I?i?noa?noai ioi?iie caei?iay Oe?a?ie

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea

IA?AO ?AAAI ?AAAIIAE*

OAeE
616.33-002.44-005.1-053-07-089:616.12/.14

Ae?AAIINOEEA, OAEOEEA O??O?A?*IIAI E?EOAAIIss AE?ACEIAEO
AANO?IAeOIAeAIAEUeIEO E?IAIOA* O IN?A IIOEEIAI OA NOA?A*IAI A?EO C
NOIOOIUeITH NA?OeAAI — NOAeEIIITH IAOIEIA??TH.

14.01.03 — o??o?a?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai

nooiaith eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999
Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Oaeai?iaenueeiio aea?aeaaiiio oi?aa?neoao?
I?i?noa?noaa ina?-oe Oe?a?ie oa Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao?
?i. I.I. Aiaiiieueoey IIC Oe?a?ie.

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? OII?I IAO?I AeIEO?IAE*, caa?aeoaa/
eaoaae?e oaeoeueoaonueei? o??o?a?? ?2 Iaoe?iiaeueiiai iaaee/iiai
oi?aa?neoaoo ?i. I.I.Aiaiiieueoey IIC Oe?a?ie.

Io?oe?ei? iiiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? ?AAeC?OIANUeEEE AIAOIE?E IAAEIAE*,
caa?aeoaa/ eaoaae?e o??o?a?? oa ii?eiai? oai?iae Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC Oe?a?ie;

aeieoi? iaaee/ieo iaoe, i?ioani? AeCTHAAIIANUeEEE ?AI? ssEIAE*,
caa?aeoaa/ eaoaae?e o??o?a?? oaeoeueoaoo i?neyaeeieiiii? ina?oe
Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?.ss.
Ai?aa/aanueeiai IIC Oe?a?ie.

I?ia?aeia onoaiiaa: ?inoeooo ee?i?/ii? oa aenia?eiaioaeueii? o??o?a??
AII Oe?a?ie, a?aeae?e o??o?a?? oeoieiai — eeoeiaiai o?aeoo.

Caoeno a?aeaoaeaoueny «22» aa?aniy 1999 ?. i 11 aiaeei? ia
can?aeaii? nia-oe?ae?ciaaii? a/aii? ?aaee Ae 26.613.02 i?e Ee?anuee?e
iaaee/i?e aeaaeai?? i?neyaeeieii-ii? ina?oe ?i. I. E. Ooieea IIC
Oe?a?ie (254112, i. Ee?a, aoe. Aei?iaiaeeoeueea, 9).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?-neyaeeieiiii? ina?oe ?i. I. E. Ooieea IIC Oe?a?ie (i.
Ee?a, aoe. Aei?iaiaeeoeueea, 9).

Aaoi?aoa?ao ?ic?neaiee «12» na?iiy 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
I.I. Aaicaeye

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Ae?aceiaa oai?iaa oeoiea oa aeaaiaaeoeyoeiaei?
eeoee (AeIE) caeia? iaeia c ia?oeo i?noeue o caaaeuei?e
no?oeoo?? caoai?thaaiino? ianaeaiiy. Ca aeaieie ??cieo aaoi??a, a?ae
19,4 aei 39,3% oai?eo ia ae?aceiao oai?iao neeaaeathoue iniae iioeeiai
oa noa?a/iai a?eo (A.Ae.A?aoonue ,1991 ; A.O. Na?iei c ni?aaao,1997;
Soplepman J. et.al.1997), a 80% nia?oaeueieo aeiaaee?a a?ae oneeaaeiaiue
oeueiai caoai?thaaiiy i?eiaaea? ia iaoe??io?a a?eii 65 ?ie?a ? noa?oeo
(D. McFadden, M.J. Zinner ,1994).

Iacaaaeath/e ia canoinoaaiiy no/anieo i?ioeae?aceiaeo iaaeeeaiaioicieo
cania?a, aaii??aa?y ? iaea?eueo /anoei (10 — 20%) oneeaaeiaiiyi
ae?aceiai? oai?iae na?aae iaoe??io?a iioeeiai oa noa?a/iai a?eo (A.Ae.
A?aoonue , 1991; A.O. Na-?iei c ni?aaao, 1997; Ishikawam et. al., 1995;
Soplepman J. et.al., 1997) oa noi?i-aiaeaeo?oueny iaaecae/aeii aenieith
(15 — 25%) eaoaeuei?noth (?.ss. Aecthaaiianueeee, 1984; I.?. Aea?iai,
1990 ; Hasselgren G. et. al.,1998; Andersen Ib et.al, 1998 oa ?i.).

Aino?ie?iaioi/ea? aano?iaeoiaeaiaeuei? ae?acee (AEAAeA) o in?a iioeeiai
oa noa?a/iai a?eo i?io?eathoue ia oe? aaaeei? noiooiuei? , ia?aaaaeii
na?oeaai — noaeeiii? iaoieia??, ui aiineoue nai? iniaeeaino? o ee?i?/io
ea?oeio aaii??aa?? (A.I. Iaoeeaiue, 1986; I.?. Aea?iai, 1990; Andersen
Ib et.al, 1998 oa ?i.). O iaaaaaoi/enaeueieo ioae?eaoe?yo c oeueiai
i?eaiaeo iaia? iaeiinoaeii? aeoiee uiaei iieacaiue aei iia?aoe??, no?ieo
?? aeeiiaiiy oa aeaeo ao?o/aiiy. I?e aeai?? o??o?a?/ii? oaeoeee ia
a?aoiao?oueny oei ae?aceiai? aeano?oeoe?? oa aaaee?noue noiooiuei?
iaoieia??.

Oiio, aea/aiiy iniaeeainoae i?io?eaiiy ae?aceiai? e?iaioa/? o in?a
iioeeiai oa noa?a/iai a?eo, ?ic?iaea e?eoa???a aeai?o o??o?a?/ii?
oaeoeee c o?aooaaiiyi oeio ae?acee oa aaaeeino? noiooiuei? iaoieia??
aeey iie?auaiiy aaciina?aaei?o oa a?aeaeaeaieo ?acoeueoao?a e?eoaaiiy
iaaoaa? iniaeeai? aeooaeueiino?.

Caycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y ?
o?aaiaioii IAe? eaoaae?e oaeoeueoaonueei? o??o?a?? ? 2 Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?iai? I.I. Aiaiiieueoey: ,,?ic?iaea e?eoa???a
aeai?o iaoiaeo iia?aoe?? , nooiaith ?eceeo ? aoaeoeaiino? o??o?a?/iiai
e?eoaaiiy aino?ie?iaioi/eaeo aano?iaeoiaeaiaeueieo ae?acie oa iooeei
oeoieo ia ?aiiueiio aini?oaeueiiio aoai? aeey iie?auaiiy aaciina?aaei?o
oa a?aeaeaeaieo ?acoeueoao?a” (? Aea?ae?a?no?aoe?? — 0186.0117978 ).

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoith iaoiai aeine?aeaeaiiy ? aea/eoe
iniaeeaino? ee?i?ee, ae?aaiinoeee aino?ie?iaioi/eaeo
aano?iaeoiaeaiaeueieo ae?acie o in?a iioeeiai oa noa?a/iai a?eo ia
oii? noiooi?o na?oeaai — noaeeiieo caoai?thaaiue, oa ?ic?iaeoe
aeai?eoi o??o?a?/ii? oaeoeee a caeaaeiino? a?ae oeio ae?acee oa
aaaeeino? noiooiuei? iaoieia?? aeey iie?auaiiy aaciina?aaei?o oa
a?aeaeaeaieo ?acoeueoao?a e?eoaaiiy oai?eo.

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

1.Aea/eoe /anoioo, no?oeoo?o oa iniaeeaino? ee?i?ee ,,canoa??eeo” oa
,,noa?a/eo” AEAAeA, aeyaeoe oa i?iaiae?coaaoe ?o aiaeineii?/i?,
iaoiii?oieia?/i? iniaeeaino?.

2.I?iaiae?coaaoe aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe ??cieo
iaoiae?a eii-na?aaoeaiiai e?eoaaiiy ,,canoa??eeo” oa ,.noa?a/eo”
aino?ie?iaioi/eaeo aano?i-aeoiaeaiaeueieo ae?acie o in?a iioeeiai oa
noa?a/iai a?eo ia oii? noiooiuei? na?oeaai — noaeeiii? iaoieia??.

3.Aea/eoe oa i?iaiae?coaaoe aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe
??cieo aeae?a iia?aoeaieo ao?o/aiue i?e ,,canoa??eeo” oa ,,noa?a/eo”
AEAAeA o iaoe??io?a, noa?oeo 60 ?ie?a ia oe? noiooi?o na?oeaai —
noaeeiieo caoai?thaaiue.

4.?ic?iaeoe aeai?eoi aeai?o o??o?a?/ii? oaeoeee oa aecia/eoe iieacaiiy
aei iia?aoeaiiai oa eiina?aaoeaiiai iaoiae?a e?eoaaiiy
aino?ie?iaioi/eaeo aano?i-aeoiaeaiaeueieo ae?acie o in?a iioeeiai oa
noa?a/iai a?eo c o?aooaaiiyi aaaeeino? noiooi?o caoai?thaaiue oa oeio
ae?aceiai? aeano?oeoe??.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Anoaiiaeaii ee?i?/i?,
aiaeinei-i?/i? oa iaoiii?oieia?/i? iniaeeaino? ,,canoa??eeo” oa
,,noa?a/eo” AEAAeA o in?a iioeeiai oa noa?a/iai a?eo c noiooi?ie
na?oeaai — noaeeiieie caoai?thaaiiyie. Aeyaeaii iniaeeaino? nooiaith
aaaeeino? e?iaiao?aoe oa /anoioo ?aii?o ?aoeeaeea?a e?iaioa/? (??E) i?e
,,canoa??eeo” oa ,,noa?a/eo” aino?ie?iaioi/eaeo aano?i-aeoiaeaiaeueieo
ae?aceao a caeaaeiino? a?ae eieae?caoe??, ?ici???a ae?aceiai?
aeano?oeoe?? oa iayaiino? noiooi?o caoai?thaaiue.

Aea/aii aieea canoinoaaiiy ??cieo i?ioeae?aceiaeo i?aia?ao?a ia
aeeiai?eo caai?iiy AEAAeA o in?a iioeeiai oa noa?a/iai a?eo.

Aia?oa o aeai?e a?eia?e a?oi? iaoe??io?a canoiniaaii neioaoe/iee aiaeia
ni-iaoinoaoeio ,,no?eai?i” oa aea/aii aoaeoeai?noue eiai aioenae?aoi?ii?
ae?? oa aieea ia /anoioo aeieeiaiiy ??E o ii??aiyii? ?c ,,?ai?aa?eii”
(?ai?o?ae?iii), ?ic?iaeaii ,,Niin?a e?eoaaiiy ae?aceiaeo
aano?iaeoiaeaiaeueieo e?iaioa/ o in?a iioeeiai oa noa?a/iai a?eo “
(cayaea ia aeaea/o iaoaioo Oe?a?ie ia aeiao?ae ? 99042371 a?ae 24. 04.
1999 ?.)

I?iaiae?ciaaii aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe ??cieo iaoiae?a
eii-na?aaoeaiiai oa aeae?a iia?aoeaiiai e?eoaaiiy ,,canoa??eeo” oa
,,noa?a/eo” AEAAeA o in?a iioeeiai oa noa?a/iai a?eo c noiooi?ie
na?oeaai-noaeeiieie caoai-?thaaiiyie, /anoioo oa oa?aeoa?
i?neyiia?aoe?eieo oneeaaeiaiue, i?e/eie eaoaeueiino?. ?ic?iaeaii
aeai?eoi aeai?o o??o?a?/ii? oaeoeee c o?aooaaiiyi oeio ae?acee oa
aaaeeino? noiooiuei? iaoieia??.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Aeyaeaiiy ee?i?/ieo,
aiaeineii?/ieo oa iaoiii?oieia?/ieo iniaeeainoae ,,canoa??eeo” oa
,,noa?a/eo” AEAAeA oa aiae?c canoiniaaieo eiina?aaoeaieo oa iia?aoeaieo
iaoiae?a e?eoaaiiy ni?eyee ?ic?iaeaiith e?eoa???a aeai?o iaoiaeo
e?eoaaiiy, aeaeo, ia”?io oa /ano aeeiiaiiy iia?aoe?? a caeaaeiino?
a?ae oeio ae?aceiai? aeano?oeoe??, aaaeeino? na?oeaai-noaeeiii?
iaoieia?? ? aeicaieeee ae?iaeoe ?aoe?iiaeueio e?eoaaeueio oaeoeeo o
oai?eo iioeeiai oa noa?a/iai a?eo.

Cai?iiiiiaai? ?aeiiaiaeaoe?? aecia/athoue o?eaae?noue oa ia”?i
ia?aaeiia?aoe?eii? i?aeaioiaee, iniaeeaino? ?io?a — oa
i?neyiia?aoe?eiiai aaaeaiiy oai?eo o caeaaeiino? a?ae nooiaith
eiiiainaoe?? noiooiuei? na?oeaai-noaeeiii? iaoieia??.

Niin?a eiina?aaoeaiiai e?eoaaiiy c aeei?enoaiiyi no?eai?io aeicaiey?
ciaioeoe a 3 ?ace /anoioo ?icaeoeo ?aoeeaeeao e?iaioa/?.

Canoinoaaiiy ?ic?iaeaiiai aeai?eoio o??o?a?/ii? oaeoeee cieceei c 9,7%
aei 6,2% i?neyiia?aoe?eio oa c 19,4% aei 7,2% caaaeueio eaoaeuei?noue
o oai?eo iioeeiai oa noa?a/iai a?eo c ii?aeiaiiyi AEAAeA oa na?oeaai —
noaeeiieo caoai?thaaiue.

Iniaenoee aianie caeiaoaa/a. O i?ioean? aeeiiaiiy aeena?oaoe?? aaoi?
a?ae?a?aa oa i?iaiae?coaaa e?oa?aoo?o, i?ia?a ee?i?/i? niinoa?aaeaiiy,
cae?eniea aiae?c oaeoe/iiai iaoa??aeo aeey iniiaii? a?oie oai?eo, i?ia?a
eiai noaoenoe/io ia?iaeo oa ii??aiya c io?eiaieie ?acoeueoaoaie o
eiio?ieuei?e a?oi?. Aaoi? i?eeiaa aaciina?aaeith o/anoue o aeeiiaii?
iia?aoeaieo ao?o/aiue oa cae?eniaii? eiiieaeno eiina?aaoeaieo
e?eoaaeueieo caoiae?a, aiae?c? oa ocaaaeueiaii? ?acoeueoao?a
aeine?aeaeaiiy, i?aeaioiaoe? iaoeiaeo iaoa??ae?a aei ioae?eaoe?e oa
aeiiia?aeae ia eiioa?aioe?yo. Aeniiaee oa iieiaeaiiy ?iaioe, aeianai? ia
caoeno, noi?ioeueiaai? ?acii c iaoeiaei ea??aieeii.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy ?iaioe
aeiiia?aeaeeny ? iaaiai?thaaeeny ia iaoeiai — i?aeoe/ieo
?anioae?eainueeeo eiioa?aioe?yo ,,Ae?aaiinoeea oa o??o?a?/ia e?eoaaiiy
caoai?thaaiue ? iioeiaeaeaiue iicaia/?ieiaeo aeia/ieo oiae?a” (Ee?a,
1996), ,,Aeooaeuei? i?iaeaie iaa?aeeeaaeii? o??o?a?? i?aai?a /a?aaii?
ii?iaeieie oa o?iaai?oaeueiiai o?aeoo” (Ee?a, 1996), ia e?oaeiio noie?
,,No?eai?i — iaa?aeeeaaeia aeiiiiiaa o aano?iaioa?ieia??” (Ee?a, 1997),
ia 5- io i?aeia?iaeiiio o??o?a?/iiio eiia?an? ,,?aie, ii?ee, iia”ycee”
(Oaeue — Aa?a, 1998), ia i?aeia?iaeiiio neiiic?oi? ,,Ae?aaiinoe/ia oa
e?eoaaeueia aiaeineii?y” (Ao?coo, 1998), ia ?icoe?aiiio can?aeaii?
eaoaae?e oaeoeueoaonueei? o??o?a?? OaeAeO (Oaeai?iae, 1998),
i?aeia?iaei?e eiioa?aioe?? ,,Aeooaeuei? ieoaiiy aini?oaeueii? o??o?a??”
(Oaeai?iae, 1999).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 14 iaoeiaeo
i?aoeue, a oiio /ene? — 6 noaooae o iaoeiaeo oaoiaeo aeo?iaeao, 8 oac o
ca??ieeao iaoa??ae?a eiia?an?a, neiiic?oi?a oa iaoeiai — i?aeoe/ieo
eiioa?aioe?e.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny ?c anooio, iaeyaeo
e?oa?aoo?e, 5 oaiaoe/ieo ?icae?e?a, caeeth/aiiy, aeniiae?a, i?aeoe/ieo
?aeiiaiaeaoe?e, nieneo e?oa?aoo?e. ?iaioa aeeeaaeaia ia 142 noi??ieao
iaoeiiieniiai oaenoo, ?ethno?iaaia 23 oaaeeoeyie, 10 ?enoieaie.
Iieaae/ee e?oa?aoo?e aeeth/a? 180 aeaea?ae, a oiio /ene? — 60
?iicaiieo.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiue. A iniiao ?iaioe iieeaaeai?
?acoeueoaoe ?aoaeueiiai ianoaaeaiiy , o??o?a?/iiai oa eiina?aaoeaiiai
e?eoaaiiy 461 oai?iai iioeeiai oa noa?a/iai a?eo (iniiaia a?oia), ui
neeaaea? 24,6% a?ae caaaeueiiai /enea 1872 iaoe??io?a, ye? e?eoaaeeny c
i?eaiaeo ae?aceiaeo e?iaioa/ o Ee?anueeiio oeaio?? iaa?aeeeaaeii?
aeiiiiiae oai?ei c oeoieiai — eeoeiaith e?iaioa/ath c 1994 ii 1996 ?iee.
A?oio ii??aiyiiy neeaee 1411 iaoe??io?a c AEAAeA iieiaeiai oa
na?aaeiueiai a?eo.

Iniiaia a?oia oai?eo aoea iiae?eaia ia aea? i?aea?oie: ia?oa — 344
iaoe??ioe c oae caaieie ,,canoa??eeie” ae?aceaie, eio?? o?eaaeee /an
oai??ee ia ae?aceiao oai?iao, ae?oaa — 117 in?a c ,,noa?a/eie”
ae?aceaie, o yeeo caoai?thaaiiy aia?oa aeieeei i?ney 60 ?ie?a. Iniiaith
aeey oaeiai iiae?eo iineoaeeee ee?i?ei — aiaeineii?/i? oa ii?-oieia?/i?
aeai?.

A i?ioean? ianoaaeaiiy aea/aeeny aiaiianoe/i? aeai? oa i?iaiaeeeeny
ee?i?/i? aeine?aeaeaiiy. Ca caaaeueii a?aeiieie iaoiaeeeaie
(A.A.Iaiueoeeia, 1987) i?iaaaeaii 53311 eaai?aoi?ieo aeine?aeaeaiue 25
iieaciee?a aiiainoaco a aeeiai?oe?.

Ianya e?iaiao?aoe ioe?ithaaee ca aeao?oeeoii oee?eoethth/i? e?ia? ca
aeiiiiiaith ,,?iaeeeaoi?a AeOeE” o??ie ,,R&C” (Naia?a, ?O). Nooi?iue
aaaeeino? e?iaioa/? (ii-i??iee na?aaei?e oa aaaeeee) ioe?ithaaee ca?aeii
c eeaneo?eaoe??th A.Ae. A?aoony (1991).

Aeey aa?eo?eaoe?? aeaea?aea e?iaioa/?, eiai eieae?caoe??, ?ici??o, noaio
aaiinoaco i?iaaaeaii 1432 ae?aaiinoe/ieo oa e?eoaaeueieo (aaiinoac,
ei?aeoe?y aianoiiiceo?a) aiaeineii?/ieo aeine?aeaeaiiy aia?aoaie
OLYMPUS GIF1T aai GIFK .

?aioaaieiio?anoia aeine?aeaeaiy oeoieo canoiniaaii 38 iaoe??ioai aei oa
i?ney iia?aoe??, 56 — o a?aeaeaeaiiio ia??iae?.

Aeey aea/aiiy iaoiii?oieia?/ieo iniaeeainoae AEAAeA i?iaaaeaii
a?noieia?/-ia aeine?aeaeaiiy ?acaeiaaieo ae?eyiie oeoieo (55) oa
aeaaiaaeoeyoeiaei? eeoee (36). Iaoa??aee a?aee c o?ueio ae?eyiie: ciie
ae?aceiaiai aeaoaeoo, ciie ?io?eueo?aoo oa a?aeaeaeaii? ae?eyiee.
Caaaeii, aea/aii 273 (165 — ueoieo oa 108 — AeIE) i?aia?aoe.

Aaaeeeaa cia/aiiy iaaeaaaee aeyaeaiith noiooi?o, iniaeeai na?oeaai —
noaeeiieo caoai?thaaiue. Ae?aaiinoeea ?o cae?enithaaeany ia i?aenoaa?
nea?a, aiaiiaco, aeaieo ia?eoeaiiai oa aeiaeaoeiaiai ianoaaeaiue,
eiinoeueoaoe?e noi?aeieo niaoe?ae?no?a. Caaaeii, i?iaaaeaii 1823
aeaeo?iea?ae?ia?ao?/i? aeine?aeaeaiiy 18 aoiea?ae?ineii?e, 571
?aioaaiia?ao?th i?aai?a a?oaeii? ee?oee .

Aea/aii e a?aeaeaeai? iane?aeee e?eoaaiiy 278 oai?eo, ye? ioe?ithaaee
ca nenoaiith Visick (1948), iiaeeo?eiaaiith Goligher J.C.(1968).

C iaoith ii??aiyiiy o aeaio a?oiao ii 12 in?a aea/aee aioenae?aoi?i?
aeanoeaino? ,,?ai?aa?eo” oa ,,no?eai?io”. Aecia/aee ia”?i nae?aoo, ai?no
o iueiio a?eueii? nieyii? eeneioe oa caaaeueio eeneioi?noue
(A.A.Iaiueoeeia,1987).

Io?eiai? aeai? ?aoaeueii i?iaiae?ciaai?, noaoenoe/ii ia?iaeai? ia AII.
Ii??aiyiiy aaee/eie aeenia?n?? o aea/aieo a?oiao i?iaiaeeee ca e?eoa???i
O?oa?a, a na?aaei?o aaee/ei — ca e?eoa???i Nothaeaioa. ?ic?aooiee
i?iaiaeeee, aeei?enoiaoth/e niaoe?aeueii ?ic?iaeaio o EXCELL aeey
WINDOWS 95 i?ia?aio.

?acoeueoaoe aeine?aeaeaiue. A?aei?/aii oaiaeaioe?th aei c?inoaiiy
e?eueeino? iaoe??io?a iioeeiai oa noa?a/iai a?eo c AEAAeA na?aae an?o
oai?eo c ae?aceiaeie e?iaioa/aie c 17,5% (Iaoeeaiue, 1986) aei 24,5 ii
iaoei aeaiei o 1996 ?ioe?.

O iniiai?e a?oi? (/ieia?e?a — 262 (56,8%), ae?iie — 199 (43,2%))
?iciiae?e iaoe??io?a ca a?eii ca?aeii c eeaneo?eaoe??th AIC (1963) aoa:
60-74 ?ie?a (iioeeee a?e) — 333 (72,2%), noa?oeo 75 ?ie?a (iniae
noa?a/iai a?eo oa aeiaaiaeeoae?) — 128 (27,8%) oai?eo.

A?aeiia?aeii aei i?eeiyoi? eeaneo?eaoe?? ae?aceiai? oai?iae o aeaii?e
a?eia?e eaoaai??? (Ae.O. *aaioa?ueia, 1976, 1990; ?.ss.
Aecthaaiianueeee, 1984 oa ?i.) ia iniia? iniaeeainoae
ee?i?ei-aiaeineii?/ieo oa ii?oieia?/ieo oa?aeoa?enoee iaie o 117
(25,4%) oai?eo aeyaeaii ,,noa?a/o”, a o 344 (74,7%) — ,,canoa??eo”
aino?ie?iaioi/ea? ae?acee.

Na?aae 117 iaoe??io?a c aino?ie?iaioi/eaeie ,,noa?a/eie” ae?aceaie oae
caaiee ,,aano?eoe/iee” aiaiiac ia ia?aaeuoaaa 2 i?nyoe?a o 94 (80,3%),
e?iaioa/a aoea ia?oei i?iyaii iaioe/ii? ae?acee o 23 (19,7%) oai?eo.

?c 344 in?a ?c ,,canoa??eeie” aino?ie?iaioi/eaeie ae?aceaie
aeaai?noue ,,ae?ac-eiaiai” /e ,,aano?eoe/iiai” aiaiiaco noaiiaeea 5 — 25
?ie?a. E??i oiai, 135 (39,2%) in?a oe??? a?oie ?ai?oa iaee ai?ciaee (46—
iaiaeii?aciai), ae?aceiai? e?iaioa/?, a 28 ( 8,1%) iaoe??io?a iia?iaai?
(10 — 20 ?ie?a oiio) c i?eaiaeo ae?aceiai? oai?iae oa ?? oneeaaeiaiue.

Aeey i?aea?oie iaoe??io?a c ,,canoa??eeie” ae?aceaie oa?aeoa?iei aoei
ii?aeiaiiy oneeaaeiaiue ae?aceiai? oai?iae: ii?yae c e?iaioa/ath,
ae?aceiaee noaiic aeyaeaii o 169 (49,1%) in?a, iaiao?aoe?th — o 23
(6,7%) iaoe??io?a, ia?oi?aoe?y aino?ie?iaioi/eai? ae?acee — o 4 (1,2%),
ii?aeiaiiy e?iaioa/? c noaiicii oa iaiaio?aoe??th — o 16 (4,7%) oai?eo
?c ,,canoa??eeie” AEAAeA, /iai ia niinoa??aaeiny o in?a ?c
,,canoa??eeie” AEAAeA.

I?iaaaeai? iaoiii?oieia?/i? aeine?aeaeaiiy iieacaee, ui ,,noa?a/?”
ae?acee oeoiea oa AeIE ?icaeaathoueny ia oii? ao?io?/iiai aano?eoo.
Neeciaa iaieiiea i?e oeueiio aeoii/aia, e?euee?noue caeic cieaeaia, ia?
i?noea aiaieuaaa ,,eeoeiaa” iaoaieac?y ai?oae?th. Ciia iae?ico ia
ae?aaeaia, oa? o?a?eii?aeiiai iae?ico iacia/ii? aeeaeie, ia ae?aceia?e
iiaa?oi? niinoa??aa?oueny oa? eie?eaaoe?eiiai iae?ico c eaeeioeeoa?iith
?io?eueo?aoe??th. Iniaeea?noth ,,noa?a/eo” ae?acie i?e ii?aeiaii?
aoa?ineea?ico c a?ia?oii?/iith oai?iaith ? oa, ui o no?ieao ae??aieo
a?oa??e oa a?oa??ie oeoieo oa AeIE iathoue i?noea iciaee a?ae?iico; a
a?noieia?/ia ea?oeia ,,noa?a/eo” ae?acie ia oii? noiooiuei? eaaaiaai?
iaoieia?? oa?aeoa?eco?oueny ea?oeiith o?ii?/iiai aaiiciiai iiaiie??a’y.

,,Canoa??e?” ae?acee oeoiea oa AeIE aeieeathoue, ye i?aaeei, ia oii?
o?ii?/iiai a?ia?ieanoe/iiai aano?eoo. O neecia?e iaieiioe? i?e oeueiio
niinoa??aa?oueny ii?aeiaiiy aeeno?io?/ieo ci?i yii/iiai ai?oae?y oa
ai?oae?y caeic c a?ia?ieanoe/ieie i?ioeanaie. Niinoa??aathoueny
ae?aaeai? caiaeuei? ci?ie ye o iiaa?oiaaeo oae ? a aeeaieeo oa?ao. Ciia
iae?ico o ia??iae caaino?aiiy ae?aaeaia, oa? o?a?eii?aeieo ci?i a
iaeano? aeia ae?acee cia/ii? aeeaeie, aeaia?eaoe?eiee aae aac /?oeeo
ia?en?a. I?e ,,canoa??eeo” ae?aceao ae?aaeai? iciaee ?ioiiiai caiaeaiiy
a neecia?e iaieiioe? oa ia?eoeueoea?ici?e cii?, aea niinoa??aa?oueny
ooai?aiiy e?ioi?aeieo neiie/aiue oa aaeeei? e?eueeino? e?ioi?aeieo
oie?eoe?a ?c na?oeeie oeaio?aie. A?aei?/a?oueny oaeiae cia/ia
?io?eueo?aoe?y oeaiei ieaciaoe/ieie ee?oeiaie oa aiceiio?eaie.

Oa?aeoa?iith iniaeea?noth iaoe??io?a iioeeiai oa noa?a/iai a?eo ? ? oa,
ui e?iaioa/a o ieo i?io?ea? ia oii? ae?aaeaii? noiooiuei? iaoieia??.
Oae, ia 461 oai?iai i?eiaaeaei 973 noiooi? caoai?thaaiiy (?iaeaen
iie?ii?a?aeiino? 2,2). Aeey ii??aiyiiy o iaoe??io?a eiio?ieueii? a?oie
a?i aoa 1,5. ?iaeaen iie?ii?a?aeiino? (2,4) o iaoe??io?a ?c ,,noa?a/eie”
ae?aceaie ia?aeuo? inoaii?e (2,0) o oai?eo ?c ,,canoa??eeie”.

Ia?aaaaeio a?eueo?noue na?aae noiooi?o caoai?thaaiue (647) noaiiaeee
oai?iae na?oeaai-noaeeiii? nenoaie, ui noi?iaiaeaeoaaeeny
iaaeinoaoi?noth e?iaiia?ao ia?oi? noaae?? o 118 , 2 A — o 297 , 2 A — 3
— o 41 oai?iai.

Aeyaeaii, ui o iniiai?e a?oi? a?eueoa /anoeia iaoe??io?a — 265 (61,8%)
iinoo-ieea i?ney 24 aiaeei c ii/aoeo e?iaioa/?, a o eiio?ieuei?e a?oi?
?o aoei 516 (36,6%).

E?iaiao?aoa aaaeeiai nooiaith noaoenoe/ii aeinoia??ii (? <0,05) /ano?oa co-no??/aeany o iniiai?e a?oi? - 162 (35, 2%), i?ae o eiio?ieuei?e - 322 (23%) oai?eo. Nooi?iue e?iaiao?aoe caeaaeaa a?ae noaae?? iaaeinoaoiino? e?iaiia?ao. O iaoe??io?a c iaaeinoaoi?noth e?iaiia?ao ? oa 2A noaae?? iaeaea iaeiaeiai /anoi cono??/athoueny e?iaioa/a iii??iiai, na?aaeiueiai oa aaaeeiai nooiai?a, a oie /an, ye o oai?eo c iaaeinoaoi?noth e?iaiia?ao 2A - 3 noaae?e aaaeeo e?iaiao?aoo a?aei?/aii o 22 (68,8%). Nooi?iue e?iaiao?aoe caeaaeeoue ? a?ae oeio ae?acee oa ?? ?ici???a. O iaoe??io?a c? ,,noa?a/eie” aino?ie?iaioi/eaeie ae?aceaie ia?aaaaea? aaaeeee (37,6%) oa na?aaei?e (33,3%) nooi?iue e?iaiao?aoe. A o iaoe??io?a ?c ,,canoa??eeie” - e?iaiao?aoa aaaeeiai, na?aaeiueiai oa iii??iiai nooiai?a cono??/a?oueny iaeaea c iaeiaeiaith /anoioith ( 34,3%, 33,4% oa 32,3% a?aeiia?aeii). ?c 124 (26,9%) iaoe??io?a c ae?aceith aei 1 ni o?eueee o 2 (1,6%) aoea aaaeea e?iaiao?aoa. O 233 (50,5%) in?a c aeaoaeoii a?ae 1ni aei 2,9 ni iaeaea iaeiaeiai /anoi cono??/a?oueny e?iaioa/a iii??iiai (35,2%), na?aaeiueiai (31,8%) oa aaaeeiai (33%) nooiaith. Cia/ia a?eueo?noue - 83 (79,8%) iaoe??io?a c aaeaoainueeeie (3 ni ? a?eueoa) ae?aceaie iaea aaaeeo e?iaiao?aoo. Aeno?aia o?a?iaano?iaeoiaeaiineii?y (OAAAeN) canoiniaaia o 406 (88,1%) oai?eo, 20 in?a eaoaai?e/ii a?aeiiaeeeny a?ae aeine?aeaeaiiy, a o 35 aiii ia aeeiioaaeinue /a?ac aaaee?noue noiooiuei? iaoieia??. Aino?ie?iaioi/eao ae?aceo AeIE iaee 291 (63,1%), oeoiea — 36 (29,6%), ii?aeiaio - 26 (5,6%) oa iaioe/io ae?aceo aianoiiico i?ney ?acaeoe?? oeoiea— o 8 (1,7%) iaoe??io?a. Na?aae ,,noa?a/eo” AEAAeA iaeaea a 2 ?ace /ano?oa cono??/aeany oeoieiaa eieae?caoe?y, i?ae na?aae ,,canoa??eeo” (44,4% oa 24,4% a?aeiia?aeii ( ?<0,05)). Aeyaeaii a?aei?iiino? o ?ici??? oa aeeaei? ae?acee a caeaaeiino? a?ae ?? oeio. O aeiaeiiai c iaoe??io?a ?c aino?ie?iaioi/eaith ,,noa?a/ith” ae?aceith, ?? ?ici??e ia ia?aaeuoaaee 2 ni, a o 104 (22,6%) oai?eo ?c ,,canoa??eeie” ae?aceaie ?ici?? aeaoaeoo noaiiaea 3 ni ? a?eueoa. Na?aaei?e ?ici?? ,,canoa??ei?” ae?acee noaoenoe/ii aeinoia??ii ia?aaeuo? na?aaei?e ?ici?? ,,noa?a/i?” ? a?aeiia?aeii neeaaea? 1,4 ( 0,5 ni oa 0,9 ( 0,3 ni. Na?aaeiy aeeaeia ,,canoa??ei?” ae?acee (0,6 ( 0,06 ni) oaae noaoenoe/ii aeinoia??ii ia?aaeuo? na?aaeith aeeaeio ,,noa?a/i?” ae?acee (0,4 ( 0,05 ni). Oa?aeoa?enoeea aaiinoaco a caeaaeiino? a?ae oeio ae?acee i?aaenoaaeaia a oaae. 1. Ioaea, i?e ,,noa?a/eo” AEAAeA aeinoia??ii (?<0,05) /ano?oa cono??/aeiny i?i-aeiaaeaiiy e?iaioa/? a i?e ,,canoa??eeo” - e?iayiee cai?oie ia aei? ae?acee. Iaeii/anii ?c anoaiiaeaiiyi aeaea?aea e?iaioa/?, c iaoith cae??ieaiiy aaiinoaco ia ae?aceiao iiaa?oith iaiineee i?aia?aoe ,, e?oocieue” /e ,, eai?ioa?”. Caaaeii, aiaeineii?/iee aaiinoac canoiniaaii o 121 iaoe??ioa c ianoaa?eueiei aaiinoacii (o 16 c ,,noa?a/eie” oa 105 ?c ,,canoa??eeie” ae?aceaie), c ieo o 30 (24,8%) oai?eo i?ioyaii 2 - 4 ae?a aeiee ?aoeeaeea e?iaioa/? (o 6 in?a c ,,noa?a/ith” oa 24 - ?c Oaaeeoey 1 Caeaaei?noue aaiinoaco a?ae oeio ae?acee. Aaiinoac Oei ae?acee Anueiai ,,noa?a/a” (%) ,,canoa??ea” (%) (%) I?iaeiaaeaiiy e?iaioa/? 16 ( 13,7) 9 (2,6 ) 25 ( 5,4 ) Ianoaa?eueiee aaiinoac: cai?oie e?ia? o?iiaiaai? noaeeie 43 ( 36,7 ) 21 ( 17,9 ) 22 ( 18,8 ) 158 ( 45,9 ) 97 ( 28,2 ) 61 ( 17,7 ) 201 ( 43,6 ) 118 ( 25,6 ) 83 ( 18 ) Noaa?eueiee aaiinoac 58 ( 49,6 ) 177 (51,5 ) 235 ( 51 ) Anueiai (%) 117 ( 100 ) 344 ( 100 ) 461 ( 100 ) ,,canoa??eith” ae?aceaie). Aiae?c ee?i?/ieo, aiaeineii?/ieo oa eaai?aoi?ieo aeaieo o iaoe??io?a c ?aoeeaeeaii e?iaioa/? iieacaa, ui ye i?e ,,noa?a/eo” oae ? i?e ,,canoa??eeo” ae?aceao iiaoi?ia aaii??aa?y caeaaeeoue a?ae nooiaith e?iaiao?aoe, ?ioaineaiino? e?iaioa/?, oa?aeoa?o aaiinoaco o ae?acoe?, eieae?caoe?? oa ?ici??o aeaoaeoo, aaaeeino? noiooiuei? iaoieia??. A oe?eiio, o ii??aiyii? c iii??iei nooiaiai e?iaiao?aoe, i?e aaii??aa?? na?aaeiueiai nooiaith ?aoeeaeea ?? niinoa??aaany a 2 ?ace, a i?e aaii??aa?? aaaeeiai nooiaith — a 12 ?ac?a /ano?oa (?<0,05). Aeyaeaii caeaaei?noue /anoioe ?E (?aoeeaeeao e?iaioa/?) a?ae iaaeinoaoiino? e?iaiia?ao (IE). O iaoe??io?a c IE 2A-3 noaae?? ?aoeeaeea e?iaioa/? niinoa??aaany 12,8 ?ac?a /ano?oa, i?ae o in?a c iaaeinoaoi?noth e?iaiia?ao ? noaae?? ( ?<0,05). Na?aae iaoe??io?a ?c ,,noa?a/eie” ae?aceaie ?E niinoa??aaany aeaui ??aeoa - o 6 (5,1%), a na?aae oai?eo ?c ,,canoa??eeie” — o 24 (7%) (?>0,05). I?e oeoieia?e eieae?caoe?? ae?acee ?E aoa a 1,4 ?aca /ano?oa,
i?ae i?e aeoiaeaiaeuei?e. Oaeiae, anoaiiaeaii, ui o ii??aiyii? ?c
ae?aceaie aei 1 ni, na?aae iaoe??io?a c aaee/eiith aeano?oeoe?? 1-2,9 ni
?E niinoa??aaany o 1,9 ?ac?a, a c aaee/eiith ae?acee 3 ni ? a?eueoa — a
2,7 ?ace /ano?oa (?<0,05). ?aoeeaeea e?iaioa/? caeaaeeoue ? a?ae noaio aaiinoaco. Iae/ano?oa (o 21,5%) aeiaaee?a a?i cao?eniaaiee, eiee aeii ae?acee ae?eoi cai?oeii e?ia?, i?e iayaiino? ia ae?aceiaiio aei? o?iiaiaaieo noaeei ?E a?aei?/aii o 8,6% oai?eo, eiee aeii ae?eoi o?a?eiii ?E aoa o 2,3% in?a. Oaeei /eiii o in?a iioeeiai oa noa?a/iai a?eo e?iaioa/a coiiaeaia aeaiia oeiaie ae?acie, ye? iathoue ee?i?/i?, aiaeineii?/i? oa ii?oieia?/i? iniaeeaino?. O iaa?oiooaaii? o??o?a?/ii? oaeoeee c iaoeiai? oa i?aeoe/ii? oi/ee ci?o o aeaii? a?oie iaoe??io?a aaeeea cia/aiiy ia? i?iaiicoaaiiy ?aiiueiai ?aoeeaeeao e?iaioa/? (??E). C oe??th iaoith ie aeei?enoiaoaaee ?ic?iaeaio ? cai?iiiiiaaio ?. ?. Ca-o?aao?iei c ni?aaaoi?aie (1990) aaeueio nenoaio, yeo ie aaeaiooaaee aei in?a, noa?oeo 60 ?ie?a. ?ic??ciyee aaniethoi? iciaee caa?ice ?aoeeaeeao e?iaioa/?: aaeaoainuee? ca ?ici??aie ae?acee oeoiea /e aeaaiaaeoeyoeiaei? eeoee, ui ? aeaea?aeii e?iaioa/?, a oaeiae aaiiaeia?i e?ia? iaioa 50 a/e i?e aini?oae?caoe??, aeeeeeaiee aino?ith aaii??aa??th. O eiaeiiio c oeeo aeiaaee?a ??E i?iaiico?oueny iacaeaaeii a?ae ?ioeo iciae ? oai?ei iieacaii iaa?aeeeaaeia iia?aoeaia ao?o/aiiy. sseui aaniethoieo iciae ia aoei, a?aoiaoaaee a?aeiini?: ?ioaineai?noue e?iaiao?aoe, aiaeineii?/io ioe?ieo aaiinoaco, oa?aeoa?enoeeo ae?acee oa aaee/eio aeaoaeoo, aaaee?noue noiooiuei? na?oeaai - noaeeiii? iaoieia??. Iaeneiaeueia ioe?iea eiae-iiai c e?eoa???a neeaaeaea 1 aae. I?e iayaiino? 2-o aae?a iaoe??ioo i?iaiicoaaee ??E. Ia iniia? aaeeeiai aeina?aeo e?eoaaiiy oai?eo c aino?eie ae?aceiaeie e?iaioa/aie o in?a iioeeiai oa noa?a/iai a?eo c AEAAeA iaie aoa ?ic?iaeaiee aeai?eoi o??o?a?/ii? oaeoeee, eiee iieacaiiy aei iia?aoeaiiai /e eiina?aaoeaiiai ao?o/aiiy anoaiiaethaaeeny c o?aooaaiiyi oa?aeoa?o oa ?ioaineaiino? e?iaioa/?, nooiaith e?iaiao?aoe, eieae?caoe?? oa ?ici??o ae?aceiaiai aeaoaeoo, noaio aaiinoaco, aoaeoeaiino? aiaeineii?/iiai aaiinoaco, caa?ice ??E, oeio ae?acee, aaaeeino? noiooiuei? iaoieia?? (?en.1 oa ?en.2). Ca?aeii c ?ic?iaeaiei aeai?eoiii e?eoaaeueii? oaeoeee an? oai?? iniiaii? a?oie aoee iiae?eai? ia 4 eaoaai??? ca iaiao?aei?noth oa ia?aiinei?noth iia?aoe??. Iieacaiiy aei aeno?aiiai iia?aoeaiiai ao?o/aiiy aoee o 60 oai?eo c i?iaeiaaeaiiyi /e ?aoeeaeeaii e?iaioa/? oa iaaoaeoeai?noth aiaeineii?/iiai aaiinoaco. I?iiia?iaaii 38 in?a (63,3%), c ieo ia aenio? i?iaeiaaeaiiy i?ioocii? e?iaioa/? - 22 oai?eo (c ,,noa?a/eie” - 14, ,,canoa??eeie”- 8), a ia aenio? ?aoeeaeeao ?? a ee?i?oe? — 16 (c ,,noa?a/eie”- 3, ,,canoa??eeie” - 13). Ia iia?iaaii 22 oai?eo: a cayceo c aaiiaeueiei noaiii i?e iinooieaii? - 7, eaoaai?e/iith a?aeiiaith a?ae cai?iiiiiaaii? iia?aoe?? - 1, iaia?aiinei?noth iia?aoeaiiai ao?o/aiiy /a?ac ae?ae aaaeeo noiooith iaoieia?th - 14. Aeno?ai? iia?aoeai? ao?o/aiiy aaaaeaee iaia?aiineieie i?e aino?iio ?ioa?eo? i?iea?aea, aino?iio ii?ooaii? iiceiaiai e?iaiia?ao, o?ii?/ieo na?oeaai - noaeeiieo caoai?thaaiiyo c iaaeinoaoi?noth e?iaiia?ao 3 noaae??, e?aei?o noaae?yo ia/?ieiai? oa ie?eiai? iaaeinoaoiino?. Na?aae iia?iaaieo iiia?ei 8 (21,1%), a na?aae oeo, eio?ei iia?aoe?th ia aeeiioaaee - 20 iaoe??io?a. Iieacaiiy aei iaa?aeeeaaeiiai (i?ioyaii 24 - 48 aiaeei) iia?aoeaiiai ao?o/aiiy o ca’yceo c aenieei ?eceeii ?icaeoeo ??E aoee o 63 in?a (ia?aaaaeii ?c ,,canoa??eeie” AEAAAe). I?iiia?iaaii 21 (35%) oai?iai (c “noa?a/eie” - 8, ?c “canoa??eeie” - 13). Iiia? 1 iaoe??io (4,7%). ?ioeo 42 in?a ia iia?oaaee. *a?ac ae?ae ae?aaeaio noiooith iaoieia?th iia?aoeaia ao?o/aiiy aeciaii iaia?aiineiei - o 14 (23,3%) oai?eo. I?ioeiieacaiiyie aei iaa?aeeeaaeieo iia?aoeaieo ao?o/aiue aaaaeaee: IE 2 A – 3, caeeoeia? yaeua ia?aianaiiai ?inoeueoo ia oii? ?iciianthaeaeaiiai aoa?ineea?ico, aino?ee ?ioa?eo i?iea?aea, aino?a ii?ooaiiy na?oeaaiai ?eoio, noaa?eueia noaiiea?ae?y niieith oa iai?oae, ui iiaaii e?eo?oueny ei?iia?ie?oeeaie, iino?ioa?eoia aiaa?ecia na?oey, ??ciiiai?oi? na?oeaa? aaaee 4-5 noaae?? aac oa i?e aeoeaiiio ?aaiaoe/iiio i?ioean?. Eaoaai?e/ii a?aeiiaeeeny a?ae cai?iiiiiaaii? iia?aoe?? - 28 (41,7%) in?a. Iaiia?iaaiei oai?ei ie aeeiioaaee aiaeineii?/ia cae??ieaiiy aaiinoaco, a oaeiae, c iaoith iiia?aaeaeaiiy ?aoeeaeeao e?iaioa/?, canoiniaoaaee aioo??oiueiaaiia aaaaeaiiy neioaoe/iiai aiaeiao niiaoinoaoeio i?ae iacaith ,,no?eai?i”. Aeai? aaeeaai? caoiaee ciaioeee e?euee?noue ?aoeeaeea?a aaii?aa?? ? eaoaeuei? aeiaaeee o oeeo iaoe??io?a, caeaa?eueoiai, aoee iia’ycai? c aeaeiiiainaoe??th noiooi?o caoai?thaaiue. Na?aae iia?iaaieo oai?eo iiia? 1 (4,8% ), iaiia?iaaieo - 19 ( 45,2%), c ieo a?ae ??E - 3 (7,1%). O 172 in?a ?c noaa?eueiei aaiinoacii aoee a?aeiini? iieacaiiy aei o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae (o a?ae/o?i/aiiio, 4 - 10 aei?a, ia??iae?): o?eaaeee ae?aceiaee aiaiiac, iaaoaeoeaia iiia?aaeiy eiina?aaoeaia oa?ai?y, iiaoi?i? aaii??aa?? oa iayai?noue eaeueicieo ae?acie. Na?aae ieo iia?iaaii 38 (22,1%) iaoe??io?a. Iia?aoe?y aeciaia ae?ae ?eceeiaaiith o cayceo c noiooi?ie oai?iaaie o 127 (61%) oai?eo, eaoaai?e/ii a?aeiiaeeeny a?ae cai?iiiiiaaiiai iia?aoeaiiai ao?o/aiiy - 29 (16,9%). An? i?iiia?iaai? iaoe??ioe aeaeoaeaee, na?aae iaiia?iaaieo iiia?ei 8 (5,1%). ?, ia?aoo?, o 166 in?a ?c noaa?eueiei aaiinoacii aoee iaaaeee? ca ?ici??aie aai aia?oa aeyaeai?, ia?aaaaeii ,,noa?a/?” (o 101 (60,8%)), ae?acee . Iacia/ia ae?aceiaa aeano?oeoe?y oa iciaee noaa?eueiiai aaiinoaco aeicaieyee ia?aaeaa/eoe aeaaii?e?iiee ia?aa?a ca oiiae eiiiainaoe?? noiooiuei? iaoieia??, iiaiiai a?aeiiaeaiiy e?iaiao?aoe, canoinoaaiiy eiina?aaoeaieo i?ioeae?aceiaeo cania?a, ?aia?aio?a oa e?e?a, ui iie?auothoue i?e?ioee?eoeyoe?th. Iiia?ei 2 (1,2%) iaoe??ioe a?ae i?ia?anoth/i? noiooiuei? iaoieia??. Caaaeii, a iniiai?e a?oi? 364 (79%) oai?eo e?eoaaee eiina?aaoeaii. Na?aae ieo ?c ,.noa?a/eie” ae?aceaie aoei 100 iaoe??io?a, ,,canoa??eeie” - 264 (iia?aoe?y aoea iaiieacaiith - 66, a?aeiiaeeeny a?ae ao?o/aiiy - 134, iia?aoe?y iaia?aiineia - 57). I?ia?aia eiina?aaoeaii? oa?ai?? aeth/aea 3 iniiaieo iai?yiee: 1 — aiaeineii?/ia i?eieiaiiy e?iaioa/? oa cae??ieaiiy aaiinoaco o ae?acoe?; ei?aeoe?y ii?ooaiue aiiainoaco; 2 — i?ioeae?aceiaa oa?ai?y (no/ani? I2 aeieaoi?e (291), aeieaoi? i?ioiiii? iiiie iiai?acie (49), ,,no?eai?i” c iiaeaeueoei ia?aoiaeii ia iiai?acie (24) (an? ia?a?aoiaai? eiia?iaoe?? ii?aeioaaee c aioeaae?eiaaeoa?ieie caniaaie); 3 — e?eoaaiiy noiooi?o caoai?thaaiue. I?e aiae?c? aoaeoeaiino? ??cieo noai i?ioeae?aceiaeo cania?a aeyaeeiny, ui I2 aeieaoi?e oa iiai?acie i?e ,,noa?a/eo” ae?aceao iaio aoaeoeai?, i?ae i?e ,,canoa??eeo”, ? oiio, aeey aeinyaiaiiy caai?iiy inoaii?o a eiiieaen e?eoaaeueieo caoiae?a ie aeeth/aee ?aia?aioe oa i?aia?aoe, ui iie?auothoue i?e?ioee?eoeyoe?th. Iaee?au? ?acoeueoaoe o iaoe??io?a c iaiia oeiaie ae?acie aoee i?e aeei?enoaii? iiai?acieo ?acii c i?ioeaae?eiaaeoa?ieie (aiienaoeee?i oa o?eoiiie) e?eaie. Aaaeeeaith caii?oeith caai?iiy ,,noa?a/eo” ae?acie ? ? aaeaeaaoia e?eoaaiiy noiooi?o caoai?thaaiue. Iaie i?iaaaeaia ii??aiyeueia ioe?iea aoaeoeaiino? ae?? ,.no?eai?io” oa ,,?ai?aa?eo” o 2-o ?aiaeii?ciaaieo a?oiao oai?eo (ii 12 in?a) noa?a/iai oa iioeeiai a?eo ia nooi?iue iiaeaaeaiiy oeoieiai? nae?aoe?? oa /anoioo ??E i?ioyaii 24 aiaeei e?eoaaiiy. O an?o iaoe??io?a aoa ianoaa?eueiee aaiinoac oa aenieee ?ecee ?icaeoeo ??E. Na?aae oeo, ooi io?eioaaa ,,no?eai?i” ??E aeiee o iaeiiai, a ooi i?eeiaa ,,?ai?aa?e” — o o?ueio iaoe??io?a. 24-o aiaeeiiee iii?oi?eia iieacaa ciaiueoaiiy a 2,2 oeoieiai? nae?aoe??, a 3,9 ?ac?a - eeneioii?iaeoeoe?? ia oii? aaaaeaiiy ,,no?eai?io”. I?e e?eoaaii? ,,?ai?aa?eii” a?aeiia?aei? iieacieee ciaioeeenue a 1,5 oa 1,8 ?ac?a (?(0,05). ?ic?iaeaii ,,Niin?a e?eoaaiiy ae?aceiaeo aano?iaeoiaeaiaeueieo e?iaioa/ o in?a iioeeiai oa noa?a/iai a?eo “ (cayaea ia aeaea/o iaoaioo Oe?a?ie ia aeiao?ae ? 99042371 a?ae 24. 04. 1999 ?.), nooue yeiai iieyaa? o canoinoaaii? ,,no?eai?io” i?ioyaii 3o ae?a c iiaeaeueoei ia?aoiaeii ia iiai?acie, ui aeicaiey? a 3 ?ace ciaioeoe /anoioo ??E. Na?aae in?a, ui io?eioaaee eiina?aaoeaia e?eoaaiiy no?eeee aoaeo aac a?aeiiaeaiiy e?iaioa/? io?eiaii o 315 (86,5%) iaoe??io?a c iii?ae 364 (o 81 (81,8% — ?c ,,noa?a/ith” oa o 234 (88,3%) — ?c ,,canoa??eith” ae?aceaie). Iiia?ei 49 (13,5%) oai?eo, c ieo o a?oi? oai?eo ?c ,,noa?a/eie” ae?aceaie — 18 (18,2%), a na?aae in?a ?c ,,canoa??eeie” — 31 (11,7%). Ioaea, na?aae iaiia?iaaieo in?a ?c ,,noa?a/eie” ae?aceaie eaoaeuei?noue aoea aeuith, i?ae o oai?eo ?c ,,canoa??eeie”. Iia?aoeaia e?eoaaiiy canoiniaaii 97(21%) oai?ei. Iniiai? aeaee iia?aoeaieo ao?o/aiue i?aaenoaaeai? a oaae. 2. Caaaeii, ia aenio? e?iaioa/? iia?iaaii 22 iaoe??ioe (iiia?ee 2 (9,1%)), ia aenio? ?aoeeaeeao e?iaioa/? — 16 (iiia?ei 6 (37,5%)), o a?aeno?i/aiiio ia??iae? — 59 in?a (iiia? 1 ( 1,7%)). Caaaeyee aeei?enoaiith nenoaie i?iaiicoaaiiy ??E ? a?eueoiio a?aeai?o oai?eo aeey iaa?aeeeaaeieo iia?aoe?e i?ioyaii o?ueio ?ie?a ciaioeeanue c 25% aei 10,8% ieoiia aaaa oai?eo, eio?? aoee iia?iaai? ia aenio? ?aoeeaeeao e?iaioa/?, ui ni?eyei cieaeaiith i?neyiia?aoe?eii? eaoaeueiino? c 9,7% aei 6,2%. Aeaee iia?aoeaieo ao?o/aiue i?eaaaeai? a oaae. 2. Oaaeeoey 2 Aeaee iia?aoeaieo ao?o/aiue Aeae iia?aoe?? Eieae?caoe?y ae?acee Anueiai AeIE Oeoiie Ii?aeiaia I?aaiicaa??aath/? 6 30 (2) – 36 (2) ?acaeoe?ei? 23 (2) 26 (4) 6 55 (6) Iae?aoeai? 3 (1) 3 — 6 (1) Anueiai 59 (4) 30 (5) 8 97 (9) I?ei?oea. ( ) – e?euee?noue iiia?eeo ?aaeeeaeuei? iia?aoeai? ao?o/aiiy na?aae 97 iia?iaaieo aeeiiaii o 91 (93,8% ), a iae?aoeai? — o 6 (6,2%). I?aaiicaa??aath/? iia?aoe?? ia iniia? aaaioii?? canoiniaaii o 36 (37,1%) in?a c eaoaeuei?noth (5,6%). I?e aeeiiaii? ?acaeoe?eieo ao?o/aiue eaoaeuei?noue (10,9%) c?inoa? ? ? iaeaeuith (16,%) na?aae iaoe??io?a, eio?ei canoinoaaee iae?aoeai? iia?aoe??. Caaaeueia i?neyiia?aoe?eia eaoaeuei?noue neeaea 9,3%. Aaciina?aaei? ?acoeueoaoe e?eoaaiiy iniiaii? oa eiio?ieueii? a?oi oai?eo i?eaaaeaii a oaae. 3. Oaaeeoey 3 ?acoeueoaoe e?eoaaiiy ??cieo a?eiaeo a?oi oai?eo Iieacieee ?acoeueoaoe EA (%) IA (%) ,,Noa?a/a” AEAAeA ,,Canoa??ea” AEAAAe Anueiai Caaaeueia e?euee?noue oai?eo 1411 (100) (75,4) 117 (25,4) 344 (74,6) 461 (100) (24,6) Caaaeueia e?euee?noue iiia?eeo 71 (5,0) 21 (17,9) 37 (10,8) 58 (12,6) *enei iia?iaaieo 987 (69,9) 17 (14,5) 80 (23,3) 97 (21) C ieo iiia?ee 50 (5,1) 3 (17,6) 6 (7,5) 9 (9,3) *enei iaiia?iaaieo 424 (30,1) 100 (85,5) 266 (76,7) 364 (79) C ieo iiia?ee 21 (4,95) 18 (18) 31 (11,7) 49 (13,5) I?ei?oee: 1.IA — iniiaia a?oia; EA — eiio?ieueia a?oia. Oaeei /eiii, na?aae 117 oai?eo c ,,noa?a/eie” aino?ie?iaioi/eaeie ae?aceaie iia?iaaii 17 (14,5%) (i?e i?iaeiaaeaii? e?iaioa/? - 3, ?aoeeaeea? e?iaioa/? - 14). Iiia?ei 3 (17,6%) - an? a?ae na?oeaai - noaeeiii? iaaeinoaoiino?. ?c 108 iaiia?iaaieo iiia?ei 18 (18%): a?ae na?oeaai - noaeeiii? iaaeinoaoiino? - 15 , aino?iai ii?ooaiiy iiceiaiai e?iaiia?ao - 3, o?iiaiaiaie?? eaaaiaai? a?oa??? - 3. O a?oi? 344 oai?eo ?c ,,canoa??eith” AEAAeA 7 (2,5%) - aeinoaaeaii a aaiiaeueiiio noai? ? iiia?ee a ia?o? e?eueea aiaeei. Na?aae ?ioeo 377 in?a iia?iaaii 80, iiia?ei 6 (7,5%), iia?aoe?y iaiieacaia - 66, iiia? 1 (1,5%), a?aeiiaeeeny a?ae ia? - 134, iiia?ei 19 (14,2%). Ao?o/aiiy aoei iaia?aiineiei o 57, iiia?ei 11 (19,3%) in?a. I?e/eiaie i?neyiia?aoe?eii? eaoaeueiino? aoee: na?oeaai - noaeeiia iaaeinoaoi?noue - 5, ia?eoii?o a ?acoeueoao? iani?iiiaeiino? eoene AeIE - 1. ?c iaiia?iaaieo oai?eo a?ae i?iaeiaaeaiiy e?iaioa/? iiia?ee 4, ?aoeeaeeao ?? - 10, na?oeaai - noaeeiii? iaaeinoaoiino? - 17 in?a. A oe?eiio, ?c 461 e?eiaaiiai iaoe??ioa iiia?ei 58 (12,6%), a oiio /ene? na?aae 117 in?a ?c ,,noa?a/eie” AEAAeA - 21 (17,9%), iii?ae 344 ?c ,,canoa??eeie” - 37 (10,8%). Na?aae 58 iiia?eeo o?eueee o 14 (24,1%) oai?eo i?e/eiith nia?o? aoea e?iaioa/a, a ?io? iiia?ee a?ae aeaeiiiainaoe?? /e oneeaaeiaiue noiooi?o oai?ia. I?neyiia?aoe?ei? oneeaaeiaiiy niinoa??aaeeny o 23 (23,7%) oai?eo. Oneeaaeiaiiy aoee iiaycai? c aeeiiaiiyi iia?aoe?? o 14 (14,4%) in?a: iioi?ii-aaaeoaoi?i? ii?ooaiiy — o 9 (aianoiiiceo — o 3, no?eea aoii?y oeoieo — o 6); aino?ee iaie?aaoeo — o 2; iani?iiiaei?noue eoene AeIE, ia?eoii?o — o 1; iaaii?iiy i?neyiia?aoe?eii? ?aie — o 2. Oneeaaeiaiiy ia aoee iia’ycai? aaciina?aaeiuei c iia?aoe??th o 9 (9,3%) in?a: o?iiaiaiaie?y eaaaiaai? a?oa??? — o 3; iiaaiii?? — o 4; o?iiaioeaa?o — o 2. C iaoith ioe?iee aoaeoeaiino? e?eoaaiiy iaie aoee aea/ai? o no?ie a?ae 6 i?nyoe?a aei 4 ?ie?a a?aeaeaeai? ?acoeueoaoe o 289 (70,8%) oai?eo iniiaii? a?oie, na?aae ieo iiia?ei 11 (a?ae e?iaioa/? 1, noiooi?o oai?ia -10) . I?ae ?ioeie 278 (68,9%) iaoe??ioaie 79 aoee i?ney iia?aoeaiiai oa 199 - eiina?aaoeaiiai e?eoaaiiy. A oe?eiio, ca nenoaiith Visick a?aeiinii ae?aceiai? oai?iae io?eiaii a?aei?ii? ?acoeueoaoe o 8 (2,9%), aeia?? - o 83 (29,8%), caaeia?euei? - o 147 (52,9%) ? iacaaeia?euei? o 40 (14,4%): na?aae iia?iaaieo - 3,9%, 44,3%, 46,8%, 5,1%, a iaiia?iaaieo - 2,5%, 24,1%, 55,3%, 18,1% a?aeiia?aeii. Ioaea, na?aae iia?iaaieo iaeaea aaea?/? /ano?oa niinoa??aathoueny aeia?? ? iaeaea ao?e/? ??aeoa iacaaeia?euei? ?acoeueoaoe i?e iaeiaeia?e c iaiia?iaaieie /anoio? a?aei?iieo oa caaeia?eueieo. A?aeaeaeai? ?acoeueoaoe na?aae iaiia?iaaieo aoee a??o? o iaoe??io?a ?c ,,canoa??eeie” AEAAeA, i?ae ?c ,,noa?a/eie”. Iniiaieie i?e/eiaie iacaaeia?eueieo ?acoeueoao?a aoee ?aoeeaeeae ae?acee (36), iino?acaeoe?eiee oa iinoaaaioiiiee neiae?iie (4). Oaeei /eiii, iie?auaiiy ?acoeueoao?a e?eoaaiiy AEAAeA o in?a iioeeiai oa noa?a/iai a?eo aaco?oueny ia canoinoaaii? aeai?eoio ?aoe?iiaeueii? e?eoaaeueii? oaeoeee ?c a?aooaaiiyi oeio ae?acee, i?iaiicoaaiiyi ?eceeo ?icaeoeo ?E oa aaeaeaaoiith ei?aeoe??th ii?ooaiue, ni?e/eiaieo noiooi?ie caoai?thaaiiyie. AENIIAEE 1.A no?oeoo?? oai?eo c ae?aceiaeie e?iaioa/aie 24,6% iaoe??io?a neeaaeathoue iniae iioeeiai oa noa?a/iai a?eo, na?aae yeeo aaii??aa?y o 25,4% coiiaeaia ,,noa?a/eie”, a o 74,6% - ,,canoa??eeie” ae?aceaie. 2.Aeioe?euei?noue aeae?eaiy aeaio oei?a AEAAeA o in?a iioeeiai oa noa?a/iai a?eo iaoiiaeai? ?o ee?i?/ieie, aiaeineii?/ieie oa iaoiii?oieia?/ieie iniaee-ainoyie. ,,Noa?a/?” aino?ie?iaioi/ea? ae?acee /ano?oa (44,4%) ?ici?uothoueny a oeoieo, aiie iaio? ca ?ici??aie oa aeeaeiith, a ,,canoa??e?” - a?eueo? ca ?ici??aie, aeeaeiith ? /ano?oa (24,4%) eieae?cothoueny a aeaaiaaeoeyoeiae?e eeooe?. 3.E?eoa??yie aeai?o o??o?a?/ii? oaeoeee o in?a iioeeiai oa noa?a/iai a?eo ? oei ae?acee, eieae?caoe?y ??, iaoe?i?noue aeano?oeoe??, aaaee?noue e?iaiao?aoe, noai aaiinoaco oa aaaee?noue noiooiuei? iaoieia??. 4.Eiina?aaoeaia e?eoaaiiy aino?ie?iaioi/eaeo aano?iaeoiaeaiaeueieo ae?acie o in?a iioeeiai oa noa?a/iai a?eo c o?aooaaiiyi oeio ae?acee iiaeiii aeeth/aoe ii?aeiaiiy aiaeineii?/iiai aaiinoaco, i?ioeae?aceiaeo cania?a oa ??aaeeeaoe?? H. Pylori , ei?aeoe?th aiiainoaco, e?eoaaiiy noiooi?o caoai?thaaiue. Canoinoaaiiy eiiieaeno eiina?aaoeaiiai e?eoaaiiy cieceei c 22% aei 7,4% eaoaeuei?noue na?aae iaiia?iaaieo in?a iioeeiai oa noa?a/iai a?eo. 5.Aeei?enoaiiy a eiiieaen? eiina?aaoeaiiai e?eoaaiiy ,,no?eai?io” aeicaiey? a o?e ?ace, o ii??aiyii? c ?ai?o?ae?iii, ciaioeoe /anoioo ?icaeoeo ?aiiueiai ?aoeeaeeao e?iaioa/?. 6.?acoeueoaoe o??o?a?/iiai e?eoaaiiy AEAAeA o in?a iioeeiai oa noa?a/iai a?eo caeaaeaoue a?ae aeaeo oa oa?i?io aeeiiaiiy iia?aoe??. Iia?aoeai? ao?o/aiiy o a?ae-no?i/aiiio ia??iae? noi?iaiaeaeothoueny eaoaeuei?noth 1,7% ia aenio? e?iaioa/? - 9,1%, ? ia aenio? ?aoeeaeeao aaii??aa?? - 37,5%. I?aaiicaa??aath/? iia?aoe?? aeathoue iaeaea aaea?/? ieae/o (5,6%) o ii??aiyii? ?c ?acaeoe?eieie iaoiaeaie (10,9%) eaoaeuei?noue. 7.O iaoe??io?a ?c ,,noa?a/eie” aino?ie?iaioi/eaeie aano?iaeoiaeaiaeueieie ae?aceaie iia?aoeaia e?eoaaiiy aeioe?eueia o?eueee i?e iaaoaeoeaiino? aiaeineii?/iiai aaiinoaco. Eiai canoinoaaiiy ? iaiao?aeiei o?eueee o 14,5% aeiaaee?a ? noi?iaiaeaeo?oueny aenieith (17,6% ) i?neyiia?aoe?eiith eaoaeuei?noth. 8.Cai?iiiiiaaiee aeai?eoi aeai?o ?aoe?iiaeueii? ae?aaiinoe/ii - e?eoaaeueii? oaeoeee o in?a iioeeiai oa noa?a/iai a?eo c aino?ie?iaioi/eaeie aano?iaeoiaeaiaeueieie ae?aceaie c o?aooaaiiyi oeio ae?acee, aaaeeino? noiooiuei? iaoieia??, ca?eueoaiiyi /enea iaa?aeeeaaeieo iia?aoe?e aei ?icaeoeo ?aoeeaeeao e?iaioa/?, ai?iaaaeaeaiiyi i?aaiicaa??aath/eo ao?o/aiue aeicaiey? cieceoe c 9,7% aei 6,2% i?neyiia?aoe?eio oa c 19,4% aei 7,2%. - caaaeueio eaoaeuei?noue. 9.A?aeaeaeai? aeai? na?ae/aoue i?i oa, ui na?aae iia?iaaieo oai?eo o ii??aiyii? c iaiia?iaaieie aaea?/? /ano?oa (44,3% oa 24,1%) niinoa??aathoueny aeia?? oa ao?e/? ??aeoa (5,1% oa 18,1%) iacaaeia?euei? ?acoeueoaoe e?eoaaiiy. Nienie iioae?eiaaieo i?aoeue ca oaiith aeena?oaoe?? 1.Iiaa o e?eoaaii? ae?aceiaeo aano?iaeoiaeaiaeueieo e?iaioa/ // Iaoeiaee a?niee Oaeai?iaenueeiai oi?aa?neoaoo, na??y ,,Iaaeeoeeia”,-1997.-?4.-N.40-41. / Ni?aaao. Oii?i I.Ae., Oa?aiao I.O., Iaoeeaiue A.I./. 2.Eiina?aaoeaia e?eoaaiiy ae?aceiaeo aano?iaeoiaeaiaeueieo e?iaioa/ o in?a iioeeiai oa noa?a/iai a?eo c noiooi?ie na?oeaai - noaeeiieie caoai?thaaiiyie // Iaoeiaee a?niee Oaeai?iaenueeiai oi?aa?neoaoo, na??y ,, Iaaeeoeeia”,-1997.-?5.-N.57-60./ Ni?aaao. Oii?i I.Ae./. 3.O??o?a?/ia e?eoaaiiy ae?aceiaeo aano?iaeoiaeaiaeueieo e?iaioa/ o in?a iioeeiai oa noa?a/iai a?eo c noiooi?ie na?oeaai - noaeeiieie caoai?thaaiiyie // Iaoeiaee a?niee Oaeai?iaenueeiai oi?aa?neoaoo, na??y ,, Iaaeeoeeia”,-1997.-?5.-N.60-63./ Ni?aaao. Oii?i I.Ae., Oa?aiao I.O./. 4.Eeeie/aneay yooaeoeaiinoue noeeaieia i?e ycaaiiuo e?iaioa/aieyo o eeoe iiaeeeiai e noa?/aneiai aic?anoa // Iaaeeoeeineea aanoe,-1997.-?3.-N.48. / Niaao. Oiiei I.Ae., Aiaiei A.A., Eiceia N.I. /. 5.Eiina?aaoeaia e?eoaaiiy ae?aceiaeo aano?iaeoiaeaiaeueieo e?iaioa/ o in?a iioeeiai oa noa?a/iai a?eo // E?ea?nueea ni?aaa,-1998.-?7.-N.107-111. 6.Ii??aiyeueia oa?aeoa?enoeea aino?ie?iaioi/eaeo ,,noa?a/eo” oa ,,canoa-??eeo” aano?iaeoiaeaiaeueieo ae?acie // Iaoeiaee a?niee Oaeai?iaenueeiai oi?aa?ne-oaoo, na??y ,, Iaaeeoeeia”,-1999.-?8.-N.38-40./ Ni?aaao. Oii?i I.Ae., A?eyeia - Aaeueneee I.A., Iaoeeaiue A.I. /. 7.No/ania o??o?a?/ia oaeoeea i?e i?i?eaieo ae?aceao oeoieo oa aeaaiaae-oeyoeiaei? eeoee // Oe?a?inuee? iaaee/i? a?no?,-1998.-O.2.-?1-2.-N.49-50 / Ni?aao. Oii?i I., A?eyeia - A?euenueeee I., Neaei?aiei A./. 8.Ee?i?ei - aiaeineii?/i? e?eoa??? iaa?oiooaaiiy o??o?a?/ii? oaeoeee i?e e?i-aioi/eaeo i?ei?iaeoiaeaiaeueieo ae?aceao // Aeooaeuei? i?iaeaie iaa?aeeeaaeii? o??o?a?? i?aai?a /a?aaii? ii?iaeieie oa o?iaai?oaeueiiai o?aeoo: Iao. ?ani. iaoe. - i?aeo. eiio. 21 -22 een.1996 ?.-Ee?a,1996.-N.35-36. / Ni?aaao. Oii?i I.Ae., Oaiaoueei ?.I., Oaaei??a ? A., Eiceia N.I., ?aiaoia I.A., Oanaiei A.A., Oa?eoei I.I. /. 9.Ee?i?ei - aiaeineii?/i? iniaeeaino? aino?ie?iaioi/eaeo aano?iaeoiaeaiaeueieo ae?acie o in?a iioeeiai oa noa?a/iai a?eo // Aeeaaiinoe/aneay e ea/aaiay yiaei-neiiey: Iaoa?eaeeu iaaeaeoia?iaeiiai neiiiceoia 24 - 27 naioya?y 1998 a.- Ao?coo,1998.- N.155-156. / Ni?aaao. Oii?i I.Ae. /. 10.Yooaeoeaiinoue noeeaieia i?e ycaaiiuo e?iaioa/aieyo // Noeeai?i - iaa?aeeeaaeia aeiiiiiaa: Iaoa??aee e?oaeiai noieo 25 eenoiiaaea 1997 ?.-Ee?a,1997.-N.9-11. / Niaao. Oiiei I.Ae., Aaeyeia - Aaeueneee A.A., Aiaiei A.A., Eiceia N.I. /. 11.Fomin P., Kozlov S., Fedorov S., Zaplavsky A., Peresh E. Peptic ulcer as wound of stomach and duodenum // Internationaln Wound Association: The 5th International Congress.-Tel-Aviv.-2-5 March.-1998.-p.29. 12. Iaioe/aneay ycaa eae ?aia aeaeoaeea e aeaaiaaeoeaoeia?noiie eeoee // ?aiu, iaeiae, iiaycee: Iaoa?eaeu 5-ai Iaaeaeoia?iaeiiai Oe?o?ae/aneiai Eiia?ana 2 - 5 ia?oa 1998 a.- Oaeue - Aaea,1998.-N.46-47. / Niaao. Oiiei I., Eiceia N., Oaaei?ia N., Caieaaneee A. /. 13.Iniaaiiinoe oe?o?ae/aneie oaeoeee i?e e?iaioi/aueo aano?iaeoiaea-iaeueiuo ycaao o eeoe iiaeeeiai e noa?/aneiai aic?anoa // Aeeaaiinoeea e oe?o?-ae/aneia ea/aiea caaieaaaiee e iia?aaeaeaiee aiaia/aii/iuo aeae/iuo oiaeia: Iao. ?ani. iao/i. - i?aeo. eiio. 22 - 23 iiya. 1996 a.-Eeaa,1996.-N.140-141. / Niaao. Oiiei I.Ae., Iaoeeaiue A.I. /. 14.Iiaeeeaino? oa ia?niaeoeae e?eoaaiiy aino?eo ae?aceiaeo e?iaioa/ // No/ani? aniaeoe iaa?aeeeaaeii? iaaee/ii? aeiiiiiae: iaoa?. tha?eaeii? iaoe. - i?aeo. eiioa?aioe??, i?enay/aii? 25 - ??//th noai?aiiy Euea?anueei? i?nueei? ee?i?/ii? e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae. - Euea?a,1997.- N.182-183. / Ni?aaao. Oii?i I.Ae., A?aoonue A.Ae., Eiceia N.I., E?nnia I.?., ?aai/ia I.A./. AIIOAOe?ss Ia?ao ?.?. Ae?aaiinoeea, oaeoeea o??o?a?/iiai e?eoaaiiy ae?aceiaeo aano?iaeoiaeaiaeueieo e?iaioa/ o in?a iioeeiai oa noa?a/iai a?eo c noiooiueith na?oeaai - noaeeiiith iaoieia??th.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.03.- o??o?a?y.- Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea IIC Oe?a?ie, i. Ee?a, 1999. Aeena?oaoe?th i?enay/aii ieoaiiyi ae?aaiinoeee oa aeai?o e?eoaaeueii? oaeoeee i?e aino?ie?iaioi/eaeo aano?iaeoiaeaiaeueieo ae?aceao (AEAAeA) o in?a iioeeiai oa noa?a/iai a?eo, ui i?io?eathoue ia oii? noiooiuei? na?oeaai - noaeeiii? iaoieia??. Ia iniia? ee?i?ei - ?ino?oiaioaeueieo oa iaoiii?oieia?/ieo aeaieo aeae?eaii aeaa oeie AEAAeA: ,,noa?a/?” oa ,,canoa??e?”, aena?oeai? iniaeeaino? ?o ee?i?ee, aiaeinei-i?/i? oa ii?oieia?/i? a?aei?iiino?. I?iaiae?ciaaii aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe ??cieo iaoiae?a eiina?aaoeaiiai oa aeae?a iia?aoeaiiai e?eoaaiiy ,,canoa??eeo” oa ,,noa?a/eo” AEAAeA o in?a iioeeiai oa noa?a/iai a?eo c noiooi?ie na?oeaai - noaeeiieie caoai?thaaiiyie, /anoioo oa oa?aeoa? i?neyiia?aoe?eieo oneeaaeiaiue, i?e/eie eaoaeueiino? ? ia iniia? oeueiai ?ic?iaeaii aeeoa?aioe?eiaaiee aeai?eoi aeai?o o??o?a?/ii? oaeoeee c o?aooaaiiyi oeio ae?acee oa aaaeeino? noiooiuei? iaoieia??. Canoinoaaiiy aeai?eoio aeicaieeei o aea/ai?e a?oi? oai?eo cieceoe i?neyiia?aoe?eio eaoaeuei?noue c 9,7% aei 6,2%, a caaaeueio - c 19,4% aei 7,2%. Eeth/ia? neiaa: ae?aceiaa oai?iaa, e?iaioa/a, iioeeee oa noa?a/ee a?e, noiooi? na?oeaai - noaeeii? caoai?thaaiiy, ae?aaiinoeea, o??o?a?/ia oaeoeea. SUMMARY Peresh A.A. Diagnostics, tactics of surgical treatment of bleeding gastroduodenal ulcers at the persons of elderly and senile age with accompanying cardio -vascular pathology.- The manuscript. The dissertation on competition of a scientific degree of the candidate of medical sciences on a speciality 14.01.03.- surgery.- Kiyiv Medical Academy for Post-Graduate Education named after P.L. Shupik of Ministry of Health of Ukraine, Kiyiv, 1999. The dissertation is devoted to questions of diagnostics and choice of medical tactics at bleeding gastroduodenal ulcers at the persons of elderly and senile age, which proceed on a background of accompanying cardio - vascular pathology. On the basis of clinical - tool and pathomorphological data two ulcer types are allocated: senile and chronic. The features of their clinic, endoscopic and morphological differences are covered. Direct and remote results of various methods of conservative and kinds of operative treatment of chronic and senile ulcers at the persons with accompanying cardio - vascular diseases, frequency and the character of postoperative complications, morbidity reasons are analysed and on the basis of it is developed differential algorithm of a choice of surgical tactics in view of a type of a ulcer and weight of an accompanying pathology. The application of algorithm has allowed in researched group of the patients to lower postoperative morbidity from 9,7 % to 6,2 %, and general - from 19,4 % to 7,2%. Key words: peptic ulcer, bleeding, elderly and senile age, accompanying cardio - vascular diseases, diagnostics, surgical tactics. AIIIOAOeEss Ia?ao A.A. Aeeaaiinoeea, oaeoeea oe?o?ae/aneiai ea/aiey aano?iaeoiaea-iaeueiuo ycaaiiuo e?iaioa/aiee o eeoe iiaeeeiai e noa?/aneiai aic?anoa n niioonoaothuae na?aea/ii - ninoaeenoie iaoieiaeae.- ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.03. - oe?o?aey. - Eeaaneay iaaeeoeeineay aeaaeaiey iinea-aeeieiiiiai ia?aciaaiey ei. I.E. Ooieea Ieienoa?noaa cae?aaiio?aiaiey Oe?ae-iu, a. Eeaa, 1999. Aeenna?oaoeey iinayuaia aii?inai eeeieee, aeeaaiinoeee e oe?o?-ae/aneiai ea/aiey ycaaiiuo aano?iaeoiaeaiaeueiuo e?iaioa/aiee o eeoe iiaeeeiai e noa?/aneiai aic?anoa n niioonoaothueie na?aea/ii - ninoaeenouie caaieaaaieyie. Iiaeaa?aioou ananoi?iiiaio enneaaeiaaieth e aiaeeco ?acoeueoaou aeeaaiinoeee e oe?o?ae/aneiai ea/aiey 461 aieueiiai iiaeeeiai e noa?/aneiai aic?anoa n aano?iaeoiaeaiaeueiui ycaaiiui e?iaioa/aieai, /oi ninoaaeei 24,6% io iauaai /enea 1872 iaoeeaioia, eioi?ua iaoiaeeeenue ia ea/aiee a Eeaaneii ai?iaeneii oeaio?a ii ieacaieth iaioeiaeiie iiiiue aieueiui n aeaeoaei/ii - eeoa/iuie e?iaioa/aieyie ca ia?eiae n 1994 ii 1996 aa.. Iieo/aiiua ?acoeueoaou n?aaiaiu n aeaiiuie i 1411 iaoeeaioao iieiaeiai e n?aaeiaai aic?anoa n ycaaiiuie aano?iaeoiaeaiaeueiuie e?iaioa/aieyie. Ioia/aia oaiaeaioeey e oaaee/aieth eiee/anoaa aieueiuo aeaiiie aic?anoiie eaoaai?ee: n 17,5% (1982 - 1985 aiaeu) aei 24,9% (1996 aiae) io anao aieueiuo n ycaaiiuie e?iaioa/aieyie. Ia iniiaaiee eeeieei - aiaiianoe/aneeo, aiaeineiie/aneeo e iaoiii?oieiae/aneeo aeaiiuo auaeaeyee aeaa oeia ycaaiiiai ii?aaeaiey: ino?ie?iaioi/auea ,,noa?/aneea” ycau - o 117 (25,4%) e ,,canoa?aeua” - o 344 ( 74,6%) iaoeeaioia. Inaauaiu auyaeaiiua iniaaiiinoe eeeieee, ii?oieiae/aneea ?acee/ey e aiaeineiie/aneay oa?aeoa?enoeea iaaeo oeiia ycaaiiiai ii?aaeaiey. Ioia/aia no?oeoo?a niioonoaothueo caaieaaaiee e i?iaiaeece?iaaii eo aeeyiea ia i?ioaeaiea e?iaioa/aiey. Onoaiiaeaii, /oi o aieueoeinoaa iaoeeaioia (93,1%) aaaeouei niioonoaothuei caaieaaaieai auea na?aea/ii - ninoaeenoay iaoi-eiaey. Eiee/anoai niioonoaothueo caaieaaaiee oaaee/eaaeinue i?ia?anneaii n aic?anoii: eiaeaen iieeii?aeaeiinoe aic?in n 1,9 oeeoe a oanoii aeanyoeeaoee aei 2,5 o iaoeeaioia, noa?oa 80 eao. I?iaiaeece?iaaiu ?acee/iua iaoiaeu iia?aoeaiiai e eiina?aaoeaiiai ea/aiey e?iaioi/aueo ,,noa?/aneeo” e ,,canoa?aeuo” yca. Onoaiiaeaii, /oi iia?aoeaiua aiaoaoaeuenoaa, aueieiyaiua a ion?i/aiiii ia?eiaea nii?iaiaeaeathony eaoaeueiinoueth 1,7%, ia aunioa e?iaioa/aiey - 9,1%, a ia aunioa ?aoeaaeeaa e?iaioa/aiey - 37,5%. I?aaiinaa?aaaoaeueiua iia?aoeee a enneaaeoaiie a?oiia iaoeeaioia nii?iaiaeaeathony ii/oe a 2 ?aca iaiueoae eaoaeueiinoueth (5,6%), /ai ?acaeoeeiiiua (10,9%). Aeey i?iaiice?iaaiey ?aiiaai ?aoeeaeeaa e?iaioa/aiey eniieueciaaee aaeueioth nenoaio, i?aaeeiaeaiioth E.E. Caoaaaoeiui e niaaoi?aie (1990), eioi?oth iu aaeaioe?iaaee e enneaaeoaiie a?oiia iaoeeaioia. I?eiaiaiea aeaiiie nenoaiu e aieaa /anoue ioai? iaoeeaioia aeey iaioeiaeiuo iia?aoeee i?eaaee e nieaeaieth ia i?ioyaeaiee o?ao eao n 25% aei 10,8% /enea aieueiuo, iia?e?oaiuo ia aunioa ?aoeeaeeaa e?iaioa/aiey, /oi niinianoaiaaei nieaeaieth iineaiia?aoeeiiiie ea-oaeueiinoe. Eco/aii aeeyiea i?eiaiaiey ?acee/iuo aioenae?aoi?iuo i?aia?aoia ia aeeiaieeocaaeeaeaiey ino?ie?iaioi/aueo yca o eeoe iiaeeeiai e noa?/aneiai aic?anoa. Onoaiiaeaii, /oi iaeaieueoae yooaeoeaiinoueth ec i?eiaiyaiuo n?aaenoa iaeaaeaao iiai?acie, i?eiaiaiea i?ioeainae?aoi?iuo i?aia?aoia aieaa yooaeoeaii o eeoe n ino?ie?iaioi/aueie ,,canoa?aeuie” ycaaei. O iaoeeaioia n e?iaioi/aueie ,,noa?/aneeie” ycaaie aeey aeinoeaeaiey yooaeoa a eiiieaen i?ioeaiycaaiiie oa?aiee iaiaoiaeeii aeeth/aoue ?aia?aiou e i?aia?aou, oeo/oathuea iee?ioee?eoeyoeeth. Iaiaoiaeeiui oneiaeai yaeyaony e ea/aiea niioonoaothuae iaoieiaee. Aia?aua o aeaiiie a?oiiu iaoeeaioia i?eiaiai neioaoe/aneee aiaeia niiaoinoaoeia ,,noeeaiei”, eco/aia yooaeoeaiinoue aai i?ioeainae?eoi?iiai aeaenoaey, aeeyiea ia /anoioo aicieeiiaaiey ?aiiaai ?aoeeaeeaa e?iaioa/aiey a n?aaiaiee n ?aieoeaeeiii. ?ac?aaioai ,,Niinia ea/aiey ycaaiiuo aano?iaeoiaea-iaeueiuo e?iaioa/aiee o eeoe iiaeeeiai e noa?/aneiai aic?anoa” (cayaea ia auaea/o iaoaioa Oe?aeiu ia ecia?aoaiea ? 99042371 io 24.04.1999 a.). I?iaiaeece?iaaiu iaiin?aaenoaaiiua e ioaeaeaiiua ?acoeueoaou ?acee/iuo iaoiaeia eiina?aaoeaiiai e iia?aoeaiiai ea/aiey ,,canoa?aeuo” e ,,noa?/aneeo” e?iaioi/aueo yca o eeoe iiaeeeiai e noa?/aneiai aic?anoa ia oiia niioonoaothueo na?aea/ii - ninoaeenouo caaieaaaiee, /anoioa e oa?aeoa? iineaiia?aoeeiiiuo ineiaeiaiee, i?e/eiu eaoaeueiinoe. A oeaeii, ec 461 iaoeeaioa oia?ei 58 (12,6%), a oii /enea n?aaee 117 /aeiaae ni ,,noa?/aneie” e?iaioi/auae ycaie - 21 (17,9%), n ,,canoa?aeie” - 37 (10,8%). Ec 58 oia?oeo oieueei o 14 (24,1%) aieueiuo i?e/eiie nia?oe auei e?iaioa/aiea, a inoaeueiua oia?ee io aeaeiiiainaoeee eee ineiaeiaiee niioonoaothueo caaieaaa-iee. Iineaiia?aoeeiiiua ineiaeiaiey iaaethaeaeenue o 23 (23,7%) iaoeeaioia. ?ac?aaioai aeai?eoi auai?a oe?o?ae/aneie oaeoeee n o/aoii oeia ycaaiiiai ii?aaeaiey e oyaeanoe niioonoaothuae iaoieiaee, oniaa?oainoaiaaiu iaoiaeu i?aaeiia?aoeeiiiie iiaeaioiaee, eio?a - e iineaiia?aoeeiiiiai aaaeaiey aieueiuo. Aiaae?aiea ?ac?aaioaiiiai aeai?eoia oe?o?ae/aneie oaeoeee i?eaaei e nieaeaieth iineaiia?aoeeiiiie eaoaeueiinoe n 9,7% aei 6,2%, iauae eaoaeueiinoe - n 19,4% aei 7,2%. PAGE PAGE 21

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