Застосування імпульсного електромагнітного поля для лікування сухого кератокон’юнктивіту: Автореф. дис… канд. мед. наук / Б.М. Коган, Ін-т очних хво

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?INOEOOO I*IEO OAI?IA ? OEAIEIII? OA?AI??

?I. A. I. O?EAOIAA

Eiaai Ai?en Ieoaeeiae/

OAeE 617.713-002-085.847.8

CANOINOAAIIss ?IIOEUeNIIAI AEAEO?IIAAI?OIIAI IIEss AeEss

E?EOAAIIss NOOIAI EA?AOIEII’THIEOEA?OO

14.01.18 – I/i? oai?iae

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iaeana — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?inoeooo? i/ieo oai?ia ? oeaieiii? oa?ai??

?i. A.I. O?eaoiaa AII Oe?a?ie

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe,i?ioani?

Ai?a?eaaeca Oaa?ao Onoiiae/

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, noa?oee iaoeiaee ni?a?ia?oiee

Aia?iaa Iaae?y Oaaei??aia, ?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai??
?i. A.I. O?eaoiaa, ea??aiee a?aeae?eaiiy aeeoy/i? iooaeueiieia??

aeieoi? iaaee/ieo iaoe, i?ioani? Aacae?oei Iaaei Aiae??eiae/,

Oa?e?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe , caa?aeoaa/
eaoaae?e i/ieo oai?ia

I?ia?aeia onoaiiaa — Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y,
eaoaae?a

i/ieo oai?ia, IIC Oe?a?ie, i.
Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny “22 ” aeiaoiy 1999 ?. i 14 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 41.556.01 a ?inoeooo? i/ieo
oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa ca aae?anith: 270061,
i.Iaeana, O?aioeocueeee aoeueaa?, 49/51.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo i/ieo
oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa (aae?ana: 270061, i.Iaeana,
O?aioeocueeee aoeueaa?, 49/51).

Aaoi?aoa?ao ?ic?neaiee “22 ” aa?aniy 1999 ?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe, i?ioani?
Iiiiia?/oe A.N.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. A oaia??oi?e /an ?ic?iaea aoaeoeaieo iaoiae?a
eiina?aaoeaiiai e?eoaaiiy neiae?iio “nooeo i/ae” ? iaei??th c iaea?eueo
aeooaeueieo i?iaeai iooaeueiieia?? (A?aeanueeee A.A., 1998; Sullivan
D.A.,1998; Marsh P.,1999). Oa?aeoa?iei neiioiiii oe??? iaoieia??
ia?aaeiueiai a?aeae?eo iea ? cieaeaiiy neueicii?iaeoeoe??, aiane?aeie
/iai niinoa??aa?oueny o?aaeaiiy ai?oae?th eii’thieoeae ? ?ia?aee
aeeno?io?/iiai aaiaco. Nooee ea?aoieii’thieoea?o (CEE) a?ae??ciy?oueny
aaeeeei iie?ii?o?ciii caoai?thaaiiy, oiio ?aiiy eiai ae?aaiinoeea aeoaea
oneeaaeiaia ? oai?? aeiaai e?eothoueny c i?eaiaeo o?ii?/ieo
eii’thieoea?o?a, aeaoa?ieii’thieoea?o?a, aieoae?aeueieo aeeno?io?e oa
a?ic?e ?ia?aee, ui ?aoeeaeeaothoue (Schein O.D. et al., 1997).
Anoaiiaeaiiy i?aaeeueiiai ae?aaiico, ye iieaco? iooaeueiieia?/ia
i?aeoeea, cae?enith?oueny ia ?ai?oa, i?ae /a?ac 5-6 ?ie?a a?ae ii/aoeo
caoai?thaaiiy ?, ye i?aaeei, aaea ia noaae?? iaiai?ioieo ci?i c aieo
neueicii?iaeoeoth/iai aia?aoo iea. I?ciy ae?aaiinoeea neiae?iio “nooeo
i/ae” i?ecaiaeeoue aei no?eeiai ? iaiai?ioiiai cieaeaiiy ci?iaeo
ooieoe?e oa ?iaae?aeiino? iaoe??io?a (Holli F. I.,HongB.S.,1982; Lemp
M.A.,1994).

Iacaaaeath/e ia oa, ui neiae?iio “nooeo i/ae” a inoaii? ?iee noaee
i?eae?eyoe aeinoaoith oaaao o a?o/eciyi?e ? caei?aeiii?e e?oa?aoo??
(A?aeanueeee A.A., 1998; Ee???a A.A., 1996; Murube J.C., 1994;
Pflugfelder S. C. et al., 1998), oe?eee ?yae ieoaiue eiai
ai?aeai?ieia??, ae?aaiinoeee ? iaoiaaiaoe/ii? oa?ai?? caeeoa?oueny
aeioaia? iac’yniaaiei. Ao?ieia?y oa iaoiaaiac nooiai
ea?aoieii’thieoea?oo ?ice?eo? ae?ae iaaeinoaoiuei, ui oneeaaeith?
?ic?iaeo aaeaeaaoieo ? aoaeoeaieo iaoiae?a e?eoaaiiy oe???
iooaeueiiiaoieia??.

A?aeiii, ui a iniia? aeieeiaiiy ? i?ia?anoaaiiy NEE eaaeeoue iia?eueiee,
aea i?io?eath/ee caiaeueiee i?ioean o ne?ci?e caeic? c ae?aaeaiei
aooi?ioiiei eiiiiiaioii (Mountsopeulos H.M.,1980; Aaneeue?a A.?.,1989;
Stern M.E.,1998). Aiane?aeie ina?aaeeiai? ?io?eueo?aoe?? e aeueoa?aoe??
a?aeaoaa?oueny ?oeioaaiiy aecie?eiieo no?oeoo? ne?cii? caeice, a
?acoeueoao? caiaeueiiai i?ioeano ?icaeaathoueny aeaaaia?aoeai? o?aaeaiiy
?? oeaiei, ? aiane?aeie o?a?ineea?ioe/ieo ci?i a aoeeionao ne?cii?
caeice ??cei cieaeo?oueny i?iaeoeoe?y neueice, ui ? ni?e/eith? ?icaeoie
i?ia?anoth/eo aeeno?io?/ieo o?aaeaiue eii’thieoeae ? ?iaiaee iea i?e
NEE.

Ine?eueee ii?ooaiiy ae?iaeaiiy ne?cii? ??aeeie i?ecaiaeeoue aei ?icaeoeo
ee?i?/ieo iciae o?aaeaiiy ia?aaeiueiai a?aeae?eo iea, iaoiaaiaoe/ii
aei?aaaeaiei, i?e nooiio ea?aoieii’thieoea?oi ? canoinoaaiiy
i?ioecaiaeueieo cania?a ? e?eoaaeueieo caoiae?a, ni?yiiaaieo ia
noeioeyoe?th neueicii?iaeoeoe??. Ca aeaieie e?oa?aoo?e, ui aeacothoue ia
i?ioeaicaiaeueio ae?th ?iioeueniiai aeaeo?iiaai?oiiai iiey (?AII) ?
eiai ia?aeiiee aieea ia a?inoeioeyoeith ee?oei ? oeaiei (Aeoia?iaa
I.?.,1988; Ne?eiiee I.A.1986; Ciaiia E.A.,1990), iiaeia aoei a
i?eionoeoe, ui canoinoaaiiy ?AII ia ae?eyieo ne?cii? caeice iaoeia
oa?aiaaoe/iee aoaeo o oai?eo ia nooee ea?aoieii’thieoea?o. I?ioa aeai?
i?i oa?aeoa? aieea?a ?AII ia no?oeoo?ii-ooieoe?iiaeueiee noai ne?cieo
caeic aeioaia? aoee a?aenooi? ? iiaeeea?noue ee?i?/iiai canoinoaaiiy
oeueiai iaoiaeo aeey e?eoaaiiy neiae?iio “nooeo i/ae” ia aoea
iaa?oioiaaia.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie. Iao? aeine?aeaeaiiy
i?iaeiaaeothoue ? ?icaeaathoue iaoeiaee iai?yiie a?aeae?eo iaoieia?? ?
iee?io??o?a?? ?ia?aee ?inoeoooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i.
A.I. O?eaoiaa ? ?o ?acoeueoaoe ? neeaaeiaith /anoeiith caoaa?aeaeaieo
AII Oe?a?ie IAe? IE92. 35. 192. ?0194U008740. 93-95a. “?ic?iaeoe iia?
caniae iia?aoeaiiai ? eiina?aaoeaiiai e?eoaaiiy iaoieia?? ia?aaeiueiai
a?aeae?eo iea”; ?77-A/98 ?0196U002783. “?ic?iaeoe i?aeoiaee
iaoiaaiaoe/ii i???ioiaaii? oa?ai?? aeeno?io?/ieo ? caiaeueieo
caoai?thaaiue ?ia?aee”.

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoith aeaieo aeine?aeaeaiue aoei
i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy oai?eo ia nooee ea?aoieii’thieoea?o
oeyoii aieeao ?iioeueniiai aeaeo?iiaai?oiiai iiey ia ae?eyieo ne?cii?
caeice.

Aeey aeinyaiaiiy iinoaaeaii? iaoe iaiao?aeii aoei ae??oeoe oae? caaea/?:

1. Aea/eoe a aenia?eiaio? aieea ?AII ?c ??ciiiai?oiith oaeaee?noth
ia?inoaiiy iaai?oii? ?iaeoeoe?? (2.104 iO/nae, 10.104 iO/nae ? 50.104
iO/nae) ia no?oeoo?ii-ooieoe?iiaeueiee noai ne?cieo caeic ca aeaieie
aeaeo?iiii-i?e?ineii?/ieo aeine?aeaeaiue.

2. Aeine?aeeoe ??aaiue neueicii?iaeoeoe??, noai noaa?eueiino? ne?cii?
ie?aee, a oaeiae ye?niee neeaae neueice o oai?eo ia nooee
ea?aoieii’thieoea?o o aeeiai?oei canoinoaaiiy ?AII ia ae?eyieo ne?cii?
caeice.

3. Aea/eoe aieea ?AII ia noai ai?oae?th eii’thieoeae ? ?iaiaee iea o
oai?eo c ??ciiiai?oieie noaae?yie nooiai ea?aoieii’thieoea?oo.

4. Aeine?aeeoe noai aaiii?e?ioee?eoeyoe?? ia?aaeiueiai a?aeae?eo iea o
oai?eo ia NEE oa ioe?ieoe aieea ?AII ia oa?aeoa? ? oaeaee?noue
aioo??oiueinoaeeiiiai e?iaioieo a ai?aoeueaa?i?e eii’thieoeai
ianoaaeaieo iaoe??io?a.

5. Aeine?aeeoeoe aieea ?AII ia iioiieia?/io ?aaeoeai?noue i?aai?cio
oai?eo c ??ciiiai?oieie noaae?yie NEE ? ioe?ieoe eiai aieea ia noai
aooinainea?e?caoe?? aei aioeaai?a ?iaiaee iea.

6. Iaa?oiooaaoe iiaeeea?noue aeei?enoaiiy ?AII ia ae?eyieo ne?cii?
caeice c iaoith noeioeyoe?? neueicii?iaeoeoe?? ? aea/eoe ee?i?/io
aoaeoeai?noue, ?ic?iaeaiiai niiniao e?eoaaiiy o oai?eo ia nooee
ea?aoieii’thieoea?o.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa i?iaaaeaii a
aenia?eiaio? aea/aiiy aieeao ??ciiiai?oieo ia?aiao??a ?AII ia
ooieoe?iiaeueiee noai ne?cieo caeic ca aeaieie aeaeo?iiii-i?e?ineii?/ieo
aeine?aeaeaiue ? anoaiiaeaii, ui aieea ?AII ?c oaeaee?noth ia?inoaiiy
iaai?oii? ?iaeoeoe?? 2.104iO/nae i?ecaiaeeoue aei aaeaeaaoieo
no?oeoo?ii-ooieoe?iiaeueieo ia?aaoaeia o ?? niaoe?ae?ciaaieo aeaiaioao ?
i?e?ioee?eoeyoi?iiio ?one?, ni?yiiaaiiio ia i?aeaeuaiiy
neueicii?iaeoeoe??.

Aia?oa aea/aii aieea anoaiiaeaiiai iioeiaeueiiai ?aaeeio aei? ?AII ia
ae?eyieo ne?cii? caeice o oai?eo c nooei ea?aoieii’thieoea?oii, ia
??aaiue neueicii?iaeoeoe?? ? ia noai noaa?eueiino? ne?cii? ie?aee.
Aeiaaaeaii, ui a ?acoeueoao? canoinoaaiiy ?AII, o oai?eo ia NEE
iie?ioo?oueny ye?niee neeaae ne?cii? ??aeeie ca ?aooiie ca?eueoaiiy
ai?noo a?eeiaeo oa ai?iieeneioieo eiiiiiaio?a.

Aeiaaaeaii, ui i?ae aieeaii ?AII iie?ioo?oueny noai ai?oae?th
ia?aaeiueiai a?aeae?eo iea, ui aeyaey? noeioethth/ee aieea ?AII ia
i?ioeane ?aia?aoeaii? ?aaaia?aoe?? o?aaeaii? eii’thieoeae ? ?ia?aee iea.

Aia?oa anoaiiaeaii, ui canoinoaaiiy ?AII ia ae?eyieo ne?cii? caeice
iie?ioo? aaiii?e?ioee?eoeyoe?th ia?aaeiueiai a?aeae?eo iea o oai?eo ia
NEE (iie?ioaiiy oa?aeoa?o ? ca?eueoaiiy oaeaeeino? aioo??oiueinoaeeiiiai
e?iaioieo a ai?aoeueaa?i?e eii’thieoea?).

Iieacaii, ui i?ae aieeaii ?AII cieaeo?oueny i?aeaeuaiee ??aaiue
nainea?e?caoe?? i?aai?cio aei aioeaai?a ?ia?aee iea ia an?o noaae?yo
nooiai ea?aoieii’thieoea?oo.

Iaa?oioiaaia aeioe?euei?noue canoinoaaiiy ?AII ia ae?eyieo ne?cii?
caeice aeey e?eoaaiiy nooiai ea?aoieii’thieoea?oo ? i?io?eaeoeee
i?ia?anoaaiiy oeueiai caoai?thaaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. ?ic?iaeaii niin?a e?eoaaiiy
nooiai ea?aoieii’thieoea?oo c aeei?enoaiiyi ?AII ia ae?eyieo ne?cii?
caeice c? oaeaee?noth ia?inoaiiy iaai?oii? ?iaeoeoe?? 2.104 iO/nae
(Iaoaio ?7174A a?ae 30 /a?aiy 1995 ?).

Anoaiiaeaii oa?aiaaoe/io ni?yiiaai?noue ?ic?iaeaiiai iaoiaeo e?eoaaiiy
ia an?o noaae?yo NEE ? iieacaia aeniea ee?i?/ia aoaeoeai?noue
canoinoaaiiy ?AII ia ii/aoeia?e noaae?? caoai?thaaiiy.

?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeai? a ee?i?/io i?aeoeeo ?
canoiniaothoueny ia aac? a?aeae?eaiiy iaoieia?? ? i?e?io??o?a?? ?ia?aee
?inoeoooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa.

Iniiai? iaoeia? ? i?aeoe/i? iieiaeaiiy ?iaioe aeeth/ai? a i?ia?aio
eaeoe?e ? i?aeoe/ieo caiyoue ia?aaeaoanoaoe?eieo oeeee?a eaoaae?e
iooaeueiieia?? c ?aae?aoe?eiith iaaeeoeeiith oaeoeueoaoo i?neyaeeieiiii?
i?aeaioiaee e?ea??a Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

Iniaenoee aianie caeiaoaa/a. Aaoi?ii naiino?eii i?iaaaeai?
aenia?eiaioaeuei? aeine?aeaeaiiy, cae?eniaii iooaeueiieia?/ia
ianoaaeaiiy oai?eo ia NEE oa ioe?iai? ?acoeueoaoe ee?i?ei-eaai?aoi?ieo
aeine?aeaeaiue o iaoe??io?a. Aeaeo?iiii-i?e?ineii?/i? aeine?aeaeaiiy
aeeiiai? ? i?iaiae?ciaai? ca o/anoth aeieo. a?ie. iaoe I.?. Aeoia?iai?.
E?eoaaiiy oai?eo ?c NEE ?AII i?iaiaeeeinue ia aac? eaai?aoi???
oeueo?acaoea ? iaai?oioa?ai?? (caa.eaa.ae.i.i. I.A. Ne?eiiee).
A?io?i?/i? oa iioiieia?/i? aeine?aeaeaiiy aoee i?iaaaeai? ca o/anoth
ni?a?ia?oiee?a eaai?aoi??? a?io?i?? e ?ioiieia?? ?inoeoooo i/ieo oai?ia
? oeaieiii? oa?ai?? ?i. A.I. O?eaoiaa AII Oe?a?ie.

?ic?iaeaii iiaee niin?a e?eoaaiiy nooiai ea?aoieii’thieoea?oo,
i?iaiae?ciaai? ?acoeueoaoe i?iaaaeaieo ee?i?/ieo aeine?aeaeaiue, iiaeaia
?oiy ?ioa?i?aoaoe?y, noi?ioeueiaai? iniiai? iieiaeaiiy ? aeniiaee
aeena?oaoe?eii? ?iaioe.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aoee
iia?aeiieai? ? ?icaeyioo? ia can?aeaii? Oe?a?inueeiai oiaa?enoaa
iooaeueiieia?a(Iaeana, 1996, 1998), ia eiioa?aioe?? “Aaioy-Iaeana”
(Aaioy, 1995), ia ?a?iiaenueeiio eiia?an? (Aoaeaiaoo, 1997), ia
I?iaoeueeiio iooaeueiieia?/iiio oiaa?enoa? (Iaioaei, 1996), ia XXVIII
I?aeia?iaeiiio eiia?an? (Ainoa?aeai, 1998).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 10 ae?oea?nueeeo ?ia?o,
c ieo: 3 aeo?iaeueieo noaoo? a “Iooaeueiieia?/iiio aeo?iae?”, 1 iaoaio
Oe?a?ie.

Ianya ? no?oeoo?a ?iaioe. Aeena?oaoe?y iaienaia ?in?enueeith iiaith,
aeeeaaeaia ia 150 noi??ieao eiii’thoi?iiai oaenoo. Neeaaea?oueny c?
anooio, /ioe?ueio ?icae?e?a, caeeth/aiiy, aeniiae?a oa nieneo
aeei?enoaii? e?oa?aoo?e. ?ethno?iaaia 12 oaaeeoeyie, 26 iaethieaie, ye?
caeiathoue 24 noi??iee. Nienie aeei?enoaii? e?oa?aoo?e i?noeoue 168
aeaea?ae ? ?ici?uo?oueny ia 16 noi??ieao.

Iniiaiee ci?no ?iaioe

I?e aeeiiaiii ?iaioe iaie i?iaiaeeeenue aenia?eiaioaeuei?
aeine?aeaeaiiy ii aea/aiith aieeao ?AII ia oeueo?ano?oeoo?o ne?cieo
caeic, a oaeiae ee?i?/i? niinoa?aaeaiiy o oai?eo c ??ciiiai?oieie
noaae?yie NEE a aeeiai?oe? canoinoaaiiy ?AII ia ae?eyieo ne?cii? caeice.

Iaie aea/aii a aenia?eiaio? aieea ?AII ia no?oeoo?ii-ooieoe?iiaeueiee
noai ne?cieo caeic (aeine?aeaeaii 21 ne?cio caeico a?ae 12 caei?iaeo
e?ieee?a ii?iaee Oeioeea) i?e aeei?enoaii? ??ciiiai?oii? oaeaeeino?
ia?inoaiiy iaai?oii? ?iaeoeoe??, 2.104 iO/n, 10.104 iO/n ? 50.104 iO/n.
Aeaeo?iiii-i?e?ineii?/i? aeine?aeaeaiiy i?iaiaeeee a ?ioaeoieo e?ie?a
/a?ac aeiao i?ney aieeao ??ciiiai?oieo ia?aiao??a ?AII.Oaeaeeinoue
ia?inoaiiy iaaiioiii iiaeoeoeii aoea ?iciith.

Aieea ia ae?eyieo ne?cii? caeice i?iaiaeeany ca aeiiiiiaith i?eeaaeo
aeey e?eoaaiiy i/ieo caoai?thaaiue ?iioeueniei aeaeo?iiaai?oiei iieai
(a. n.?1415487). Oiiae aieeao ?AII: /anoioa i?ioiaeaeaiiy ?iioeuen?a —
50 Aoe, o?eaae?noue — 0,02n., aiie?ooaeia cia/aiiy iaai?oii? ?iaeoeoe??
ia aenio? ?iioeueno 8,5 iO, o?eaae?noue i?ioeaaeo?e — 10 oa.

?acoeueoaoe i?iaaaeaieo aeaeo?iiii-i?e?ineii?/ieo aeine?aeaeaiue
iieacaee, ui aieea ?AII ?c oaeaee?noth ia?inoaiiy iaai?oii?
?iaeoeoe?? 2.104 iO/nae ia oeaieio neueiciai? caeice, aeeeeea? a ??
nae?aoi?ieo ? noaeeiieo ee?oeiieo aeaiaioao oe?eee ?yae ci?i:
a?ia?ieac?th ee?oei, ca?eueoaiiy ai?noo oeenoa?i ca?ienoi?
aiaeiieaciaoe/ii? n?o?, ieanoei/anoiai eiiieaeno, i?oioiiae??e, a?eueieo
? iia’ycaieo ??ainii. Oea na?ae/eoue i?i aeoeaaoe?th
aioo??oiueiee?oeiieo iaoaaie?/ieo i?ioean?a ?, aieiaiei /eiii, i?i
i?aeneeaiiy a?eieneioaoe/ii? ? aia?aiooai?thth/i? ae?yeueiino? ee?oei
ne?cii? caeice. ?acii ?c oeei ca?eueoo?oueny e?euee?noue ? iie?ii?o?ci
?ici???a nae?aoi?ieo a?aioe o nae?aoi?ieo ee?oeiao, ui aeaco? ia
i?aeaeuaia ae?iaeaiiy nae?aoo ne?cieie caeicaie. Ca?eueoaiiy ai?noo
i?iioeeoicieo iooe?oe?a o aiaeioae?aeueieo ee?oeiao eai?ey??a, a oaeiae
i?aeaeuaia oaiano?aoe?y ?oi?o a?ae?inoe?a, ?iciooaiiy aacaeueii?
iaia?aie aeacothoue ia c?inoaiiy aeoeaiino? o?ainii?oieo i?ioean?a i?e
aieea? ?AII c? oaeaee?noth ia?inoaiiy iaai?oii? ?iaeoeoe?? 2.104 iO/n.

Oaeei /eiii, ?acoeueoaoe i?iaaaeaieo aeaeo?iiii-i?e?ineii?/ieo
aeine?aeaeaiue ii aea/aiith aieeao ?AII ?c ??ciiiai?oiith oaeaee?noth
ia?inoaiiy iaai?oii? ?iaeoeoe?? ia no?oeoo?ii-ooieoe?iiaeueiee noai
ne?cii? caeice aeathoue ciiao c?iaeoe aeniiaie, ui iioeiaeueiee
noeioethth/ee aieea ia niaoe?ae?ciaai? nae?ao-i?iaeoeoth/i ee?oeii?
aeaiaioe ni?e/eith? ?AII c? oaeaee?noth ia?inoaiiy iaai?oii? ?iaeoeoe??
2.104 iO/nae. Naia i?e canoinoaaiii IAII ?c cacia/aiith oaeaee?noth
ia?inoaiiy iaai?oii? ?iaeoeoe??, niinoa??aa?oueny noeioethth/ee aieea
ia aioo??oiueiee?oeii? iai?ii? i?ioeane a nae?aoi?ieo ee?oeiao, ia
ae?iaeaiiy nae?aoo ne?cieie caeicaie, a oaeiae iiceoeaiee aieea ia
i?e?ioee?eoeyoe?th ? o?ainii?oi? i?ioeane a nenoai? e?ia-caeicia
oeaieia.

Ae?y ?AII ia ae?eyieo ne?cii? caeice a aenia?eiaioaeueieo oaa?ei ? o
oai?eo ?c nooei ea?aoieii’thieoea?oii i?iaiaeeeany ca aiaeia??th c
aeei?enoaiiyi i?eeaaeo Ne?eiieea — Oaiiaiaaeiaa.

I?ae iaoei niinoa?aaeaiiyi aoee 92 oai?eo ?c nooei
ea?aoieii’thieoea?oii, a?eii a?ae 20 aei 76 ?ie?a.AE?iie aoei-76
(82,6%),/ieia?e?a-16 (17,4%).

Eiio?ieueio a?oio neeaaeaee 70 caei?iaeo in?a (140 i/ae) /ieia?/i? ?
ae?ii/i? noao? a?eii a?ae 20 aei 60 ?ie?a c ii?iaeueiith
neueicii?iaeoeoe??th.

Aeecueei 75 % oai?eo (69 /ieia?e) ca aeaieie aiaiiaco i?ioyaii 5-oe
?ie?a no?aaeaeaee ia o?ii?/iee eii’thieoea?o. ?io? 25% oai?eo
iia’ycoaaee nai? caoai?thaaiiy c ii?ooaiiyi iaino?oaeueiiai oeeeeo aai
?ioeie aeenai?iiiaeueieie ii?ooaiiyie.

Nenoaiia o?aaeaiiy niieo/ii? oeaieie o aeaeyae? ?aaiaoi?aeiiai
iie?a?o?eoo a?aei?/aeiny a 17 oai?eo (18,5 %).

I?e iooaeueiieia?/iiio ianoaaeaii? on? oai?? c NEE nea?aeeeeny ia iaeaea
iiaio a?aenooi?noue ne?c aai iacia/ia ?oi? aeae?eaiiy, ii/oooy
“noi?iiiueiai o?ea” a i/ao.

Na?oeiaiyciue niinoa??aaeany a 15 oai?eo (16,3 %), iayai?noue a’yceiai
i?iaeoeoo aeae?eaiiy, ui a?aeie?aieth?oueny o aeaeyae? ieoie ceouaiiai
ai?oae?th a?aei?/aeanue a 19 oai?eo (20,6%).

A?aei?/aii nea?ae ia caooiaiaiiy a 34 oai?eo (37 %). I?e aeine?aeaeaii?
aino?ioe ci?o ca aeiiiiiaith oaaeeoe? A.?. Oaaaeueiaa anoaiiaeaii, ui o
60-oe oai?eo (66,3%) cieaeaiiy aino?ioe ci?o ia niinoa??aaeiny, a o
31-ai iaoe??ioa(33,7%) ci?ia? ooieoe?? aoee cieaeai?. I?e/eiith
cieaeaiiy aino?ioe ci?o a oeeo oai?eo aoea noiooiy i/ia iaoieia?y oaea,
ye iiiooi?iiy e?eooaeeea, aeano?oeoe?y neeiiiae?aiiai o?ea ?
iaeoeiaeeno?io?y, aino?ioa ci?o neeaaeaea o oaeeo oai?eo 0,5 0,04.

O oai?eo ia nooee ea?aoieii’thieoea?o aoa ??ciiiai?oiee nooi?iue ae?aiiy
o?aaeaiiy ?ia?aee. A?aeiia?aeii c? nooiaiai ii?ooaiiy ooieoe?iiaeueii?
aeoeaiino? ne?cieo caeic, iia’ycaieo c ?icaeoeii o ieo iaoieia?/iiai
i?ioeano, oai?? aoee ?iciiae?eai? ia o?e ee?i?/i? noaae?? nooiai
ea?aoieii’thieoea?oo:

1) Ii/aoeiaa noaae?y; 2) Noaae?y ae?aaeaieo iciae; 3) I?ciy noaae?y
(eeaneo?eaoe?y TH.A.THae?ii?, 1975) O?aaeaiiy i?aaia ci?o c ii/aoeiaith
noaae??th caoai?thaaiiy a?aei?/aii ia 113 i/ao (62,1 %). Na?aae oai?eo
ae?oai? a?oie — c? noaae??th ae?aaeaieo iciae e?euee?noue o?aaeaieo i/ae
aoea 37 (20,3 %), a c i?ciueith noaae??th NEE aoei 32 iea, ui neeaaeaei
17,6 %.

Aeey ioe?iee neueicii?iaeoeoe?? a ianoaaeaieo oai?eo aeei?enoai? oae?
iaoiaee, ye i?iaa Oe?ia?a ? aecia/aiiy /ano ?ic?eao ne?cii? ie?aee (Oano
Norn). C iaoith aeyaeaiiy nooiaiy o?aaeaiiy eii’thieoeae ? ?ia?aee
canoiniaoaaeeny oanoe oa?aoaaiiy 1% ?ic/eiii aaiaaeuenueeiai ?iaeaaiai ?
1% ?ic/eiii oethi?anoea?io. O 30-oe oai?eo c ??ciiiai?oieie noaae?yie
NEE ? a 10-oe i?aeoe/ii caei?iaeo in?a aeine?aeaeoaaany noai
aaiii?e?ioee?eoeyoi?iiai ?onea ia?aaeiueiai a?aeae?eo iea iaoiaeii
a?ii?e?ineii??.

Iaoa??aeii aeey ee?i?ei-eaai?aoi?ieo aeine?aeaeaiue aoee ne?cia ??aeeia,
ne?iaaoea e?ia? ? eaeei-e?ioioeeoa?ia noniaic?y ee?oei ia?eoa?e/ii?
e?ia? oai?eo ia nooee ea?aoieii’thieoea?o ? i?aeoe/ii caei?iaeo in?a.

?acii c? cae/aeieie eaai?aoi?ieie aeine?aeaeaiiyie o an?o ianoaaeaieo
oai?eo ia NEE i?iaaaeai? a?io?i?/i? e ?ioiieia?/i? aeine?aeaeaiiy.
A?io?i?/i? iaoiaee aeine?aeaeaiiy oeeth/aee aecia/aiiy ai?noo a neueic?
a?eea ca aeiiiiiaith a?i?aoiaa ?aaeoeao ? aecia/aiiy ai?iiiai acioo.

?ioiieia?/i? aeine?aeaeaiiy cae?enithaaeenue ca iaoiaee/ieie
?aeiiaiaeaoe?yie “Onei?aiiay ia?ae/iay ioeaiea eiioiiiai noaoona
/aeiaaea”, ye? aoee ?ic?iaeai? a ?inoeooo? i/ieo oai?ia ? oeaieiii?
oa?ai?? ?iai? A.I. O?eaoiaa (1990), a oaeiae ?c canoinoaaiiyi iaoiaeeee
ioe?iee nainea?e?caoe?? i?aai?cio aei aioeaai?a oeaiei iea (Aeaaoy?aiei
O.A., 1992).

Noaoenoe/ia ia?iaea aeaieo i?iaiaeeeanue ca aeiiiiiaith i?ia?aie
“Statistica for Windows ver. 5.1.” ia ia?niiaeueiiio eiii’thoa?? ia aac?
i?ioeani?a Pentium 266 MMX. Io?eiai? ii??aiyeuei? oa ei?aeyoe?ei?
iieacieee i?eeiaeeny ca a??ia?aei? i?e aaee/ei? eiao?oe??ioo eiia??iino?
?<0,05. ?ic?iaeaiee can?a e?eoaaiiy nooiai ea?aoieii'thieoea?oo iieyaaa o aeei?enoaii? anoaiiaeaiiai iioeiaeueiiai ?aaeeio aieeao ?AII ia ae?eyieo ne?cii? caeice, ?c canoinoaaiiyi oaeaeeino? ia?inoaiiy iaai?oii? ?iaeoeoe?? 2.104iO/nae c aeio?eiaiiyi aeuaaeacaieo ia?aiao??a aaia?aoe?? aeaeo?iiaai?oieo ?iioeuen?a. Ia ?ic?iaeaiee iaie can?a e?eoaaiiy NEE ?AII io?eiaii iaoaio Oe?a?ie ?7174A a?ae 30 o?aaiy 1995 ?. Niin?a e?eoaaiiy oai?eo c ??ciiiai?oieie noaae?yie NEE oeyoii aieeao ?AII ia ae?eyieo ne?cii? caeice ai?iaiaaiee o 92 oai?eo (182 iea). Aeey aecia/aiiy ooieoe?iiaeueiiai noaio ne?cii? caeice iaie aecia/aeany e?euee?noue neueice a ianoaaeaieo oai?eo ia NEE (92 iaoe??ioa - 182 iea) ? in?a eiio?ieueii? a?oie (70 /ieia?e - 140 i/ae) ca aeiiiiiaith oanoa Oe?ia?a. Oano Oe?ia?a, aai ye eiai ua i?eeiyoi iaceaaoe, i?iaa Oe?ia?a (IO) neeaaeaea a eiio?ieuei?e a?oi? 13,4 0,2(ii) ca 5 oaeeei. Io?eiaiee iaie iieaciee IO ni?aiaa c aeaieie e?oa?aoo?e o caei?iaeo in?a (Schirmer O.;Murube.J.). Oiio, aeuaaeacaia cia/aiiy IO a in?a eiio?ieueii? a?oie ie aaaaeaee iaaeae? ii?iith ? ei?enooaaeeny oeei cia/aiiyi i?e i?iaaaeaii? ii??aiyeueiiai noaoenoe/iiai aiae?co. ?acoeueoaoe aeine?aeaeaiiy noaio neueicii?iaeoeoe?? o oai?eo c ??ciiiai?oieie noaae?yie NEE aeaee ciiao cacia/eoe oa, ui a i??o i?ia?anoaaiiy caoai?thaaiiy ?? ??aaiue cia/ii cieaeo?oueny ? neeaaea? i?e i?ci?e noaae?? NEE o?eueee iaeio o?aoeio a?ae ii?iaeueiiai ?? cia/aiiy. Canoinoaaiiy ?AII ca ?ic?iaeaiith iaie iaoiaeeeith ia ae?eyieo ne?cii? caeice aaciina?aaeiuei i?ney cae?i/aiiy eo?no e?eoaaiiy i?eaiaeeei aei aeinoia??iiai i?aeaeuaiiy ??aiy neueicii?iaeoeoe?? a on?o oai?eo c ??ciiiai?oieie noaae?yie NEE (ca aeaieie i?iae Oe?ia?a), a i?e ii/aoeia?e noaae?? caoai?thaaiiy aeicaieyei aeinyaoe eiai ii?iae?caoe?? (oaae.1). Anoaiiaeaii, ui /a?ac ??e a?ae ii/aoeo e?eoaaiiy ?AII ??aaiue neueicii?iaeoeoe?? o oai?eo c ii/aoeiaith noaae??th NEE caeeoaany aeinoaoiuei noaa?eueiei, o oie /an ye i?e noaae?? ae?aaeaieo iciae ? i?ciuei? noaae?? caoai?thaaiiy a?i ?noioii cieaeoaaany (oaae.2). Iiaoi?iee eo?n e?eoaaiiy ?AII i?eaiaeea aei aeinoia??iiai i?aeaeuaiiy ??aiy neueicii?iaeoeoe?? ca oanoii Oe?ia?a ia an?o noaae?yo NEE. Ioe?iea ??aiy neueicii?iaeoeoe?? /a?ac 3 ?iee i?ney ii/aoeo e?eoaaiiy ?AII aeaaaea ciiao eiinoaooaaoe (oaae.3), ui i?e ii/aoeia?e noaae?? NEE niinoa??aaeany eiai noaa?e?caoe?y, a i?e noaae?? ae?aaeaieo iciae ? i?ciuei? noaae?? caoai?thaaiiy ??aaiue neueicii?iaeoeoe?? ?noioii cieaeoaaany. I?ae aieeaii ?AII ??aaiue neueicii?iaeoeoe?? /a?aiaiai eo?no e?eoaaiiy a??ia?aeii i?aeaeuoaaany i?e an?o noaae?yo NEE. Oaaeeoey 1 Iieacieee neueicii?iaeoeoe?? ca oanoii Oe?ia?a a ii ca 5 oa o oai?eo ?c nooei ea?aoieii’thieoea?oii aei oa i?ney e?eoaaiiy ?AII (I i) Coaae?y Caoai?thaaiiyE?e-noue i/aeAei e?eoaaiiy II?ney e?eoaaiiy II? I – IIA. Ii/aoeiaa 1139,0 0,2513,0 0,38< 0,01A. Ae?aaeaieo Iciae 37 5,6 0,31 9,6 0,33 < 0,01 A. I?ciy324,7 0,247,2 0,56< 0,01 Oaeei /eiii, o oai?eo ia nooee ea?aoieii'thieoea?o (oaae.1) o ii/aoeia?e noaae?? caoai?thaaiiy i?iaa Oe?ia?a aoea (9,0 0,25(ii)), a aaciina?aaeiuei i?ney cae?i/aiiy ia?oiai eo?no e?eoaaiiy aiia i?aeaeuoaaeanue aei (13,0 0,38(ii) (?<0,01)), i?e noaae?? ae?aaeaieo iciae aei e?eoaaiiy i?iaa Oe?ia?a neeaaeaea (5,6 0,31(ii)), a i?ney aieeao ?AII aiia i?aeaeuoaaeanue aei (9 ,6 0,33(ii) (?<0,01)); i?e i?ci?e noaae?? NEE i?iaa Oe?ia?a a??ia?aeii i?aeaeueeany c (4,7 0,24(ii) aei 7,2 0,56(ii) (?<0,01)). I?iaaaeaiee iaie aiae?c iieaciee?a na?aaeiueiai cia/aiiy neueicii?iaeoeoe?? /a?ac ??e ? 3 ?iee a?ae ii/aoeo e?eoaaiiy (oaae.2,3) iieacaa, ui i?iaa Oe?ia?a a ii/aoeia?e noaae?? caoai?thaaiiy caeeoaeany noaa?eueiith (11,0 0,3(ii)) ca 5 oa (?<0,05) oae ye ? /a?ac 3 ?iee a?ae ii/aoeo aieeao ?AII. I?ney i?iaaaeaiiy /a?aiaeo eo?n?a e?eoaaiiy aiia i?e ii/aoeia?e noaae?? NEE ca?eueoeeany aei (13,0 0,2(ii) (?<0,01)), ui aeaiiino?o? ii?iae?caoe?th oeueiai iieacieea /a?ac ??e ? 3 ?iee a?ae ii/aoeo e?eoaaiiy ?AII. *a?ac ??e a?ae ii/aoeo e?eoaaiiy o noaae?? ae?aaeaiieo iciae IO neeaaeaea (6,5+0,3(ii)) ? ca?eueoeeany i?ney eo?no e?eoaaiiy aei (7,8+0,4(ii) ?<0,01).O i?ci?e noaae?? IO neeaaeaea (4,7+0,4(ii)) ,a i?ney aieeao ?AII c?inea aei (6,1+0,6(ii) (?<0,01) (oaae.2). O noaae?? ae?aaeaieo iciae i?iaa Oe?ia?a /a?ac 3 ?iee a?ae ii/aoeo e?eoaaiiy neeaaeaea (7,2 0,4(ii) (?<0,01) ? ca?eueoeeany i?ney aieeao ?AII aei (8,1 0,4(ii)) (?<0,01). O i?ci?e noaae?? i?iaa Oe?ia?a neeaea /a?ac 3 ?iee a?ae ii/aoeo aieeao ?AII (5,1 0,3(ii)) ? c?inea aei (6,3 0,3(ii)) (?<0,01) i?ney /a?aiaiai eo?no e?eoaaiiy (oaae3). Oaaeeoey 2 Iieacieee neueicii?iaeoeoe?? ca oanoii Oe?ia?a a ii ca 5 oa o oai?eo ?c nooei ea?aoieii’thieoea?oii /a?ac ??e i?ney e?eoaaiiy ?AII (I i) Coaae?y Caoai?thaaiiyE?e-noue i/aeAei e?eoaaiiy II?ney e?eoaaiiy II? I – IIA. Ii/aoeiaa8011,0 0,313,0 0,3< 0,01 A. Ae?aaeaieo Iciae 37 6,5 0,3 7,8 0,4 < 0,01 A. I?ciy324,7 0,46,1 0,6< 0,01 Oaaeeoey 3 Iieacieee neueicii?iaeoeoe?? ca oanoii Oe?ia?a a ii ca 5 oa o oai?eo ?c nooei ea?aoieii’thieoea?oii /a?ac 3 ?iee i?ney e?eoaaiiy ?AII (I i) Coaae?y Caoai?thaaiiyE?e-noue i/aeAei e?eoaaiiy II?ney e?eoaaiiy II? I – IIA. Ii/aoeiaa6611,0 0,313,0 0,2< 0,01 A. Ae?aaeaieo Iciae 37 7,2 0,4 8,1 0,4 < 0,01 A. I?ciy325,1 0,36,3 0,3< 0,01 Iaie aoa aeine?aeaeaiee /an ?ic?eao ne?cii? ie?aee (*?NI) o oai?eo ?c nooei ea?aoieii'thieoea?oii aei e?eoaaiiy ?AII ? ci?ia eiai i?ney ae?? ?AII, i?iaiae?ciaai? oaeiae iieacieee *?NI /a?ac ??e ? /a?ac 3 ?iee a?ae ii/aoeo e?eoaaiiy ?AII. Ne?ae cacia/eoe, ui i?e an?o noaae?yo caoai?thaaiiy i?ae aieeaii ?AII a?aeaoaaeiny ca?eueoaiiy *?NI ne?cii? ie?aee, i/aaeaeii, ca ?aooiie eiiiiiaio?a, a?aeiia?aeaeueieo ca a’yce?noue neueice. Anoaiiaeaiee iiceoeaiee aoaeo aieeao ?AII ia noaa?euei?noue ne?cii? ie?aee ia an?o noaae?yo NEE aea? ciiao c?iaeoe aeniiaie i?i ae?aaeaiee e?eoaaeueiee aoaeo ?AII ia neueicii?iaeooethth/ee aia?ao iea ia an?o noaae?yo caoai?thaaiiy (oaae4). Oaaeeoey 4 Iieacieee /ano ?ic?eao ne?cii? ie?aee (a nae) o oai?eo ?c nooei ea?aoieii’thieoea?oii oa ?o ci?ia i?ney e?eoaaiiy ?AII (*?NI a naeoiaeao I i) Coaae?y caoai?thaaiiyE?e-noue i/aeAei e?eoaaiiy II?ney e?eoaaiiy II? I – IIA. Ii/aoeiaa1139,7 0,2113,6 0,32< 0,001 A. Ae?aaeaieo iciae 37 9,1 0,26 11,2 0,44 < 0,001 A. I?ciy327,5 0,289,2 0,48< 0,001 I?i oea na?ae/aoue oae? aeai?: i?e ii/aoeia?e noaae?? caoai?thaaiiy *?NI neeaaeaei (9,7 0,21 ( nae)), i?e ii?i? 10 nae, a i?ney e?eoaaiiy ?AII aiii c?inei aei (13,6 0,32(nae)) (?<0,01); o noaae?? ae?aaeaieo iciae *?NI neeaaeaei (9,1 0,26(nae)), a i?ae aieeaii ?AII c?inei aei (11,2 0,44(nae) ?<0,01)); o i?ci?e noaae?? nooiai ea?aoieii'thieoea?oo *?NI neeaaeaei (7,5 0,28(nae)) ? c?inei i?ney e?eoaaiiy ?AII aei (9,2 0,48(nae) ;?<0,01)). sse iieacaee ?acoeueoaoe i?iaaaeaieo iaie aeine?aeaeaiue, /a?ac ??e ? /a?ac 3 ?iee i?ney ii/aoeo e?eoaaiiy ?AII, iieaciee *?NI i?e ii/aoeia?e noaae?? NEE aoa ia aeinoaoiuei aenieiio ??ai?, o oie /an ye i?e noaae?? ae?aaeaieo iciae ? i?ciuei? noaae?? caoai?thaaiiy a?i ?noioii cieaeoaaany. I?ecia/aiiy iiaoi?ieo eo?n?a e?eoaaiiy ?AII ia ae?eyieo ne?cii? caeice i?eaiaeeei aei aeinoia??iiai ca?eueoaiiy iieacieea *?NI ia an?o noaae?yo NEE, ui na?ae/eoue i?i ae?aaeaiee iiceoeaiee aieea ?AII ia noai noaa?eueiino? ne?cii? ie?aee o oai?eo ia nooee ea?aoieii'thieoea?o. ?icii/aoee aiae?c noaio ai?oae?th ia?aaeiueiai a?aeae?eo i?e nooiio ea?aoieii'thieoea?o? a aeeiai?oei canoinoaaiiy ?AII aeaa ciiao anoaiiaeoe, ui i?ney i?iaaaeaiiai eo?no e?eoaaiiy a?aecia/aeiny cia/ia ciaioaiiy ee?i?/ieo iciae ii?acee ai?oae?th eii'thieoeae ? ?ia?aee i?e an?o noaae?yo NEE (iinoaiiaea cae/aeieo oano?a oa?aoaaiiy aaiaaeuenueeei ?iaeaaei ? oethi?anoea?iii). I?iaaaeai? aeine?aeaeaiiy aeicaieythoue cacia/eoe, ui aeei?enoaiiy ?AII ia ae?eyieo ne?cii? caeice o oai?eo ia NEE i?eaiaeeoue aei cia/iiai iie?ioaiiy noaio ia?aaeiueiai a?aeae?eo iea, aeyaeaia noeioeyoe?y i?ioean?a ?aia?aoeaii? ?aaaia?aoe?? a o?aaeaieo oeaieiao eii'thieoeae ? ?ia?aee, i/aaeaeii, iaoiiaeaia i?aeaeuaiiyi ooieoe?iiaeueii? aeoeaiino? neueicii?iaeoeoth/iai aia?aoo iea, oa ?ioeie iiceoeaieie a?ieia?/ieie aoaeoaie ?AII,ye? i?eaiaeyoue aei e?aui? aiioaeicaoei? iaieiiie iea. O nai?e ?iaio? ie aeine?aeaeoaaee o oai?eo ?c nooei ea?aoieii'thieoea?oii noai aaiii?e?ioee?eoeyoe?? ia?aaeiueiai a?aeae?eo iea ? eiai ci?io i?ae aieeaii ?AII (30 iaoe??io?a, 60 i/ae). Ne?ae cacia/eoe, ui ?ai?oa oae? aeine?aeaeaiiy i?e NEE ia i?iaiaeeeeny. Iaiao?aeii cacia/eoe oaeiae, ui iaie aoee ianoaaeai? oai?? c ??ciiiai?oieie noaae?yie NEE. I?e aeine?aeaeaii? aaiii?e?ioee?eoeyoe?? o oai?eo ?c nooei ea?aoieii'thieoea?oii ia 45 i/ao (75%) aoea a?aei?/aia ??cei ae?aaeaia nianoe/i?noue eai?ey??a ii e?iao, oiae? ye ia 15 i/ao (25%) aiia aoea ia ??cei ae?aaeaiith. E?euee?noue ooieoe?iioth/eo eai?ey??a o oai?eo ia NEE o na?aaeiueiio neeaaeaei (1,75 0,15) o 1 ii ii e?iao. Ia 32 i/ao (53,5 %) a?aecia/aeiny ??cea ii?ooaiiy oa?aeoa?o ? oaeaeeino? aioo??oiueieai?ey?iiai e?iaioieo (ca?ieno?noue ? ??cea oiia?eueiaiiy), ia 28 i/ao (46,6%) ci?ia eae?a?o, ii?ooaiiy oa?aeoa?o ? oaeaeeino? e?iaioieo, iiiooi?iiy a?ii?e?ineii?/iiai oiio ia ??ciiio nooiai?. Io?eiai? iaie aeai? aeathoue ciiao iia?/ii ioe?ithaaoe noai i?iieeiino? noaeeiii? no?iee a iaoe??io?a ?c NEE. O ?acoeueoao? i?iaaaeaiiai e?eoaaiiy ?AII aoei a?aecia/aii cia/ia iie?ioaiiy noaio aaiii?e?ioee?eoeyoi?iiai ?onea ia?aaeiueiai a?aeae?eo iea a?ae?aco ae i?ney cae?i/aiiy eo?no e?eoaaiiy. A?aei?/aii ciaioaiiy nianoe/iino? eai?ey??a aei (46,6 6,4%) ii??aiyii c (75 5,5%) aei ii/aoeo e?eoaaiiy (P<0,01). E?euee?noue ooieoe?iioth/eo eai?ey??a i?ney e?eoaaiiy a na?aaeiueiio neeaaeaea (2,5 0,2) o 1ii ii e?iao, ii??aiyii c (1,75 0,15) o 1ii ii e?iao aei e?eoaaiiy (P<0,01). Ia 20 i/ao (33%) aioo??eai?ey?iee e?iaioie noaa aiiiaaiiei ? oaeaeeei, ui ia a?aecia/aeiny aei ii/aoeo eo?no e?eoaaiiy (P<0,001). Ca?ienoee ? oiia?eueiaiee e?iaioie o eai?ey?ao caa??any eeoa ia 10 i/ao (16%), a ia ?ioeo 30 i/ao (50%) a?i noaa aiiiaaiiei-ca?ienoei ? ia??aeei oiia?eueiaiei, i?e oeueiio cieeee noace e aa?aaaoe?y a?eo?ioeeo?a. A a?oa??ieao i?ae aieeaii ?AII oaeiae a?aei?/aii iie?ioaiiy oa?aeoa?o aioo??oiueinoaeeiiiai e?iaioieo. I?ney e?eoaaiiy ?AII ia 50 i/ao a?aei?/aii aiiiaaiiee-ca?ienoee e?iaioie, a oiia?eueiaiee caa??any o?eueee ia 10 i/ao. Ca?eueoeeanue e?euee?noue i/ae - aei 30 (50%) c aiiiaaiiei, ? aei 30 (50%) c aiiiaaiiei-ca?ienoei e?iaioieii o aaioeao, ca?ienoino? aioo??oiueiaaioey?iiai e?iaioieo i?ney e?eoaaiiy ia niinoa??aaeany. Oaeaeeee e?iaioie o aaioeao a?aei?/aii ia 40 i/ao (66,6%), ia ??cei oiia?eueiaiee - ia 18 i/ao (30%), a ??cei oiia?eueiaiee caa??any eeoa ia 2-o i/ao (33%). A?ii?e?ineii?/iee oii ia 4-o i/ao (6,6%) noaa i?ici?ei, ia 30 i/ao (50%) iayaia eiai iiiooi?iiy 1-iai nooiaiy, a ia 26 i/ao (43,3%) - 2-iai nooiaiy. Iaie aeine?aeaeoaaany ai?no caaaeueiiai a?eea e ai?iiiai acioo a ne?ci?e ??aeei? a in?a c ii?iaeueiith neueicii?iaeoeoe??th e o oai?eo, ui no?aaeaeathoue ia nooee ea?aoieii'thieoea?o o aeeiai?oei canoinoaaiiy ?AII (40 ? 72 iaoe??ioa a?aeiia?aeii). O in?a c ii?iaeueiith neueicii?iaeoeoe??th, ui iaea?aeoaaee ?AII c i?eaiaeo iaeoeiaeeno?io??, ??aaiue caaaeueiiai a?eea a neueic? i?aeaeueany c (56,3 2,1) aei (71,3 2,4 ia n.a.n.), a ai?no ai?iiiai acioo a ne?ci?e ??aeei? i?aeaeueany c (0,239 0,004) aei (0,273 0,004 ia n.a.n.) O oai?eo ?c nooei ea?aoieii'theoea?oii ??aaiue caaaeueiiai a?eea aei aieeao ?AII neeaaeaa (50,5 1,3), a i?ney aieeao ?AII a?i a??ia?aeii i?aeaeueany aei (60,3 1,4 ia n.a.n.), ui na?ae/eoue i?i ii?iae?coth/ee aieea ?AII. Eiioeaio?aoe?y ai?iiiai acioo a ne?ci?e ??aeei? o oai?eo ia NEE oaeiae i?aeaeueeany c (0,205 0,007 ia/100ia n.a.n.) aei (0,270 0,006 ia/100 ia n.a.n. (?<0,001)). sse iieacaee ?acoeueoaoe i?iaaaeaieo iaie aeine?aeaeaiue, neeaae ne?cii? ??aeeie o oai?eo ia NEE ii e?eueeino? caaaeueiiai a?eea e ai?iiiai acioo a?ae??ciy?oueny a?ae oaeiai a in?a c ii?iaeueiith neueicii?iaeoeoe??th. Oea na?ae/eoue ia o?eueee i?i a?iiooieoe?th ne?cieo caeic i?e nooiio ea?aoieii'thieoea?o?, aea ? iiaea aeacoaaoe ia ci?io ye?niiai neeaaeo neueice, oiaoi ae?iaeaiiy ne?cii? ??aeeie o oai?eo ia NEE, i/aaeaeii, a?aeaoaa?oueny c? cieaeaiiyi eiioeaio?aoe?? ye caoenieo, oae ? aeeaeeueieo ?a/iaei neueice. Nooi?iue aooinainea?e?caoe?? i?aai?cio c aioeaaiaie (AA) ?ia?aee o oai?eo c ii/aoeiaith ? noaae??th ae?aaeaieo iciae caoai?thaaiiy neeaaeaea (10,5 1,9%; 12,3 1,8%) a?aeiia?aeii, a oie /an ye i?e i?ci?e noaae?? NEE aiia aoea a??ia?aeii a?eueo aenieith ? neeaaeaea (18,6 2,1%). Oe? aeai? aeyaeythoue ia o?eueee iayai?noue “ae?aaeaiiai” nooiaiy nainea?e?caoe?? aei aooiaioeaai?a ?ia?aee ia an?o noaae?yo NEE (o eiio?ie? ??aaiue nainea?e?caoe?? aei aooiaioeaai?a ?ia?aee neeaa (5,5 1,2%), aea ? a??ia?aeii a?eueo “aenieee” nooi?iue aooinainea?e?caoe?? aei aioeaai?a ?ia?aee ia i?ci?e noaae?? caoai?thaaiiy ii??aiyii c ii/aoeiaith ? noaae??th ae?aaeaieo iciae NEE (?<0,01). Aea/aiiy noaio ?ioiieia?/ii? ?aaeoeaiino? i?aai?cio a oai?eo ia NEE o aeeiai?oe? canoinoaaiiy ?AII ia ae?eyieo ne?cii? caeice aeyaeei ?yae ?noioieo ci?i caaaeueieo iieaciee?a ?ioiia?aie a a?oiao iaoe??io?a c ??ciiiai?oieie noaae?yie NEE. O oie /an ioe?iea ??aiy nainea?e?caoe?? i?aai?cio aei aooiaioeaai?a ?ia?aee (ca iieacieeaie iaaaioaaeoaaeueiiai oanoa A-?OE ?c cacia/aieie aioeaaiaie) aeicaieeea anoaiiaeoe, ui i?ae aieeaii ?AII ??aaiue nainea?e?caoe?? aei aioeaai?a ?ia?aee a??ia?aeii cieaeoaaany i?e an?o noaae?yo nooiai ea?aoieii'thieoeaeoo. Oae, o oai?eo ia NEE o ii/aoeia?e noaae?? caoai?thaaiiy aei e?eoaaiiy ??aaiue nainea?e?caoe?? aei AA ?ia?aee neeaaeaa (10,51,9%), a i?ney canoinoaaiiy ?AII oeae iieaciee a??ia?aeii cieceany ? neeaaeaa (5,9 1,7% (?<0,01)). O iaoe??io?a ?c ae?aaeaiith noaae??th nooiai ea?aoieii'thieoea?oo cia/aiiy iieacieea nainea?e?caoe?? aei AA ?ia?aee cieceeiny c (12,3 1,8%) aei (8,7 1,6% (?<0,05)), a i?e i?ci?e noaae?? caoai?thaaiiy c (18,6 2,1%) aei (14,8 1,7% (?<0,05)). sse i/aaeaeii c iiaeaieo aeaieo, aieea ?AII, a?aeiinii cieaeaiiy ??aiy nainea?e?caoe?? aei AA ?ia?aee iea, aeyaey?oueny iaea?eueoa i?e ii/aoeia?e noaae?? nooiai ea?aoieii'thieoea?oo. Iaie anoaiiaeaii, ui iniiai? oa?aiaaoe/i? aoaeoe aieeao ?AII o ?aaeei? oaeaeeino? ia?inoaiiy iaai?oii? ?iaeoeoe?? 2.104 iO/nae iieyaathoue o oaeiio: - aaeaeaaoi? no?oeoo?ii-ooieoe?iiaeuei? ia?aaoaeiae a niaoe?ae?ciaaieo ee?oeiao ne?cii? caeice, a oaeiae o ?? aaiii?e?ioee?eoeyoi?iiio ?one?, ni?yiiaai? ia i?aeaeuaiiy neueicii?iaeoeoe??; - i?aeaeuaiiy cieaeaiiai ??aiy neueicii?iaeoeoe?? o oai?eo ia NEE ae?aaeai? a?eueoa ia ii/aoeiaie noaae?i caoai?thaaiiy; - ca?eueoaiiy /ano ?ic?eao ne?cii? ie?aee ia an?o noaae?yo NEE, ui aeyaey? iiceoeaiee aieea ?AII ia ?? noaa?euei?noue; - noeioeyoe?y i?ioean?a ?aia?aoeaii? ?aaaia?aoe?? ai?oae?th eii'thieoeae ? ?ia?aee ia an?o noaae?yo NEE; - iie?ioaiiy noaio aaiii?e?ioee?eoeyoe?? ia?aaeiueiai a?aeae?eo iea; - ca?eueoaiiy e?eueeino? a?eeiaeo ? ai?iieeneioieo eiiiiiaio?a o ne?ci?e ??aeei? oai?eo ia NEE; -cieaeaiiy i?aeaeuaiiai ??aiy nainea?e?caoe?? aei aioeaai?a ?ia?aee iea ia an?o noaae?yo NEE. AENIIAEE 1. A?aoiaoth/e ca?eueoaiiy i?ioyaii inoaii?o ?ie?a /enea oai?eo ia nooee ea?aoieii'thieoea?o ? aa?o/e aei oaaae, ui iayai? a?aeii? caniae cai?nii? oa?ai?? iaeiaoaeoeai? ? iaooeeueia i?ia?anoaaiiy caoai?thaaiiy i?ecaiaeeoue aei aeano?oeoeaii-aeaaaia?aoeaieo ci?i o ia?aaeiueiio a?aeae?e? iea, iane?aeeii yeeo ? cieaeaiiy ci?iaeo ooieoe?e ? ?icaeoie ?iaae?aeiino? iaoe??io?a, aeooaeueiei ? ?ic?iaea aoaeoeaieo cania?a e?eoaaiiy nooiai ea?aoieii'thieoea?oo. 2. Aia?oa i?iaaaeaii aenia?eiaioaeueia aea/aiiy ??ciiiai?oieo ia?aiao??a aieeao ?AII ia ae?eyieo ne?cii? caeice ? ia i?aenoaa? aeaieo aeaeo?iiii-i?e?ineii?/ieo aeine?aeaeaiue aeaei ciiao aeyaeoe iioeiaeueio oaeaee?noue ia?inoaiiy iaai?oii? ?iaeoeoe?? (2.104 iO/nae), ui noeioeth? neueicii?iaeoeoe?th ? aeyaey?oueny a aaeaeaaoiie ia?aaoaeia? aioo??oiueiee?oeiieo i?ioean?a o nae?aoi?ieo ee?oeiao ? no?oeoo?ao i?e?ioee?eoeyoi?iiai ?onea ne?cii? caeice. 3. Aia?oa anoaiiaeaii, ui canoinoaaiiy ?AII ?c oaeaee?noth ia?inoaiiy iaai?oii? ?iaeoeoe?? 2.104 iO/nae ia ae?eyieo ne?cii? caeice o oai?eo ia NEE i?aeaeuo? ??aaiue neueicii?iaeoeoe?? ? ni?ey? iie?ioaiith ye?niiai neeaaeo (a?eeia? oa ai?iieeneioi? eiiiiiaioe) neueice ia an?o noaae?yo caoai?thaaiiy. Ia ii/aoeia?e noaae?? aeicaiey? ii?iae?coaaoe neueicii?iaeoeoe?th (13ii ca 5 oaeeei) ?c caa?aaeaiiyi aoaeoo i?neyae?? i?ioyaii 3-o ?ie?a. 4. Aeiaaaeaii, ui aeei?enoaiiy ?AII ia ae?eyieo ne?cii? caeice cia/ii iie?auo? noai ai?oae?th eii'thieoeae ? ?ia?aee, ui i?iyaey?oueny o iiaiiio cieeiaii? ee?i?/ieo iciae ?o o?aaeaiiy ia ii/aoeia?e noaae?? NEE, ia ?noioiiio ciaioaii? ia noaae?? ae?aaeaieo iciae ? i?ciuei? noaae?? caoai?thaaiiy. 5. Aia?oa anoaiiaeaii, ui ?AII aieeaa? ia noai aaiii?e?ioee?eoeyoi?iiai ?onea ia?aaeiueiai a?aeae?eo iea o oai?eo ia NEE, ui aeyaey?oueny o ciaioaii? iaoieia?/ieo iciae ii?ooaiiy i?ioean?a aaiii?e?ioee?eoeyoe??, ye-io: iie?ioaii? oa?aeoa?o ? oaeaeeino? aioo??oiueinoaeeiiiai e?iaioieo c /anoeiaith eiai ii?iae?caoe??th ? ciaioaiiyi i?iieeiino? noaeeiii? no?iee. 6. Ae?aci?noue ?ioiiiaoieiai/ieo ci?i o ?ioiieia?/iiio noai? i?aai?cio oai?eo ia NEE iia’ycaia c? nooiaiai ee?i?/ieo i?iya?a caoai?thaaiiy ? iaea?eueoa ia i?ci?e noaae?? NEE. Canoinoaaiiy ?AII ia ae?eyieo ne?cii? caeice o oai?eo ia NEE cieaeo? i?aeaeuaiee ??aaiue aooinainea?e?caoe?? i?aai?cio aei aioeaai?a ?ia?aee iea, ? nooi?iue aeanainea?e?coth/iai aieeao ?AII iaea?eueo ae?aaeaiee ia ii/aoeia?e noaae?? nooiai ea?aoieii'thieoea?oo. 7. Aeiaaaeaii oa?aiaaoe/io aoaeoeai?noue canoinoaaiiy ?AII ia ae?eyieo ne?cii? caeice i?e ??ciiiai?oieo noaae?yo nooiai ea?aoiei'thieoea?oo (Iaoaio ?7174A a?ae 30 /a?aiy 1995?) ? anoaiiaeaia eiai aeniea ee?i?/ia aoaeoeai?noue ia ii/aoeia?e noaae?? caoai?thaaiiy (o 85% oai?eo i?aeaeuo?oueny ??aaiue neueicii?iaeoeoe??). ?ic?iaeaiee iaoiae aa?oi ?aeiiaiaeoaaoe aeey ai?iaaaeaeaiiy o i?aeoe/io iooaeueiieia?th c iaoith i?io?eaeoeee ? e?eoaaiiy nooiai ea?aoieii'thieoea?oo. Nienie iaoeiaeo i?aoeue, iioae?eiaaieo ca oaiith aeena?oaoe??: 1. Eiaai A.I, Aeoia?iaa I.A., Ne?eiiee A.A. Aeaenoaea eiioeueniiai yeaeo?iiaaieoiiai iiey ia neacioth aeaeaco //Iooaeueiie. aeo?i.-1995.-?3.- N.178-180. 2. Eiaai A.I., Eo?ia A.A. Ninoiyiea aaiiiee?ioee?eoeyoi?iiai ?onea ia?aaeiaai ioaeaea aeaca i?e nooii ea?aoieiiuethieoeaeoa (neiae?ii Nueaa?aia) e aai aeeiaieea iiae aicaeaenoaeai eiioeueniiai yeaeo?iiaaieoiiai iiey //Iooaeueiie. aeo?i.- 1995.-?5-6.- C.290-294. 3. Ai?aeeaaeca O.O., Eiaai A. I. Iiaue niinia ea/aiey nooiai ea?aoi-eiiuethieoeaeoa i?e neiae?iia Cueaa?aia //Iooaeueiie. aeo?i. -1996.-?1.- C.38-40. 4. Iao. 7174A Oe?a?ia, IIE 6 1 F9/00,A 61N2/00. Niin?a e?eoaaiiy nooiai ea?aoieii’thieoea?oo i?e neiae?ii? Nueeia?aia / Eiaai A.I., Ai?a?eaaeca O.O., Ne?eiiee I.A.; Caya. ?93006041,21.12.1993; iioae.30.06.1995; I?iieneiaa aeani?noue. – 1995. - ?2. - N.3.1.8. 5. Gorgiladse T., Kogan B., Droscina G., Iwanowskaja H. Behandlung der keratokonjunktivitis sicca beim Sjogren syndrom mit impulsen elektromagnetfeld // Ber.dtsch. ophthal. Ges. – 1996. – S.138. 6. Kogan B.M. The treatment of keratoconjunctivitis sicca. //Abstract book XXVIII International Congress of Ophtalmology, Amsterdam. – 1998. – P.169. AIIOAOe?ss Eiaai A.I. Canoinoaaiiy ?iioeueniiai aeaeo?iiaai?oiiai iiey aeey e?eoaaiiy nooiai ea?aoieii'thieoea?oo.-?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.18.-i/i? oai?iae.-?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa AII Oe?a?ie, Iaeana, 1999. Aeena?oaoe?y i?enay/aia i?iaeai? aeei?enoaiiy ?iioeueniiai aeaeo?iiaai?oiiai iiey ia ae?eyieo ne?cii? caeice aeey e?eoaaiiy oai?eo c ??ciiiai?oieie noaae?yie nooiai ea?aoieii'thieoea?oo. Ia i?aenoaa? aeaeo?iiii-i?e?ineii?/ieo aeaieo anoaiiaeaii iioeiaeueiee ?aaeei aeei?enoaiiy ?AII (oaeaee?noue ia?inoaiiy iaai?oii? ?iaeoeoe?? 2.104iO/nae), ui noeioeth? neueicii?iaeoeoe?th. Aeiaaaeaii, ia 92-o oai?eo (182 iea), ui ?AII i?aeaeuo? cieaeaiee ??aaiue neueicii?iaeoeoe??, ca?eueoo? /an ?ic?eao ne?cii? ie?aee, iie?auo? noai ai?oae?th ?ia?aee iea o oai?eo ia NEE, aieeaa? ia oa?aeoa? ? oaeaee?noue aioo??oiueinoaeeiiiai e?iaioieo ia?aaeiueiai a?aeae?eo iea, cieaeo? i?aeaeuaiee ??aaiue aooinainea?e?caoe?? i?aai?cio aei aioeaai?a ?ia?aee iea. Anoaiiaeaia oa?aiaaoe/ia aoaeoeai?noue canoinoaaiiy ?AII i?e an?o noaae?yo nooiai ea?aoieii'thieoea?oo (ia ii/aoeia?e noaae?? a 85% oai?eo i?aeaeuo?oueny ??aaiue neueicii?iaeoeoe??) aeicaiey? ?aeiiaiaeoaaoe ?ic?iaeaiee iaoiae aeey e?eoaaiiy nooiai ea?aoieii'thieoea?oo. Eeth/ia? neiaa: nooee ea?aoieii'thieoea?o, ne?cia caeica, neueicii?iaeoeoe?y, ?iioeuenia aeaeo?iiaai?oia iiea, e?eoaaiiy. AIIIOAOeEss Eiaai A.I. I?eiaiaiea eiioeueniiai yeaeo?iiaaieoiiai iiey aeey ea/aiey nooiai ea?aoieiiuethieoeaeoa. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.18. – aeaciua aieacie. – Einoeooo aeaciuo aieaciae e oeaiaaie oa?aiee ei. A.I. Oeeaoiaa AII Oe?aeiu, Iaeanna, 1999. Aeenna?oaoeey iinayuaia i?iaeaia eniieueciaaiey eiioeueniiai yeaeo?iiaaieoiiai iiey ia iaeanoue neaciie aeaeacu aeey ea/aiey aieueiuo n ?acee/iuie noaaeeyie nooiai ea?aoieiiuethieoeaeoa. Ia iniiaaiee iieo/aiiuo yeaeo?iiii-iee?ineiie/aneeo aeaiiuo onoaiiaeai iioeiaeueiue ?aaeei eniieueciaaiey EYII (nei?inoue ia?anoaiey iaaieoiie eiaeoeoeee 2.104iO/nae), eioi?ue noeioee?oao neacii?iaeoeoeeth, /oi i?iyaeyaony a aaeaeaaoiie ia?ano?ieea aioo?eeeaoi/iuo i?ioeannia a nae?aoi?iuo eeaoeao e no?oeoo?ao iee?ioee?eoeyoi?iiai ?onea neaciie aeaeacu. Aeieacaii, ia 92-o aieueiuo (182 aeaca), /oi i?eiaiaiea EYII ni nei?inoueth ia?anoaiey iaaieoiie eiaeoeoeee 2.104 iO/nae iiauoaao nieaeaiiue o?iaaiue neacii?iaeoeoeee i?e anao noaaeeyo nooiai ea?aoieiiuethieoeaeoa, oaaee/eaaao a?aiy ?ac?uaa neaciie ieaiee i?e anao noaaeeyo NEE a aeeiaieea eniieueciaaiey EYII, a oaeaea a aeoeae?oao o?ainii?o aaeeiauo e aieiieeneioiuo eiiiiiaioia ec neaciie aeaeacu a neacioth aeeaeeinoue. Iieacaii, /oi i?eiaiaiea EYII ia iaeanoue neaciie aeaeacu cia/eoaeueii oeo/oaao ninoiyiea yieoaeey ?iaiaie iaiei/ee aeaca o aieueiuo NEE, /oi i?eaiaeeo e iieiiio en/aciiaaieth eeeie/aneeo i?eciaeia eo ii?aaeaiey i?e ia/aeueiie noaaeee caaieaaay e nouanoaaiiii eo oiaiueoaiee i?e noaaeee au?aaeaiiuo i?eciaeia e iicaeiae noaaeee NEE. Iaia?oaeaii, /oi EYII oeo/oaao oa?aeoa? e nei?inoue aioo?eninoaeenoiai e?iaioiea n /anoe/iie aai ii?iaeecaoeeae e oiaiueoaieai i?iieoeaaiinoe ninoaeenoie noaiee, /oi auyaeyao aeaaioai?iia aeeyiea EYII ia ninoiyiea aaiiiee?ioee?eoeyoi?iiai ?onea ia?aaeiaai ioaeaea aeaca o aieueiuo NEE. Iieacaii, /oi i?eiaiaiea EYII ia iaeanoue neaciie aeaeacu o aieueiuo NEE nieaeaao iiauoaiiue o?iaaiue aooinaineaeeecaoeee i?aaiecia e aioeaaiai ?iaiaie iaiei/ee aeaca. Onoaiiaeaiiay oa?aiaaoe/aneay yooaeoeaiinoue i?eiaiaiey EYII ia iaeanoue neaciie aeaeacu i?e ?acee/iuo noaaeeyo nooiai ea?aoieiiuethieoeaeoa (i?e ia/aeueiie noaaeee o 85% aieueiuo iiauoaaony o?iaaiue neacii?iaeoeoeee) iicaieyao ?aeiiaiaeiaaoue ?ac?aaioaiiue iaoiae aeey aiaae?aiey a i?aeoe/aneoth iooaeueiieiaeth aeey i?ioeeaeoeee e ea/aiey nooiai ea?aoieiiuethieoeaeoa. Eeth/aaua neiaa:nooie ea?aoieiiuethieoeaeo,neaciay aeaeaca, neacii?iaeoeoeey, eiioeueniia yeaeo?iiaaieoiia iiea, ea/aiea. ANNOTATION KOGAN B.M.Employment of the impulse electromagnetic field for treatment of dry keratoconjunctivitis.-Manuscript. Thesis for a candidate's degree by specialty 14.01.18-eye diseases.- The Filatov Institute of Eye Diseases and Tissue Therapy of AMS of Ukraine, Odessa, 1999. The dissertation is devoted to the question of use of the impulse electromagnetic field to tear glands for treatment of patients with different stages of dry kerato-conjuctivitis. The optimal condition of IELF’s use was established (with magnetic induction's velocity 2.10mT/sec) on the base of received elektronic microscopic data, that stimulates tear production. It was proved in 192 patient (182 eyes) that IELF raises the reduced level of tear production and also raises a time of break of a tear film, activates a transport of amino compounds, improves epitelium of cornea and Hemomicrocirculatory with different stages of dry keratokonjunctivitis.The established therapeutic effectiveness of IELF employment to the region of tear gland at the early stages of dry keratoconjunctivitis rises the level of tear production in 85% of patients and has allowed to recommend the developed method for preventive prophylaxis and for treatment of dry keratoconjunctivitis. Key words: dry keratoconjunctivitis, impulse electromagnetic field, treatment, tear production.

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