?INOEOOO IAAe?AO???, AEOOA?NOAA OA A?IAEIEIA??

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

AAEOEAIEI ETHAeIEEA ?AAI?AIA

OAeE 616.233 — 002.193 + 616.248: 616.1- 008.6] – 053.5/.6

AAeAIOAOe?EI? IIAEEEAINO? NA?OeAAI-NOAeEIII? NENOAIE O Ae?OAE
OE?EUeIIAI A?EO A IA??IAe? ?AI?N?? ?AOeEAeEAOTH*IAI A?IIO?OO OA
A?IIO?AEUeII? ANOIE

14.01.10 – iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

EE?A – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Aei?i?iiao?ianuee?e Aea?aeaai?e iaaee/i?e

aeaaeai?? IIC Oe?a?ie

Iaoeiaee ea??aiee: -aeieoi? iaaee/ieo iaoe, i?ioani? Aauaiei Ethaeieea
Aieiaeeie??aia,

Aei?i?iiao?ianueea Aea?aeaaia
iaaee/ia aeaaeai?y IIC Oe?a?ie,

caa?aeoaa/ eaoaae?ith
aini?oaeueii? iaae?ao??? ?1

Io?oe?ei? iiiiaioe:- aeieoi? iaaee/ieo iaoe Iicaeaanueeee Aiaoie?e
Oaiaein?eiae/, ?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII
Oe?a?ie, ea??aiee a?aeae?eaiiy caoai?thaaiue i?aai?a aeeoaiiy o ae?oae;

— aeieoi? iaaee/ieo iaoe, i?ioani?
Eacae Na?oeaia Na?a??aia, Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii?
ina?oe ?i. I.E. Ooieea IIC Oe?a?ie, caa?aeoaa/ eaoaae?ith iaae?ao??? ?3.

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao
?i.I.I.Aiaiiieueoey IIC Oe?a?ie, eaoaae?a iaae?ao??? ?4, i.Ee?a.

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 30 ” /a?aiy 1999 ?. i13 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.553. 01 ii caoenoo
aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe ca
niaoe?aeueiinoyie “Iaae?ao??y”, “Aeooa?noai ? a?iaeieia?y” i?e ?inoeooo?
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, Ee?a, aoe.
Iaio?euenueeiai,8).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? ?inoeoooo
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, Ee?a, aoe.
Iaio?euenueeiai,8).

Aaoi?aoa?ao ?ic?neaiee “ 28 ” o?aaiy 1999 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee
Eaaoi?ia E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie.

I?ioyaii inoaii?o aeanyoe??/ ?aoeeaeeaoth/ee a?iio?o (?A) oa
a?iio?aeueia anoia (AA) caeiathoue i?ia?aeia i?noea na?aae oai?ia
i?aai?a aeeoaiiy aeeoy/iai a?eo a Oe?a?i?, ui ocaiaeaeo?oueny c
caaaeueiina?oiaith oaiaeaioe??th (I.I.Eoe’yiiaa ? ni?aaao., 1995;
A.O.Iicaeaanueeee, 1998; N.TH.Eaaaiia ? ni?aaao., 1998; R.B. Klein, B.W.
Huggins, 1994; G.Casimir, 1996).

Iacaaaeath/e ia cia/i? aeinyaiaiiy a ?ic?iaoe? aoaeoeaieo iaoiae?a
e?eoaaiiy ? i?io?eaeoeee AA e ?A o ae?oae (A.O.Iicaeaanueeee, 1996;
I.?.Eaneoey, 1998; T.Kemp et al., 1996; P.Ladebauche, 1997),
aeyaey?oueny aeniea /anoioa ii?ooaiue c aieo na?oeaai-noaeeiii? nenoaie
(A.O.Eoaeoe?i ? ni?aaao.,1995; I.Weiss et al., 1996, T.A.Manolio et al.,
1997). Oe? ci?ie cia/ii aieeaathoue ia ia?aa?a oa i?iaiic caoai?thaaiue,
a ioaea, ? ia ye?noue aeeooy aeeoeie a i?ioean? ?? c?inoaiiy, a caiaeii
– ? aei?ineiai ianaeaiiy (N.N. Eacae ? ni?aaao., 1987; E.?.Cieioiaa,
1988; R.J. Roorda, 1996; M.Geller, 1996; A. Zainudin, 1997). I?e oeueiio
oa?aeoa? ooieoe?iioaaiiy nenoaie e?iaiia?ao u?eueii iia’ycaiee c? noaiii
aaeaioaoe?eii? ae?yeueiino? anueiai i?aai?cio, e iiaea ?icoe?eoe aai
e?i?ooaaoe ?ioaineai?noue oa o?eaae?noue eiai
aaeaioaoe?eii-i?enoiniaoaaeueieo ?aaeoe?e (?.I. Aa?anueeee, A.I.
Aa?naiue?aa 1990; A.A.Aaieainueea 1996). A?aeiiino? i?i iaoai?cie
aeieeiaiiy e ?icaeoeo na?oeaai-noaeeiieo ii?ooaiue i?e a?iioieaaaiaa?e
iaoieia?? a oeae /an aeineoue aeia?a aea/ai?, iniaeeai a ia??iae
caaino?aiiy (?.A. Eo?aieiaa, 1993; I.N. ?i?n??aa, 1994; I.A. Oth??i ?
ni?aaao.,1995; D. Fitzgerald et al., 1994; J. Lissac, 1996; I. Weiss et
al., 1996). ?acii c oei aeooaeueiei ? aeine?aeaeaiiy ooieoe?iiaeueiiai
noaio na?oeaai-noaeeiii? nenoaie oa ?? aaeaioaoe?eieo iiaeeeainoae iica
ia??iaeii caaino?aiiy ?A e AA. sse ? ?ai?oa, aaeeeo caoe?eaaeai?noue
ee?i?oeeno?a aeeeeeathoue oaeoe/i? ieoaiiy ?aiiuei? ?aaa?e?oaoe?? ae?oae
c oe??th iaoieia??th, ianaiia?aae ni?yiiaai? ia i?aeaeuaiiy
aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie, ui, aacnoii?aii,
iie?ioeoue ia?aa?a ? aeo?ae caoai?thaaiue (A.I.Cin?iia, 1993; I.I.I?ceo,
1994; I.Na?aaea ? ni?aaao., 1995; R. Crouch, N. Mac Intyre, 1995). O
ca’yceo c oeei i?iaaaeaiiy iiaeaeueoeo aeine?aeaeaiue a aeaiiio iai?yieo
aaaaeaeinue iaiao?aeiei ? ia?niaeoeaiei.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

Aeena?oaoe?y aeeiiaia a ?aieao iaoeiai-aeine?aeii? ?iaioe ia oaio
“Iaoeiaa ia??oiooaaiiy iaaeeei-nioe?aeueieo aniaeo?a i?io?eaeoeee
ii?ooaiiy aaeaioaoe?? o ae?oae ia aoaiao iioiaaiaco a oiiaao
i?iieneiaiai ?aa?iio» Aei?i?iiao?ianueei? aea?aeaaii? iaaee/ii?
aeaaeai?? (? aea?aeaaii? ?a?no?aoe?? — 0194U0012329).

Iaoa ?iaioe: aaeineiiaeaiiy ae?aaiinoeee oa ei?aeoe?? ii?ooaiue
aaeaioaoe?? na?oeaai- noaeeiii? nenoaie o ae?oae oe?eueiiai a?eo c
?aoeeaeeaoth/ei a?iio?oii ? a?iio?aeueiith anoiith a ia??iae? ?ai?n??.

Caaea/? aeine?aeaeaiiy

Aecia/eoe /anoioo ii?ooaiue c aieo na?oeaai-noaeeiii? nenoaie o ae?oae c
?aoeeaeeaoth/ei a?iio?oii ? a?iio?aeueiith anoiith.

I?iaanoe eiiieaenia aea/aiiy ee?i?ei-ooieoe?iiaeueieo iniaeeainoae
na?oeaai- noaeeiii? nenoaie oa ca’yceo c iieacieeaie iaoaaie?cio o
ae?oae c ?aoeeaeeaoth/ei a?iio?oii ? a?iio?aeueiith anoiith ??ciiai
nooiaith oyaeeino? a ia??iae? ?ai?n?? a caeaaeiino? a?ae a?eo oa noao?.

Aecia/eoe iniaeeaino? o?ce/iiai ?icaeoeo iaoe??io?a oa anoaiiaeoe eiai
aca?iica’ycie c ooieoe?iiaeueiei noaiii na?oeaai-noaeeiii? nenoaie.

?ic?iaeoe ee?i?ei-?ino?oiaioaeuei? e?eoa??? ??ai?a aaeaioaoe?eieo
iiaeeeainoae o ae?oae c ?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith
anoiith a ia??iae? ?ai?n??.

Oaeineiiaeeoe eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ni?yiiaaieo
ia i?aeaeuaiiy aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie ?
aecia/eoe ?o aoaeoeai?noue o aeaiiai eiioeiaaioo oai?eo ia oe? aacenii?
oa?ai?? caoai?thaaiue.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

I?iaaaeaia ?ioaa?aeueia ioe?iea ooieoe?iiaeueiiai noaio
na?oeaai-noaeeiii? nenoaie ? aecia/ai? ?? aaeaioaoe?ei? iiaeeeaino? o
ae?oae oe?eueiiai a?eo c ?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith
anoiith ??ciiai nooiaith oyaeeino? a ia??iae? ?ai?n?? a caeaaeiino? a?ae
noao? ? a?eo.

Io?eiai? iia? a?aeiiino? i?i noai ooieoe?iioaaiiy oeaio?aeueii? e
ia?eoa?e/ii? eaiee nenoaie e?iaiia?ao ? aecia/aii aca?iica’ycie
ee?i?ei-ii?oiooieoe?iiaeueieo ci?i c iieacieeaie ia?aeeniiai ieeneaiiy
e?i?ae?a oa aioeieneaeaioiiai caoenoo o aeaiiai eiioeiaaioo oai?eo.
Aia?oa aeey ioe?iee aaeaioaoe?eieo iiaeeeainoae ea?ae?i?ani??aoi?ii?
nenoaie o ae?oae c ?aoeeaeeaoth/ei a?iio?oii aeei?enoaia aaeaioaoe?eia
i?iaa.

Anoaiiaeaii ca’ycie ii?ooaiue ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii?
nenoaie c iniaeeainoyie o?ce/iiai ?icaeoeo iaoe??io?a.

Aia?oa ia iniia? io?eiaieo ?acoeueoao?a aecia/ai? ae?aaiinoe/i? e?eoa???
e ?ic?iaeai? aeeoa?aioe?eii — ae?aaiinoe/i? oaaeeoe? aeey aecia/aiiy
??ai?a aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie o ae?oae
oe?eueiiai a?eo c ?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith anoiith a
ia??iae? ?ai?n??.

I?iaaaeaia ioe?iea aoaeoeaiino? aaeineiiaeaieo aeeoa?aioe?eiaaieo
caoiae?a ?aiiuei? ?aaa?e?oaoe?? o aeaiiai eiioeiaaioo oai?eo c
o?aooaaiiyi ??aiy aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii?
nenoaie.

I?aeoe/ia cia/aiiy ?acoeueoao?a ?iaioe.

Anoaiiaeaii, ui ia?aa?a ?aoeeaeeaoth/iai a?iio?oo oa a?iio?aeueii? anoie
o ae?oae oe?eueiiai a?eo a ia??iae? ?ai?n?? oa?aeoa?eco?oueny aenieith
/anoioith ee?i?ei-ooieoe?iiaeueieo ii?ooaiue c aieo na?oeaai-noaeeiii?
nenoaie e cia/iei cieaeaiiyi ?? aaeaioaoe?eieo iiaeeeainoae.

Cai?iiiiiaai? ae?aaiinoe/i? e?eoa??? e ?ic?iaeai? aeeoa?aioe?eii —
ae?aaiinoe/i? oaaeeoe? iiaeooue aooe aeei?enoai? aeey aecia/aiiy ??ai?a
aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie o ae?oae c
?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith anoiith a ia??iae? ?ai?n??,
ui ?icoe?th? iiaeeea?noue ee?i?/ii? ?ioa?i?aoaoe?? ooieoe?iiaeueiiai
noaio aia?aoo e?iaiia?ao e aeicaiey? ei?aaoaaoe oa?ai?th.

?aeiiaiaeiaaii ia oe? aacenii? oa?ai?? iniiaiiai caoai?thaaiiy
i?iaiaeeoe ?aaa?e?oaoe?ei? caoiaee aeeoa?aioe?eiaaii c o?aooaaiiyi
??ai?a aaeaioaoe?? nenoaie e?iaiia?ao, ui ni?ey? iiia?aaeaeaiith
i?ia?anoaaiiy na?oeaai-noaeeiieo ii?ooaiue oa iie?ioo? ia?aa?a
?aoeeaeeaoth/iai a?iio?oo ? a?iio?aeueii? anoie.

Iaoa??aee aeena?oaoe?? ocaaaeueiai? e aeeeaaeai? a iaoiaee/ieo
?aeiiaiaeaoe?yo «Ae?aaiinoeea ? i?io?eaeoeea aeiiicieia?/ieo ii?ooaiue
caei?ia’y o ae?oae» (1997), ?aoe?iiae?caoi?nuee?e i?iiiceoe?? ?8 a?ae
25.12.97 «Niin?a ei?aeoe?? ii?ooaiue aaeaioaoe?? na?oeaai-noaeeiii?
nenoaie o ae?oae», aeaeai?e Aei?i?iiao?ianueeith aea?aeaaiith iaaee/iith
aeaaeai??th, a ?ioi?iaoe?eiiio eeno? «?aaa?e?oaoe?ei? caoiaee aeey
ei?aeoe?? ii?ooaiue aaeaioaoe?? na?oeaai-noaeeiii? nenoaie o ae?oae c
a?iioieaaaiaaeie caoai?thaaiiyie» (?24 IIC Oe?a?ie, 1997).

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe a i?aeoeeo.

?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeai? a ?iaioo iaeaniiai
ioeueiiiieia?/iiai a?aeae?eaiiy ? eiinoeueoaoeaii? iie?ee?i?ee iaeanii?
aeeoy/i? ee?i?/ii? e?ea?i?, ioeueiiiieia?/iiai a?aeae?eaiiy 2-? i?nueei?
aeeoy/i? ee?i?/ii? e?ea?i? i. Aei?i?iiao?ianueea, Aeiiaoeueeiai
iaeaniiai aeeoy/iai ee?i?/iiai ia’?aeiaiiy, Caii??cueei? aeeoy/i?
ee?i?/ii? e?ea?i? ?5, E?einueeiai ?anioae?eainueeiai iain?iiaoo c
e?eoaaiiyi “Cieioee aa?aa” i. ?aiaoi???, naiaoi??th “Cieioee eiein” i.
Aeoooa.

Oai?aoe/i? iieiaeaiiy e i?aeoe/i? ?aeiiaiaeaoe?? ai?iaaaeaeai? a o/aiaee
i?ioean ia eaoaae?? aini?oaeueii? iaae?ao??? ?1 Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai??.

Iniaenoee aianie aeena?oaioa.

Aaoi? naiino?eii i?iaiaeea ?ioi?iaoe?eiee iiooe c aeaii? i?iaeaie,
ee?i?/ia e ?ino?oiaioaeueia ianoaaeaiiy oai?eo, ioe?ieo aeaieo
eaai?aoi?ieo ? ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy, aiae?c
aoaeoeaiino? ?aaa?e?oaoe?eieo caoiae?a.

Naiino?eii i?iaaea ?ic?iaeo ?noi??e oai?ia, noaoenoe/io eiii’thoa?io
ia?iaeo iaea?aeaieo aeaieo.

Ca oaiith aeena?oaoe?eii? ?iaioe aaoi?ii i?iaiae?ciaai? e?oa?aoo?i?
aeaea?aea e iaienai? an? ?icae?ee aeena?oaoe??.

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

Iniiai? iieiaeaiiy aeena?oaoe?? i?aaenoaaeai? ia ? Iaoe?iiaeueiiio
eii??an? aea?aieia?a oa ?ioiieia?a Oe?a?ie (Aeoooa, 1998); iaoeiai —
i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? ieoaiiy aeeoy/i? ioeueiiiieia?? ?
o??o?a??” (E?eaee ??a, 1997); can?aeaiiyo iaeaniiai oiaa?enoaa aeeoy/eo
e?ea??a (Aei?i?iiao?ianuee, 1997, 1998), eo?nao i?aeaeuaiiy
eaae?o?eaoe?? iaae?ao??a (Aei?i?iiao?ianuee, 1997, 1998).

Ioae?eaoe??.

?acoeueoaoe aeena?oaoe?? i?aaenoaaeai? a 9 ?iaioao, c ieo 6 noaoae a
iaoeiaeo aeo?iaeao, 3 oace aeiiia?aeae a iaoa??aeao eiia?ano ?
eiioa?aioe?? oa a ca??ieeo iaoeiaeo i?aoeue.

Ianya ? no?oeoo?a aeena?oaoe??.

Iaoa??aee aeena?oaoe?? aeeeaaeai? ia 166 noi??ieao iaoeiiieniiai oaenoo.
?iaioa neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 4 ?icae?e?a aeanieo
aeine?aeaeaiue, caeeth/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e,
?ethno?iaaia 23 oaaeeoeyie ? 21 iaethieii. A?ae?ia?ao?y neeaaea? 286
aeaea?ae, c ieo 86- ca?oa?aeieo, ? i?noeoueny ia 33 noi??ieao.

CI?NO ?IAIOE

Ianya ? iaoiaee aeine?aeaeaiue. A?aeiia?aeii aei iinoaaeaieo caaea/
?iaioa i?iaaaeaia c aeei?enoaiiyi ??cieo iaoiaee/ieo i?aeoiae?a.
?ao?iniaeoeaiee aiae?c 492 ?noi??e oai?ia ae?oae (214 iaeaaeaee oai?ei
ia ?A, 278- ia AA), ye? ciaoiaeeeeny ia noaoe?iia?iiio e?eoaaii? o
a?aeae?eaii? ioeueiiiieia?? Aei?i?iiao?ianueei? iaeanii? aeeoy/i?
ee?i?/ii? e?ea?i?, aoa i?iaaaeaiee aeey aeyaeaiiy /anoioe cono??/aiiy e
oa?aeoa?o ii?ooaiue na?oeaai-noaeeiii? nenoaie. Iiaeeaeaia ee?i?/ia
aeine?aeaeaiiy i?iaaaeaia o 342 ae?oae (62-c ?A, 216- c AA, 64 i?aeoe/ii
caei?ia? aeeoeie, ye? neeaee eiio?ieueio a?oio), c ieo 260 ae?oyi a?eii
7-14 ?ie?a cae?eniaii eiiieaenia ooieoe?iiaeueia aeine?aeaeaiiy
na?oeaai-noaeeiii? nenoaie (154 oai?eo ia AA ? 42- ia ?A, 64 aeeoeie
eiio?ieueii? a?oie). C 154 ae?oae, oai?eo ia AA, 28 aoee c
a?iio?aeueiith anoiith eaaeiai ia?aa?ao (AAEI), 77- c a?iio?aeueiith
anoiith na?aaeiueioyaeeiai ia?aa?ao (AANI), 49-c a?iio?aeueiith anoiith
oyaeeiai ia?aa?ao (AAOI). 68 oai?eo ianoaaeai? a eaoaiiac? aeey ioe?iee
aoaeoeaiino? i?iaaaeaieo ?aaa?e?oaoe?eieo caoiae?a. Ae?aaiinoeea ?A ? AA
i?iaiaeeeany a oiiaao niaoe?ae?ciaaiiai a?aeae?eaiiy e a?aeiia?aeaea
iieiaeaiiyi, i?eeiyoei ia ?? c’?cae? ooec?ao??a ? ioeueiiiieia?a Oe?a?ie
(1998).

Aeey ioe?iee ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie oa ??
aaeaioaoe?eieo iiaeeeainoae a oiiaao a?iioieaaaiaai? iaoieia?? aoa
aeei?enoaiee eiiieaeniee nenoaiiee i?aeo?ae, a iniia? yeiai eaaeeoue
eiioeaioe?y ?.I. Aa?anueeiai (1979), ca?aeii c yeith na?oeaai-noaeeiia
nenoaia ? ?iaeeeaoi?ii aaeaioaoe?eii? ae?yeueiino? oe?e?niiai i?aai?cio,
a ??aaiue ooieoe?iioaaiiy aia?aoo e?iaiia?ao aea?aaeaioiee ??aith
aaeaioaoe??. Iaeii/anii c ?aoaeueiei ee?i?ei -eaai?aoi?iei ianoaaeaiiyi,
ioe?ieith o?ce/iiai ?icaeoeo ae?oyi i?iaiaeeeeny aeaeo?iea?ae?ia?ao?y
(AEA), aoiea?ae?ia?ao?y (AoiEA), ea?ae?i?ioa?aaeia?ao?? (E?A) a
ii?aeiaii? c eeeiii?oinoaoe/iith i?iaith (EII) ? ioe?ieith aaaaoaoeaiiai
aiiainoaco, aaeaioaoe?eia i?iaa, aecia/aiiy noaio ia?aeeniiai ieeneaiiy
e?i?ae?a (IIE) ? aioeieneaeaioii? nenoaie (AIN), aiae?c ei?aeyoe?eieo
aca?iica’yce?a.

Ianoaaeaiiy aeeth/aei ca?? nea?a, aiaiiaco aeeooy, aio?iiiiao?e/i?
aei??thaaiiy, o?ceeaeuei? iaoiaee aeine?aeaeaiiy ea?ae?i?ani??aoi?ii?
nenoaie.

Ioe?iea o?ce/iiai ?icaeoeo i?iaiaeeeany i?ney aei??thaaiiy aeiaaeeie ?
iane o?ea, ie?oaeiino? a?oaeii? ee?oeie. Io?eiai? iieacieee
ioe?ithaaeeny ca aeiiiiiaith oeaioeeueieo oaaeeoeue, ?ic?iaeaieo
ni?a?ia?oieeaie eaoaae?e aini?oaeueii? iaae?ao??? ?1 AeAeIA (E.A.Aauaiei
? ni?aaao., 1997). Aa?iii?ei?noue o?ce/iiai ?icaeoeo aecia/aeany ca
?icoaooaaiiyi iieaciee?a a oeaioeeueieo ei?eaei?ao oa ?o
a?aeiia?aei?noth i?ae niaith.

?a?no?aoe?y AEA cae?enithaaeany ia aeaeo?iea?ae?ia?ao? 6 NEK-4 a 12-oe
noaiaea?oieo a?aeaaaeaiiyo ca noaiaea?oiith iaoiaeeeith. I?iaiaeeany
caaaeueiii?eeiyoee a aeaeo?iea?ae?ieia?? e?euee?niee oa ye?niee aiae?c
AEA (A.E.Ineieeiaa ? ni?aaao., 1986).

Iaoiae E?A aeei?enoiaoaaany aeey ioe?iee ae?yeueiino? AIN ye iniiaiiai
ciai?oiueiai ii a?aeiioaiith aei na?oey ?aaoethaaeueieea e?iaiia?ao e
i??e iai?oaeaiiy aaeaioaoe?eii -i?enoiniaoaaeueieo ?aaeoe?e
na?oeaai-noaeeiii? nenoaie (?.I. Aa?anueeee, 1979). Caien
ea?ae?i?ioa?aaeia?ai i?iaiaeeany ia aeaeo?iea?ae?ia?ao? 6 NEK-4 o ??
noaiaea?oiiio a?aeaaaeaii? c ?a?no?aoe??th ia iaioa 100 iine?aeiaieo
ea?ae?ioeeee?a a ?aaeueiiio ianooaa? /ano a niiei? ? ia 1-e oaeeei?
i?oinoaco c iiaeaeueoith aaoiiaoeciaaiith iaoaiaoe/iith ia?iaeith
aeaeo?iea?ae?iiioaioe?ae?a ? ?ic?aooieii iieaciee?a. Ioe?iea ii/aoeiaiai
aaaaoaoeaiiai oiiono, ?aaeoeaiino? oa aaaaoaoeaiiai caaacia/aiiy
i?iaiaeeeany a i?ioean? aeeiiaiiy EII ca iaoiaeeeith A.A. Inie?ii?
(1986).

Aiae?c ii?oiooieoe?iiaeueieo ia?aiao??a na?oey, iieaciee?a aaiiaeeiai?ee
cae?enithaaany ca aeiiiiiaith iaoiaeo AoiEA. Aeine?aeaeaiiy i?iaiaeeee a
I — oa A — ?aaeeiao ca aeiiiiiaith oeueo?acaoeiaiai neaia?a “SIM-5000
plus» o??ie “Biomedica» (?oae?y). Aecia/aeeny ?ici??e e?aiai ? i?aaiai
oeoii/e?a, oiaueia caaeiuei? no?iee e?aiai oeoii/ea ? i?aeoeoii/eiai?
ia?aoeiee a nenoieo ? ae?anoieo, ?iaeaene ianinii? e nei?i/oaaeueii?
ooieoe?? i?iea?aeo, iieacieee oeaio?aeueii? oa ia?eoa?e/ii?
aaiiaeeiai?ee. Ii?oiiao?e/i? iieacieee aoee ii?iae?ciaai? ca ieiuath
o?ea.

E??i oiai, aeey ioe?iee aaeaioaoe?eieo iiaeeeainoae ea?ae?i?ani??aoi?ii?
nenoaie aeei?enoiaoaaeanue aaeaioaoe?eia i?iaa, yea iieyaaea a
?a?no?aoe?? iieaciee?a AEA i?e i?iaaaeaii? oi?niaaiiai aeeoaiiy c
iiaeaeueoith iaeneiaeueiith cao?eieith aeaeeoo oa ?ic?aooaaiiyi
aaeaioaoe?eiiai eiao?oe??ioo (A.I. Eiiae?aoue?a, 1998).

Noai IIE ioe?ithaaee ca iaeiie/aiiyi e?ioeaaiai i?iaeoeoo ia?ieneaeaoe??
— iaeiiiaiai aeeaeueaeaa?aeo (IAeA) a ieaci? oa a?eo?ioeeoao e?ia? (I.N.
Aii/a?aiei, A.I.Eao?iiaa, 1985). Noai aioeieneaeaioiiai caaacia/aiiy
ioe?ithaaee ca aeoeai?noth oa?iaio?a – noia?ieneaeaeeniooace (NIAe)
(N.Nishismi et al., 1972) oa aeooao?iiia?ieneaeace (AEI) (E.A.?iiaiiaa,
?.Ae. Noaeueia, 1977).

Iaoaiaoe/ia ia?iaea io?eiaieo aeaieo i?iaiaeeeany c aeei?enoaiiyi iaeaoo
no/anieo noaoenoe/ieo i?eeeaaeieo i?ia?ai.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. I?iaaaeaiiy ia?oiai aoaio
?iaioe c aiae?cii 492 ?noi??e oai?ia ae?oae aeicaieeei aeyaeoe o 36,5%
ae?oae c ?A ? 58,6% ae?oae c AA ??ci? aoi?eii? ee?i?ei — ooieoe?iiaeuei?
ci?ie na?oeaai-noaeeiii? nenoaie: aaaaoaoeaio aeenooieoe?th,
i?iea?ae?iaeeno?io?th, ii?ooaiiy na?oeaaiai ?eoio, i?ieain i?o?aeueiiai
eeaiaio oiui. Oea noaei i?aenoaaith aeey ii/aoeo ianooiiiai aoaio
?iaioe, i?e aeeiiaii? yeiai aoei i?iaaaeaii iiaeeaeaia ee?i?/ia oa
ooieoe?iiaeueia ianoaaeaiiy aeaiiai eiioeiaaioo ae?oae.

Aiae?c ia?aa?ao AA o ae?oae iieacaa, ui ae?aaeai?noue ee?i?/ieo i?iya?a,
ooieoe?iiaeueieo ?iceaae?a, ?aioaaiieia?/ieo ci?i caeaaeaea a?ae
oyaeeino? e aeaaiino? caoai?thaaiiy, a o ae?oae c ?A aoea i?iii?oe?eia
/anoio? caaino?aiue i?ioyaii ?ieo. Ia oi?ioaaiiy AA a?eueoa, i?ae ?A,
aieeaaea iaoyaeeeaa niaaeeia?noue ii a?iioieaaaiaa?e iaoieia??,
iani?eyoeeaa i?aii?a?aeia oei oa ooo/ia aeaiaeiaoaaiiy a ia?o? i?nyoe?
aeeooy. Ia oi?ioaaiiy ?A a?eueoee aieea cae?enithaaee /ano? A?A? a
aeioe?eueiiio a?oe?.

I?e aea/aii? o?ce/iiai ?icaeoeo (O?) aoei anoaiiaeaii, ui o ae?oae c ?A
aeinoia??ii /ano?oa, i?ae a a?oi? eiio?ieth, o 38,7% oai?eo,
?a?no?oaaeeny iani?eyoeea? eiai aa??aioe: O? iecueeee oa ieae/a
na?aaeiueiai. O oie aea /an aeey ae?oae c AA caaaeii aoei oa?aeoa?ii
ca?eueoaiiy aeenaa?iii?eieo aa??aio?a O? – (47,7%), aeinoia??ia o ae?oae
c AANI (48,0%) oa AAOI (54,0%). I?e oeueiio o 30,2% ae?oae c AAOI O?
?icoe?ithaaany ye ieae/a na?aaeiueiai, o 17,5% — aoa iecueeei ? a 11,1%
aeiaaee?a ?a?no?oaaeany ?aoa?aeaoe?y. Aeenaa?iii?eiee O? o ae?a/aoie
oe??? a?oie cono??/aany ia 10% /ano?oa, i?ae o oeii/ee?a. Aaaeeeaee
aieea ia O? ae?oae (/ano?oa c AA) iaee iani?eyoeea? i?aii?a?aei?
oaeoi?e, /anoioa yeeo ca?eueooaaeany c iineeaiiyi oyaeeino?
caoai?thaaiiy. Ii?ooaiiy aa?iii?eiino? O? o oai?eo noi?iaiaeaeoaaeinue
i?aeaeuaiith /anoioith ii?ooaiue inaiee e aeaoi?iaoe?? a?oaeii? ee?oeie.
Oae? iniaeeaino? O? iiaeia ?icoe?ithaaoe, c iaeiiai aieo, ye iaeei c
?ecee-oaeoi??a ?icaeoeo o aeeoeie aeaii? iaoieia??, a c ?ioiai — aieea
oai?iae ye ia O?, oae ? ia ooieoe?iiaeueiee noai na?oeaai? ae?yeueiino?.
C ee?i?/ieo iiceoe?e aeioe?eueiei aoei aecia/aiiy aieeao iieaciee?a O?
ia noai aaaaoaoeaiiai aiiainoaco oa ooieoe?iiaeueieo iiaeeeainoae
na?oeaai-noaeeiii? nenoaie a ianoaaeaieo ae?oae. I?iaaaeaiee
ei?aeyoe?eiee aiae?c iieacaa iayai?noue i?yiiai aca?iica’yceo i?ae
??aiai O? (O? ieae/a na?aaeiueiai — O? iecueeee — ?aoa?aeaoe?y O?) oa
iieacieeaie iae?iaaaaoaoeaii? ?aaoeyoe?? na?oeaaiai ?eoio ca aeaieie E?A
a oiiaao EII. I?e oeueiio aaaaoaoeaia caaacia/aiiy na?oeaai?
ae?yeueiino? iaei neeueio ei?aeyoe?eio aca?iicaeaaei?noue c aa??aioaie
o?ce/iiai ?icaeoeo oai?eo ye c ?A, oae ? c AA (r = +0,71 ? r = +0,84,
?>0,05). O a?oi? ae?oae c AAOI c a?aenoaaaiiyi o O? ca aeaieie E?A ?
iaaaioaaeoaaeueieo i?ia o 43,8% niinoa??aaeiny iai?oaeaiiy
aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie, o 56,2%-
iacaaeia?eueiee ?o ??aaiue. O 90,6% oeeo oai?eo niinoa??aaeiny iii?oia
cieaeaiiy no?eeino? i?aai?cio aei a?iien??, i?aeoaa?aeaeaiiai iecueeei
??aiai aaeaioaoe?eiiai eiao?oe??ioo.

Aiae?c ?acoeueoao?a ee?i?/iiai ianoaaeaiiy na?oeaai? ae?yeueiino?
aeicaieea anoaiiaeoe a ianoaaeaieo oai?eo iayai?noue o?ceeaeueieo ci?i c
aieo na?oey, ye? aoee iia’ycai? c ii?ooaiiyi i?ioean?a iai?io a
i?iea?ae?. Ineaaeaiiy ? oiio a?aei?/aeiny o 25,8% oai?eo c ?A ? 38,9%
oai?eo c AA (AAEI-11,8%, AANI-33,3%, AAOI-69,8%). Aeoeaio ?? oiio iaae
eaaaiaaith a?oa???th aeyaeyany o 14,3% ae?oae c ?A, 7,1% — c AAEI, 19,5%
— c AANI ? 28,6%- c AAOI. Nenoie?/iee ooi i’yciaiai oa?aeoa?o
aeneooiaoaaany iaae aa?o?aeith ? V oi/eith a?aeiia?aeii o 30,7% oai?eo c
?A ? 40,7%- c AA (AAEI-15,7%, AANI-40,2%, AAOI-55,6%). Aeyaeai? ee?i?/i?
iniaeeaino? i?aeoaa?aeaeoaaeenue ii?ooaiiyie a?iaeaeo?e/ii? aeoeaiino?
na?oey ca aeaieie AEA, i?iaaaeaii? a niiei? e i?e iaaaioaaeoaaeueieo
i?iaao.

Aeine?aeaeaiiy a?iaeaeo?e/ii? aeoeaiino? na?oey o ae?oae c ?A, AAEI ?
AANI aecia/eei oaiaeaioe?th aei neioniai? oao?ea?ae?? (42,9%, 32,1% ?
37,7% aeiaaee?a a?aeiia?aeii), a ae?oae c AAOI- aei neioniai?
a?aaeeea?ae?? (55,1% aeiaaee?a). O oai?eo c ?A neioniaa a?aaeeea?ae?y
aoea ca?a?no?iaaia a 9,5% aeiaaee?a, o oai?eo c AAEI oa AANI – a 13,6% ?
18,2% aeiaaee?a a?aeiia?aeii. Aeyaeai? ci?ie aoee coiiaeai? ii?ooaiiyi
aaaaoaoeaii? ?aaoeyoe?? na?oeaaiai ?eoio e iaaeinoaoiueith aeoeaaoe??th
neiiaoe/iiai a?aeae?eo AIN. Neioniaa aeeoaeueia a?eoi?y iae/ano?oa
?a?no?oaaeany a ae?oae c AAOI (65,3% aeiaaee?a), ??aeoa — i?e AANI ? o
ae?oae c ?A (42,9% ? 33,3% a?aeiia?aeii). Ii?ooaiiy aeaiiey?ecaoe??
i?aaiai ia?aaena?aey aoee iaea?eueo ae?aaeaieie o oai?eo c AAOI. I?e
oeueiio AEA- iciaee a?ia?o?io?? i?aaiai ia?aaena?aey iae/ano?oa aoee
ca?a?no?iaai? a oe?e aea a?oi? (55,1%). O ae?oae c AANI aiie
cono??/aeeny a 1,5 ?ace ??aeoa. I?aeaeuaiiy a?iaeaeo?e/ii? aeoeaiino?
i?aaiai ia?aaena?aey niinoa??aaeiny a 14,3% ae?oae c ?A ? ia
?a?no?oaaeiny o ae?oae c AAEI. Ii/aoeia? iciaee ia’?iiiai
ia?aaaioaaeaiiy i?aaeo a?aeae?e?a na?oey aeinoia??ii /ano?oa, i?ae a
eiio?ieuei?e a?oi?, a?aei?/aeeny o oai?eo c AAOI (26,5%), a oie /an ye o
ae?oae c AANI oa ?A aoea eeoa oaiaeaioe?y aei ?o ca?eueoaiiy.

Iayai?noue ii?ooaiue i?ioean?a iai?io a i?iea?ae? oeoii/e?a o aeaeyae?
ci?i aea- ? ?aiiey?ecaoe?? oaeiae a cia/i?e i??? caeaaeaea a?ae
oyaeeino? ia?aa?ao caoai?thaaiiy ? ?a?no?oaaeanue o ae?oae c AAOI o
73,5% aeiaaee?a. Aeinoia??ii ??aeoa oe? ii?ooaiiy cono??/aeeny o oai?eo
c AANI ? ?A (36,4% ? 19,1% aeiaaee?a a?aeiia?aeii) ? a iiiaeeiieeo
aeiaaeeao — o oai?eo c AAEI (10,7%).

Iai?iii — o?io?/i? ii?ooaiiy a i?iea?ae?, ui caa??aaeeny a ia??iae?
?ai?n?? ?A ? AA, aoee iia’ycai? c? noaiii IIE-AIN i?e oeeo
caoai?thaaiiyo. Oae, o oai?eo c ?A a?aei?/aeany aeoeaaoe?y
ia?ieneaeaoe?? e?i?ae?a, ui ae?aaeaeiny a aeinoia??iiio c?inoaii? ??aiy
iaoaaie?oo IIE IAeA. Oaiaeaioe?y aei iineeaiiy aeoeaaoe?? IIE o ae?oae c
AAEI ?aae?ciaoaaeany a aeinoia??ia ca?eueoaiiy IAeA o ae?oae c AANI ?
AAOI. Eiiiainaoi?ii a?aeaoaaeiny ca?eueoaiiy aeoeaiino? AIC, iaeiae oey
?aaeoe?y ia aoea aaeaeaaoiith iineeaiith IIE, e aeoeai?noue aaaeo/eo
oaeoi??a AIN — NIAe ? AEI caeeoaeany cieaeaiith (NIAe — o an?o a?oiao
ae?oae, AEI — o ae?oae c AAOI). I?ae nooiaiai cieaeaiiy iieaciee?a AIN ?
iayai?noth iaoaaie?/ieo ii?ooaiue a i?iea?ae? o oai?eo c ?A ? AA aoa
aeyaeaiee aenieee ei?aeyoe?eiee ca’ycie (r=+ 0,65 ? r=+ 0,81, ?>0,05).

Aeai?, io?eiai? i?e ii?oiiao?e/iiio aeine?aeaeaii? na?oey, na?ae/eee, ui
ia?aa?a ?A ? AA o ae?oae iani?eyoeeaei /eiii aieeaa? ia noai ianinii? e
nei?i/oaaeueii? ooieoe?e i?iea?aeo. Oae, o oai?eo c ?A, AANI ? AAOI o
ii??aiyii? c? caei?iaeie, aeinoia??ii cieaeoaaany i?ioeaio oei?i/aiiy
aioo??oiueiai ae?aiao?o e?aiai oeoii/ea a nenoieo (%?Ae). Aiaeia?/io
aeeiai?eo iaee iieacieee: o?aeoe?? aeeeaeo (OA) (0,65±0,02 oi. iae.,
0,59±0,02 oi. iae., oa 0,56±0,02 oi. iae. a?aeiia?aeii), na?aaeiuei?
ii?iae?ciaaii? oaeaeeino? ?ooo caaeiuei? no?iee e?aiai oeoii/ea (iNn?)
oa oaeaeeino? oee?eoeyoi?iiai oei?i/aiiy aioo??oiueiai ae?aiao?o e?aiai
oeoii/ea (Noeo), ye? aoee aeinoia??ii cieaeai? a ae?oae c ?A
(0,71±0,02ii/n ? 1,09±0,07n-1 a?aeiia?aeii), AANI (0,74±0,03 ii/n ?
1,15±0,05n-1 a?aeiia?aeii) ? AAOI (0,67±0,02 ii/n ? 1,02±0,06 n-1
a?aeiia?aeii). Nenoie?/ia aiie?ooaea i?aeoeoii/eiai? ia?aoeiee oa
caaeiuei? no?iee e?aiai oeoii/ea, ii?iae?ciaai? ca ieiuath o?ea (Ai/O ?
Ai/O), ye? iai?yii oa?aeoa?ecothoue noai ianinii? ooieoe?? e?aiai
oeoii/ea, aoee aeinoia??ii cieaeai? o oai?eo an?o a?oi.

O ae?oae c ?A ia oe? oaiaeaioe?? aei i?aeaeuaiiy iieaciee?a ieoiiiai
ia?eoa?e/iiai iii?o (III) oa oeneo caeeeiaiiy eaaaiaaeo eai?ey??a (OCEE)
iieacieee oeaio?aeueii? aaiiaeeiai?ee oaea?iee ?iaeaen (O?) ? na?oeaaee
?iaeaen (N?) aeinoia??ii cieaeoaaeeny (53,9±4,1ie/i2 oa 4,22±0,31
e/oa/i2 a?aeiia?aeii). Aca?iia?aeiioaiiy iieaciee?a oeaio?aeueii? oa
ia?eoa?e/ii? eaiie aaiiaeeiai?ee o ae?oae c AA na?ae/eei i?i a?eueo
ae?aaeaiee aeenaaeain i?ioean?a ii caaacia/aiith aaeaeaaoiiai e?iaiia?ao
ia ia?eoa???. O ae?oae c AA eaaaiaai — eai?ey?iee oene a iaeiio eie?
e?iaiia?ao ca iieacieeii OCEE, a ii??aiyii? c eiio?ieai, aeinoia??ii
ca?eueooaaany (AAEI- 9,15±0,56ii.?o.no., AANI-9,68±0,26ii.?o.no. ?
AAOI-10,12±0,24 ii.?o.no. a?aeiia?aeii), O? ? N? i?e oeueiio aeinoia??ii
ciaiooaaeenue o ae?oae c AANO (51,2±3,3ie/i2 ? 4,12±0,27e/oa/i2
a?aeiia?aeii) ? AAOI (48,8±3,5ie/i2 ? 4,06±0,26 e/oa/i2 a?aeiia?aeii).
E??i oiai, a a?oi? eiio?ieth niinoa??aaany cia/iee cai?ioi?e
ei?aeyoe?eiee ca’ycie i?ae O? oa III, ui caaacia/o? iino?ei?noue
na?aaeiueiai aaiiaeeiai?/iiai oeneo, oa na?ae/eoue i?i caaeainiaai?noue
oeaio?aeueii? oa ia?eoa?e/ii? eaiie aaiioee?eoeyoe??. O oai?eo c AANI oa
AAOI aeacaiee ca’ycie aoa iecueeei (r=-0,52, ?<0,05 ? r=-0,39 ?<0,01a?aeiia?aeii), ui i?aeoaa?aeaeoaaei iayai?noue aeenaaeaino c iineeaiiyi oyaeeino? AA. Iieaciee aeo?aoe aia?a?? (AA), yea iio??aia aeey i?aeo?eiee aaeaeaaoiiai e?iaioieo ia ia?eoa???, o an?o ae?oae aoa aeinoia??ii a?eueoei, i?ae a eiio?ie?, i?e oeueiio iaeaeuee eiai ??aaiue aoa ca?a?no?iaaiee o ae?oae c AANI ? AAOI (11,49±0,35Ao/e ? 12,56±0,29Ao/e a?aeiia?aeii). Iiooaei?noue nei?i/aiiy e?aiai oeoii/ea (INEO) o oai?eo ?A iaea oaiaeaioe?th aei ciaioaiiy, a na?aae ae?oae c AA iaeieae/? oeeo?e niinoa??aaeenue o ae?oae c AAOI, aea a?aeoeeaiiy INEO a?ae ii?ie noaiiaeei 65%. Oea iiynithaaeiny cieaeaiiyi eiio?aeoeeueiino? i?iea?aeo aiane?aeie iai?iii - aeeno?io?/ieo ci?i a na?oeaaiio i'yc? oa i?aeoaa?aeaeoaaeiny ?acoeueoaoaie iaoeo aeine?aeaeaiue ca aeaieie AEA. Noai iae?iaaaaoaoeaii? ?aaoeyoe?? na?oeaai? ae?yeueiino? a i?ioean? EII o ianoaaeaieo oai?eo aoa iano?eeei ? ni?eya cieaeaiith aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie. Oae, o oai?eo c ?A ? AANI 7-10 ?ie?a a eeeiiiieiaeaii? a?aei?/aeany oeaio?ae?caoe?y oi?aae?iiy na?oeaaei ?eoiii, i?i ui na?ae/eei aeinoia??ia ciaioaiiy iieacieea Ii o ae?oae c ?A ? AANI (0,57±0,02n ? 0,61±0,03n) ? ca?eueoaiiy - AIi (21,8±2,3% ? 23,0±2,2%) a?aeiia?aeii. Iai?oaeaiiy aaeaioaoe?eii - i?enoiniaoaaeueieo ?aaeoe?e na?oeaai-noaeeiii? nenoaie o ae?oae c ?A ? AAOI ae?aaeaeiny a aeinoia??iiio i?aeaeuaii? ?I aei 80,0±11,0 oi. iae. ? 76,0±10,0 oi. iae. a?aeiia?aeii. I?e oeueiio o ae?oae c AAOI aeinoia??ii cieaeoaaany oiion ia?aneiiaoe/iiai a?aeae?eo AIN (?o - 0,14±0,02n). O oai?eo c AA 11-14 ?ie?a o ii??aiyii? c eiio?ieueiith a?oiith cieaeoaaeany oeaio?ae?caoe?y oi?aae?iiy na?oeaaei ?eoiii (?I 49,0±8,0 oi. iae. o ae?oae c AAEI, 29,0±6,0 oi. iae. - c AANI ? 32,0±6,0 oi. iae. - c AAOI). O ae?oae oeueiai a?eo c AAEI oa AANI ?c ciaioaiiyi aieeao neiiaoe/iiai a?aeae?eo aeyaeaii aeinoia??ia i?aeaeuaiiy oiiono ia?aneiiaoe/iiai a?aeae?eo AIN (?o 0,34±0,04n ? 0,29±0,02n a?aeiia?aeii). I?e oeueiio o ae?oae c AAOI iecuee? iieacieee aeoeaiino? aeaio a?aeae?e?a AIN na?ae/eee i?i oaiaeaioe?th aei aeniaaeaiiy ooieoe?iiaeueieo ?aca?a?a. Ianoaaeai? oai?? iaee iniaeeaino? aaaaoaoeaiiai aiiainoaco, ye? cia/iith i??ith aieeaaee ia ooieoe?iioaaiiy na?oeaai-noaeeiii? nenoaie. Oae, ii/aoeiaee aaaaoaoeaiee oiion oai?eo c ?A oa?aeoa?ecoaaany ia?aaaaeaiiyi neiiaoeeioii?? (54,1% o oeii/ee?a ? 61,1%-o ae?a/aoie). Iieacieee ii/aoeiaiai aaaaoaoeaiiai oiiono o oai?eo c AAEI i?aeoe/ii ia a?ae??ciyeeny a?ae caei?iaeo ae?oae. C iineeaiiyi oyaeeino? AA ca?eueooaaany i?ioeaio oeii/ee?a c aaaioii??th, a ae?a/aoie - c neiiaoeeioii??th. Aaaaoaoeaia caaacia/aiiy na?oeaai? ae?yeueiino? a a?eueoino? oeii/ee?a ? ae?a/aoie c ?A aoei iaaeinoaoi?i ca ?aooiie ia?aaaaeaiiy aneiiaoeei -oii?/iiai aa??aioo ?aaeoe??- a 70,8% ? 66,7% aeiaaee?a a?aeiia?aeii (?<0,05). O oeii/ee?a ? ae?a/aoie c AAEI ii?iaeueia ?aaeoe?y ia i?oinoac cono??/aeany c oaeith ae /anoioith, ye ? a caei?iaeo ae?oae. *anoioa aneiiaoeeioii?/iiai aa??aioo ?aaeoe?? c?inoaea iaaeinoia??ii. O a?eueoino? ae?oae c AANI aaaaoaoeaia caaacia/aiiy aoei iaaeinoaoi?i iacaeaaeii a?ae noao?. Ia?aaaaeaa aneiiaoeeioii?/iee aa??aio ?aaeoe?? ia i?oinoac, yeee o ae?a/aoie cono??/aany aeinoia??ii /ano?oa (80,6%), i?ae o oeii/ee?a, a oaeiae a eiio?ieuei?e ? iiia?aaei?e a?oiao. Ii?iaeueia ?aaeoe?y ia i?oinoac o oeeo oai?eo a?aei?/aeany ??aeoa (17,7% o oeii/ee?a ? 9,7% o ae?a/aoie), i?ae o ae?oae c AAEI oa a caei?iaeo. O oeii/ee?a c AAOI aaaaoaoeaia caaacia/aiiy aoei iaaeinoaoi?i o 96,0% aeiaaee?a, a o ae?a/aoie-a 100% aeiaaee?a. I?e oeueiio a a?eueoino? oeii/ee?a ?a?no?oaaany aneiiaoeeioii?/iee aa??aio ?aaeoe?? ia i?oinoac (76,9%). Iacaeaaeii a?ae noao? a ii??aiyii? c iiia?aaei?ie a?oiaie ca?eueooaaeany /anoioa neiiaoeeianoai?/iiai aa??aioo ?aaeoe??, ui ee?i?/ii i?aeoaa?aeaeoaaany i?iyaaie aaaaoaoeaii? aeenooieoe??. I?iaaaeaiiy aaeaioaoe?eii? i?iae o oai?eo c ?A ? AA oaeiae na?ae/eei i?i ??ciee ??aaiue cieaeaiiy ?o aaeaioaoe?eieo iiaeeeainoae. O oai?eo c ?A oa AANI cieaeaiiy aaeaioaoe?eiiai eiao?oe??ioo a?aeaoaaeinue ia?aaaaeii ca ?aooiie ciaioaiiy /ano cao?eiee aeeoaiiy ia aeaein?. O ae?oae c AAOI, e??i oiai, aeinoia??ii ca?eueooaaany e /an a?aeiiaeaiiy *NN, oiio cia/aiiy aaeaioaoe?eiiai eiao?oe??ioo aoee iaeieae/?. I?e oeueiio o ae?a/aoie niinoa??aaeenue a?eueo iaaaoeai? ci?ie. ?ioaa?aeueia ioe?iea ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie ianoaaeaieo ae?oae aeicaieeea aecia/eoe ??ai? ?? aaeaioaoe?eieo iiaeeeainoae (caaeia?eueiee, iai?oaeaiiy, iacaaeia?eueiee). Aeey oeueiai ca aeiiiiiaith iaoaiaoe/ieo iaoiae?a (iine?aeiaiee aiae?c Aaeueaea-Aaie?ia ? oai?aia Aaeana) iaie aoee aecia/ai? iaea?eueo ?ioi?iaoeai? ee?i?ei - ooieoe?iiaeuei? e?eoa???. Aeey eiaeiiai c e?eoa???a aoea ?ic?aoiaaia ?ioi?iaoeai?noue ? ae?aaiinoe/i? eiao?oe??ioe, ia iniia? yeeo aoee neeaaeai? aeeoa?aioe?eii - ae?aaiinoe/i? oaaeeoe? ??ai?a aaeaioaoe?eieo iiaeeeainoae nenoaie e?iaiia?ao (oaaeeoe? 1 ? 2). Aeey ae?aaiinoeee noaio caaeia?eueieo aaeaioaoe?eieo iiaeeeainoae oa ?o iai?oaeaiiy aeei?enoiaoaaee oaaeeoeth 1. I?aenoaaeyth/e io?eiai? i?e ianoaaeaii? oai?iai ae?aaiinoe/i? iciaee a oaaeeoeth, aeae?aee a?aeiia?aei? ?i ae?aaiinoe/i? eiao?oe??ioe (AeE). Aeaaa?a?/ia noia AeE oa iii?aai/iiai AeE, ui aei??aithaaa “+4,0” ii??aithaaeenue c ae?aaiinoe/ieie ii?iaaie: aeey noaio caaeia?eueieo aaeaioaoe?eieo iiaeeeainoae ae?aaiinoe/iee ii??a aei??aithaaa “+13”, i?e ?=0,95 oa “+20” i?e ?=0,99. Aeey iai?oaeaiiy aaeaioaoe?eieo iiaeeeainoae – “-13”, i?e ? = 0,95 oa “-20” i?e ?=0,99. sseui io?eiaia noia aei??aithaaea “+13” ? a?eueoa, oi c a??ia?aei?noth ?=0,95 oa “+20” i?e ?=0,99 iiaeia aoei noaa?aeaeoaaoe, ui o oai?iai aaeaioaoe?ei? iiaeeeaino? na?oeaai-noaeeiii? nenoaie caaeia?euei?. sseui noia aoea ??aia “-13” ? iaioa aai “-20” ? iaioa, oi c oaeith ae a??ia?aei?noth o oai?iai iaei i?noea iai?oaeaiiy aaeaioaoe?eieo iiaeeeainoae. sseui noia aeoiaeeea ca iaae? ii?iaiaeo aaee/ei, oi ei?enooaaeenue oaaeeoeath 2, yea aeiiiiaaaea ae?aaiinooaaoe ??ai? iai?oaeaiiy ? iacaaeia?eueieo aaeaioaoe?eieo iiaeeeainoae. Aeaaa?a?/ia noia AeE oa iii?aai/iiai AeE, ui aei??aith? “-6,7” ii??aithaaeanue c a?aeiia?aeieie ae?aaiinoe/ieie ii?iaaie: aeey iai?oaeaiiy aaeaioaoe?eieo iiaeeeainoae – “+13”, i?e ? = 0,95 oa “+20” i?e ?= 0,99; aeey iacaaeia?eueieo ?o iiaeeeainoae – “-13”, i?e ? = 0,95 oa “-20” i?e ?=0,99. I?e ia?aaeuaii? aeacaieo ae?aaiinoe/ieo ii?ia?a aeiineeinue a?aeiia?aeia caeeth/aiiy. Oaaeeoey 1- Aeeoa?aioe?aeueii-ae?aaiinoe/ia oaaeeoey ?ici?ciaiiy caaeia?eueiiai ??aiy aaeaioaoe?eieo iiaeeeainoae oa ?o iai?oaeaiiy o oai?eo c ?A ? AA ? i/i Iacaa iciaee A?aaeaoe?? iciaee AeE ?ioi?iaoeai?noue 1. *an cao?eiee aeeoaiiy ia aeaein? i?ney a?ia?aaioeeyoe?? 14-21 nae <20 nae +8,7 -7,5 6,1 2. Aaaaoaoeaia caaacia/aiiy (aa??aio ?aaeoe?? ia EII) Ii?iaeueiee Aneiiaoeeioii?/iee A?ia?ae?anoie?/iee +7,1 -3,8 -4,7 5,6 3. *an a?aeiiaeaiiy *NN i?ney a?ia?aaioeeyoe?? oa cao?eiee aeeoaiiy ia aeaein? (16 nae 15-11 nae (10 nae -6,8 -5,1 +4,6 3,3 4. Oyaee?noue ia?aa?ao (aeey AA) Eaaeee Na?aaeiueioyaeeee +4,3 -3,8 2,9 5. QT> N ia 10% Oae

I? -4,2

+3,1 2,1

6. E?euee?noue caaino?aiue ia i?ioyc? ?ieo (aeey ?A) 3-4

5-7 +1,2

-3,7 2,1

7. Aa??aioe o?ce/iiai ?icaeoeo Iecueea oa ieae/a na?aaeiueiai

Na?aaei?

Aeniea oa aeua na?aaeiueiai -2,8

+1,3

-0,8 1,7

8. Aa?iii?ei?noue o?ce/iiai ?icaeoeo Aa?iii?eia

Aeenaa?iii?eia +2,6

-3,9 1,4

9. AA < 0,95 Ao/e 0,96-10,5 Ao/e >10,6 Ao/e +2,2

-0,5

-1,9 1,2

10. Ci?ia AIi/(o

i?e EII Ia ci?ith?oueny

> i?ae a 2 ?ace

< i?ae a 2 ?ace +1,2 -2,5 -1,6 1,1 Oaaeeoey 2- Aeeoa?aioe?aeueii-ae?aaiinoe/ia oaaeeoey ?ici?ciaiiy iai?oaeaiiy oa iacaaeia?eueieo aaeaioaoe?eieo iiaeeeainoae o oai?eo c ?A ? AA ? i/i Iacaa iciaee A?aaeaoe?? iciaee AeE ?ioi?iaoeai?noue 1. *an cao?eiee aeeoaiiy ia aeaein? i?ney a?ia?aaioeeyoe?? (13 nae 14-21 nae >21 nae -9,4

+7,5

+4,2 7,5

2. Aaaaoaoeaia caaacia/aiiy (aa??aio ?aaeoe?? ia EII) Ii?iaeueiee

Aneiiaoeeioii?/iee

A?ia?ae?anoie?/iee

Neiiaoeeianoai?/iee +7,2

+1,5

+2,1

-6,7 5,3

I?iaeiaaeaiiy oaaeeoe? 2.

? i/i Iacaa iciaee A?aaeaoe?? iciaee AeE ?ioi?iaoeai?noue

3. *an a?aeiiaeaiiy *NN

i?ney a?ia?aaioeeyoe?? oa cao?eiee aeeoaiiy ia aeaein? (16 nae

15-11 nae

-8,0

+4,9

3,7

4. Oyaee?noue ia?aa?ao (aeey AA) Na?aaeiueioyaeeee

Oyaeeee +1,7

-3,1 2,9

5. E?euee?noue caaino?aiue ia i?ioyc? ?ieo (aeey ?A) 7-10

>10 -1,3

-2,2 2,8

6. AA 0,96-10,5 Ao/e

>10,6 Ao/e -1,0

-2,1 2,6

7. QT> N ia 10% Oae

I? -5,2

+3,1 2,4

8. Aa??aioe o?ce/iiai ?icaeoeo Iecueea oa ieae/a na?aaeiueiai

Na?aaei?

Aeniea oa aeua na?aaeiueiai -4,3

+3,1

+1,4 2,1

9. Ci?ia AIi/(o

i?e EII Ia ci?ith?oueny

> i?ae a 2 ?ace

< i?ae a 2 ?ace +3,1 +1,5 -3,0 1,9 10. Aa?iii?ei?noue o?ce/iiai ?icaeoeo Aa?iii?eiee Aeenaa?iii?ei?noue +3,6 -2,8 1,7 Ioe?iea noaio aaeaioaoe?eieo iiaeeeainoae o ianoaaeaieo ae?oae (?en. 1) iieacaea, ui a?eueo i?ae o iieiaeie ae?oae c ?A ?a?no?oaaeeny iieacieee, ye? na?ae/eee i?i ?o iai?oaeaiiy (59,5%). Aeinoia??ii ??aeoa aiie aoee caaeia?eueieie (33,3%), ? a iiiaeeiieeo aeiaaeeao - iacaaeia?eueieie. O a?eueoino? oai?eo c AAEI aaeaioaoe?ei? iiaeeeaino? aoee caaeia?eueieie (64,3%). C iineeaiiyi oyaeeino? AA niinoa??aaeanue oaiaeaioe?y aei ca?eueoaiiy iai?oaeaiiy (55,8% o oai?eo c AANI ? 42,9%- c AAOI) oa iacaaeia?eueiiai ??aiy aaeaioaoe?eieo iiaeeeainoae (22,1% o ae?oae c AANI oa 57,1%-c AAOI). I?e oeueiio na?aae oeii/ee?a ia?aaaaeaei iai?oaeaiiy aaeaioaoe?eieo iiaeeeainoae, a na?aae ae?a/aoie - iacaaeia?eueiee ?o ??aaiue, ui a?aeiia?aeaei oyaeeino? ia?aa?ao oai?iae. oe?iiaeueiei noaiii, ni?yiiaai?noth aaaaoaoeaii? aeenooieoe??. ?en. 1. ??ai? aaeaioaoe?eieo iiaeeeainoae o ae?oae c ?A oa AA. C iaaeeeaiaioicieo i?aia?ao?a i?e iacaaeia?eueiiio ??ai? aaeaioaoe?eieo iiaeeeainoae ae?oe io?eioaaee oinoaaeai a aeiaia?e aeic? 5 ia/ea oa ?eaienei o aeic? 20 ia/ea 3 ?/aeaiue. Aeeoa?aioe?eiaaii a caeaaeiino? a?ae aeo?aeiiai aaaaoaoeaiiai oiiono ae?oyi c aaaioii??th i?ecia/aee ianoieeo ao?iaoea? io?io?iai? oa eaeueoe?th iaiaaiao (5ia/ea/aeiao 3 ?/aeaiue); c neiiaoeeioii??th oa aeoii??th - ianoieeo aaea??aie aai ionoe?i?ea (1 e?ai. ia ??e aeeooy 3 ?/aeaiue) a ii?aeiaii? c ania?eaiii a aeiaia?e aeic? 25ia/ea/aeiao 3 ?/aeaiue. E??i oiai, an? iaoe??ioe i?eeiaee iie?a?oai?ie c aaoa-ea?ioeiii (1oaae. 1 ?/aeaiue). I?e iai?oaeaii? aaeaioaoe?? ae?oe io?eioaaee ?eaienei o aeiaia?e aeic? 20 ia/ea 3 ?/aeaiue. sse ? i?e iiia?aaeiueiio ??ai? aaeaioaoe?eieo iiaeeeainoae, oai?? io?eioaaee aiaeia?/io aaaaoio?iiio ? a?oai?iioa?ai?th. I?e caaeia?eueiiio ??ai? aaeaioaoe?? ei?aeoe?y i?iaiaeeeanue a caeaaeiino? a?ae aeo?aeiiai aaaaoaoeaiiai oiiono: ae?oe c ia?aaaaeaiiyi aieeao ia?aneiiaoe/iiai a?aeae?eo AIN io?eioaaee aeno?aeo aeaooa?ieiea (1e?ai. ia ??e aeeooy 3 ?/aeaiue), eaeueoe?th ae?oea?ioinoao (15 ia/ea ia aeiao 3 ?/aeaiue); c ii/aoeiaith aeoii??th oa neiiaoeeioii??th - ianoieeo aaea??aie aai ionoe?i?ea a ii?aeiaii? c ania?eaiii a aeiaia?e aeic? 20ia/ea/aeiao 3 ?/aeaiue. E??i oiai, an?i ae?oyi i?ecia/aeeny iie?a?oai?ii? i?aia?aoe c i?e?iaeaiaioaie (1oaae. 1 ?/aeaiue). Oa?i?ie, e?aoi?noue i?iaaaeaiiy ?aaa?e?oaoe?eieo caoiae?a aecia/aeeny ??aiai aaeaioaoe?eieo iiaeeeainoae, ?o aeeiai?eith. Ioe?iea aoaeoeaiino? e?eoaaeueii-i?io?eaeoe/ieo caoiae?a i?iaiaeeeany i?ney ?o cae?i/aiiy c eiio?ieueiei aecia/aiiyi ??ai?a aaeaioaoe?? ca aeiiiiiaith cai?iiiiiaaieo iaie aeeoa?aioe?aeueii-ae?aaiinoe/ieo oaaeeoeue. ?acoeueoaoe eaoaiianoe/iiai niinoa?aaeaiiy iieacaee, ui cae?eniaiiy ?ic?iaeaiiai eiiieaeno e?eoaaeueii-i?io?eaeoe/ieo caoiae?a o 68,4% oai?eo c ?A oa 53,1% - c AA iie?ioeei aaeaioaoe?ei? iiaeeeaino? na?oeaai-noaeeiii? nenoaie. Caaino?aiiy ia?aa?aaee a?eueo eaaei, e?euee?noue ?o ciaiooaaeanue. O a?eueoino? iaoe??io?a c iai?oaeaiiyi aaeaioaoe?eieo iiaeeeainoae i?e i?iaaaeaii? ?iaeea?aeoaeueiiai eiiieaeno aaea?oueny i?aeaeueoe ??aaiue aaeaioaoe?? aei caaeia?eueiiai. I?e iacaaeia?eueiiio ??ai? aaeaioaoe?? o a?eueoino? aeiaaee?a aaea?oueny noaa?e?coaaoe noai aai iie?ioeoe eiai c i?aeaeuaiiyi ??aiy aaeaioaoe??, ui ? ?noioiei a iiia?aaeaeaii? iiaeaeueoiai iia??oaiiy ia?aa?ao caoai?thaaiiy oa ii?ooaiue c aieo na?oeaai-noaeeiii? nenoaie. AENIIAEE Ooieoe?iiaeuei? ii?ooaiiy na?oeaai-noaeeiii? nenoaie o ae?oae c ?aoeeaeeaoth/ei a?iio?oii a ia??iae ?ai?n?? neeaaeathoue 48,6%, a i?e a?iio?aeuei?e anoi? a?aeiia?aeii - 69,1% e iia’ycai? c oyaee?noth ia?aa?ao caoai?thaaiiy. Cieaeaiith aaeaioaoe?eieo iiaeeeainoae nenoaie e?iaiia?ao ae?oae c ?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith anoiith a ia??iae? ?ai?n?? ni?ey? ii?ooaiiy iae?i - aaaaoaoeaii? ?aaoeyoe??, ui ee?i?/ii ae?aaea?oueny aaaaoaoeaiith aeenooieoe??th o 2/3 oai?eo c a?iio?aeueiith anoiith ? /ano?oa noi?iaiaeaeo? oyaeeee ?? ia?aa?a, oa o 1/3 ae?oae c ?aoeeaeeaoth/ei a?iio?oii. Aeey ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie oa?aeoa?ia iayai?noue iai?iii -o?io?/ieo ii?ooaiue a i?iea?ae?, ye? iia’ycai? c aeenaaeainii a nenoai? IIE – AIN ? caeaaeaoue a?ae e?eueeino? caaino?aiue i?e ?aoeeaeeaoth/iio a?iio?o? oa oyaeeino? ia?aa?ao a?iio?aeueii? anoie. O ae?oae c oyaeeei oa na?aaeiueioyaeeei ia?aa?aii a?iio?aeueii? anoie ia? i?noea aeen?aaoeyoe?y aca?iiae?? oeaio?aeueii? oa ia?eoa?e/ii? eaiie aaiiaeeiai?ee, ui iaaaoeaii iicia/a?oueny ia aaeaioaoe?eieo iiaeeeainoyo nenoaie e?iaiia?ao. Aeacai? ci?ie o oai?eo c ?aoeeaeeaoth/ei a?iio?oii ae?aaeai? ii??aiyii iaioa. O oai?eo c ?aoeeaeeaoth/ei a?iio?oii c?inoa? /anoioa iani?eyoeeaeo aa??aio?a o?ce/iiai ?icaeoeo (iecueeiai oa ieae/a na?aaeiueiai); o ae?oae c a?iio?aeueiith anoiith - aeenaa?iii?eieo eiai aa??aio?a, ui aieeaa? ia noai aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie ? aeeoy/iai i?aai?cio caaaeii. ?ic?iaeai? ee?i?ei - ooieoe?iiaeuei? e?eoa??? e aeeoa?aioe?aeueii - ae?aaiinoe/i? oaaeeoe? aeicaieeee aecia/eoe ??ai? aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie (caaeia?eueiee, iai?oaeaiiy, iacaaeia?eueiee) oa aeyaeoe ?o cieaeaiiy o 66,7% oai?eo c ?aoeeaeeaoth/ei a?iio?oii ? 77,3% - c a?iio?aeueiith anoiith. Aaeineiiaeaiee eiiieaen aeeoa?aioe?eiaaieo ?aaa?e?oaoe?eieo caoiae?a aeey ae?oae aeaiiai eiioeiaaioo iiceoeaii aieeaa? ia ooieoe?iiaeueiee noai na?oeaai-noaeeiii? nenoaie oa ?? aaeaioaoe?ei? iaoai?cie, ia?aa?a caoai?thaaiiy e iiia?aaeaeo? eiai i?ia?anoaaiiy. I?AEOE*I? ?AEIIAIAeAOe?? Aeyaeaia /anoioa o?aaeaiiy na?oeaai-noaeeiii? nenoaie a ae?oae oe?eueiiai a?eo c ?aoeeaeeaoth/ei a?iio?oii ? a?iio?aeueiith anoiith aecia/a? iaiao?aei?noue aeeiai?/iiai (ia ??aeoa 2?/??e) ee?i?ei - ooieoe?iiaeueiiai eiio?ieth na?oeaai? ae?yeueiino? c iaeyaeii ea?ae?ieiaa. Aei i?ia?aie ee?i?ei - ooieoe?iiaeueiiai ianoaaeaiiy ae?oae a ia??iae? ?ai?n?? ?aoeeaeeaoth/iai a?iio?oo oa a?iio?aeueii? anoie a aeeoy/eo e?eoaaeueii-i?io?eaeoe/ieo caeeaaeao ?aeiiaiaeo?oueny aeeth/aoe aecia/aiiy aaaaoaoeaiiai aiiainoaco iaoiaeii ea?ae?i?ioa?aaeia?ao?? a ii?aeiaii? c iaaaioaaeoaaeueiith i?iaith, aoiea?ae?ia?ao?th, aeaeo?iea?ae?ia?ao?th, aaeaioaoe?eio i?iao, a oaeiae ioe?ieo o?ce/iiai ?icaeoeo aeeoeie, ui ?icoe?th? iiaeeeaino? ee?i?/ii? ioe?iee na?oeaai? ae?yeueiino?, aeicaiey? aecia/eoe ??ai? aaeaioaoe?eieo ?aca?a?a nenoaie e?iaiia?ao oa caaacia/o? i?iaaaeaiiy aeeoa?aioe?eiaaii? e?eoaaeueii-i?io?eaeoe/ii? ei?aeoe??. Aeey i?aeaeuaiiy aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie o aeaiiai eiioeiaaioo ae?oae ia oe? aacenii? oa?ai?? iaiao?aeia i?iaaaeaiiy eiiieaeno ?aii?o caoiae?a, aeeth/ath/e iaaeeeaiaioici? (iaaeeeaiaioicia ei?aeoe?y i?aaenoaaeaia a oaaeeoe? 3), ui caiia?aa? i?ia?anoaaiith na?oeaai-noaeeiieo ci?i a oiiaao a?iioieaaaiaai? iaoieia??, iie?auo? ia?aa?a oa aeo?ae ?A ? AA. Oaaeeoey 3- Iaaeeeaiaioicia ei?aeoe?y aeey ae?oae c ?A oa AA a caeaaeiino? a?ae ??aiy aaeaioaoe?eieo iiaeeeainoae ??aaiue aaeaioaoe?eieo iiaeeeainoae ?aaa?e?oaoe?ei? caoiaee Aaaioii?y neiiaoeeioii?y, aeoii?y Caaeia?eueiee Aeno?aeo aeaooa?ieieo 1 e?. ia ??e aeeooy, 3?/aeaiue; Eaeueoe?th ae?oea?ioinoao 15 ia/ea/aeiao 3?/aeaiue Ianoieea aaea??aie aai ionoe?i?ea 1 e?. ia ??e aeeooy, 3?/aeaiue; Ania?eai 20 ia/ea/aeiao i?ney ?ae? 3 ?/ae Iie?a?oai?ie c i?e?iaeaiaioaie, 1 oaae. 1?/ aeaiue Eo?ne ii 4 oeaei?, 2?/??e I?iaeiaaeaiiy oaaeeoe? 3. ??aaiue aaeaioaoe?eieo iiaeeeainoae ?aaa?e?oaoe?ei? caoiaee Aaaioii?y neiiaoeeioii?y, aeoii?y Iai?oaeaiiy Aeno?aeo aeaooa?ieieo 1 e?. ia ??e aeeooy, 3?/aeaiue; Eaeueoe?th iaiaaiao 5ia/ea/aeiao, 3 ?/aeaiue Ianoieea aaea??aie aai ionoe?i?ea 1 e?. ia ??e aeeooy, 3?/aeaiue; Ania?eai 25ia/ea/aeiao i?ney ?ae? 3 ?/ae ?eaienei 20ia/ea 3 ?/ae Iie?a?oai?ie c aaoa-ea?ioeiii, 1 oaae. 1?/ aeaiue Eo?ne ii 4 oeaei?, 2?/??e Iacaaeia?eueiee Ianoieea ao?iaoea? io?-io?iai? 7-9 ?ie?a-5 e?ai, 9-11?ie?a -8 e?ai, 12-14?ie?a-10 e?ai 3?/aeaiue. Eaeueoe?th iaiaaiao 5ia/ea/aeiao 3 ?/aeaiue Ianoieea aaea??aie aai ionoe?i?ea 1 e? ia ??e aeeooy 3?/aeaiue; Ania?eai 25 ia/ea/aeiao i?ney ?ae? 3 ?/ae ?eaienei 20ia/ea 3 ?/ae Oinoaaeai 5 ia/ea 3 ?/aeaiue Iie?a?oai?ie c aaoa-ea?ioeiii, 1 oaae. 1?/ aeaiue Eo?ne ii 4 oeaei?, 3?/??e Nienie iaoeiaeo i?aoeue, iioae?eiaaieo ca oaiith aeena?oaoe?? Noai aaeaioaoe?eieo ?aca?a?a na?oeaai-noaeeiii? nenoaie o ae?oae a i?aei?enooiiiio ia??iae? a?iio?aeueii? anoie //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.-Oa?ueeia, 1998.-?3.-N.138-145. /Ni?aaao.Eiiae?aoue?a A.I./. Ee?i?/ia cia/aiiy aeaeo?iea?ae?ia?ao?? o ae?oae c a?iio?aeueiith anoiith //Oe?a?inueeee iaoeiai-iaaee/iee iieiae?aeiee aeo?iae.-1998-?3.-N.15-18. /Ni?aaao.Eiiae?aoue?a A.I., *a?a?iaoeue A.?./. Ii??aiyeueia oa?aeoa?enoeea o?ce/iiai ?icaeoeo ae?oae c o?ii?/ieie ianiaoeeo?/ieie a?iioieaaaiaaeie caoai?thaaiiyie //Iaaee/i? ia?niaeoeae.-Aei?i?iiao?ianuee, 1998.-?2.-N.71-74./Ni?aaao.Eiiae?aoue?a A.I./. Ia?ooaiey na?aea/ii-ninoaeenoie nenoaiu o aeaoae n a?iioeaeueiie anoiie //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.-Oa?ueeia, 1998.- ? 15.-N.93-96. /Ni?aaao.Eiiae?aoue?a A.I./. Ei??aeoeey ia?ooaiee aaeaioaoeee na?aea/ii-ninoaeenoie nenoaiu o aeaoae n a?iioieaai/iuie caaieaaaieyie //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.-Oa?ueeia, 1998.- ? 19.- N.58-60. N?aaieoaeueiue aiaeec ia?ooaiee aaeaioaoeee na?aea/ii-ninoaeenoie nenoaiu o aeaoae n ?aoeeaeeae?othueie e o?iie/aneeie a?iioieaai/iuie caaieaaaieyie //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.-Oa?ueeia, 1998.-?22.-N.83-86. Aaeaioaoe?ei? ?aca?ae na?oeaai-noaeeiii? nenoaie o ae?oae c a?iio?aeueiith anoiith //? Iaoe?iiaeueiee eiia?an Oe?a?ie c ?ioiieia??, aea?aieia?? oa ?ioii?aaa?e?oaoe??.- Aeoooa, 1998.-N.63. /Ni?aaao.Eiiae?aoue?a A.I./. Ninoiyiea aaeaioaoeeiiiuo aiciiaeiinoae na?aea/ii-ninoaeenoie nenoaiu o aeaoae n a?iioeaeueiie anoiie ii aeaiiui ea?aeeieioa?aaeia?aoee //Aeooaeueiua aii?inu ioeueiiiieiaee e oe?o?aee. Iaoa?eaeu iao/ii-i?aeoe/aneie eiioa?aioeee.-E?eaie ?ia, 1997.-N.13-14. Ninoiyiea aaaaoaoeaiiai aiiainoaca o aeaoae n ieiea?aeeiaeeno?ioeae //Aii?inu aaeaieiaee e yeieiaee a o?aaeeoeeiiiie e iao?aaeeoeeiiiie iaaeeoeeia.-Aeiai?iiao?iane, 1997.-N.62-63. AIIOAOe?ss Aaeoeaiei E.?. Aaeaioaoe?ei? iiaeeeaino? na?oeaai-noaeeiii? nenoaie o ae?oae oe?eueiiai a?eo a ia??iae? ?ai?n?? ?aoeeaeeaoth/iai a?iio?oo ? a?iio?aeueii? anoie.- ?oeiien. Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.10. – iaae?ao??y. – ?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie, Ee?a, 1999. Caoeua?oueny aeena?oaoe?eia ?iaioa, a ye?e o ae?oae c ?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith anoiith a ia??iae? ?ai?n?? caoai?thaaiiy aeyaeaia aeniea /anoioa ii?ooaiue na?oeaai-noaeeiii? nenoaie. Aeaia oa?aeoa?enoeea ee?i?ei-ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie a niiei? oa i?e iaaaioaaeoaaeueieo i?iaao. ?ic?iaeai? ee?i?ei -?ino?oiaioaeuei? e?eoa??? oa aeeoa?aioe?eii - ae?aaiinoe/i? oaaeeoe? aeey aecia/aiiy ??ai?a aaeaioaoe?eieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie a ae?oae c ?aoeeaeeaoth/ei a?iio?oii oa a?iio?aeueiith anoiith. Cai?iiiiiaaiee aaeineiiaeaiee eiiieaen e?eoaaeueii - i?io?eaeoe/ieo caoiae?a, ni?yiiaaieo ia i?io?eaeoeeo oi?ioaaiiy na?oeaai-noaeeiieo ii?ooaiue oa aea/aia ?o aoaeoeai?noue ia oe? aacenii? oa?ai?? iniiaiiai caoai?thaaiiy o aeaiiai eiioeiaaioo oai?eo. Eeth/ia? neiaa: ae?oe, ?aoeeaeeaoth/ee a?iio?o, a?iio?aeueia anoia, na?oeaai-noaeeiia nenoaia, aaeaioaoe?ei? iiaeeeaino?, ae?aaiinoeea, ?aaa?e?oaoe?y. AIIIOAOeEss Aaeoeaiei E.E. Aaeaioaoeeiiiua aiciiaeiinoe na?aea/ii - ninoaeenoie nenoaiu o aeaoae oeieueiiai aic?anoa a ia?eiaea ?aiennee ?aoeeaeeae?othuaai a?iioeoa e a?iioeaeueiie anoiu.- ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.10.– iaaeeao?ey. - Einoeooo iaaeeao?ee, aeooa?noaa e aeiaeieiaee AII Oe?aeiu, Eeaa, 1999. Caueuaaony aeenna?oaoeeiiiay ?aaioa, a eioi?ie o aeaoae n ?aoeeaeeae?othuei a?iioeoii e a?iioeaeueiie anoiie a ia?eiaea ?aiennee caaieaaaiey auyaeaia aunieay /anoioa ia?ooaiee na?aea/ii-ninoaeenoie nenoaiu. Oaeoaeaiiia eeeieei-eino?oiaioaeueiia enneaaeiaaiea i?iaaaeaii o 154 aeaoae oeieueiiai aic?anoa n a?iioeaeueiie anoiie e 42 - n ?aoeeaeeae?othuei a?iioeoii. Eniieueciaai eiiieaeniue nenoaiiue iiaeoiae a ioeaiea ooieoeeiiaeueiiai ninoiyiey na?aea/ii-ninoaeenoie nenoaiu ia oiia a?iioieaai/iie iaoieiaee. Ia?yaeo n ouaoaeueiui eeeie/aneei ianeaaeiaaieai n ioeaieie oece/aneiai ?acaeoey aeaoyi i?iaiaeeeenue yeaeo?iea?aeeia?aoey, ea?aeeieioa?aaeia?aoey a ni/aoaiee n eeeiii?oinoaoe/aneie i?iaie e ioeaieie aaaaoaoeaiiai aiiainoaca, aaeaioaoeeiiiay i?iaa, yoiea?aeeia?aoey, ii?aaeaeaiea ninoiyiey ia?aeeniiai ieeneaiey eeieaeia e aioeieneaeaioiie caueou, aiaeec ei??aeyoeeiiiuo acaeiinaycae. O aeaoae n ?aoeeaeeae?othuei a?iioeoii aeinoiaa?ii /aua, /ai a a?oiia eiio?iey, ?aaeno?e?iaaeenue iaaeaaii?eyoiua aa?eaiou oece/aneiai ?acaeoey - ieceia e ieaea n?aaeiaai (38,7%), aeey aeaoae n a?iioeaeueiie anoiie auei oa?aeoa?ii oaaee/aiea aeenaa?iiie/iuo aai aa?eaioia (47,1%), /anoioa eioi?uo oaaee/eaaeanue n oneeaieai oyaeanoe caaieaaaiey e iiyaeaieai eciaiaiee ni noi?iiu na?aea/ii-ninoaeenoie nenoaiu. Iaee/ea ia?ooaiee iaiaiiuo i?ioeannia a ieiea?aea aeaeoaei/eia a aeaea eciaiaiee aea- e ?aiiey?ecaoeee a cia/eoaeueiie ia?a caaenaei io oyaeanoe oa/aiey a?iioeaeueiie anoiu e ioia/aeinue o aeaoae n AAOO a 73,5% neo/aaa. Nio?aiythueiny a ?aienneth iaiaiii-o?ioe/aneei ia?ooaieyi a ieiea?aea niinianoaiaae aeenaaeain a nenoaia ia?aeeniia ieeneaiea eeieaeia- aioeieneaeaioiay caueoa. Iieo/aiiua aeaiiua i?e yoiea?aeeia?aoe/aneii enneaaeiaaiee na?aeoea naeaeaoaeuenoaiaaee i oii, /oi iieacaoaee ianiniie e nie?aoeoaeueiie niiniaiinoe ieiea?aea auee aeinoiaa?ii nieaeaiu o anao aeaoae ca eneeth/aieai a?iioeaeueiie anoiu eaaeiai oa/aiey. Acaeiiioiioaiea iieacaoaeae oeaio?aeueiiai e ia?eoa?e/aneiai caaia aaiiaeeiaieee iiaeoaa?aeaeaei aeenaaeain ?aaoeyoi?iuo i?ioeannia ii iaania/aieth aaeaeaaoiiai e?iaiia?auaiey ia ia?eoa?ee, aieaa au?aaeaiiii o aeaoae n a?iioeaeueiie anoiie e oaiaeaioeeae e oooaeoaieth ii ia?a oneeaiey oyaeanoe oa/aiey caaieaaaiey. Ninoiyiea iae?iaaaaoaoeaiie ?aaoeyoeee na?aea/iie aeayoaeueiinoe a i?ioeanna EII auei iaonoie/eaui e niinianoaiaaei nieaeaieth aaeaioaoeeiiiuo aiciiaeiinoae na?aea/ii-ninoaeenoie nenoaiu. O aeaoae n ?aoeeaeeae?othuei a?iioeoii ioia/aeanue oeaio?aeecaoeey oi?aaeaiey na?aea/iui ?eoiii c i?aiaeaaeaieai enoiaeiie neiiaoeeioiiee e aneiiaoeeioiie/aneiai aa?eaioa aaaaoaoeaiiai iaania/aiey. O aeaoae n a?iioeaeueiie anoiie oeaio?aeecaoeey oi?aaeaiey na?aea/iui ?eoiii n aic?anoii nieaeaeanue. Ieceea iieacaoaee aeoeaiinoe aeaoo ioaeaeia aaaaoaoeaiie ia?aiie nenoaiu ia oiia iaaeinoaoi/iiai aaaaoaoeaiiai iaania/aiey naeaeaoaeuenoaiaaee i oaiaeaioeee e enoiuaieth aaeaioaoeeiiii -eiiiainaoi?iuo iaoaieciia n oneeaieai oyaeanoe oa/aiey caaieaaaiey. ?ac?aaioaiu eeeieei-eino?oiaioaeueiua e?eoa?ee e aeeooa?aioeeaeueii-aeeaaiinoe/aneea oaaeeoeu aeey ii?aaeaeaiey o?iaiae aaeaioaoeeiiiuo aiciiaeiinoae na?aea/ii-ninoaeenoie nenoaiu (oaeiaeaoai?eoaeueiue, iai?yaeaiey, iaoaeiaeaoai?eoaeueiue). Auyaeaii, /oi aaeaioaoeeiiiua aiciiaeiinoe na?aea/ii-ninoaeenoie nenoaiu nieaeaiu o 66,7% n ?aoeeaeeae?othuei a?iioeoii e o 77,3% - n a?iioeaeueiie anoiie. Oniaa?oainoaiaaiiue ?aaaeeeoaoeeiiiue eiiieaen inouanoaeyeny ia?yaeo n aaceniie oa?aieae aieueiuo a ia?eiaea ?aiennee iniiaiiai caaieaaaiey aeeooa?aioee?iaaii, a caaeneiinoe io o?iaiy aaeaioaoeeiiiuo aiciiaeiinoae nenoaiu e?iaiia?auaiey, ooieoeeiiaeueiiai ninoiyiey e iai?aaeaiiinoe aaaaoaoeaiie aeenooieoeee. Ioeaiea yooaeoeaiinoe ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee iieacaea, /oi inouanoaeaiea ?ac?aaioaiiiai eiiieaena ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee o o 68,4% n ?aoeeaeeae?othuei a?iioeoii e o 51,3% - n a?iioeaeueiie anoiie iicaieyao oeo/oeoue aaeaioaoeeiiiua aiciiaeiinoe na?aea/ii-ninoaeenoie nenoaiu. Eeth/aaua neiaa: aeaoe oeieueiiai aic?anoa, ?aoeeaeeae?othuee a?iioeo, a?iioeaeueiay anoia, na?aea/ii-ninoaeenoay nenoaia, aaeaioaoeeiiiua aiciiaeiinoe, aeeaaiinoeea, ?aaaeeeoaoeey. ANNOTATION Vakulenko L. I. The condition of adaptation possibility of cardio-vascular system in school-age- children in the remission period of recurrent bronchitis and bronchial asthma.- Manuscript. Dissertation for the degree of candidate of medical sciences for specialty 14.01.10.-pediatrics.-Inst?tute of Pediatrics, Obstetrics and Gynecoloqy, AMS of Ukraine, E?av, 1999. Dissertation is devoted to the problems of a high frequency of cardio-vascular disturbances in school-age- children with recurrent bronchitis and bronchial asthma in the period of remission. Characteristics of clinical-functional state of cardio-vascular system at rest and on loading is given. Clinical-instrumental criteria and differential-diagnostic tables to determine the levels of adaptation possibility of cardio-vascular system in children with recurrent bronchitis and bronchial asthma are worked out. A complex of treatment and prophylactic measures to increase the level of adaptation reserves of cardio-vascular system against a backgraund of main disease basic therapy and its efficacy in the examined contingent is given. Key words: children, recurrent bronchitis, bronchial asthma, cardio-vascular system, adaptation possibility, diagnostic, rehabilitation. Ia?ae?e oiiaieo iicia/aiue: Ai/O – nenoie?/ia aiie?ooaea i?aeoeoii/eiai? ia?aoeiee, ii?iae?ciaaia ca ieiuath o?ea AIi – aiie?ooaea iiaee Ai/O – nenoie?/ia aiie?ooaea caaeiuei? no?iee e?aiai oeoii/ea, ii?iae?ciaaia ca ieiuath o?ea AIN – aioeieneaeaioia nenoaia AA – a?iio?aeueia anoia AAEI – a?iio?aeueia anoia eaaeiai ia?aa?ao AANI – a?iio?aeueia anoia na?aaeiueioyaeeiai ia?aa?ao AAOI – a?iio?aeueia anoia oyaeeiai ia?aa?ao AIN – aaaaoaoeaia ia?aiaa nenoaia AEI – aeooao?iiia?ieneaeaca ?I – ?iaeaen iai?oaeaiiy ?.I. Aa?anueeiai E?A – ea?ae?i?ioa?aaeia?ao?y EII – ee?iii?oinoaoe/ia i?iaa IAeA – iaeiiiaee aeeaeueaeaa?ae Ii – iiaea iNn? – na?aaeiy ii?iae?ciaaia oaeaee?noue ?ooo caaeiuei? no?iee e?aiai oeoii/eo IIE – ia?aeenia ieeneaiiy e?i?ae?a III – ieoiiee ia?eoa?e/iee ii?? INEO – iiooaei?noue nei?i/aiiy e?aiai oeoii/eo ?A – ?aoeeaeeaoth/ee a?iio?o NIAe – noia?ieneaeaeeniooaca N? – na?oeaaee ?iaeaen Noeo – oaeaee?noue oee?eoeyoi?iiai oei?i/aiiy aioo??oiueiai ae?aiao?o e?aiai oeoii/eo OCEE – oene caeeeiaiiy eaaaiaaeo eai?ey??a O? – oaea?iee ?iaeaen AEA – aeaeo?iea?ae?ia?ao?y AoiEA – aoiea?ae?ia?ao?y OA – o?aeoe?y aeeeaeo O? – o?ce/iee ?icaeoie *NN – /anoioa na?oeaaeo nei?i/aiue (o – aa??aoe?eiee ?iciao a iine?aeiaiiio ?yae? ea?ae?ioeeee?a %(Ae – i?ioeaio oei?i/aiiy aioo??oiueiai ae?aiao?o e?aiai oeoii/eo a nenoieo

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