Вплив емоційно-больового фактора на шлунковий кровообіг при хірургічному лікуванні виразкової хвороби: Автореф. дис… канд. мед. наук / О.М. Гусак, Т

I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

OA?III?EUeNUeEA AeA?AEAAIA IAAeE*IA AEAAeAI?ss

?i. ?. ss. AI?AA*AANUeEIAI

AONAE IEAA IEOAEEIAE*

OAeE 616.33-005-036.8-009.7]-022.44-089

AIEEA AIIOe?EII-AIEUeIAIAI OAEOI?A

IA OEOIEIAEE E?IAIA?A I?E

O??O?A?*IIIO E?EOAAII? AE?ACEIAI? OAI?IAE

( 14.01.03 — o??o?a?y )

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

OA?III?EUe — 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oa?iii?euenuee?e aea?aeaai?e iaaee/i?e

aeaaeai?? ?i. ?. ss. Ai?aa/aanueeiai

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?, Caneoaeaiee ae?y/
iaoee ? oaoi?ee Oe?a?ie

Eiaaeue/oe Eaii?ae sseeiiae/,

Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y
?i.?.ss.Ai?aa/aanueeiai,
?aeoi?, caa?aeoaa/ eaoaae?e oieoaeueii? o??o?a??

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

Aecthaaiianueeee ?ai? sseiae/

Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i. ?.ss.Ai?aa/aanueeiai,
caa?aeoaa/ eaoaae?e o??o?a?? OII

aeieoi? iaaee/ieo iaoe, i?ioani?, Caneoaeaiee ae?y/ iaoee ? oaoi?ee
Oe?a?ie

I?eueeia Ai?en Ieaaiae/

Aoeiaeinueea aea?aeaaia iaaee/ia aeaaeai?y, i?ioani? eaoaae?e
oaeoeueoaonueei? o??o?a??

I?ia?aeia onoaiiaa: ?inoeooo ee?i?/ii? ? aenia?eiaioaeueii? o??o?a?? AII
Oe?a?ie (i. Ee?a)

Caoeno a?aeaoaeaoueny «29» aeiaoiy 1998 ?. i 12 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee E. 58.601.01 i?e Oa?iii?euenuee?e
aea?aeaai?e iaaee/i?e aeaaeai?? ?i. ?. ss. Ai?aa/aanueeiai.

Aae?ana aeaaeai??: 282001, Oa?iii?eue, iaeaeai Aie?, 1.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? aeaaeai?? ca
aae?anith: Oa?iii?eue, aoe. ?onueea, 12.

Aaoi?aoa?ao ?ic?neaiee « 26 » aa?aniy 1998 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe, i?ioani? I. I. E?O

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Aea/aiith ooieoe?e ??ciiiai?oieo i?aai?a ? nenoai
i?aai?cio a oiiaao aieeao aiioe?eii-aieueiaiai oaeoi?a i?eae?ey?oueny
iniaeeaa oaaaa.

Cia/ia ca?eueoaiiy /anoee no?aniaeo caoai?thaaiue a caaaeuei?e no?oeoo??
oai?ia iiynith?oueny oei, ui o a?e iaoeiai-oaoi?/ii? ?aaiethoe?? c?inoa?
aieea ia i?aai?ci iiaeo ae?th/eo no?an-oaeoi??a (O. ?. Oo?aeoe, 1990; A.
Saggioro, 1994). Aenia?eiaioaeuei? ? ee?i?/i? aeine?aeaeaiiy inoaii?o
?ie?a na?ae/aoue, ui ia ia?oa i?noea o a?aeiioaii? aieeao no?aniaeo
/eiiee?a ia niiaoe/i? i?aaie iiaeia iinoaaeoe nenoaio o?aaeaiiy (A. I.
Oioiey ? ni?aaao., 1989; A. A. E?eeia, A. A. Caieyiie, 1989; O. ?.
Oo?aeoe, 1990; Y. Takaya et al., 1994).

Ieoaiiy iie?auaiiy ?acoeueoao?a o??o?a?/iiai e?eoaaiiy ae?aceiai?
oai?iae ? nueiaiaei? ia ao?aoeee nai?? aeooaeueiino?. Ia aeeaey/enue ia
aea?? iioeiaeueiiai ia’?io o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae
oeoiea ? aeaaiaaeoeyoeiaei? eeoee, iaoiaee iiia?aaeaeaiiy oneeaaeiaiue,
inoaii?i /anii caa?ioee oaaao ia ?icaeoie ?oai?? aano?iaeoiaeaiaeueii?
ciie a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? (A. A. Eooeaae/ ? ni?aaao.,
1990; A. Ae. Aaaaieia, 1995). Naia aiia a aaaaoueio aeiaaeeao aecia/a?
ii?iaeueiee ia?aa?a i?neyiia?aoe?eiiai ia??iaeo oa caaaeueiee noai
i?aai?cio iaoe??ioa.

Iaaiaeyoue ??ciiiai?oi? aeai? i?i /anoioo aino?iai a?iceaii-ae?aceiaiai
o?aaeaiiy aano?iaeoiaeaiaeueii? ciie. Ee?i?/i? i?iyae niinoa??aathoueny
o 1% oai?eo, ia aooiin?yo ?o ciaoiaeyoue o 24% aeiaaee?a, i?e aea??eia?e
acioaaiaano?iaeoiaeaiineii?? — o 80-100% ianoaaeaieo (A. A. Eooeaae/,
1990; A. O. Caeoeaa ? ni?aaao., 1995). *ano?oa aiie aeieeathoue i?ney
??cieo aeae?a aaaioii??, ??aeoa — i?ney ?acaeoe?? oeoiea (A. I. Oioiey,
1989; I. I. Aae?aioeueeee, 1993).

I?iaaaeai? aeine?aeaeaiiy iieacaee, ui i?e ??cieo iaoiaeao o??o?a?/iiai
e?eoaaiiy ae?aceiai? oai?iae cieaeo?oueny ia’?iia oaeaee?noue e?iaia?ao
a neecia?e oeoiea, ii??aiyii c aeiiia?aoe?eiei ??aiai (I. E. Ao?eia,
1997; E. ss. Eiaaeue/oe, 1995, 1997, 1998; P. R. Tarnavsky et al.,
1994). Aaaaoi aaoi??a i?e/eiith oeueiai yaeua aaaaeathoue ii?ooaiiy
aaeaeaaoiino? e?iaiiinoa/aiiy no?iee oeoiea i?e neaeaooaaii? i?aaia (I.
I. Aae?aioeueeee ? ni?aaao., 1993), ia?an?/aiiy aioo??oiueii?aaiieo
aianoiiic?a, ia??aano?aeueieo noaeeiieo aeoa (A. N. A??ne?i, 1978; TH.
?. Eae?o, 1992). Iaeiae i?e oeueiio ia a?aoiao?oueny aieea
aiioe?eii-aieueiaiai oaeoi?a ia aioo??oi?e aiiaie?iac i?aai?cio oai?iai
?, iniaeeai, ia noai e?iaia?ao aano?iaeoiaeaiaeueii? ciie. A?aeiii, ui
naia aiioe?eii-aieueiaee oaeoi?, yeee i?eoaiaiiee caoai?thaaiith ?
iia?aoeaiiio ao?o/aiith, noi?iaiaeaeo?oueny aeoeaaoe??th a?ieia?/ieo
ai?i?a, ui aeeeeeathoue niaci ia?eoa?e/iiai noaeeiiiai ?onea,
oeaio?ae?caoe?th e?iaiia?ao, ui ni?ey? ?icaeoeo ?oai??
aano?iaeoiaeaiaeueii? ciie. ?oai?/i? a?ic?? ? ae?acee iia?iaaiiai i?aaia
a 13,8 % — 86,9 % aeiaaee?a oneeaaeiththoueny e?iaioa/ath (A. A.
Eooeaae/ ? ni?aaao.; 1990; ?. ss. Iaeoaeia, 1993; TH. ?. Eou??a, 1996).

*anoioa ia?oi?aoe?e aino?eo ae?acie neeaaea? a?ae 8 aei 34% ii
a?aeiioaiith aei e?iaioa/ (A. ?. Ai?aaoei ? ni?aaao., 1977; A. O.
Ainoeuaa ? ni?aaao., 1992). Ae?aaiinoeea oeeo oneeaaeiaiue /anoi aaaeea
aiane?aeie iaoa?oaaiiy neiioii?a iniiaiiai caoai?thaaiiy, ui
i?ecaiaeeoue aei ianai?/aniiai ?ici?ciaaaiiy ?o ? a 76% — aei eaoaeueieo
iane?aee?a (A. A. Eooeaae/ ? ni?aaao., 1990; K. Schiessel et al., 1984).
O ca‘yceo c oeei, ia?oi/a?aiaeie ? ieoaiiy i?iaiicoaaiiy ? i?io?eaeoeee
aeieeiaiiy aino?eo ?oai?/ieo oneeaaeiaiue, ye? aei oaia??oiueiai /ano ?
ia iiai?noth ae??oaieie, a oiio caeeoathoueny aeooaeueiith i?iaeaiith.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa “Aieea aiioe?eii-aieueiaiai oaeoi?a ia oeoieiaee e?iaia?a i?e
o??o?a?/iiio e?eoaaii? ae?aceiai? oai?iae” ? o?aaiaioii ieaiiai?
iaoeiai? ?iaioe eaoaae?e aini?oaeueii? o??o?a?? Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss. Ai?aa/aanueeiai “?ic?iaea
iaoiae?a iiia?aaeaeaiiy, e?eoaaiiy ? i?iaiicoaaiiy iane?aee?a ?
oneeaaeiaiue o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae oeoiea oa
12-iaei? eeoee” (iiia? aea?aeaaii? ?a?no?aoe?? 01. 910036378).

Iaoa aeine?aeaeaiiy: iie?aueoe ?acoeueoaoe o??o?a?/iiai e?eoaaiiy
ae?aceiai? oai?iae oeoiea ? aeaaiaaeoeyoeiaei? eeoee oeyoii aea/aiiy
aieeao aiioe?eii-aieueiaiai oaeoi?a ia noai oeoieiaiai e?iaia?ao ?
iiia?aaeaeaiiy ?aii?o i?neyiia?aoe?eieo oneeaaeiaiue, ?ic?iaeoe e?eoa???
i?iaiicoaaiiy ? iaoiaee i?io?eaeoeee oeeo oneeaaeiaiue.

Caaea/? aeine?aeaeaiiy:

1. Aea/eoe aieea aiioe?eii-aieueiaiai oaeoi?a ia noai e?iaia?ao
aano?iaeoiaeaiaeueii? ciie o oai?eo ae?aceiaith oai?iaith oeoiea ?
aeaaiaaeoeyoeiaei? eeoee.

2. Anoaiiaeoe caeaaei?noue i?ae ii?ooaiiyi e?iaia?ao neeciai? iaieiiee
oeoiea ? aeieeiaiiyi ?aii?o ?oai?/ieo oneeaaeiaiue aano?iaeoiaeaiaeueii?
ciie i?ney iia?aoe?? o oai?eo ae?aceiaith oai?iaith.

3. ?ic?iaeoe e?eoa??? i?iaiicoaaiiy ? iaoiaee i?io?eaeoeee
i?neyiia?aoe?eieo oneeaaeiaiue, iia’ycaieo c iaaaoeaiei aieeaii
aiioe?eii-aieueiaiai oaeoi?a ia noai e?iaia?ao aano?iaeoiaeaiaeueii?
ciie o oai?eo, iia?iaaieo c i?eaiaeo ae?aceiai? oai?iae oeoiea ?
aeaaiaaeoeyoeiaei? eeoee.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa aea/aii aieea
aiioe?eii-aieueiaiai oaeoi?a ia noai e?iaia?ao aano?iaeoiaeaiaeueii?
ciie a aenia?eiaio? oa o oai?eo, ye? ia?aianee iia?aoeaia ao?o/aiiy c
i?eaiaeo ae?aceiai? oai?iae oeoiea ? aeaaiaaeoeyoeiaei? eeoee,
aecia/aia ?ieue ?oai?? neeciai? oeoiea o aeieeiaii? aino?eo a?ic?e ?
ae?acie. Aia?oa iieacaii caeaaei?noue i?ae ci?iith oaeaeeino? oeoieiaiai
e?iaia?ao, ??aiai ineoiaiioe?eiiai iai?oaeaiiy o ia?aaeiia?aoe?eiiio ?
?aiiueiio i?neyiia?aoe?eiiio ia??iae?. Ae?noaee iiaeaeueoee ?icaeoie
iaoiaee i?iaiicoaaiiy oa i?io?eaeoeee aino?iai oeueoea?iaaiaco a
iia?iaaieo oai?eo.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. ?ic?iaeai? e?eoa???
i?iaiicoaaiiy aeieeiaiiy ?oai?/ieo oneeaaeiaiue, ni?e/eiaieo aieeaii
aiioe?eii-aieueiaiai oaeoi?a ia i?aai?ci oai?iai a ?aiiueiio
i?neyiia?aoe?eiiio ia??iae?, c o?aooaaiiyi noaio eieaeueiiai
aano?iaeoiaeaiaeueiiai e?iaia?ao, oeio aeii?ioth/i? aaaaoaoeaii?
ia?aiai? nenoaie, ??aiy no?ano a ia?aaeiia?aoe?eiiio ia??iae? oa ?ioeo
i?iaiinoe/ii aaaeeeaeo iciae. Ia iniia? aiae?co ?acoeueoao?a aeanieo
aeine?aeaeaiue cai?iiiiiaaiee eiiieaen i?io?eaeoe/ieo caoiae?a aeey
iiia?aaeaeaiiy aino?eo ?oai?/ieo oneeaaeiaiue o ?aiiueiio
i?neyiia?aoe?eiiio ia??iae?.

?acoeueoaoe iaoeiaeo ?ic?iaie ai?iaaaeaeai? o i?aeoeeo Oa?iii?euenueei?
iaeanii? ee?i?/ii? e?ea?i?, e?eoaaeueieo caeeaae?a Oa?iii?euenueei?,
Aieeinueei?, ??aiainueei? iaeanoae.

Iniaenoee aianie caeiaoaa/a. Aaoi? iaieiae?a no/anieie iaoiaeaie
aeine?aeaeaiiy ?aa?iia?iiai e?iaia?ao neeciai? iaieiiee oeoiea oa
12-iaei? eeoee, nae?aoi?ii? ooieoe?? oeoiea, iaoiaeeeith aecia/aiiy
neooaoeaii? oa iniaeno?nii? o?eaiaeiino?, ??aiy ineoiaiioe?eiiai
iai?oaeaiiy oa oeio aeii?ioaaiiy aaaaoaoeaii? ia?aiai? nenoaie. Aeai?
aeine?aeaeaiiy ia 60% i?iaiaeeeenue iei iniaenoi oa c o/anoth
ni?a?ia?oiee?a eaoaae?e. Noaoenoe/ia ia?iaea oeeo?iaeo aeaieo, aiae?c
io?eiaieo ?acoeueoao?a aeine?aeaeaiiy, oi?ioethaaiiy aeniiae?a ?
e?oa?aoo?ia ioi?ieaiiy iaoeiai? ?iaioe aeeiiaia aaoi?ii naiino?eii.

Ai?iaaoe?y ?acoeueoao?a aeine?aeaeaiiy. Iniiai? iieiaeaiiy ?iaioe
aeeeaaeai? oa iaaiai?ai? ia e?ea?nueeeo eiioa?aioe?yo Oa?iii?euenueei?
iaeanii? ee?i?/ii? e?ea?i?, ??aiainueeiai ae?aaiinoe/iiai oeaio?o,
i?aeeaoaae?aeuei?e eiioa?aioe?? ca o/anoth eaoaae? aini?oaeueii?,
oaeoeueoaonueei? o??o?a??, o??o?a?? oaeoeueoaoo i?neyaeeieiiii? ina?oe
Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss.
Ai?aa/aanueeiai.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? aeaeaii 9 iaoeiaeo i?aoeue. C
ieo 3 o i?io?eueieo aeo?iaeao.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny ?c anooio, iaeyaeo
e?oa?aoo?e, /ioe?ueio ?icae?e?a aeanieo aeine?aeaeaiue, i?aenoiea,
aeniiae?a, nieneo aeei?enoaieo aeaea?ae. Oaeno aeena?oaoe?? aeeth/a?
102 ae?oeiaaieo noi??iee, i?i?ethno?iaaiee 23 oaaeeoeyie oa 12
?enoieaie. Nienie e?oa?aoo?e i?noeoue 231 aeaea?aei.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Iaie ianoaaeaii 118 iaoe??io?a, c
ieo 57 (48,3%) oai?eo ia ae?aceiao oai?iao oeoiea ? 61 (51,7%) — ia
ae?aceiao oai?iao aeaaiaaeoeyoeiaei? eeoee, ye? ciaoiaeeeeny ia
ianoaaeaii? oa e?eoaaii? a o??o?a?/iiio a?aeae?eaii? Oa?iii?euenueei?
iaeanii? ee?i?/ii? e?ea?i? a ia??iae c 1990 ii 1996 ??.

Noai aioiaiino? i?aai?cio aei ?aaeoe?? ia no?an — oaeoi? aecia/aee ca
iaeei aeaiue aei iia?aoe?? ca iaoiaeeeith, cai?iiiiiaaiith *.Ae.
Ni?eaa?aii, aaeaioiaaiith ia ?in?enueeo iiao TH. E. Oai?iei (1990).

??aaiue ineoiaiioe?eii? iai?oae aecia/aee ca eieuei?iaei oanoii Ethoa?a
(1990) c aeiiiiiaith eiii’thoa?a ?AI AO/OO 386AeO33.

Aeey ioe?iee noaio aaaaoaoeaii? ia?aiai? nenoaie ei?enooaaeenue iaoiaeii
aa??aoe?eii? ioeueniiao??? (?. I. Aa?anueeee, 1984), yeee aeicaiey?
noaeeoe i?i noai ? nooi?iue iai?oaeaiiy aae?aia?a?/ieo iaoai?ci?a
?aaoeyoe?? i?aai?cio.

Aeey aecia/aiiy oaeaeeino? e?iaia?ao neeciai? iaieiiee
aano?iaeoiaeaiaeueii? ciie ei?enooaaeenue oaeineiiaeaiei
iiey?ia?ao?/iei iaoiaeii ?a?no?aoe?? oaeaeeino? e?iaia?ao ca ee??ainii
aiaeith (E. ss. Eiaaeue/oe, 1984) c aeei?enoaiiyi eiioaeoieo ieaoeiiaeo
aeaeo?iae?a, cai?iiiiiaaieo Murakami Motonobu ? ni?aaao., (1982).

Aeey aea/aiiy oeoieiai? nae?aoe?? canoiniaoaaee iaeneiaeueiee
a?noai?iiaee oano Eay (1953).

Eeneioiooai?aiiy ? nooi?iue iaeo?ae?caoe?? nieyii? eeneioe o ??cieo
aiaoii?/ieo a?aeae?eao oeoiea ? aeaaiaaeoeyoeiaei? eeoee aecia/aee ca
aeiiiiiaith oeoieiai? ?I-iao??? c a?ao?/iith ?a?no?aoe??th ?acoeueoao?a
ca iaoiaeii ?. TH E?iia?a (1968), iiaeeo?eiaaiei E. ss. Eiaaeue/oeii
? A. A. Aaiaaeeeoii (1984).

sse iiaeaeue aino?iai no?ano aeei?enoiaoaaee aeaeo?iaieueiao no?ani?io
ae?th ca Deziderato (1974).

Iniiai? ?acoeueoaoe aeine?aeaeaiiy. Aenia?eiaioaeueiiio aeine?aeaeaiith
i?aeeyaaei 4 a?oie noaoaai aeic??eeo a?eeo uo??a e?i?? Wistar ianith 190
— 220 a?ai?a ??ciiai a?eo: iieiae? (3 — 4 i?n) oa noa?? (22 — 24 i?n)
iniaeie. O ia?oo a?oio aoiaeeee oaa?eie, yeei ia i?iaiaeeeiny
iia?aoeaia ao?o/aiiy, aea ye? i?aeeyaaee ae?? aeaeo?iaieueiaiai
iiae?acieea. Ae?oa?e a?oi? aoea cae?eniaia aeaia?/ia i?aeae?ao?aaiaeueia
aaaioii?y. O?aoy a?oia — oaa?eie, ye? ia?aianee iia?aoeaia ao?o/aiiy —
aeaia?/io i?aeae?ao?aaiaeueio aaaioii?th — ca 14—15 aei?a aei ae?? ia
ieo aeaeo?iaieueiaiai iiae?acieea. *aoaa?oa a?oia — eiio?ieueia.

Iaeiei c oaeoi??a, ui ni?eythoue aeieeiaiith ?oai?/ieo iioeiaeaeaiue
no?iee oeoiea, ? ci?ia oaeaeeino? ?aa?iia?iiai oeoieiaiai e?iaia?ao.
Iaea?eueo aenie? iieacieee e?iaia?ao ?a?no?oaaeeny o ooiaeaeueiiio,
iaea?eueo iecuee? — o i?ei?e/iiio a?aeae?eao oeoiea. I?ney ?aaeoe?? ia
aeaeo?iaieueiaa iiae?aciaiiy a?aeaoaaany ia?a?iciiae?e ?aa?iia?iiai
e?iaia?ao: ?aaeoeoe?y eiai, ia?aaaaeii o i?ieneiaeueiiio a?aeae?e?
oeoiea, yea oo?eioaaeanue o a?eueoino? uo??a aei 24 aiaeei. Cia/aiiy
aioo??oiueioeoieiaiai ?I i?ney ae?? no?ani?iiai /eiieea ciaoiaeeeeny a
iaaeao aeo?aeieo aaee/ei (oaae. 1).

Oaaeeoey 1

Oaeaee?noue ?aa?iia?iiai e?iaia?ao a neecia?e iaieiioe? oeoiea i?ney
ae?? aeaeo?iaieueiaiai iiae?acieea (I+m).

Oa?i?i aeine?aeaeaiiy

i?ney ae??

E?euee?noue

Oaeaee?noue e?iaia?ao (ie/oa(100a)

no?an-/eiieea iniaei

Ia?aaeoeoiie Ooiaeaeueiee a?aeae?e I?ei?e/iee a?aeae?e

1aiae 7 30,40+1,80 47,00+2,20( 41,80+0,80(

2aiae 7 28,20+0,80 44,70+1,60( 39,00+1,20(

4aiae 6 29,70+1,40 45,90+0,90( 40,40+2,30(

6aiae 6 30,90+2,90 51,60+2,40( 43,20+1,70

24aiae 6 29,30+2,50 55,90+3,10 44,50+2,10

48aiae 6 31,40+1,90 55,10+2,30 42,70+2,20

Eiio?ieue 6 33,60+1,40 58,40+1,60 45,30+0,90

I?ei?oea: ( iicia/aia noaoenoe/ii aeinoia??ia ??cieoey o
a?aeiioaii? aei eiio?ieth.

I?e aiae?c? ?acoeueoao?a, io?eiaieo o i?ioean? aeine?aeaeaiiy
aenia?eiaioaeueieo oaa?ei, ui ia?aianee aeaia?/io noiaao?iao aaaioii?th
? i?aeeyaaee ae?? aieueiaiai iiae?acieea, anoaiiaeaii, ui aaaonia
aeaia?aaoe?y oeoiea ia caoeua? eiai neeciao a?ae ae?? no?an-oaeoi?a.
A?eueoa oiai, naia aaaioii?y ia aeeeth/a? iiaeeeaino? iiyae a?ic?e ?
ae?acie, iioaioe?thth/e ?oai?th neeciai? iaieiiee, aeeeeeaii? ae??th
aeaeo?i — aieueiaiai iiae?acieea, oeyoii ?aaeoeoe?? oeoieiaiai e?iaia?ao
a eeneioii?iaeoeoth/eo a?aeae?eao oeoiea. Io?eiai? aeai? aeacothoue, ui
a ia?o? aiaeeie i?ney ae?? aieueiaiai no?ano eeneioiooai?aiiy aeaui
ca?eueoo?oueny ? iiaa?oa?oueny aei aeo?aeiiai ??aiy /a?ac 48 aiaeei.

I?e aiae?c? ?acoeueoao?a i?iaaaeaieo aeine?aeaeaiue anoaiiaeaii, ui o
noa?eo uo??a i?ae aieeaii aeaeo?iaieueiaiai iiae?acieea aaaee?noue ?
iiiaeeii?noue o?aaeaiiy neeciai? iaieiiee oeoiea a?eueoa, i?ae o
iieiaeeo, ? neeaaea? 82,00% i?ioe 40,00% (oaae. 2).

Oaaeeoey 2

Aieea aieueiaiai oaeoi?a ia ae?aceiooai?aiiy o neecia?e oeoiea (I+m).

N

i/i

A?oie oaa?ei

E?euee?noue iniaei

*anoioa o?aaeaiiy

Aaaee?noue o?aaeaiiy Iiiaeei-i?noue o?aaeaiiy

1 Iieiae? ?ioaeoi? uo??

12

0

0

0

2 Noa?? ?ioaeoi? uo??

12

25

0,66+0,52

0,64+0,21

3 Iieiae? iniaeie i?ney ae?? aieueiaiai iiae?acieea

12

45

0,89+0,15(

0,70+0,23(

4 Noa?? iniaeie i?ney ae?? aieueiaiai iiae?acieea

10

80

0,90+0,45(

2,45+0,40(

Anueiai

46

I?ei?oea: ( iicia/aia aeinoia??ia ??cieoey i?ae ia?oith oa
ae?oaith a?oiaie.

Oaeei /eiii, ?acoeueoaoe aenia?eiaioo na?ae/aoue i?i oa, ui
ia?a?iciiae?e oeoieiaiai e?iaia?ao ? eiai ?aaeoeoe?y ia oii?
caa?aaeaiiai eeneioiooai?aiiy a?ae?a?athoue aaaeeeao ?ieue o aeieeiaii?
aino?eo ?oai?/ieo iioeiaeaeaiue oeoiea.

Ianoaaeoaai? oai?? ?icae?eai? ia 3 a?oie a caeaaeiino? a?ae aaee/eie
a?aeoeeaiiy cia/aiue oaeaeeino? ?aa?iia?iiai oeoieiaiai e?iaia?ao a?ae
iaae o?c?ieia?/ii? ii?ie, ??aiy ineoiaiioe?eiiai iai?oaeaiiy a
ia?aaeiia?aoe?eiiio ia??iae?, nooiaiy iai?oaeaiiy aae?aia?a?/ieo
iaoai?ci?a ?aaoeyoe?? aioo??oiueiai aiiainoaco i?aai?cio.

Aei ia?oi? a?oie a?aeianaii 34 oai?eo, o yeeo oaeaee?noue e?iaia?ao
neeciai? oeoiea aei??aithaaea, aai iacia/ii ia?aaeuoaaea iieacieee
a?eiai? ii?ie, ??aaiue ineoiaiioe?eiiai iai?oaeaiiy ioe?ithaaany ye
na?aaei?e (aei 30 aae?a), ?iaeaen iai?oae eieeaaany a?ae 180 aei 400
?-iae. O ae?oao a?oio aa?eoei 46 iaoe??io?a c a?aeoeeaiiyi oaeaeeino?
e?iaia?ao a?ae a?aeiia?aeii? a?eiai? ii?ie ia 5—25% a a?e cieaeaiiy,
??aaiue ineoiaiioe?eiiai iai?oaeaiiy ioe?ithaaany ye na?aaei?e ? aenieee
(31—50 aae?a). O o?aoth a?oio oa?eoei 38 oai?eo ae?aceiaith oai?iaith
oeoiea ? aeaaiaaeoeyoeiaei? eeoee, o yeeo oaeaee?noue ?aa?iia?iiai
e?iaia?ao a neecia?e oeoiea aoea a?eueoa, i?ae ia 25% ieae/ith a?ae
a?aeiia?aeii? a?eiai? ii?ie, ??aaiue ineoiaiioe?eiiai iai?oaeaiiy
aenieee (45 aae?a), ?iaeaen iai?oae (?I) — a?ae 120 aei 580 ?-iae.

Eiio?ieueio a?oio neeaaeaei 15 iaoe??io?a, aini?oae?ciaaieo o
ee?i?eo c i?eaiaeo a?eae ia?aaeiuei? /a?aaii? no?iee oa e?iii
??cii? eieae?caoe??.

Ca iaoeie aeaieie, a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? aino??
o?aaeaiiy neeciai? oeoiea i?e acioaaiaano?iaeoiaeaiineii?? aeyaeai? o
9,32% ianoaaeaieo oai?eo.

I?e aeine?aeaeaii? ?aa?iia?iiai oeoieiaiai e?iaia?ao o oai?eo, ui
ia?aianee naeaeoeaio i?ieneiaeueio aaaioii?th (NIA), aai noiaao?iao
aaaioii?th c ae?aioth/ith iia?aoe??th (NoA + AeI) c i?eaiaeo
ae?aceiai? oai?iae aeaaiaaeoeyoeiaei? eeoee, aai ?acaeoe?th i?e
oeoieia?e eieae?caoe?? ae?acee, a?aei?/aii ia?a?iciiae?e eiai c
i?ieneiaeueiiai a aeenoaeueiee a?aeae?ee oeoiea (?en. 1). O an?o oai?eo
niinoa??aaeinue cieaeaiiy oeoieiaiai e?iaia?ao a eeneioii?iaeoeoth/eo
a?aeae?eao i?aaia: i?ney NIA — a na?aaeiueiio ia 27,80% (?<0,005), i?ney NoA+AeI - ia 46,72% (?<0,001), i?ney ?acaeoe?? ia 41,30% (?<0,001). A?aei?/aii, ui cia/ia ?aaeoeoe?y oeoieiaiai e?iaia?ao niinoa??aaeanue o oai?eo c aenieei ??aiai ineoiaiioe?eii? iai?oae ia?aae iia?aoe??th ? aenieei nooiaiai iai?oaeaiiy aae?aia?a?/ieo iaoai?ci?a ?aaoethaaiiy aioo??oiueiai aiiainoaco a ?aiiueiio i?neyiia?aoe?eiiio ia??iae?. sse i?aaeei, o oeeo ianoaaeaieo aoea iaea?eueo iecueea oaeaee?noue eieaeueiiai aano?aeueiiai e?iaia?ao, yea nyaaea e?eoe/ieo cia/aiue - iaioa 60,00% a?ae a?eiai? o?c?ieia?/ii? ii?ie. ?en. 1. Aeeiai?ea ia?a?iciiae?eo oaeaeeino? e?iaia?ao aano?iaeoiaeaiaeueii? ciie a ?aiiueiio i?neyiia?aoe?eiiio ia??iae?. Nae?aoi?ia ooieoe?y oeoiea ci?ithaaeanue ca ?aooiie cieaeaiiy eeneioii?iaeoeoe??. Eeneioiooai?aiiy caeeoaeiny aenieei, i?i ui na?ae/aoue aeai? ?a?no?aoe?? ?I. Ca?aeii c iaoeie niinoa?aaeaiiyie, iaeiei c aaaaoueio oaeoi??a, ye? iiaeooue aeeeeeaoe ooai?aiiy aino?eo a?ic?e ? ae?acie neeciai? aano?iaeoiaeaiaeueii? ciie, ? oei iia?aoeaiiai ao?o/aiiy. Anoaiiaeaii, ui o a?oi? oai?eo, ui ia?aianee naeaeoeaio i?ieneiaeueio aaaioii?th aai noiaao?iao aaaioii?th c ae?aioth/ith iia?aoe??th, aino?? a?ic?? ? ae?acee aeyaeai? a 8,09%, a a a?oi?, aea i?iaiaeeeanue ?acaeoe?y oeoiea ca iaeiei ?c niinia?a A?eue?ioa, /anoioa aino?iai ae?aceiooai?aiiy neeaaeaea 3,50%. Ioaea, i?ney NIA aai NoA+AeI /anoioa ooai?aiiy aino?eo a?ic?e ? ae?acie a?eueoa, i?ae i?ney ?acaeoe?? oeoiea. Ee?i?/i? i?iyae aino?iai a?iceaii-ae?aceiaiai i?ioeano ia a?ae??ciythoueny ae?aaeai?noth neiioii?a aiane?aeie iaoa?oaaiiy ee?i?ee iniiaiiai caoai?thaaiiy. I?ioa a?aeiii, ui ae?y aiioe?eii-aieueiaiai oaeoi?a aeeeeea? i?aeaeuaiiy a e?ia? ??aiy a?iaaiieo ai?i?a, ui i?eaiaeeoue aei niacio ia?eoa?e/ieo noaeei, oeaio?ae?caoe?? e?iaiia?ao ?, aiane?aeie oeueiai, a?iien?? oeaiei. ?nio? o?niee ei?aeyoe?eiee ca’ycie i?ae iieacieeaie ?eoio na?oey ? ??aiai eaoaoieai?i?a o e?ia?. Aeine?aeaeaiiyi nooiaiy iai?oaeaiiy aae?aia?a?/ieo iaoai?ci?a ?aaoeyoe?? i?aai?cio ca iaoiaeii aa??aoe?eii? ioeueniiao??? anoaiiaeaii, ui ia?inoaiiy ?aaeoe?? eiai ia iia?aoe?eio o?aaio aeinyaa? iaeneioio o ia?oo aeiao i?ney iia?aoe??. A naie oai?eo o ?aiiueiio i?neyiia?aoe?eiiio ia??iae? iieacieee ?eoio na?oey iaeneiaeueii ca?eueooaaeenue ia o?aoth aeiao. I?e aiaeineii?/iiio ianoaaeaii? ?o aeyaeai? aino?? a?ic?? neeciai? iaieiiee oeoiea. Oaeei /eiii, aeieeiaiiy aino?eo iioeiaeaeaiue no?iee oeoiea aeieea? /a?ac 48-72 aiaeeie i?ney ae?? aiioe?eii-aieueiaiai oaeoi?a. Ia iniia? ?acoeueoao?a aeine?aeaeaiue iiaeia c?iaeoe aeniiaie i?i iaoai?ci aino?iai ae?aceiooai?aiiy a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? i?ney o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae oeoiea ? aeaaiaaeoeyoeiaei? eeoee. I?i ?ieue ?oai?? a ?icaeoeo aino?iai ae?aceiooai?aiiy aano?iaeoiaeaiaeueii? ciie na?ae/eoue ? oie oaeo, ui o /ioe?ueio ?c naie aeiaaee?a aeieeiaiiy aino?eo a?ic?e ? ae?acie o ?aiiueiio i?neyiia?aoe?eiiio ia??iae?, inoaii? ?icaeaaeenue o oai?eo ?c coieiaiith ae?aceiaith e?iaioa/ath a aiaiiac?. Oyaeaiiy i?i iaoiaaiac aino?iai ae?aceiooai?aiiy a neecia?e oeoiea iieeaaeaii a iniiao i?iaiicoaaiiy ? i?io?eaeoeee oeueiai oneeaaeiaiiy. I?e i?iaiicoaaii? aino?iai ae?aceiooai?aiiy a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? aeae?eyee iciaee, ui iathoue iaea?eueoo i?iaiinoe/io oe?ii?noue (oaae. 3). Eiaei?e ?c ieo ae?aoiaoaaany aeaniee aae. Aiae?c i?iaaaeaieo aeine?aeaeaiue aeaa iiaeeea?noue aeae?eeoe i’youe nooiai?a ?eceeo aino?iai ae?aceiooai?aiiy (oaae. 4). Oaaeeoey 3. Ea?oa ?eceeo aeieeiaiiy aino?eo ioaii/ieo iioeiaeaeaiue aano?iaeoiaeaiaeueii? ciie a ?aiiueiio iineyiia?aoeieiiio ia?iiaei 1. A?e: aei 50 ?ie?a i?ney 50 ?ie?a 1,0 1,2 2. Noaoue ae?iee ioae/eie 1,2 1,1 3. ??aaiue ineoiaiioe?eiiai iai?oaeaiiy ca oanoii Ethoa?a 2,4 4. Nooi?iue o?eaiaeiino? ca oanoii Ni?eaa?aa: iecueeee (aei 30 aae?a) na?aaei?e (31 - 44 aaee) aenieee (45 ? a?eueoa aae?a) 1,5 1,7 1,8 5. Oei iia?aoeaiiai ao?o/aiiy: ?acaeoe?ei? iaoiaee ??ci? aeaee aaaioii?e 2,2 2,3 6. Oei aeii?ioaaiiy AIN: neiiaoioii?/iee aaaioii?/iee 2,4 2,3 7. Coieiaia ae?aceiaa e?iaioa/a a aiaiiac?: e?iaiao?aoa ? nooiaiy ?? nooiaiy ??? nooiaiy 1,9 2.2 2,6 8. Aeae i?aiaaeeeaoe?? 1,4 9. Aeae ciaaieaiiy 0,9 10. O?eaae?noue ia?aaeiia?aoe?eii? i?aeaioiaee 0,8 11. Oeoieiaee e?iaia?a, ieae/ee 60% a?ae aaee/eie o?c?ieia?/ii? ii?ie, a ia?aaeiia?aoe?eiiio ia??iae? 2,6 12. I?eno?ieiaa ?I o?ea oeoiea aei 1,6 a ia?aaeiia?aoe?eiiio ia??iae? 1,9 13. E?iaia?a oeoiea i?ney iia?aoe??: ia 10% ieae/ee o?c?ieia?/ii? ii?ie ia 20% ieae/ee o?c?ieia?/ii? ii?ie 1,1 2,5 Oaaeeoey 4. Ea?oa ?eceeo aeieeiaiiy aino?eo oeoieiaeo a?icie i ae?acie Nooi?iue ?eceeo Aaee I?iaiic ? 0-5 a??iaiaeiinoue aino?iai ae?aceiooai?aiiy ia aieueoa 10% ?? 6-10 ?ecee ooai?aiiy aino?eo ae?acie 10-20% ??? 11-15 a??iaiaeiinoue aeieeiaiiy aino?eo ae?acie aei 30% ?V 16-20 ?ecee oeueoea?iaaiaco aei 60% V aieueoa 20 a??iaiaeiinoue aino?iai ae?aceiooai?aiiy aei 90% Aeioe?eueia iiaoaii?noue i?io?eaeoeee aeieeiaiiy aino?eo ?oai?/ieo iioeiaeaeaiue neeciai? oeoiea: ia?aaeiia?aoe?eiee ? ?aii?e i?neyiia?aoe?eiee ia??iae. Iaea?eueo aaaeeeaith, ca?aeii c iaoeie aeine?aeaeaiiyie, ? e?ea?aeaoe?y oeaieiii? a?iien?? oeyoii canoinoaaiiy a?ia?aa?e/ii? ieneaaiaoe?? (AAI) ? o?ainooc?? oioiieneaaiiaaieo ieaciicai?iiee?a. AAI i?iaiaeeeany ia oii? iane/aiiy i?aai?cio oeeoio?iiii-N — i?aia?aoii, ui a?ae?a?a? aaaeeeao ?ieue o oa?i?iaeuei?e eaioe? aeeoaeueiiai eaioethaa i?oioiiae??e, ni?eyth/e canai?iith eenith oeaieiaie. I?e neio?iiiiio c AAI aecia/aii? oaeaeeino? ?aa?iia?iiai aano?iaeoiaeaiaeueiiai e?iaia?ao anoaiiaeaii ca?eueoaiiy ?? o i?ieneiaeueiiio a?aeae?e? oeoiea i?ney ia?oiai naaino ia 15,90%, i?ney ae?oaiai - ia 22,10% ? i?ney o?aoueiai — ia 18,30%. Oioiieneaaiaoe?th ieaciicai?iiee?a i?iaiaeeee ca aeiiiiiaith aia?aoa “Eaaio-1”. A ?acoeueoao? i?iaaaeaieo aeine?aeaeaiue anoaiiaeaii, ui i?e ia?aeeaaii? oioiieneaaiiaaieo iie?aethe?io, 5% ?ic/eio aetheice, 0,9% ?ic/eio oei?eaeo iao??th o oai?eo a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? i?ney o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae oeoiea ? aeaaiaaeoeyoeiaei? eeoee oaeaee?noue ?aa?iia?iiai e?iaia?ao ca?eueoo?oueny a?aeiia?aeii ia 36,90±2,80%, 10,90±1,80%, 9,70+1,60%. Oaeei /eiii, ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue aeicaieythoue aaaaeaoe, ui aiioe?eii-aieueiaee oaeoi? ? aeeeeeai? iei ?oai?/i? ?iceaaee ? aaaeeeaeie /eiieeaie o iaoiaaiac? aino?iai ae?aceiooai?aiiy a neecia?e aano?iaeoiaeaiaeueii? ciie. O oai?eo c aenieei nooiaiai ineoiaiioe?eiiai iai?oaeaiiy ? aenieith iai?oaith aae?aia?a?/ieo iaoai?ci?a ?aaoeyoe?? aioo??oiueiai aiiaie?iaco a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? aeyaeaii aeeaieo aeeneii?aeeiaoe?th ?aa?iia?iiai oeoieiaiai e?iaia?ao. Aiae?c i?e/ei iaaaeaeaaoiiai i?neyiia?aoe?eiiai ia?a?iciiae?eo eiai aeaa iiaeeea?noue ?ic?iaeoe e?eoa??? i?iaiicoaaiiy oeeo ii?ooaiue, ui, ?acii c ?ioeie i?iaiinoe/ii aaaeeeaeie iciaeaie, aeicaiey? c a?eueoith aeinoia??i?noth aecia/eoe iiaeeea?noue aeieeiaiiy aino?eo ?oai?/ieo iioeiaeaeaiue neeciai? iaieiiee aano?iaeoiaeaiaeueii? ciie, i?iaiaeeoe iiaoaiio ?iaeea?aeoaeueio i?io?eaeoeeo oeeo oneeaaeiaiue. Aeniiaee 1. O oai?eo, a yeeo ia?aae iia?aoe??th niinoa??aaany aenieee ??aaiue ineoiaiioe?eiiai iai?oaeaiiy (ca Ethoa?ii) oa neooaoeaii? ? iniaeno?nii? o?eaiaeiino? (ca Ni?eaa?aii), aeinoia??ii ciaiooaaeany oaeaee?noue ?aa?iia?iiai e?iaia?ao aano?iaeoiaeaiaeueii? ciie. 2. O oai?eo c i?aeaeuaiith aeoeaaoe??th aae?aia?a?/ieo iaoai?ci?a ?aaoeyoe?? (ca aeaieie aa??aoe?eii? ioeueniiao???) ?aii?e i?neyiia?aoe?eiee ia??iae noi?iaiaeaeoaaany nooo?aei cieaeaiiyi ?aa?iia?iiai e?iaia?ao i?ieneiaeueiiai a?aeae?eo oeoiea. 3. Cieaeaiiy ?aa?iia?iiai oeoieiaiai e?iaia?ao i?e caa?aaeaiiio eeneioiooai?aii? ? oaeoi?ii ?eceeo aeieeiaiiy aino?eo a?iceaii-ae?aceiaeo iioeiaeaeaiue aano?iaeoiaeaiaeueii? ciie. 4. I?ney naeaeoeaii? i?ieneiaeueii? aaaioii?? oa noiaao?iai? aaaioii?? c ae?aioth/ith iia?aoe??th eiia??i?noue ?icaeoeo aino?eo a?iceaii-ae?aceiaeo iioeiaeaeaiue aeinoia??ii aeua, i?ae i?ney ?acaeoe?? oeoiea. 5. Ioe?iea ineoiaiioe?eiiai iai?oaeaiiy, ??aiy neooaoeaii? ? iniaeno?nii? o?eaiaeiino? oa aeoeaiino? aae?aia?a?/ieo iaoai?ci?a ?aaoeyoe?? ? aaaeeeaeie i?iaiinoe/ieie e?eoa??yie eiia??iino? aeieeiaiiy aino?eo ?oai?/ieo oneeaaeiaiue o ?aiiueiio i?neyiia?aoe?eiiio ia??iae? ?, o eiiieaen? c? ci?iith oaeaeeino? ?aa?iia?iiai e?iaia?ao aano?iaeoiaeaiaeueii? ciie, aeicaiey? aeae?eeoe 5 nooiai?a ?eceeo. 6. E?ea?aeaoe?y oeaieiii? a?iien?? oeyoii i?aeaeuaiiy oaeaeeino? ?aa?iia?iiai e?iaia?ao ? iie?ioaiiy ia?ooc?? oeaiei eeniai ca aeiiiiiaith a?ia?aa?e/ii? ieneaaiaoe?? ? ia?aeeaaiiy ieneaaiiaaieo ieaciicai?iiee?a ? aoaeoeaiei caniaii i?io?eaeoeee aino?eo ?oai?/ieo iioeiaeaeaiue o oai?eo ae?aceiaith oai?iaith oeoiea ? aeaaiaaeoeyoeiaei? eeoee a ?aiiueiio i?neyiia?aoe?eiiio ia??iae?. Nienie iioae?eiaaieo i?aoeue 1. Eiaaeue/oe E. ss., A??iye I. ss., Aonae I. I. Noai e?iaioieo neeciai? iaieiiee oeoiea oa aeaaiaaeoeyoeiaei? eeoee a oiiaao aieueiaiai no?ano i?e ii?eia?e oai?ia? // A?niee iaoeiaeo aeine?aeaeaiue. — 1995. — ?1. 2. Eiaaeue/oe E. ss., Aonae I. I. Aieea aaaioii?? ia e?iaia?a neeciai? iaieiiee oeoiea oa ia?aeenia ieeneaiiy e?i?ae?a a oiiaao aenia?eiaioaeueiiai no?ano // A?niee iaoeiaeo aeine?aeaeaiue. — 1995. — ?2. 3. Aonae I. I. Iaoiaee i?io?eaeoeee ?oai?/ieo oneeaaeiaiue o oai?eo ae?aceiaith oai?iaith a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? // Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. — 1997. — ? 8. — N. 76—78. 4. Aonae I. I. Ioe?iea ineoiaiioe?eiiai noaio oai?eo ae?aceiaith oai?iaith ye oaeoi?a ?eceeo aeieeiaiiy aino?eo ?oai?/ieo oneeaaeiaiue o ?aiiueiio i?neyiia?aoe?eiiio ia??iae? // Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. — 1997. — ? 8. — N. 78—80. 5. Aonae I. I. Aei iaoiii?oico aeieeiaiiy aino?eo ?oai?/ieo oneeaaeiaiue ?aiiueiai i?neyiia?aoe?eiiai ia??iaeo o oai?eo ae?aceiaith oai?iaith 12-iaei? eeoee // A?niee iaoeiaeo aeine?aeaeaiue. — 1998. — ? 1—2. — N. 70—73. Aonae I. I. Aieea aiioe?eii-aieueiaiai oaeoi?a ia oeoieiaee e?iaia?a i?e o??o?a?/iiio e?eoaaii? ae?aceiai? oai?iae. — ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.03 — o??o?a?y. — Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i. ?. ss. Ai?aa/aanueeiai, Oa?iii?eue, 1998. Aeena?oaoe?y i?enay/aia ieoaiiyi iie?auaiiy ?acoeueoao?a o??o?a?/iiai e?eoaaiiy oai?eo ae?aceiaith oai?iaith oeoiea oa aeaaiaaeoeyoeiaei? eeoee. A aeena?oaoe?? ?ic?iaeai? e?eoa??? i?iaiicoaaiiy, ae?noaee iiaeaeueoiai ?icaeoeo iaoiaee i?io?eaeoeee aeieeiaiiy aino?eo a?ic?e oa ae?acie neeciai? iaieiiee aano?iaeoiaeaiaeueii? ciie. Anoaiiaeaii, ui i?ney iia?aoe?? i?ae aieeaii aiioe?eii-aieueiaiai oaeoi?a cieaeaiiy oaeaeeino? ?aa?iia?iiai e?iaia?ao o i?ieneiaeueiiio a?aeae?e? oeoiea a?eueo cia/ia o oai?eo c aenieei ??aiai ineoiaiioe?eiiai iai?oaeaiiy o ia?aaeiia?aoe?eiiio ia??iae?. Cai?iiiiiaaii e?eoa??? i?iaiicoaaiiy, aeae?eaii 5 a?oi ?eceeo aeieeiaiiy aino?iai ae?aceoaaiiy. Ae?noaee iiaeaeueoiai ?icaeoeo iaoiaee i?io?eaeoeee ?oai?/ieo ooeiaeaeaiue o ?aiiueiio i?neyiia?aoe?eiiio ia??iae?. Iniiai? ?acoeueoaoe i?aoe? ciaeoee i?aeoe/ia canoinoaaiiy. Eeth/ia? neiaa: ?aa?iia?iee e?iaia?a, ae?aceiaa oai?iaa, ineoiaiioe?eia iai?oaeaiiy. Aonae I. I. Aeeyiea yiioeeiiaeueii-aieaaiai oaeoi?a ia aeaeoaei/iue e?iaioie i?e oe?o?ae/aneii ea/aiee ycaaiiie aieacie. — ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.03 — oe?o?aey. — Oa?iiiieueneay ainoaea?noaaiiay iaaeeoeeineay aeaaeaiey ei. E. ss. Ai?aa/aaneiai. Aeenna?oaoeey iinayuaia aii?inai oeo/oaiey ?acoeueoaoia oe?o?ae/aneiai ea/aiey aieueiuo ycaaiiie aieaciueth aeaeoaeea e aeaaiaaeoeaoeia?noiie eeoee. A aeenna?oaoeee ?ac?aaioaiu e?eoa?ee i?iaiice?iaaiey, aeaeueiaeoaa ?acaeoea iieo/eee iaoiaeu i?ioeeaeoeee iiyaeaiey ino?uo y?icee e yca neecenoie iaiei/ee aano?iaeoiaeaiaeueiie ciiu. Onoaiiaeaii, /oi iinea iia?aoeee iiae aeeyieai yiioeeiiaeueii-aieaaiai oaeoi?a nieaeaiea nei?inoe ?aaeiia?iiai e?iaioiea a i?ieneiaeueiii ioaeaea aeaeoaeea aieaa cia/eoaeueiia o aieueiuo n aunieei o?iaiai ineoiyiioeeiiaeueiiai iai?yaeaiey a aeiiia?aoeeiiiii ia?eiaea. I?aaeeiaeaiu e?eoa?ee i?iaiice?iaaiey, auaeaeaiu 5 a?oii ?enea iiyaeaiey ino?iai ycaiia?aciaaiey. Aeaeueiaeoaa ?acaeoea iieo/eee iaoiaeu i?ioeeaeoeee eoaie/aneeo iia?aaeaeaiee a ?aiiai iineaiia?aoeeiiiii ia?eiaea. Iniiaiua ?acoeueoaou ?aaiou iaoee i?aeoe/aneia i?eiaiaiea. Eeth/aaua neiaa: ?aaeiia?iue e?iaioie, ycaaiiay aieaciue, ineoiyiioeeiiaeueiia iai?yaeaiea. Gusak O.M. The influence of emotional and pain causing factory on gastrorrhagia in surgical treatment of ulcers. — Typescript. The thesis for a medical candidate’s degree in speciality 14.01.03 — surgery. — I. Y. Gorbachevsky Ternopil State Medical Academy, Ternopil, 1998. The thesis is devoted to the questions of improving the results of surgical treatment in patients with peptic ulcer. Criteria of prognostication have been worked out in this thesis. Preventive methods of the emergence of acute erosins and ulcers of mucous membranes of gastroduodenal zone. It has been determined, that influenced by emotional and pain causing factor in post- operative period the reduction of regional gastrorrhagia rate in the proximal part of stomach is more considerable in the patients with the high level of psychoemotional tension in preoperative period. Prognostication criteria have been suggested; 5 risk groups have been identified for the emergence of acute ulcers. Preventive methods of ischemic injuries during early postoperative period have been developed. The main results of this dissertation have found practical application. Key words: regional gastrorrhagia, ulcer, psychoemotional tension.

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