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

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

*A?IIEO NA?OEAIA AIEIAeEIE??AIA

OAeE
618.5-089.888.61-089.168.1-06-08-039.71:615.381

AOOIAAIIO?AINOOC?ss A I?IO?EAEOEOe? I?NEssIIA?AOe?EIEO ONEEAAeIAIUe I?E
EANA?AAIIO ?ICOEI?

14.01.01.-Aeooa?noai ? a?iaeieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai

nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

EE?A – 1998

Aeena?oaoe??th ? ?oeiien.

?iaioo aeeiiaii a Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
?i.I.Ai?ueeiai.

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? *AEEA
Aieiaeeie? Ee?eeiae/,

Aeiiaoeueeee iaaee/iee oi?aa?neoao IIC Oe?a?ie,

caa?aeoth/ee eaoaae?ith aeooa?noaa, a?iaeieia??
oa ia?eiaoieia?? OII

Io?oe?ei? iiiiaioe:

— aeieoi? iaaee/ieo iaoe, i?ioani? AeAOEAAE*
Aaeaioeia ?aaeieei?aia,

?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia??
AII Oe?a?ie,

caa?aeoth/a aeooa?nueeei a?aeae?eaiiyi
aeno?aaai?oaeueieo caoai?thaaiue aaa?oieo

— aeieoi? iaaee/ieo iaoe, i?ioani? AAeIAE*AIEI
TH??e Iao?iae/,

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii?
ina?oe ?i.I.E.Ooieea IIC Oe?a?ie, caa?aeoth/ee eaoaae?ith
aeooa?noaa oa a?iaeieia?? ? 3

I?ia?aeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao
?i.I.I.Aiaiiieueoey, eaoaae?a aeooa?noaa oa a?iaeieia?? ? 1 (i.Ee?a)

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 26 ” n?/iy 1999?. i 13
aiae. 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, i.Ee?a-50,
aoe.Iaio?euenueeiai, 8).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe?
?inoeoooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050,
i.Ee?a-50, aoe.Iaio?euenueeiai, 8).

Aaoi?aoa?ao ?ic?neaiee “ 25 ” a?oaeiy 1998 ?ieo.

A/aiee nae?aoa? niaoe?ae?ciaaii?

a/aii? ?aaee EAAOI?IA E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Eana?aaee ?icoei a iao /an ? iaea?eueo
iioe?aiith iia?aoe??th a aeooa?noa?, /anoioa yeiai eieeaa?oueny a
oe?ieeo iaaeao ? i?iaiaeeoueny o 2 – 20 % an?o iieia?a
(A.ss.Aieioa,1989; A.E.Noaiaie?anueea, 1994; A.E.Aeeaiacyi, 1995;
A.A.*a?iooa, 1997; A.I.Na?ia e niaao., 1998). Iaeiae, aein? aiia
caeeoa?oueny ia aeoaea aacia/iith aeey iaoa?? o ca’yceo c aenieith
/anoioith e?iaiao?ao oa ai?eii-naioe/ieo i?neyiia?aoe?eieo oneeaaeiaiue,
ye? ?icaeaathoueny /anoi ia oii? aiai?e (A.E.E?aniiiieueneee e
niaao.,1993; TH.I.Aaeiae/aiei ? ni?aaao.,1994; A.O.Ieoaeeaiei,1995).
Aaeeea e?euee?noue ai?eii-naioe/ieo oneeaaeiaiue a i?neyiieiaiaiio
ia??iae? i?eoiaeeoueny ia ae?iie, eio?ei aoei aeeiiaii eana?aaee ?icoei
(A.I.Aaioeueeianueeee,1989; D.H.Watts et al.,1990).

Iaeiei c oaeoi??a, yeee ni?ey? ?icaeoeo i?neyiia?aoe?eieo
oneeaaeiaiue, ? i?aeaeuaia oa ia a?aeiiaeaia a/anii e aaeaeaaoii
e?iaiao?aoa i?ae /an eana?aaiai ?icoeio (N.ss.Nieueneee oa
ni?aaao.,1986; A.E.Noaiaie?anueea oa ni?aaao.,1989).

Aeei?enoaiiy aeiii?nueei? e?ia? oa ?? eiiiiiaio?a aeey
a?aeiiaeaiiy e?iaiao?aoe iia’ycaii c iiaeeeaeie iani?eyoeeaeie
iane?aeeaie: ?ioiiiiina?aaeeiaai? oa ia?ioii? oneeaaeiaiiy, o?aini?n?ai?
caoai?thaaiiy — a??oniee aaiaoeo, NI?Ae, oeeoiiaaaeia??onia, aa?iaoe/ia
oa ?io? ?ioaeoe?? (O.A.Aieiniaa, 1992; A.A.Ii?ieia, 1992; E.E.Oeyooaiei
e niaao.,1995). Ne?ae a?aooaaoe oaeiae aeao?oe?o ? aenieo
eiooiai?noue aeiii?nueei? e?ia? oa ?? eiiiiiaio?a a iao /an.

?aaeueiith iiaeeea?noth aeeeth/eoe i?neyo?ainooc?ei?
oneeaaeiaiiy, ae??oeoe i?iaeaio aacia/ieo oa aenieiaoaeoeaieo cania?a
a?aeiiaeaiiy

e?iaiao?aoe, noathoue i?ia?aie aooiaeiii?noaa (E.A.Aeooeaae/, 1994;
A.A.Aieiaei e niaao.,1995; I.I.Iao?ia e niaao.,1996). sse iaeei c
iaoiae?a aooiaeiii?noaa a aeooa?noa? caneoaiao? oaaae ia?aaeiia?aoe?eia
caaioiaea aooie?ia? aaa?oiei, ye? aioothoueny aei ieaiiaiai eana?aaiai
?icoeio.

Iacaaaeath/e ia cia/iee aeina?ae aeei?enoaiiy aooiaaiio?ainooc?e
i?e ??cieo o??o?a?/ieo iia?aoe?yo (C.I.*ai/eaa e niaao.,1995;
I.I.Oeoaa?aeeaa e niaao., 1995), a aeooa?noa? oeae iaoiae ia io?eiaa
aaaeaiiai ?iciianthaeaeaiiy ? ia aea/aiee aei e?ioey (A.Ae.Aethaaaa e
niaao., 1993; I.Ae.Oiiei, 1995; A.I.Aaoaaee?iaa e niaao., 1996). Ia
?ic?iaeaii aeai?eoi aeeth/aiiy aaa?oii? a i?ia?aio aooiaeiii?noaa, iaia
/?oeeo iaoiaee/ieo ?aeiiaiaeaoe?e uiaei aeai?o iioeiaeueieo ia’?i?a ?
oa?i?i?a aaiiaenooc??, a?aenooi? iia?aeiieaiiy i?i ii??aiyeueio
aoaeoeai?noue ??cieo aa??aio?a ?iooc?eii-o?ainooc?eieo i?ia?ai, a oiio
/ene? oeo, ye? ia?aaeaa/athoue aooiaaiio?ainooc?th, a oaeiae aeai? i?i
aieea aaiiaenooc?? oa ianooiii? aooiaaiio?ainooc?? ia ?ioiieia?/i?,
eiioeaio?aoe?ei?, eiaaoeyoe?ei? iieacieee e?ia? o aaa?oieo oa
ii?iae?eue.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie,ieaiaie,oaiaie.
Aeena?oaoe?eia ?iaioa ? o?aaiaioii aea?aeaaii? i?ia?aie “Aacia/ia
iaoa?einoai-a?ae ca/aooy aei ia?iaeaeaiiy” IIC Oe?a?ie (? aea?aeaaii?
?a?no?aoe?? 0197V002121, oeo? oaie IE 97.06.17), eio?a aeeth/a? ?ic?iaeo
eiiieaena e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ye? ni?eyee a
i?aeaeuaiith aacia/iino? iaoa?einoaa ? iie?ioaiith caei?ia’y ii?iae?eue
? iaiiaeyo.

Iaoa ?iaioe. Cieceoe /anoioo i?neyiia?aoe?eieo oneeaaeiaiue
i?e eana?aaiio ?icoei? oeyoii ei?aeoe?? e?iaiao?aoe aooie?ia’th.

Iniiai? caaea/? aeine?aeaeaiiy.

1. Ioe?ieoe cia/aiiy aaiio?ainooc?? i?ae /an iia?aoe?? eana?aaiai
?icoeio a i?io?eaeoeoe? i?neyiia?aoe?eieo oneeaaeiaiue.

2. Aea/eoe aieea aenooc?? e?ia? a ia’?i? 3-4 ie/ea iane ia
?ioiieia?/i?,eiioeaio?aoe?ei? oa eiaaoeyoe?ei? iieacieee e?ia? o
aaa?oieo, noai ieiaea ? iiaiia?iaeaeaiiai.

3. I?iaanoe ii??aiyeueio ioe?ieo noaio aiiainoaco ? ia?aa?ao
i?neyiia?aoe?eiiai ia??iaeo o ii?iae?eue i?ney eana?aaiai ?icoeio i?e
aeei?enoaii? aooiaaiio?ainooc?? oa aac ia?.

4. ?ic?iaeoe i?ia?aio aooiaeiii?noaa aeey aaa?oieo, ye? caieaiiaai? aeey
iia?aoeaiiai ao?o/aiiy.

Iaoeiaa iiaecia ?iaioe. Aia?oa eiiieaenii aea/aii aieea aeiciaaii?
aaiiaenooc?? (3-4 ie/ea iane) oa ianooiii? aooiaaiio?ainooc?? ia
aeeiai?eo iieaciee?a /a?aiii? e?ia? oa ne?iaaoeiaiai cae?ca, iieaciee?a
aoii?aeueiiai ?ioi?oaoo, aaiinoaoe/iiai iioaioe?aeo o aaa?oieo ?
ii?iae?eue. Aeiaaaeaii, ui aenooc?y e?ia? a oeacaiiio ia’?i? o
aaa?oieo, ye? aioothoueny aei ieaiiaiai eana?aaiai ?icoeio, noeioethth/e
aieeaa? ia aaiiiiac ? ia i?eaiaeeoue aei ii?ooaiue aiiainoaco, noaio
ieiaea oa iiaiia?iaeaeaiiai.

Onoaiiaeai? iioeiaeuei? no?iee caaioiaee aooieia?/ii? e?ia? aaa?oiei i?e
i?aeaioiaoe? ?o aei ?iaei?ic??oaiiy oeyoii iia?aoe?? eana?aaiai ?icoeio.

Iieacaii ia?aaaao ?io?aiia?aoe?eieo ?iooc?eii-o?ainooc?eieo i?ia?ai, aei
yeeo aoiaeeoue o?ainooc?y aooie?ia?, o ii??aiyii? c iiae?aieie, eio??
aeeth/athoue aeiii?nueeo e?ia aai iiai?noth aeeeth/athoue ??
aeei?enoaiiy.

I?iaaaeaii ii??aiyiiy aeeiai?ee aea/aieo iieaciee?a oa ia?aa?ao
i?neyiia?aoe?eiiai ia??iaeo o ii?iae?eue i?e ??cieo aa??aioao
?iooc?eii-o?ainooc?eieo i?ia?ai i?ae /an iia?aoe?? eana?aaiai ?icoeio.
Aeiaaaeaii, ui o?ainooc?y aooieia?/ii? e?ia? i?ae /an iia?aoe??
eana?aaiai ?icoeio a?eueo aoaeoeaia, i?ae ia?aeeaaiiy aeiii?nueei?
a?eo?ioeeoii? iane. Aooiaaii-o?ainooc?y ni?ey? a?eueo oaeaeeiio
a?aeiiaeaiith ea?oeie /a?aiii? e?ia?, ?ioiieia?/ii? ?aaeoeaiino?
i?aai?cio, aeeeth/ath/e i?e oeueiio ?ecee i?neyo?ainooc?eieo ?
cieaeoth/e /anoioo i?neyiia?aoe?eieo oneeaaeiaiue.

I?aeoe/ia cia/aiiy ?iaioe. ?ic?iaeaii aeai?eoi aeeth/aiiy aaa?oieo, ye?
aioothoueny aei ieaiiaiai eana?aaiai ?icoeio, aei i?ia?aie
aooiaeiii?noaa. Aeiaaaeaii, ui aooiaaiio?ainooc?y ciaioo? iio?aao a
i?aia?aoao aeiii?nueei? e?ia?, aeicaiey? cieceoe e?euee?noue
ai?eii-caiaeueieo caoai?thaaiue oa aiai?e.

Cai?iiiiiaaia i?ia?aia aooiaeiii?noaa aacia/ia aeey aaa?oii? ? ieiaea,
ia iio?aao? aeiaeaoeiaiai iaeaaeiaiiy, oa iiaea aooe c oni?oii
ai?iaaaeaeaia ia o?eueee a ee?i?eao, aea e a i?aeoeoe? ?iaeiaeiiii?aeieo
onoaiia.

I?ia?aia aooiaeiii?noaa aaa?oieo ai?iaaaeaeaia a Aeiiaoeueeiio
aea?aeaaiiio ?aa?iiaeueiiio oeaio?? ii ioi?ii? iaoa?einoaa oa aeeoeinoaa
ia aac? a?aeae?eaiiy a?aa?oaoe?eii? o??o?a?? e?ia?, a oaeiae a i?aeoeeo
?iaeiaeiiii?aeieo onoaiia OeIE ? 3 i.Iae??aee, OeIE ? 24, ? 6 ? IEE
i.Aeiiaoeueea.

Oai?aoe/i? iieiaeaiiy oa i?aeoe/i? ?aeiiaiaeaoe?? aeena?oaoe?eii? ?iaioe
aeei?enoiaothoueny a eaeoe?yo oa ia i?aeoe/ieo caiyooyo aeey ?ioa?i?a,
ia eo?nao i?aeaeuaiiy eaae?o?eaoe??, noaaeoaaiiy oa ?ioi?iaoe?? aeey
e?ea??a aeooa??a-a?iaeieia?a Aeiiaoeueei? iaeano?, ia eaoaae??
aeooa?noaa, a?iaeieia?? oa ia?eiaoieia?? Aeiiaoeueeiai iaaee/iiai
oi?aa?neoaoo.

Iniaenoee aianie caeiaoaa/a:

1. Aecia/aia iaoa ? caaaeaiiy aeena?oaoe??.

2. I?iaaaeaii ee?i?ei-noaoenoe/iee aiae?c /anoioe ? no?oeoo?e
i?neyiia?aoe?eieo oneeaaeiaiue i?e aaaeii?iaeueiiio ?iaei?ic??oaii? ca
iaoa??aeaie 329 ?noi??e iieia?a.

3. I?iaaaeaii ee?i?/ia eiiieaenia ianoaaeaiiy 160 iaoe??ioie, ye? aoee
?iaei?ic??oai? iaoiaeii iia?aoe?? eana?aaiai ?icoeio.

4. Cae?eniaii i?aea?? aaa?oieo aeey o/ano? a i?ia?ai? aooiaeiii?noaa c
o?aooaaiiyi iiaeeeaeo i?ioeiieacaiue, eiio?ieue ca iia?aoe??th
aaiiaenooc??.

5. Aea/aii aieea aaiiaenooc?? a ia’?i? 3-4 ie/ea iane ia aaiiaeeiai?eo,
a oaeiae eiioeaio?aoe?ei?, a?io?i?/i?, ?ioiieia?/i? iieacieee e?ia? oa
aaiinoac, noai oo?iaiiai ieiaea o 100 aaa?oieo, ye? acyee o/anoue a
i?ia?ai? aooiaeiii?noaa.

6. I?iaaaeaia ii??aiyeueia ioe?iea aoaeoeaiino? ??cieo ?io?aiia?aoe?eieo
?iooc?eii-o?ainooc?eieo i?ia?ai ia i?aenoaa? ee?i?ei-eaai?aoi?iiai
aiae?co ia?aa?ao aanoaoe?eiiai, iia?aoe?eiiai ? i?neyiia?aoe?eiiai
ia??iae?a.

7. ?ic?iaeaii aeai?eoi o/ano? aaa?oii? a i?ia?ai? aooiaeiii?noaa.

8. I?iaaaeaii aiae?c io?eiaieo ?acoeueoao?a oa ?o noaoenoe/ia ia?iaea.

Ai?iaaoe?y ?iaioe. Iniiai? iieiaeaiiy aeena?oaoe?? aeiiia?aeaeeny ? aoee
iaaiai?ai? ia can?aeaiiyo iaeanii? ni?eee aeooa??a-a?iaeieia?a,
Aeiiaanueei? anioe?aoe?? “N?i’y ? caei?ia’y” (Aeiiaoeuee, 1997),
eaoaae?e aeooa?noaa, a?iaeieia?? oa ia?eiaoieia?? OII AeiiAIO
(Aeiiaoeuee, 1997), A/aii? ?aaee Oe?a?inueeiai IAe? iaaee/ieo i?iaeai
n?i’? (Aeiiaoeuee, 1997), ia i?aeiaeani?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? “I?io?eaeoeea ? e?eoaaiiy ai?eii-naioe/ieo oneeaaeiaiue a
aeooa?noa?, a?iaeieia??, ia?eiaoieia?? oa iaae?ao???” (Aeiiaoeuee,
1997); ia V-e eiioa?aioe?? Iineianueeiai oiaa?enoaa aaiaoa?aco (Iineaa,
1997), i?aeia?iaeiiio nai?ia?? “A?aa?oaoe?eia o??o?a?y e?ia? a
aeooa?noa?, a?iaeieia?? oa ee?i?/i?e iaaeeoeei?” (Iineaa, 1996), O-io
c’?cae? aeooa??a-a?iaeieia?a Oe?a?ie (Iaeana, 1996); XV-io Anana?oiueiio
Eiia?an? aeooa??a-a?iaeieia?a (Eiiaiaaaai, 1997), 2-e iaoeiai-i?aeoe/i?e
eiioa?aioe?? Anioe?aoe?? aeooa??a-a?iaeieia?a Oe?a?ie c i?iaeaie
“Eana??a ?icoei o no/aniiio aeooa?noa?” (?aiaoi??y, 1998).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 13 ae?oeiaaieo ?ia?o, a
oiio /ene? 4 noaoo? a oeaio?aeueieo iaaee/ieo aeo?iaeao, 2 – a ca??ieeo
iaoeiaeo i?aoeue ? 7 – a oacao eiioa?aioe?e ? nai?ia??a, c ieo 3 ?iaioe
– ca ei?aeiiii.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 157 noi??ieao
iaoeiiieniiai oaenoo ? neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, oanoe
?icae?e?a aeanieo aeine?aeaeaiue, aiae?co oa ocaaaeueiaiiy io?eiaieo
?acoeueoao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ? e?oa?aoo?iiai
iieaae/eea, yeee aeeth/a? 289 aeaea?ae. ?iaioa ?ethno?iaaia 20
oaaeeoeyie ? 15 ?enoieaie, ye? aeeeaaeai? ia 29 noi??ieao.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aeey ae??oaiiy iinoaaeaieo
caaaeaiue i?iaiae?ciaaii 329 ?noi??e iieia?a ae?iie, ye? ciaoiaeeeeny
i?ney iia?aoe?? eana?aaiai ?icoeio a iieiaiaiio a?aeae?eaii?
Aeiiaoeueeiai aea?aeaaiiai ?aa?iiaeueiiai oeaio?o ii ioi?ii? iaoa?einoaa
oa aeeoeinoaa. Iniaeeao oaaao i?e oeueiio aoei caa?iaii ia ia’?i
e?iaiao?aoe i?ae /an iia?aoeaiiai ?ic?iaeaeaiiy, aaeaeaaoi?noue ?
nai?/ani?noue ?? a?aeiiaeaiiy, /anoioo ? no?oeoo?o i?neyiia?aoe?eieo
oneeaaeiaiue.

Aacia/i?noue aeiciaaii? aenooc?? e?ia? i?ae /an aaa?oiino? aoea aea/aia
i?e i?iaaaeaii? aaiiaenooc?? 100 iaoe??ioeai, ye? i?eeiyee o/anoue a
i?ia?ai? aooiaeiii?noaa.

Ii??aiyeueia aoaeoeai?noue ??cieo ?io?aiia?aoe?eieo
?iooc?eii-o?ainooc?eieo i?ia?ai aoea iieacaia ia i?aenoaa?
ee?i?ei-eaai?aoi?iiai aiae?co ia?aa?ao aanoaoe?eiiai, iia?aoe?eiiai oa
i?neyiia?aoe?eiiai ia??iae?a o 30 ae?iie, ye? i?ieoee i?ia?aio
aooiaeiii?noaa (3 a?oia) i?e i?aeaioiaoe? aei ieaiiaiai eana?aaiai
?icoeio, ? 60 ae?iie, yeei aoei aeeiiaii iia?aoe?th eana?aaiai ?icoeio
ca iiae?aieie iieacaiiyie, i?e/iio 30-oe c ieo i?ae /an iia?aoe?? aoei
ia?aeeoi aeiii?nueeo e?ia (2 a?oia), a 30-oe aaiio?ainooc?th ia
i?iaiaeeee (1 a?oia).

Ee?i?/ia ianoaaeaiiy aaa?oieo ? ii?iae?eue on?o a?oi i?iaiaeeeiny ca
caaaeueiii?eeiyoith noaiith ? aeeth/aei e??i caaaeueiiai o?ce/iiai ?
niaoe?aeueiiai aeooa?nueeiai ianoaaeaiiy oaeiae eaai?aoi?i? aiae?ce:
eiioeaio?aoe?ei? iieacieee e?ia? (??aaiue aaiiaeia?io, aaiaoie??o,
e?euee?noue a?eo?ioeeo?a), i?ae?aooaaiiy e?eueeino? eaeeioeeo?a ?
aecia/aiiy eaeeioeeoa?ii? oi?ioee oa oaeaeeino? in?aeaiiy a?eo?ioeeo?a,
a?io?i?/iee aiae?c e?ia? c aecia/aiiyi ??aiy caaaeueiiai a?eea,
a?e??oa?ia. E??i oeueiai, aecia/aee ??aaiue ne?iaaoeiaiai cae?ca
oioiiao?e/iei iaoiaeii (Garsia A. 1979, Caccahan J.H., Cook K.O., 1982)
ca aeiiiiiaith iaai?o A?i-Eaoano “Cae?ci”, a oaeiae iieacieee
aoii?aeueiiai ?ioi?oaoo (?ioiiaeiaoe?ie A, I,G) iaoiaeii i?inoi?
?aae?aeueii? aeeooc?? ca Mancini et al. (1965).

Aeine?aeaeaiiy i?iaiaeeeeny a ee?i?/i?e oa a?io?i?/i?e eaai?aoi??yo
ae?aaiinoe/iiai a?aeae?eaiiy Aeiiaoeueeiai aea?aeaaiiai ?aa?iiaeueiiai
oeaio?o ii ioi?ii? iaoa?einoaa oa aeeoeinoaa, a oaeiae a ?ioiieia?/i?e
eaai?aoi??? e?eoaaeueii-ae?aaiinoe/iiai oeaio?o ee?i?/ii? ?ioiieia?? oa
aea?aieia?? Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

I?iaiaeeee oaeiae ioe?ieo nenoaie aaiinoaco: e?euee?noue o?iiaioeeo?a,
i?io?iia?iiaee ?iaeaen, /an ?aeaeueoeeo?eaoe?? ieacie, oiea?aioi?noue
ieacie aei aaia?eio, eiioeaio?aoe?y o?a?eiiaaio ca ?.A.?ooaa?aii.

Aeacai? iieacieee aea/aee ia?aae iia?aoeaiei ao?o/aiiyi, ia 1-o, 3 —
4-o, 6 – 7-o aeiao i?neyiia?aoe?eiiai ia??iaeo, a o aaa?oieo c
aooiaaiio?ainooc??th – aeiaeaoeiai aei ? i?ney aaiiaenooc?? ia 1-o,
3-4-o aeiao.

An? iaoe??ioee aoee ianoaaeai? ia neo?e?n, iin?enoai a??on?a aaiaoeoa ?
A?E. Iaia’yceiai an?i aoee aecia/ai? a?oia e?ia? oa ?acon-iaeaaei?noue.

I?ae /an aaiiaenooc?? a aeeiai?oe? i?iaiaeeee eiio?ieue ca noaiii
nenoaie e?iaiia?ao: aecia/eee /anoioo na?oeaaeo nei?i/aiue, aei??thaaee
a?oa??aeueiee oene c i?ae?aooaaiiyi na?aaeiueiai a?oa??aeueiiai oeneo
(NAO), i?iaiaeeee ioeueniao ieneiao??th ca aeiiiiiaith ii?oaoeaiiai
ioeuenieneiao?a “Oximeter 30406”. An? aeai? caiineee aei i?ioieieo
caai?a aooie?ia?.

Aeey oaeaeei? ioe?iee noaio nenoaie cai?oaiiy ? o?a?eiie?oe/ii?
aeoeaiino? o aaa?oieo aei ? i?ney aaiiaenooc?? i?iaiaeeee
aeaeo?ieiaaoeia?aio ia eiaaoeia?ao? I-334 c aecia/aiiyi ia i?ioyc? 15
oaeeei ii/aoeo, cae?i/aiiy, o?eaaeino? oa oaeaeeino? cai?oaiiy e?ia?,
ii/aoeo ?ao?aeoe?? oa o?a?eiie?co e?ia’yiiai caonoeo.

Aeey ioe?iee noaio ieiaea i?iaiaeeee iai?yio ea?ae?ioieia?ao?th (EOA)
oaoaeueiei iii?oi?ii “Kranzbunler – medizische systeme”. EOA ii/eiaee ca
20 oaeeei aei aaiiaenooc??, i?iaeiaaeoaaee i?ae /an caae?aiiy aooie?ia?
e cae?i/oaaee /a?ac 20 oaeeei i?ney oe??? iia?aoe??. Aiae?coaaee
ianooii? ia?aiao?e ea?ae?ioieia?aie: aacaeueiee ?eoi, aa??aaaeuei?noue,
aeoeaea?aoe?? oa aeaoeaea?aoe??, aiie?ooaeo ? /anoioo inoeeeyoe?e.
?ioa?i?aoaoe?th io?eiaieo aeaieo i?iaiaeeee ca oeaeith W.Fischer et al.
(1976).

Noai iiaiia?iaeaeaiiai ioe?ithaaee ca oeaeith W.Apgar. Aecia/aee
nooi?iue c??eino? iiaiia?iaeaeaiiai, o?ce/iee ?icaeoie, ee?i?/iee
ia?aa?a iaiiaoaeueiiai ia??iaeo, ??aaiue aaiiaeia?io.

Ioe?ieo e?iaiao?aoe i?iaiaeeee a?aa?iao?e/iei iaoiaeii ? ia’?i ??
aecia/aee ca oi?ioeith I.A.E?aiaa (1960).

An? iaoa??aee ia?iaeaii ia ia?niiaeueiiio eiii’thoa?? c aeei?enoaiiyi
i?ia?ai A?? INFO 6 i Microsoft Excel. Aeey aecia/aiiy
aeinoia??iino? ??cieoeue iieaciee?a aeei?enoiaoaaee e?eoa??? No’thaeaioa
? O?oa?a. ??cieoey iieaciee?a aaaaeaeany aeinoia??iith i?e ?<0,05. ?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. I?iaaaeaiee iaie aiae?c 329 ?noi??e iieia?a ae?iie i?ney iia?aoe?? eana?aaiai ?icoeio iieacaa, ui /anoioa ai?eii-caiaeueieo caoai?thaaiue a i?neyiia?aoe?eiiio ia??iae? neeaaea? 41 %. Caa?oa? ia naaa oaaao oie oaeo, ui iaeaea o an?o iaoe??ioie c ai?eii-caiaeueieie caoai?thaaiiyie iaea i?noea aiai?y (46,8 % aeiaaee?a). Aeeth/aiiy ae aaiio?ainooc?? aei ?iooc?eii-o?ainooc?eii? i?ia?aie i?ae /an ieaiiaaiiai eana?aaiai ?icoeio ni?eyei a?eueo aeaaeeiio ia?aa?ao ioa?ia??y. Oea iineoaeeei i?aenoaaith aeey ?ic?iaee ? ai?iaaaeaeaiiy i?ia?aie aooiaeiii?noaa aeey aaa?oieo, ye? aioothoueny aei aaaeii?iaeueiiai ?ic?iaeaeaiiy. Oeth i?ia?aio aeeiioaaee o a?aeae?eaii? a?aa?oaoe?eii? o??o?a?? e?ia? Aeiiaoeueeiai aea?aeaaiiai ?aa?iiaeueiiai oeaio?o ioi?iie iaoa?einoaa oa aeeoeinoaa, a yeiio ciaoiaeeoueny iia?aoe?eia c iaiao?aeiith ne?aeeoth/ith aia?aoo?ith oa niaoe?aeueiei ?ino?oiaioa???i. Aaa?oi?, ye? aiooaaeeny aei ieaiiaiai eana?aaiai ?icoeio, iinooiaee o a?aeae?eaiiy iaoieia?? aaa?oiino? o oa?i?i? 37-38 oeaei?a. I?ney ianoaaeaiiy oe? aaa?oi? aoee iaeyaeai? e?ea?ai a?aeae?eaiiy a?aa?oaoe?eii? o??o?a?? e?ia? oa oa?aiaaoii, ?, i?e a?aenooiino? i?ioeiieacaiue aeey aooiaeiii?noaa, ?i i?iaiaeeee aaiiaenooc?th. Aaciina?aaeiuei ia?aae aaiiaenooc??th i?iaiaeeee caaaeueiee iaeyae aaa?oii?, i?ae?aoiaoaaee /anoioo ioeuena, aei??thaaee a?oa??aeueiee oene, caienoaaee aeaeo?ieiaaoeia?aio, ii/eiaee oaoaeueiee iii?oi?eia oeyoii ?a?no?aoe?? ea?ae?ioieia?aie, i?iaiaeeee ioeueniao ieneiao??th, ia?ai?ia??yee a?oio e?ia? oa ?acon-oaeoi?. Aeey aenooc?? e?ia? aeei?enoiaoaaee iaeaaeiaiiy aeey caai?o e?ia? o?eueee iaeii?aciaiai canoinoaaiiy ? oeaeiie ia’?iii 250 (400) ie c eiina?aaioii caaiaenueeiai aeaioiaeaiiy “Aetha?oee?” 50 (75) ie. O?eaae?noue aenooc?? eieeaaeany a?ae 4,5 oa. aei 10 oa. ? a na?aaeiueiio neeaaeaea 5,38+1,09 oa. An?i ae?ieai aoei aeeiiaii iaeii?aciao aaiiaenooc?th a ia’?i? 3-4 ie/ea iane (a na?aaeiueiio 220,834,87 ie), io?eiaii 275,345,0 ie eiina?aiaaii? aooie?ia?. I?ae /an oa i?ney aaiiaenooc?? i?iaeiaaeoaaee eiio?ieue ia?aiao??a aaiiaeeiai?ee, ea?ae?ioieia?ao??, ioeueniai? ieneiao???. Oa?i?ie a?ae aaiiaenooc?? aei iia?aoe?? ieaiiaiai eana?aaiai ?icoeio eieeaaeeny a?ae 1 aei 12 aei?a, a na?aaeiueiio 4,18+1,0 aei?a. I?ney aaiiaenooc?? an?i aaa?oiei i?ecia/aee noeueoao cae?ca a aeiaia?e aeic? 400 ia. Ia?aeeaaiiy aooieia?/ii? e?ia? i?iaiaeeee ca an?ia i?aaeeaie ia?aeeaaiiy aiiieia?/ii? e?ia?, i?ney caaa?oaiiy iniiaiiai noaio iia?aoe?? oa iaae?eiiai o??o?a?/iiai aaiinoaco, aeeth/ath/e aooiaaiio?ainooc?th aei ?io?aiia?aoe?eii? ?iooc?eii-o?ainooc?eii? i?ia?aie. A ?acoeueoao? i?iaaaeaieo aeine?aeaeaiue a?aei?/aii aeia?o ia?aiinei?noue aaa?oieie aenooc?? e?ia? a ia’?i? 3-4 ie/ea iane (oaae.1). Iaoieia?/ieo aaiiaeeiai?/ieo a?aeoeeaiue oa ci?ie naoo?aoe?? eenith iaie ia niinoa??aaeiny. I?ney aaiiaenooc?? ca?a?no?iaaii aeinoia??ia cieaeaiiy na?aaeiueiai a?oa??aeueiiai oeneo ia 5,33 ii ?o.no.(?<0,05), i?ae /an aaiiaenooc?? – ca?eueoaiiy /anoioe ioeueno ia 4,34 oaea?e ca oaeeeio (?<0,05). Aoaeue-yeeo na?eicieo oneeaaeiaiue ia a?aei?/aii, ia’?i oee?eoethth/i? e?ia? a?aeiiaeaiiy ia iio?aaoaaa. Aaa?oi? c ii/aoeiaith a?ia?oii??th a?aei?/aee iie?ioaiiy naiiii/oooy. A aeayeeo aeiaaeeao aeieeaea oei/aniaa a?iioii?/ia ?aaeoe?y , aea aiia ia iio?aaoaaea niaoe?aeueii? iaaeeeaiaioicii? oa?ai??. I?e oeueiio /anoioa iia?/ieo ?aaeoe?e (2%) ia ia?aaeuoaaea iiae?aio o caei?iaeo aeiii??a e?ia?. Oaaeeoey 1 - Aaiiaeeiai?/i? ia?aiao?e ? naoo?aoe?y eenith i?ae /an aaiiaenooc?? o aaa?oieo (n=100) *an ?a?no?aoe??NAO, ii.?o.no.Ioeuen, Oaea??a ca 1 oa.Naoo?aoe?y eenith, %Aei aaiiaenooc?? 92,7+1,7 85,1+1,5 97,8+0,4I?ae /an aaiiaenooc?? (ia 3-?e oa.) 89,3+3,5 89,5+1,6* 98,4+0,5I?ney aaiiaenooc?? 87,4+1,2* 86,1+2,0 98,6+0,5I?ei?oea. * - ??cieoey c iieacieeaie aei aaiiaenooc?? aeinoia??ia (p < 0,05). I?e ioe?ioe? ?acoeueoao?a oaoaeueiiai iii?oi?eiao iaoieia?/ieo aaiiaeeiai?/ieo ci?i c aieo ieiaea ia aeyaeaii, ia ci?ithaaeany ? eiai ?ooiaia aeoeai?noue (aei aaiiaenooc?? 9,45±0,60 aae?a, i?ney – 9,60±0,52, ?>0,05).

Ca?aeii c iaoeie niinoa?aaeaiiyie, aenooc?y e?ia? a ia’?i?
3-4 ie/ea iane o aaa?oieo ia i?eaiaeeoue aei aeinoia??ii? ci?ie ??aiy
aaiiaeia?io (1 aeiaa i?ney aaiiaenooc?? 114,90+3,20 a/e, 3-4 aeiaa –
113,45+3,23 a/e i?e 117,12+3,10 a/e aei aaiiaenooc??, ?>0,05),
aaiaoie?eoo (34,11+0,71 %, 33,10+0,70 % ? 34,42+0,80 % a?aeiia?aeii,
?>0,05), a oaeiae e?eueeino? a?eo?ioeeo?a, o?iiaioeeo?a, eaeeioeeo?a,
ai?noo cae?ca a ne?iaaooe? e?ia? (14,0+1,5, 13,4+1,45 ? 15,3+1,6
ieiieue/e, ?>0,05), ia ii?ooo?oueny ? a?eeiaee iai?i (66,90+1,50,
67,80+1,8 ? 67,50+2,10 a/e, ?>0,05). I?e oeueiio aeinoia??ii
i?aeaeuo?oueny a?aeiiniee ai?no ?aoeeoeioeeo?a a 1,36 ?ace, ye
aaeaioeaia ?aaeoe?y (?<0,05). Ioaea, aenooc?y e?ia? a ia’?i? 3-4 ie/ea iane ia ? iaaei??iei iiae?acithaa/ai e?iainoai?thth/i? nenoaie ? ?? iiaeia a?aeianoe aei e?iaiao?ao, ye? eaaei eiiiainothoueny. I?ney aaiiaenooc?? ia aeyaeaii oaeiae aeinoia??ieo ci?i ??aiy ?ioiiaeiaoe?i?a A, I, G ? aaiinoaoe/iiai iioaioe?aeo. An?i ianoaaeaiei iaoe??ioeai aoei c?iaeaii eana??a ?icoei. A ieaiiaiio ii?yaeeo aoei ?ic?iaeaeaii 58 aaa?oieo (64,44 %), oa?i?iiai –32 (35,56 %). Ia’?i e?iaiao?aoe o an?o a?oiao aoei ioe?iaii a?ae 500 ie aei 800 ie ? a na?aaeiueiio neeaa a 1-e a?oi? 543,33±80,66 ie; o 2-e – 590,0±96,85 ie, a 3-e – 551,79±68,07 ie (p>0,05). Caaaeueiee ia’?i
?io?aiia?aoe?eii? ?iooc?eii-o?ainooc?eii? i?ia?aie aeinoia??ii ia
a?ae??ciyany ? noaiiaea a 1-e a?oi? 1102,33±169,3 ie, o 2-e –
1247,0±395,1 ie ? a 3-e – 1268,0±186,2 ie, aea oey i?ia?aia
a?ae??ciyeany a aeine?aeaeaieo a?oiao ca ye?niei neeaaeii: a 1-e a?oi?
aoei aeei?enoaii, a iniiaiiio, ?ic/eie e?enoaei?ae?a ? aoaeaaiae?a; a
2-e a?oi? – e??i oeueiai aoei i?iaaaeaii aaiio?ainooc?th aeiii?nueei?
a?eo?ioeeoii? iane (228,30±51,43 ie); a 3-e – iiia?aaeiueicaaioiaaii?
aeanii? e?ia? iaoe??ioee (275,3±45,0 ie), i?e/iio aeiey ?? o
a?aeiia?aei?e ?iooc?eii-o?ainooc?ei?e i?ia?ai? aoea a 2,0 ?ace iaioa,
i?ae aeiey aeiii?nueei? e?ia? o 2-e a?oi? (21,71 % ? 44,82 %
a?aeiia?aeii), ? ia’?i ?? neeaa o 1,53 ?ace iaioo /anoeio, i?ae
aeiii?nueea e?ia o 2-e a?oi? a?ae na?aaeiueiai ia’?io e?iaiao?aoe a oeeo
a?oiao (a?aeiia?aeii 77,39% ? 49,89%) i?e ia?a?aooieo ia’?ia
a?eo?ioeeoii? iane ia oe?eueio aeiii?nueeo e?ia. ?aaeoe?? ia ia?aeeaaiiy
eiiiiiaio?a aeiii?nueei? e?ia? oa aooie?ia? a?aei?/aii ia aoei.

Ee?i?ei-eaai?aoi?iee aiae?c ia?aa?ao i?neyiia?aoe?eiiai
ia??iaeo o ii?iae?eue c ??cieie aa??aioaie ?iooc?eii-o?ainooc?eieo
i?ia?ai iieacaa ianooiia (oaae.2).

Iaea?eueo cia/ia cieaeaiiy iieaciee?a /a?aiii? e?ia?
a?aei?/aeiny a 1-e a?oi? ii?iae?eue (o yeeo iia?aoe?y eana?aaiai ?icoeio
ia noi?iaiaeaeoaaeany aaiio?ainooc??th) ia 3-4 aeiao ioa?ia??y:
aaiiaeia?i noaiiaea 98,63±4,13 a/e (84,13 % a?ae ii/aoeiaiai) (?<0,05) , a?eo?ioeeoe 3,01±0,10o1012/e (84,55% a?ae ii/aoeiai? oeeo?e ?<0,05), aaiaoie?eo – 29,57±1,00% (84,56% a?ae ii/aoeiaiai ?<0,05). A 3-?e a?oi? ii?iae?eue, eio?ei aoea i?iaaaeaia aooiaaiio?ainooc?y, aeinoia??ieo ci?i aeaieo iieaciee?a ia ca?a?no?iaaii, ? aaniethoi? ?o cia/aiiy a aeeiai?oe? i?neyiia?aoe?eiiai ia??iaeo aoee aeueie, i?ae a 1-?e ? 2-?e a?oiao: aaiiaeia?i ia cieaeoaaany ieae/a ca 109,903,10 a/e (96,8 % a?ae ii/aoeiaiai,?>0,05), a?eo?ioeeoe – 3,300,06o1012/e (97,35 % a?ae
ii/aoeiaiai, i?e ?>0,05), aaiaoie?eo – 32,610,70% (97,93% i?e ?>0,05).

A 2-?e a?oi? ii?iae?eue ia 1-o aeiao i?ney iia?aoe?? ??aaiue
aaiiaeia?io, iieacieee aaiaoie?eoo, e?euee?noue a?eo?ioeeo?a ia
a?ae??ciyeeny a?ae ii/aoeiaeo, aea ia 3-7-o aeiao ioa?ia??y aiie
aeyaeeeny cia/ii ieae/eie, i?ae iieacieee aei iia?aoe??: aaiiaeia?i
107,173,23a/e (91,22 % a?ae ii/aoeiaiai, ?<0,05), aaiaoie?eo – 31,331,40 (90,89 % a?ae ii/aoeiaiai, ?<0,05), a?eo?ioeeoe – 3,200,09o1012/e (89,64 % a?ae ii/aoeiaiai, ?<0,05), oi/a oeei iaoe??ioeai aoei ia?aeeoi aeiii?nueeo a?eo?ioeeoio iano. Aaaeeeai a?aei?oeoe, ui na?aae iaoe??ioie 3-i? a?oie a?eueo ae?aaeaia aeinoia??ia cieaeaiiy iieaciee?a /a?aiii? e?ia? a i?neyiia?aoe?eiiio ia??iae? niinoa??aaeiny o oeo ae?iie, eio?ei aaiiaenooc?th aoei aeeiiaii ca 1-3 aei? aei eana?aaiai ?icoeio. O oeo ii?iae?eue, eio?ei aaiiaenooc?th aoei i?iaaaeaii ca 4-8 aei?a aei iia?aoe??, aeinoia??ii? ci?ie iieaciee?a, ui aea/aeeny, ia aeyaeaii, o ieo a?aei?/aeeny a?eueo aenie? cia/aiiy aaiiaeia?io, aaiaoie?eoo ? e?eueeino? a?eo?ioeeo?a. O an?o o?ueio a?oiao ia 3-6-o aeiao i?ney iia?aoe?? a?aei?/aeiny ca?eueoaiiy ai?noo ?aoeeoeioeeo?a, ui na?ae/eoue i?i aeoeaaoe?th i?ioean?a e?iaiooai?aiiy. A 1-e a?oi?, o ca’yceo c a?eueo cia/iei iaae?iiyi ??aiy aaiiaeia?io ? e?eueeino? a?eo?ioeeo?a, aei 6-7-i? aeiae ioa?ia??y e?euee?noue ?aoeeoeioeeo?a ca?eueoeeany ia 52%. A 2-?e a?oi? ca?eueoaiiy e?eueeino? ?aoeeoeioeeo?a ia 35,47% oaeiae iiaeia iiynieoe cieaeaiiyi ??aiy aaiiaeia?io ? e?eueeino? a?eo?ioeeo?a, aea ia oaeei cia/iei, ye a 1-?e a?oi?. A 3-e a?oi? ai?no ?aoeeoeioeeo?a aei iia?aoe?? aoa ia 31,72% aeuei ca ii/aoeia? iieacieee, o ca’yceo c “o?aioth/ei ” oa noeioethth/ei aoaeoii iiia?aaeiuei? aaiiaenooc??, ? aeae?eueea aei?a o?eiaany ia oeueiio ae ??ai? i?ae aieeaii ianooiii? aooiaaiio?ainooc??, ui ni?eyei a?eueo noaa?euei?e ea?oei? /a?aiii? e?ia? a i?neyiia?aoe?eiiio ia??iae? o oeeo ii?iae?eue. Iaea?eueo cia/ia cieaeaiiy ??aiy ne?iaaoeiaiai cae?ca a aeeiai?oe? i?neyiia?aoe?eiiai ia??iaeo, o a?aeiioaii? aei ii/aoeiaiai eiai ??aiy , niinoa??aaeiny a 1-e a?oi? iaoe??ioie (a 2,96 ?ace ), iaeiaio cia/ia – a 3-e a?oi? ( a 1,8 ?ace); o 2-e a?oi? cieaeaiiy oeueiai iieacieea a?aei?/aii a 2,29 ?ace. I?e/iio, a 3-e a?oi? iaoe??ioie ? aaniethoi? oeeo?e ??aiy ne?iaaoeiaiai cae?ca aoee aeueie , i?ae a aeaio ia?oeo a?oiao (7,90±1,15 ieiieue/e o ii??aiyii? c 5,23±0,61 ieiieue/e (p<0,05) ? 6,72±1,22 ieiieue/e). Aeinoia??ieo ??cieoeue iieaciee?a eiaaoeia?aie, ai?noo o?iiaioeeo?a oa caaaeueiiai a?eea o an?o ii??aiyeueieo a?oiao a aeeiai?oe? i?neyiia?aoe?eiiai ia??iaeo ia aeyaeaii. A?aei?/aii aeinoia??ia i?aeaeuaiiy oaeaeeino? in?aeaiiy a?eo?ioeeo?a ? e?eueeino? eaeeioeeo?a, ui, ?iia??ii, ? ?aaeoe??th e?iaiooai?thth/i? nenoaie ia iia?aoe?eiee no?an oa e?iaiao?aoo. Oe? ci?ie a?eueo ae?aaeaieie aoee a 1-e a?oi?, iaea?eueo i’yei iicia/eeeny a 3-e a?oi?. Oaeei /eiii, i?iaaaeaiee aiae?c i?aeoaa?aeea aeioe?euei?noue aaiio?ainooc?? i?ae /an eana?aaiai ?icoeio ? iieacaa, ui iaea?eueo aoaeoeaiei ? canoinoaaiiy aooiaaiio?ainooc??. I?e ioe?ioe? noaio aoii?aeueiiai ?ioi?oaoo aeyaeee ianooiia: ai?no ?ioiiaeiaoe?i?a A ? I nooo?ai ia ci?ieany o an?o o?ueio a?oiao. Ai?no ?ioiiaeiaoe?io G a 1-e a?oi? – cieceany aei 6-7-i? aeiae ia 14,93 % a?aeiinii e?eueeino? aei iia?aoe?? (13,00±0,6 a ii??aiyii? c 15,28±0,7 a/e, ?<0,05), a 3-e a?oi? aei 6-7-i? aeiae aeinoia??ii i?aeaeueany, aeinya ??aiy eiai aei aaiiaenooc?? (15,27±0,60 a/e, ?<0,05) ? aoa aeua a?aeiia?aeiiai iieacieea 1-i? a?oie (?<0,05), a 2-?e a?oi? aeinoia??ii ia ci?ieany. Oaeei /eiii, aaiio?ainooc?y ni?ey? a?eueo oaeaeeiio a?aeiiaeaiith iieaciee?a aoii?aeueiiai ?ioi?oaoo, i?e/iio aooiaaiio?ainooc?y ia? a?eueo ae?aaeaio ?ioiiei?aaoth/o ae?th. I?neyiia?aoe?eiee ia??iae oneeaaeieany aiai??th o 24 ii?iae?eue (80 % ) 1-i? a?oie, 21 (70 %) - 2-i? a?oie ? o 16 (53,3 %) - 3-i? a?oie. Aiai?y eaaeiai nooiaiy a?aei?/aia o 15 iaoe??ioie (62,5 %) 1-i? a?oie, 17 (80,9 %) – 2-i? ? o 16 (100 %) - 3-i? a?oie, i?e/iio na?aae ieo ??aaiue aaiiaeia?io aeua 100 a/e aecia/aii o 20 % (3) ae?iie 1-i? a?oie, 64,7 % (11) – 2-i? oa 62,5 % (10) - 3-i?, a ieae/a 100 a/e – o 80 % (12) ae?iie 1-i? a?oie, 35,3 % (6) – 2-i? oa 37,5 % (6) – 3-i?. Aiai?y na?aaeiueiai nooiaiy ae?aaiinoiaaia o 8 (33,3 %) ae?iie 1-i? a?oie ? o 4 (19,1 %) – 2-i?, oyaeeiai nooiaiy – o 1 (4,2 %) ii?iae?ee? 1-i? a?oie. Ia?aa?a ioa?ia??y oneeaaeieany ai?eii-caiaeueieie caoai?thaaiiyie o 14 (46,67 %) ae?iie 1-i? a?oie, o 5 (16,67 %) – 2-i? a?oie ? 3 (10 %) –3-i? a?oie, i?e/iio aiie a?ae??ciyeeny ca nai?th no?oeoo?ith. O ii??aiyii? c iaoe??ioeaie ia?oeo aeaio a?oi, ii?iae?ee? iniiaii? a?oie io?eioaaee iaio ianeaio iaaeeeaiaioicio oa?ai?th. Aoaeue-yeeo aeinoia??ieo ??cieoeue a ia?aa?ao ia??iaeo iiaiia?iaeaeaiino? o ae?oae ae?iie aeine?aeaeaieo a?oi ia aeyaeaii. Oaeei /eiii, aaiiaenooc?y a aeic? 3-4 ie/ea o aaa?oieo ia i?eaiaeeoue aei ae?aaeaieo ci?i aiiainoaco, ia ia? iaaaoeaiiai aieeao ia ieiae, ia?aa?a iaiiaoaeueiiai ia??iaeo o iiaiia?iaeaeaieo. Aooiaaiio?ainooc?y iaeeie ia’?iaie i?e ieaiiaiio eana?aaiio ?icoei? aeyaeeany a?eueo aoaeoeaiith, i?ae ia?aeeaaiiy aeiii?nueei? a?eo?ioeeoii? iane, aeicaieeea cieceoe /anoioo aiai?e a i?neyiia?aoe?eiiio ia??iae? a 1,5 ?ace, ai?eii-caiaeueieo caoai?thaaiue a 4,6 ?ace o ii??aiyii? c a?aeiia?aeieie iieacieeaie i?e a?aeiiaeaii? a?ae aaiio?ainooc?? i?ae /an eana?aaiai ?icoeio. Aeeeth/ath/e ?ioaeoe?ei? oa ?ioiieia?/i? oneeaaeiaiiy, ciaiooth/e aeei?enoaiiy aeiii?nueei? e?ia?, aeath/e iiaeeea?noue iaaaeii i?enooieoe aei aaiio?ainooc??, aooiaaiio?ainooc?y o ii?aeiaii? c eiei?aeieie oa e?enoaei?aeieie ?ic/eiaie ? iioeiaeueiei aa??aioii ?io?aiia?aoe?eii? ?iooc?eii-o?ainooc?eii? oa?ai?? i?e aaaeii?iaeueiiio ?iaei?ic?iaeaeaii?. AENIIAEE 1. O ii?iae?eue, ye? ia?aianee iia?aoe?th eana?aaiai ?icoeio, /anoioa i?neyiieiaiaeo ai?eii-caiaeueieo caoai?thaaiue neeaaea? 41 %, aiai?e – 46,8 %, i?e/iio i?e a?aeiia? a?ae aaiio?ainooc?? i?e ieaiiaiio eana?aaiio ?icoei? oe? oeeo?e neeaaeathoue a?aeiia?aeii 46,67 % ? 80 %, i?e aeiaaiio?ainooc?? i?ae /an iia?aoe?? – 16,67 % ? 70 % a?aeiia?aeii. 2. Aaiiaenooc?y a aeic? 3-4 ie/ea o aaa?oieo ia i?eaiaeeoue aei ae?aaeaieo ci?i aaiiaeeiai?ee ? aiiainoaco, iai?oae eiiiainaoi?ieo ?aaeoe?e i?aai?cio, ia iio?aao? ei?aeoe?? ia’?io oee?eoethth/i? e?ia?. I?e oeueiio oaeiae a?aenooi? ae?aaeai? ci?ie aaiinoaoe/iiai iioaioe?aeo, ?ioiieia?/ieo iieaciee?a, niinoa??aa?oueny aeoeaaoe?y aaiiiiaco. 3. O/anoue aaa?oii? a i?ia?ai? aooiaeiii?noaa ia ia? iaaaoeaiiai aieeao ia ieiae, ca aeaieie EOA, ? ia ia?aa?a ?aiiueiai iaiiaoaeueiiai ia??iaeo o iiaiia?iaeaeaieo. 4. Iioeiaeuei? oa?i?ie aeey aaiiaenooc?? – 4-8 ae?a aei iia?aoe?? eana?aaiai ?icoeio, yea ieaio?oueny. 5. Ia?aaeiia?aoe?eia caaioiaea aooie?ia? aeioe?eueia o aaa?oieo, ye? aioothoueny aei ieaiiaiai eana?aaiai ?icoeio, ? aeeth/aiiy ?? aei ?io?aiia?aoe?eii? ?iooc?eii-o?ainooc?eii? i?ia?aie ? iioeiaeueiei aa??aioii a?aeiiaeaiiy iia?aoe?eii? e?iaiao?aoe i?e aaaeii?iaeueiiio ?iaeiae??oaii?. 6. Aooiaaiio?ainooc?y iaeeie ia’?iaie noai?th? iiceoeaiee noeioethth/ee aieea ia e?iainoai?thth/o nenoaio, ?ioiiei?aaoth/ee aoaeo, cieaeoth/e oei naiei /anoioo i?neyiia?aoe?eieo aiai?e a 1,5 ?ace, ai?eii-naioe/ieo oneeaaeiaiue – 4,6 ?ace, ui a oe?eiio ia?aaeuo? iiae?ai? iieacieee i?e aeei?enoaii? aeiii?nueei? a?eo?ioeeoii? iane, aeeeth/a? ?ecee i?neyo?ainooc?eieo oneeaaeiaiue ? iiaea aooe ?aeiiaiaeiaaia aeey ai?iaaaeaeaiiy a i?aeoeeo. I?AEOE*I? ?AEIIAIAeAOe?? Aooiaaiio?ainooc?th iiia?aaeiuei caaioiaaii? e?ia? ne?ae canoiniaoaaoe aeey caaacia/aiiy eana?aaeo ?icoei?a, ye? ieaiothoueny, ine?eueee aiia aeicaiey? aeeeth/eoe iaiao?aei?noue ia?aeeaaiiy aeiii?nueei? e?ia? aai cia/ii ciaioeoe ?? e?euee?noue, ui a oe?eiio cieaeo? ?ecee oneeaaeiaiue ye i?ae /an iia?aoe??, oae ? /anoioo i?neyiia?aoe?eieo oneeaaeiaiue, aea? iiaeeea?noue i?e iaiao?aeiino? ieoo?ai i?enooieoe aei a?aeiiaeaiiy e?iaiao?aoe, a oaeiae aeiiii?/ii aea?aeii, ia iio?aao? aeiaeaoeiaiai iaeaaeiaiiy, iiaea aeei?enoiaoaaoenue o aoaeue-yeeo ?iaeiaeiiii?aeieo caeeaaeao (?en.). Aenooc?th e?ia? ?aeiiaiaeiaaii ?iaeoe a ia’?i? 3-4 ie/ea ca 4-8 aei?a aei iia?aoe??, yea ieaio?oueny, c o?aooaaiiyi iiaeeeaeo i?ioeiieacaiue, caa??aaoe caa?aio e?ia i?e oaiia?aoo?? +4-6 iN ? i?iaiaeeoe ianooiio o?ainooc?th c aeeiiaiiyi an?o i?aaee ia?aeeaaiiy aiiieia?/ii? e?ia? i?ae /an iia?aoe?? i?ney caaa?oaiiy iniiaiiai aoaio ? i?iaaaeaiiy o??o?a?/iiai aaiinoaco. NIENIE ?IA?O, IIOAE?EIAAIEO II OAI? AeENA?OAOe?? 1. Aooiaaiio?ainoociy a aeooa?noai // Iaaeiao?iy, aeooa?noai i aiiaeieiaiy. - 1995. - N 2. - N.35-37 (ni?aaao. Iiaieueiaeiia I.I., Cieioooii I.N.). 2. Iaoiaeu a?aaeoaoeeiiiie oe?o?aee e?iae a i?ioeeaeoeea e ea/aiee aiieii-naioe/aneeo caaieaaaiee (ANC) a aeooa?noaa e aeiaeieiaee // Iaaeeei-nioeeaeueiua i?iaeaiu naiuee.- 1997.- Oii 2, N 2.-N. 121-126 (niaao. Iiaeeaaeeia E.A., Aeaieia O.I., AEo?aaea A.A.). 3. Aooiaaiio?ainoocey a i?ioeeaeoeea iineaiia?aoeeiiiuo ineiaeiaiee i?e eana?aaii na/aiee // Ainiee i?iaeai aiieiai? i iaaeeoeeie.- 1998.- N 16.- N.76-79 (ni?aaao. *aeea A.E.). 4. Iao aeina?ae aooiaeiii?noaa a aeooa?noa? // Oe?a?inueeee iaoeiai-iaaee/iee iieiae?aeiee aeo?iae. – 1998. – ?2-3. – N.85-86 (ni?aaao. Iiaieueiaeiia I.I., *aeea A.E.). 5. E aii?ino i aiciauaiee e?iaiiioa?e a neo/aa iia?aoeaiiai ?iaei?ac?aoaiey // Aeooaeueiua aii?inu eeeie/aneiai aeooa?noaa e aeiaeieiaee: THaeeaeiue nai?iee iao/iuo o?oaeia eaoaae?u aeooa?noaa e aeiaeieiaee OOA.- Aeiiaoee, 1995.- N.82-84 (niaao. Iiaeeaaeeia E.A.). 6. Aooiaaiio?ainooc?y i?e ieaiiaiio aaaeii?iaeueiiio ?ic?iaeaeaii?// Ca??iee iaoeiaeo i?aoeue Anioe?aoe?? aeooa??a-a?iaeieia?a Oe?a?ie.-N?ioa?iiieue, 1998. - N.373-377 (ni?aaao. Aeueii?ia O.I., Iiaeeueiae?ia ?.I., ?iaiaa I.I.). 7. Iaa?oiooaaiiy iaiaoiaeiinoi canoinoaaiiy aaiio?ainoocie a ?aci eana?nueeiai ?icoeio //Aeooaeueii ieoaiiy aeooa?noaa oa aiiaeieiai?: oace aeiiiaiaeae eiioa?aioei? iieiaeeo a/aieo.- Aiiieoey,1995.- N.197 (ni?aaao. Ea/eyi A.I., Ii?aanueea N.I.). 8. I?e/eie ?icaeoeo oa oeyoe cieaeaiiy aiieii-naioe/ieo caoai?thaaiue iiney iia?aoeaiiai iieiai?ic?ioaiiy // Aiieii-caiaethaaeueii i?ioeane a no/aniie aeooa?nueei-aiiaeieiai/iie i?aeoeoei: Oace ieaioio i?aaeiiiy aeooa?ia-aiiaeieiaia Oe?a?ie.- Caii?iaeaey, 1995.- N.51 (ni?aaao. Cieioooii I.N., Iiaieueiaeiia I.I., Ii?iciaa I.A.). 9. Aeeiaieea iieacaoaeae aaiaoie?eoa, aaiiaeiaeia e nuai?ioi/iiai aeaeaca a caaeneiinoe io eio?aiia?aoeeiiiie o?ainooceiiiie oa?aiee a aeooa?noaa // A?aaeoaoeeiiiay oe?o?aey e?iae a aeooa?noaa, aeiaeieiaee e eeeie/aneie iaaeeoeeia: Oacenu aeieeaaeia naieia?a.- Iineaa, 1996.- N.64 (niiaao. Iiaeeueiaeeia E.A., *a?iiaie I.A.). 10. Aeayei eaai?aoi?ii iieacieee a caeaaeiinoi aiae iio?aiia?aoeieii? o?ainoocieii? oa?aii? iiae /an eana?aaiai ?icoeio // Oace aeiiiaiaeae 10-ai c'?caeo aeooa?ia-aiiaeieiaia Oe?a?ie. - Iaeana, 1996.- N.42 (ni?aaao. Iiaieueiaeiia I.I., AEo?aaea A.A.). 11. Iao iiuo aooiaaiio?ainoocee (AAO) i?e ieaiiaii eana?aaii na/aiee // Oacenu aeieeaaeia 5-e eiioa?aioeee Iineianeiai iauanoaa aaiaoa?aca.- Iineaa, 1997.- N.78 (niaao. *aeea A.E., Iiaeeaaeeia E.A.). 12. Autologous blood transfusion (ABT) in obstetrical practice.// Acta Obstetrica et Gynecologica Scandinavica.- 1997.- V.76, N 167.- P.27 (Mogilevkina I.). 13. Autologous blood transfusion (ABT) during the cesarian section in the profilaxis of postoperative inflammatory complications // Oacenu aeieeaaeia iaaeaeoia?iaeiiai eiia?anna eioaeoieiaia.- Aeiiaoee, 1998.- oii 1.- N.28. AIIOAOe?ss *a?iieo N.A. Aooiaaiio?ainooc?y a i?io?eaeoeoe? i?neyiia?aoe?eieo oneeaaeiaiue i?e eana?aaiio ?icoei?. - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.01 - aeooa?noai ? a?iaeieia?y. - ?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie, Ee?a, 1998. ?iaioa i?enay/aia ieoaiiyi i?io?eaeoeee i?neyiia?aoe?eieo ? i?neyo?ainooc?eieo oneeaaeiaiue i?e ieaiiaiio aaaeii?iaeueiiio ?iaei?ic??oaii? oeyoii aeeth/aiiy aooiaaiio?ainooc?? aei ?io?aiia?aoe?eii? ?iooc?eii – o?ainooc?eii? i?ia?aie. Iiaeaii ee?i?ei – noaoenoe/iee aiae?c oneeaaeiaiue i?ney iia?aoe?e eana?aaiai ?icoeio, c?iaeaii aeniiaie i?i a?eueo aeaaeeee ia?aa?a ioa?ia??y o ii?iae?eue, eio?ei i?ae /an iia?aoe?? aoea i?iaaaeaia aaiio?ainooc?y. Aea/aii aieea aeiciaaii? (3-4 ie/ea iane) aaiiaenooc?? ia aaiiaeeiai?/i?, eiioeaio?aoe?ei?, a?io?i?/i?, ?ioiieia?/i? iieacieee e?ia? oa aaiinoac, noai oo?iaiiai ieiaea o 100 iaoe??ioie, eio?? acyee o/anoue a i?ia?ai? aooiaeiii?noaa, aeiaaaeaii aacia/i?noue oe??? aenooc?? e?ia? aeey aaa?oieo. Aeyaeaii a?eueo ae?aaeaiee aaiinoeioethth/ee, ?ioiiei?aaoth/ee aieea aooie?ia? ? o ca’yceo c oeei a?eueo cia/ia cieaeaiiy /anoioe i?neyiia?aoe?eieo aiai?e (a 1,5 ?ace) ? ai?eii – caiaeueieo oneeaaeiaiue (a 4,6 ?ace) i?e aeei?enoaii? aooiaaiio?ainooc?? o ii??aiyii? c ia?aeeaaiiyi aeiii?nueei? a?eo?ioeeoii? iane. ?ic?iaeaii aeai?eoi o/ano? aaa?oieo a i?ia?ai? aooiaeiii?noaa. Eeth/ia? neiaa: aooiaaiio?ainooc?y, aiai??, ai?eii-caiaeuei? caoai?thaaiiy, eana??a ?icoei, i?neyiia?aoe?ei? oneeaaeiaiiy AIIIOAOeEss *a?iiuo N.A. Aooiaaiio?ainoocey a i?ioeeaeoeea iineaiia?aoeeiiiuo ineiaeiaiee i?e eana?aaii na/aiee. - ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.01 - aeooa?noai e aeiaeieiaey. - Einoeooo iaaeeao?ee, aeooa?noaa e aeiaeieiaee AII Oe?aeiu, Eeaa, 1998. ?aaioa iinayuaia aii?inai i?ioeeaeoeee iineaiia?aoeeiiiuo e iinoo?ainooceiiiuo ineiaeiaiee i?e ieaiiaii aaaeiieiaeueiii ?iaei?ac?aoaiee ioo?i aeeth/aiey aooiaaiio?ainoocee a eio?aiia?aoeeiiiua eiooceiiii-o?ainooceiiiua i?ia?aiiu. Aeai eeeieei- noaoenoe/aneee aiaeec /anoiou e no?oeoo?u ineiaeiaiee iinea iia?aoeee eana?aaa na/aiey, auyaeai aunieee i?ioeaio aiaiee e aiieii-ainiaeeoaeueiuo caaieaaaiee, naeaeai auaiae i aieaa aeaaeeii oa/aiee ioy?ia?ey o ?iaeeeueieoe, eioi?ui ai a?aiy iia?aoeee i?iecaaaeaia aaiio?ainoocey. Eco/aii aeeyiea aeice?iaaiiie (3-4 ie/ea iannu) aaiiyenoocee ia aaiiaeeiaie/aneea, eiioeaio?aoeeiiiua, aeioeie/aneea, eiioiieiae/aneea iieacaoaee e?iae e aaiinoac, ninoiyiea aioo?eoo?iaiiai ieiaea o 100 aeaiuei, i?eiyaoeo o/anoea a i?ia?aiia aooiaeiii?noaa e iieacaia a? aaciianiinoue aeey aa?aiaiiuo. Ioeaiea yooaeoeaiinoe ?acee/iuo aa?eaioia eio?aiia?aoeeiiiuo eiooceiiii-o?ainooceiiiuo i?ia?aii aeaia ia iniiaaiee eeeieei-eaai?aoi?iiai aiaeeca oa/aiey aanoaoeeiiiiai, iia?aoeaiiai e iineaiia?aoeeiiiiai ia?eiaeia o 30 aeaiuei, i?ioaaeoeo i?ia?aiio aooiaeiii?noaa i?e iiaeaioiaea e ieaiiaiio eana?aao na/aieth (iniiaiay a?oiia) e 60 aeaiuei, ?iaei?ac?aoaiiuo iia?aoeeae eana?aaa na/aiey ii noiaeiui iieacaieyi, 30-oe ec eioi?uo ai a?aiy iia?aoeee auea ia?aeeoa aeiii?neay e?iaue (2-y a?oiia n?aaiaiey), a 30-oe – aaiio?ainoocey ia i?iaiaeeeanue (1-y a?oiia n?aaiaiey). A ?acoeueoaoa i?iaaaeaiiuo enneaaeiaaiee, ai a?aiy e iinea aaiiyenoocee ia ca?aaeno?e?iaaii iaoieiae/aneeo aaiiaeeiaie/aneeo eciaiaiee e nieaeaiey naoo?aoeee eenei?iaea o aa?aiaiiuo, ii aeaiiui ea?aeeioieia?aii ia iaiyeinue ninoiyiea aioo?eoo?iaiiai ieiaea. Auyaeaii, /oi aeice?iaaiiay aaiiyenoocey ia i?eaaea e aeinoiaa?iiio eciaiaieth o?iaiy aaiiaeiaeia, iieacaoaey aaiaoie?eoa, eiee/anoaa y?eo?ioeeoia, o?iiaioeeoia, eaeeioeeoia, niaea?aeaiey aeaeaca a nuai?ioea e?iae, o?iaiy eiioiiaeiaoeeiia A, I e G, aaiinoaoe/aneiai iioaioeeaea. Ia ioia/aii ia?ooaiee aaeeiaiai iaiaia, a iiauoaiea niaea?aeaiey ?aoeeoeioeeoia naeaeaoaeuenoaiaaei i noeioeyoeee y?eo?iiiyca. A iineaiia?aoeeiiiii ia?eiaea iaeaieaa cia/eoaeueiia nieaeaiea iieacaoaeae e?aniie e?iae, o?iaiy nuai?ioi/iiai aeaeaca e eiioiiaeiaoeeia G, iaeaieaa au?aaeaiiia iai?yaeaiea eiiiainaoi?iuo ?aaeoeee i?aaiecia iaaethaeaeinue a 1-ie a?oiia n?aaiaiey. Ai 2-ie a?oiia n?aaiaiey o?iaaiue aaiiaeiaeia, iieacaoaeue aaiaoie?eoa e /enei y?eo?ioeeoia e 3-7-i nooeai ioy?ia?ey oaeaea ieacaeenue aeinoiaa?ii ieaea enoiaeiuo oeeo?. A iniiaiie a?oiia aeinoiaa?iuo eciaiaiee iieacaoaeae e?aniie e?iae ia auei, ioia/aeinue iiauoaiea o?iaiy eiioiiaeiaoeeia G, aaniethoiua cia/aiey eco/aaiuo iieacaoaeae auee auoa, /ai a a?oiiao n?aaiaiey. Iineaiia?aoeeiiiue ia?eiae ineiaeieeny aiaieae o 53,3% ?iaeeeueieoe iniiaiie a?oiiu e o 80% e 70% ?iaeeeueieoe a?oii n?aaiaiey niioaaonoaaiii. Aiieii-ainiaeeoaeueiua caaieaaaiey aeeaaiinoe?iaaiu o 10 % ?iaeeeueieoe iniiaiie a?oiiu, o 46,7 % e 16,7 % - a?oii n?aaiaiey. Aeinoiaa?iie ?acieoeu a oa/aiee ?aiiaai iaiiaoaeueiiai ia?eiaea o iiai?iaeaeaiiuo aeaiuei enneaaeoaiuo a?oii ia auyaeaii. Onoaiiaeaii, /oi iioeiaeueiuie n?ieaie aeey caaioiaee aooie?iae yaeythony 4-8 aeiae aei i?aaeiieaaaaiiai eana?aaa na/aiey. Oaeei ia?acii, aaiiyenoocey a aeica 3-4 ie/ea iannu o aa?aiaiiuo ia i?eaiaeeo e au?aaeaiiiio eciaiaieth aiiainoaca, ia ieacuaaao io?eoeaoaeueiiai aeeyiey ia ieiae e oa/aiea iaiiaoaeueiiai ia?eiaea o iiai?iaeaeaiiuo. Aooiaaiio?ainoocey i?e ieaiiaii eana?aaii na/aiee ieacaeanue aieaa yooaeoeaiie, /ai ia?aeeaaiea aeiii?neie y?eo?ioeeoiie iannu, iicaieea nieceoue /anoioo aiaiee a iineaiia?aoeeiiiii ia?eiaea a 1,5 ?aca, aiieii-ainiaeeoaeueiuo caaieaaaiee a 4,6 ?aca ii n?aaiaieth n yoeie iieacaoaeyie o ?iaeeeueieoe aac aaiio?ainoocee, a ii n?aaiaieth n oaie, eioi?ui i?iecaaaeaia aeeiaaiio?ainoocey – a 1,3 e 1,7 ?aca niioaaonoaaiii. ?ac?aaioai aeai?eoi o/anoey aa?aiaiiuo a i?ia?aiia aooiaeiii?noaa. Aa?aiaiiui, aioiayueiny e ieaiiaiio aaaeiieiaeueiiio ?iaei?ac?aoaieth, ?aeiiaiaeoaony yenoocey aooie?iae a iauaia 3-4 ie/ea iannu ca 4-8 aeiae aei iia?aoeee, o?aiaiea e iineaaeothuaa ia?aeeaaiea iinea caaa?oaiey iniiaiiai yoaia iia?aoeee, oe?o?ae/aneiai aaiinoaca, a ninoaaa eiooceiiii-o?ainooceiiiie i?ia?aiiu. Iaoiae i?ino, aaciianai, yooaeoeaai, ia o?aaoao niaoeeaeueiiai iai?oaeiaaiey, iiaeao auoue eniieueciaai a ethauo ?iaeianiiiiaaoaeueiuo o/?aaeaeaieyo. Eeth/aaua neiaa: aooiaaiio?ainoocey, aiaiey, aiieii-ainiaeeoaeueiua caaieaaaiey, eana?aai na/aiea, iineaiia?aoeeiiiua ineiaeiaiey. SUMMARY Chermnych S.V. Autologous blood transfusion in the prophylactic of the cesarean section postoperative complications. - Manuscript. Thesis for scientific degree of the candidate of medical science in speciality 14.01.01 - Obstetrics and Gynaecology. Institute of Pediatrics, Obstetrics and Gynaecology, Academy of Medical Sciences of Ukraine. Kiev, 1999. This scientific work is devoted to the prophylactic of postoperative and posttransfusional complications in cesarean section patients by autologous blood transfusion usage. Clinical and statistical analysis of the postoperative cesarean section complications was carried out and conclusion about the more positive outcome was done if donor blood transfusion has been performed as to compare with non-transfusion group. The peculiarities of haemodynamic and haematological as well as biochemical, immunological and coagulative indexes were analyzed in 100 pregnant women with planned cesarean section before and after blood donation. Safety of blood donation for pregnant women as well as for fetus was proved. More positive haematological and immunological changes were observed in autologous blood transfusion group as to compare to donor or non-transfusion groups which was accompaned by decline in postoperative anemia in 1.5 and puerperal infection in 4.6 times. Protocol for autologous blood transfusion in pregnant women was carried out. Key words: autologous blood transfusion, anemia, purulent-inflammatory diseases, cesarean section, postoperative complication.

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