeoa e?euee?nio a?aei?ii?noue, yea ae?aaeaia a?eueo cia/ii i?e
aea?a?ei?e oi?i? ?ei?oo.

2. Cai?iiiiiaaia o??o?a?/ia ao?o/aiiy ia ieaei?o iiniaeo ?aeiaeiao
iiceoeaii aieeaa? ia aaiiaeeiai?eo neeciai? iaieiiee ii?iaeieie iina.
E??i oiai, i?ney eaoa?iiiceoe?? ieaei?o iiniaeo ?aeiaei ?icoe?ththoueny
caaaeuei? iinia? i?ioiaee, ui ni?ey? a?aeiiaeaith iiniaiai aeeoaiiy.
Eaoa?iiiceoe?y iniaeeai aoaeoeaia o oai?eo c oe?ieeie ieaei?-ie iiniaeie
oiaeaie.

3. Eiia?iiaaiee iaoiae, yeee aeeth/a? a naaa i?aeneeciao aacioii?th,
i?aeneeciao e??iaeano?oeoe?th oeaiei oa eaoa?iiiceoe?th ieaei?o iiniaeo
?aeiaei, yaey?oueny uaaeeeaei iaoiaeii e?eoaaiiy aaciiioi?iiai ?ei?oo.
I?ney eiai canoinoaaiiy ia ii?ooo?oueny oe?e?ni?noue neeciai? iaieiiee
ii?iaeieie iina oa a?eueo aeoeaii i?io?eathoue i?ioeane ?aia?aoe??. I?e
oeueiio iaoiae? e?eoaaiiy ii?iae?coaaeanue aaiiaeeiai?ea neeciai?
iaieiiee ii?iaeieie iina a eaoaiiac? (3-5?ie?a) o 90,6% oai?eo c
iae?iaaaaoaoeaiith ? o 89,4% — c aea?a?eiith oi?iith ?ei?oo.

4. A i?neyiia?aoe?eiiio ia??iae? ?io?aiacaeuei? ?iaaeyoe??
?ioiiei?aeoi?a eaaai?cieo cia/ii i?aeaeuothoue aoaeoeai?noue e?eoaaiiy
aea?a?eieo oi?i aaciiioi?iiai ?ei?oo, iiceoeai? iane?aeee yeeo aeua
(92,8%), i?ae o iaoe??io?a c aea?a?eiei ?ei?oii, ui ia iaea?aeoaaee
i?ney iia?aoe?? eaaai?cieo (89,4%).

5. Aeai? eaoaiiaca (3-5 ?ie?a) na?ae/aoue, ui i?ney e??iaie?eaoe?eiiai
e?eoaaiiy iiceoeai? iane?aeee iaea?aeai? o 73,7% oai?eo ia
iae?iaaaaoaoeaio oa o 67,6% — ia aea?a?eio oi?io aaciiioi?iiai ?ei?oo;
i?ney o??o?a?/iiai — o 84,7% oai?eo ia iae?iaaaaoaoeaio, oa o 84,8% — ia
aea?a?eio oi?io; i?ney eiia?iiaaiiai e?eoaaiiy — o 90,6% oai?eo ia
iae?iaaaaoaoeaio ? 89,4% — ia aea?a?eio oi?io; a o oai?eo ia aea?a?eiee
?ei?o, ui iaea?aeoaaee eaaai?cie i?ney eiia?iiaaiiai iaoiaeo — o 92,8%,
a ia iae?iaaaaoaoeaio oi?io aaciiioi?iiai ?ei?oo — o 91,2%.

I?AEOE*I? ?AEIIAIAeAOe??

1. C iaoith i?aeaeuaiiy aoaeoeaiino? e??iao?o/aiiy i?e aaciiioi?iiio
?ei?o? i?iiiio?oueny canoinoaaiiy i?aeneeciai? e??iaeano?oeoe?? oeaiei
ieaei?o iiniaeo ?aeiaei c iiia?aaeiueith i?aeneeciaith aacioii??th.

2. Iia?aoeaiee iaoiae e?eoaaiiy, yeee aeeth/a? a naaa i?aeneeciao
aacioii?th oa eaoa?iiiceoe?th ieaei?o iiniaeo ?aeiaei, iiaeia
cae?enithaaoe cae/aeieie ?ino?oiaioaie, ye? aeei?enoiaothoueny i?e
?acaeoe?? ia?aoeie iina. Iaoiae i?inoee a aeeiiaii? ? ia iio?aao?
i?yeiai aeiaeaoeiaiai iaeaaeiaiiy.

3. Eiia?iiaaiee iaoiae, i?e yeiio cae?enith?oueny i?aeneeciaa aacioii?y,
i?aeneeciaa e??iaeano?oeoe?y oeaiei ieaei?o iiniaeo ?aeiaei ? ?o
eaoa?iiiceoe?y, ? iaea?eueo aoaeoeaiei iaoiaeii a ii??aiyii? c ?ioeie ?,
iniaeeai, eiai ne?ae canoiniaoaaoe i?e e?eoaaii? iae?iaaaaoaoeaii? oi?ie
aaciiioi?iiai ?ei?oo.

4. Aeey aeinyaiaiiy a?eueo aoaeoeaieo oa no?eeeo ?acoeueoao?a i?e
e?eoaaii? aea?a?eii? oi?ie aaciiioi?iiai ?ei?oo i?iiiio?oueny i?ney
eiia?iiaaiiai e?eoaaiiy canoiniaoaaoe ?iaaeyoe?? ?ioiiei?aeoi?a
eaaai?cieo.

5. A?aeiinieie i?ioeiieacieeaie aei aeaieo iaoiae?a e?eoaaiiy ? ??cea
aeaoi?iaoe?y, a?aai? oa oeie ia?aoeie iina.

Nienie iioae?eiaaieo aaoi?ii i?aoeue

ca oaiith aeena?oaoe??

1. E iaoiaeeea ea/aiey aaciiioi?iuo ?eieoia//?inneeneay
?eiieiaey.-1993.-I?eeiaeaiea — 1.- n.52-53.(ni?aaaoi? Nei?iaiaaoee A.A.)

2. E aii?ino i ea/aiee aaciiioi?iiai ?eieoa//?inneeneay
?eiieiaey.-I?eeiaeaiea-2.-1994.-n.42-43.(ni?aaaoi? Nei?iaaaaoee A.A.)

3. I?eiaiaiea aeoaieiai oieiaea i?e ea/aiee aieueiuo aaciiioi?iui
?eieoii//VIII nuacae ioi?eiiea?eiaieiaia Oe?aeiu. —
Eeaa.-1995.-n.70-71.(ni?aaaoi?e I?eoe?i ?.I., O?iyi A.?.).

4. E?eioe?o?ae/aneea iaoiaeu ea/aiey aaciiioi?iuo ?eieoia//1-e c’?cae
Oe?a?inueeiai oiaa?enoaa e??ia?ieia?? ?
e??iiaaeeoeeie.-Oa?e?a.-1995.-n.179-180 (ni?aaaoi? I?nn?iiaeiee A.ss)

5. Iioeiecaoeey oe?o?ae/aneiai iaoiaea ea/aiey aaciiioi?iuo
?eieoia//Nai?iee iao/iuo o?oaeia iieiaeuo o/aiuo e niaoeeaeenoia
iaaeeeia Caii?iaeneiai einoeoooa oniaa?oainoaiaaiey a?a/ae e
Caii?iaeneiai ainoaea?noaaiiiai iaaeoieaa?neoaoa.-1996.-n.77-78.

6. Yooaeoeaiinoue ni/aoaiiai iaoiaea ea/aiey aaciiioi?iuo
?eieoia//?inneeneay ?eiieiaey.-1996.-n.93-94.

7. Ea/aiea o?iie/aneiai aaciiioi?iiai ?eieoa oe?o?ae/aneei
iaoiaeii//?inneeneay ?eiieiaey.-1997.-?2.-n.60-61.

8. Ea/aiea o?iie/aneiai aaciiioi?iiai ?eieoa e?eioe?o?ae/aneei
iaoiaeii//Aeooaeuei? ieoaiiy i?e?io??o?a?? aooa oa caoai?thaaiue aa?oi?o
aeeoaeueieo oeyo?a.-Ee?a.-1997.-n.91-92.

9. E aii?ino aeeaaiinoeee e ea/aiey o?iie/aneiai aaciiioi?iiai
?eieoa//Aeooaeuei? ieoaiiy oa?iaoeaaoe/ii? oa iaaee/ii? iaoee oa
i?aeoeee.//Ca??iee iaoeiaeo noaoae.-Aeione ?1.-
Caii??aeaey.-1997.-n.281-286.

10. N?aaieoaeueiay oa?aeoa?enoeea yooaeoeaiinoe 2-o e?eioe?o?ae/aneeo
iaoiaeia ea/aiey eeoe n o?iie/aneei aaciiioi?iui ?eieoii//Iaoa??aee
tha?eaeii? iaoeiai-i?aeoe/ii? eiioa?aioe??, i?enay/ai?e 100-??//th c
aeiy ia?iaeaeaiiy i?io. I.N. Eieii?e/aiea.-.Ee?a.-1998.-n.327-331.

11. N?aaieoaeueiay oa?aeoa?enoeea ?acoeueoaoia eiiaeie?iaaiiuo e?ei- e
oe?o?ae/aneiai iaoiaeia ea/aiey aieueiuo aaciiioi?iui ?eieoii //AEo?.
aooi.,iin. ? ai?eiaeo oai?ia.-1998.-?3.-n.20-28.(ni?aaaoi? O?eaoia A.O.)

12. Ninoiyiea eeaoi/iiai e aoii?aeueiiai eiioieoaoa o aieueiuo
o?iie/aneei aaciiioi?iui ?eieoii aei e iinea eiiaeie?iaaiiiai
e?eioe?o?ae/aneiai ea/aiey// AEo?. aooi.,iin. ? ai?eiaeo
oai?ia.-1998.-?4.-n.36-42.

13. N?aaieoaeueiay oa?aeoa?enoeea yooaeoeaiinoe iaeioi?uo iaoiaeia
ea/aiey aaciiioi?iiai ?eieoa//Aeooaeuei? ieoaiiy oa?iaoeaaoe/ii? oa
iaaee/ii? iaoee oa i?aeoeee.//Ca??ee iaoeiaeo
noaoae.-Aei.2.-Caii??aeaey.-1998.-n.167-173.

14. Eeeie/aneay yooaeoeaiinoue e?eiaaiiuo, oe?o?ae/aneeo e
eiiaeie?iaaiiuo iaoiaeia ea/aiey i?e aeea?ae/aneie oi?ia aaciiioi?iiai
?eieoa//AEo?. aooi.,iin. ? ai?eiaeo
oai?ia.-1998.-?5.-Aeiaeaoie.-n.87-88.

Eeth/ia? neiaa oe?a?inueeith iiaith: aaciiioi?iee ?ei?o,
iae?iaaaaoaoeaiee, aea?a?eiee, e??iaie?eaoe?y, i?aeneeciaa aacioii?y,
o??o?a?/iee, eaoa?iiiceoe?y.

Eeth/ia? neiaa ?in?enueeith iiaith: aaciiioi?iee ?eieo,
iae?iaaaaoaoeaiue, aeea?ae/aneee, e?eiaieeeaoeeiiiue, iiaeneecenoay
aacioiiey, oe?o?ae/aneee, eaoa?iiiceoeey.

Eeth/ia? neiaa aiae?enueeith iiaith: vasomotor rhinitis,
neurovegetativ, allergic, crioapplication, lateralposition.

AIIOAOe?ss

I?eoe?i I.?.»Aeei?enoaiiy o?ce/ieo ? o??o?a?/ieo iaoiae?a a e?eoaaii?
aaciiioi?iiai ?ei?oo «.-?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaith eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.19. — ioi?eiiea?eiaieiaey. Ee?anueeee IAeO
ioiea?eiaieia?? ?i. I.N.Eieii?e/aiea. Ee?a.1999.

A ?iaio? i?aaenoaaeai? ?acoeueoaoe eiiieaeniiai aea/aiiy
caaaeueiiee?i?/ieo, o?c?ieia?/ieo, aaiiaeeiai?/ieo oa ?ioiieia?/ieo
iieaciee?a o 287 oai?eo ia o?ii?/iee aaciiioi?iee ?ei?o. Eiio?ieueio
a?oio neeaee 25 ee?i?/ii caei?iaeo in?a. I?iaaaeaia ii??aiyeueia ioe?iea
aoaeoeaiino? 4-o iaoiae?a e?eoaaiiy: e??iaie?eaoe?eiiai, o??o?a?/iiai,
ii?aeiaiiy e??i- ? o??o?a?/iiai oa aaeeaaiiy ?ioiiei?aeoi?a —
eaaai?cieo, i?ney e??io??o?a?/iiai ao?o/aiiy. On? oai?? ianoaaeoaaeenue
aei, /a?ac oeaeaeaiue, 1 ? 18 i?nyoe?a. Eaoaiiac i?inoaaeaiee aei 5
?ie?a.

?ic?iaeaiee iiaee iaeiiaoaiiee — eiiieaeniee iaoiae e?eoaaiiy oai?eo ia
o?ii?/iee aaciiioi?iee ?ei?o, ui ii?aeio? i?aeneeciao aacioii?th,
i?aeneeciao e??iaeano?oeoe?th oeaiei ieaei?o iiniaeo ?aeiaei ? ?o
eaoa?iiiceoe?? i?e aaeeaaii? eaaai?cieo a i?neyiia?aoe?eiiio ia??iae?.

Aea/ai? a aeeiai?oe? o?c?ieia?/i? ooieoe?? iina ? eiai aaiiaeeiai?ea, a
oaeiae iieacieee ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo, ye? na?ae/eee i?i
?o ii?iae?caoe?th oa cia/ia iie?ioaiiy a eaoaiiac? (3 — 5 ?ie?a): a 1-e
a?oi? 73,7% oai?eo ia iae?iaaaaoaoeaio oa 67,3% ia aea?a?eio oi?io
aaciiioi?iiai ?ei?oo; a 2-e — a?aeiia?aeii — 84,7% ? 84,8%; a 3-e —
90,6% ? 89,4%; o oai?eo ia aea?a?eio oi?io ?ei?oo, ye? iaea?aeoaaee
eaaai?cie i?ney e??io??o?a?/iiai ao?o/aiiy, oe? iieacieee neeaee 92,8%.

E??io??o?a?/iee iaoiae e?eoaaiiy aaciiioi?iiai ?ei?oo ii?iae?co?
o?c?ieia?/i? ooieoe?? iina, noaa?e?co? ?ioiieia?/i? i?ioeane a i?aai?ci?
oa cia/ii ca?eueoo? oa?i?i ?ai?n?? i?e oeueiio caoai?thaaii?, i?ae
e??iaie?eaoe?eiee oa o??o?a?/iee.

Eeth/ia? neiaa: aaciiioi?iee ?ei?o, iae?iaaaaoaoeaiee, aea?a?eiee,
e??iaie?eaoe?y, i?aeneeciaa aacioii?y, o??o?a?/iee, eaoa?iiiceoe?y.

AIIIOAOeEss

Ieeoeei I.E.»Eniieueciaaiea oece/aneeo e oe?o?ae/aneeo iaoiaeia a
ea/aiee aaciiioi?iiai ?eieoa». — ?oeiienue.

Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.19 — ioi?eiiea?eiaieiaey.-Eeaaneee IEE
ioiea?eiaieiaee ei.i?io.A.E.Eieiiee/aiei, Eeaa, 1999.

Aeenna?oaoeey iinayuaia aii?inai niaa?oainoaiaaiey aeeaaiinoe eee
ea/aiey aieueiuo n ?acee/iuie oi?iaie aaciiioi?iiai ?eieoa.

A eeoa?aoo?iii iaci?a ?aaiou i?iaaaeai aeaoaeueiue aiaeec aii?inia
yoeieiaee, iaoiaaiaca e i?eiaiyaiuo eiina?aaoeaiuo, oe?o?ae/aneeo e
oece/aneeo iaoiaeia ea/aiey aeaiiie iaoieiaee.

A ?aaioa i?aaenoaaeaiu ?acoeueoaou eiiieaeniiai eco/aiey
iauaeeeie/aneeo, oeceieiae/aneeo, aaiiaeeiaie/aneeo e eiioiieiae/aneeo
iieacaoaeae o 287 aieueiuo o?iie/aneei aaciiioi?iui ?eieoii.
Eiio?ieueioth a?oiio ninoaaeee 25 eeeie/anee caei?iauo eeoe. I?iaaaeaia
n?aaieoaeueiay ioeaiea 4-o iaoiaeia ea/aiey: e?eiaiieeeaoeeiiiiai,
oe?o?ae/aneiai, ni/aoaiey e?ei-e oe?o?ae/aneiai aicaeaenoaey e
i?eiaiaiey eaaaieciea iinea e?eioe?o?ae/aneiai aiaoaoaeuenoaa. Ana
aieueiua ianeaaeiaaeenue aei, /a?ac iaaeaeth,1 e 18 ianyoeaa. Eaoaiiac
i?ineaaeai aei 5 eao.

?ac?aaioai iiaue iaeiiyoaiiue-eiiaeie?iaaiiue iaoiae ea/aiey aieueiuo
aaciiioi?iui ?eieoii, aeeth/athuee a naay iiaeneecenooth aacioiieth,
iiaeneecenooth e?eiaeano?oeoeeth oeaiae ieaeieo iiniauo ?aeiaei e eo
eaoa?iiiceoeee.

Iinea eiiaeie?iaaiiiai aicaeaenoaey eio?aiacaeueii aue i?eiaiai
eiioiiei?aeoi? — eaaaiecie. I?e yoii onoaiiaeaii aai noeioee?othuaa
aeaenoaea ia eeaoi/iue e aoii?aeueiue eiioieoao, /oi i?iyaeyaony a
oaaee/aiee eiee/anoaa O-eeioioeeoia e eo iiioeyoeee a ia?eoa?e/aneie
e?iae e eiioiiaeiaoeeiia G,A,M nuai?ioee e?iae, eioi?ua nieaeaiu a
aieueoie noaiaie i?e aeea?ae/aneie oi?ia aaciiioi?iiai ?eieoa. Aeaiiue
i?aia?ao iayooaeoeaiue i?e iae?iaaaaoaoeaiie oi?ia ?eieoa.

Eco/aiu a aeeiaieea aeuoaoaeueiay e iaiiyoaeueiay ooieoeee iina,
ii?aaeaeaiu: auaeaeeoaeueiay ooieoeey neecenoie iina, ?I iiniaiai
nae?aoa, ?eiioeeoieiaey, iiaeaeaeiinoue ia?oeaoaeueiiai yieoaeey,
aaiiaeeiaieea oeaiae iina, aeea?aecaoeey i?aaiecia e ninoiyiea
eeaoi/iiai e aoii?aeueiiai eiioieoaoa. A caaeneiinoe io iaoiaea ea/aiey
iieiaeeoaeueiua ?acoeueoaou ninoaaeee: a ia?aie a?oiia 73,7% n
iae?iaaaaoaoeaiie e 67,3% n aeea?ae/aneie oi?iie aaciiioi?iiai ?eieoa;
ai 2-e — niioaaonoaaiii — 84,7% e 84,8%; a o?aoueae — 90,6% e 89,4%; o
aieueiuo n aeea?ae/aneie oi?iie ?eieoa, eioi?ua iieo/aee eaaaiecie iinea
e?eioe?o?ae/aneiai aiaoaoaeuenoaa yoe iieacaoaee ninoaaeee 92,8%.

?ac?aaioaiiue iaoiae ea/aiey aaciiioi?iiai ?eieoa ii?iaeecoao
oeceieiae/aneea ooieoeee iina, noaaeeece?oao eiioiieiae/aneea i?ioeannu
a i?aaiecia e oaaee/eaaao ia?eiae ?aiennee a cia/eoaeueii aieueoae
noaiaie, /ai e?eiaiieeeaoeeiiiue e oe?o?ae/aneee.

Eeth/aaua neiaa: aaciiioi?iue ?eieo, iae?iaaaaoaoeaiue, aeea?ae/aneee,
e?eiaiieeeaoeeiiiue, oe?o?ae/aneee, iiaeneecenoay aacioiiey,
eaoa?iiiceoeey.

SUMMARY

Nikulin M.I. «Using of physical and surgical methods in treatment of
vasomotor rhinitis». — Manuscript.

Dissertation on competition of a scientific degree doctor of medical
sciences on a speciality 14.01.19 otorhinolaryngology — Kiev ISR of
otorhinolaryngology. Prof. A.I. Kolomiychenco, Kiev, 1999/

This work describes the results of complex study of clinical,
physiological, haemodynamical, and immunological parameters at 287
patients with chronic vasomotor rhinitis. Control group has 25
clinically healthy persons. The comparative estimation of four treatment
methods was made: crioapplication, surgical method, combination of
surgical method and crioapplication and using of Levamisol after
crioapplication and surgical intervention. All patients were surveyed up
to, after one week, 1 and 18 months. Catamnesis was keep up to 5 years.

We developed new, one-step complex method of patients with vasomotor
rhinitis treatment, that includes submucosal criodestruction and
lateralposition of bottom nasal bowl tissues, using Levamisol in
aftertreatment.

We dynamically studied the physiological functions of a nose; it’s
haemodynamics, and parameters of cell and humoral immunity, which
testifies its normalization or great improvement during catamnesis
(1,5-5 years). They were as follows: 1st — group: 73,7% with
neurovegetative vasomotor rhinitis and with allergic vasomotor rhinitis
— 67,3%; in 2nd — accordingly 84,7 and 84,8%; in 3rd — 90,6% and 89,4%;
in patients with allergic vasomotor rhinitis, who take Levamisol this
parameters were 92,8%.

The developed method of treatment of vasomotor rhinitis normalizes
physiological functions of a nose, stabilizes immunological processes in
body, and also increases a period remission in considerably large
degree, than crioapplication and surgical intervention.

Key words: vasomotor rhinitis, neurovegetative, allergic,
crioapplication, lateralposition.

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