I?I?NOA?NOAI IOI?IIE CAeI?IA”ss OE?A?IE

E?EINUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

?I.N.?.AAI?A??ANUeEIAI

AAAAE IA?EIA EAII?Ae?AIA

OAeE 616.233:616.248-053.2/6-616-08

Aoaeoeai?noue eiiieaeniiai e?eoaaiiy

a?iio?aeueii? anoie o ae?oae ?c

aeeth/aiiyi aa?ioa?ai??.

14.01.10- iaae?ao??y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

N?ioa?iiieue, 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a E?einueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
?i.N.?.Aai?a??anueeiai IIC Oe?a?ie.

Iaoeiaee ea??aiee: caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi?
iaaee/ieo iaoe, i?ioani? Aiaaaeaeuei?eia ?ai? Aieiaeeie?iae/,
E?einueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i.N.?.Aai?a??anueeiai,
eaoaae?a aeeoy/eo ?ioaeoe?eieo oai?ia, caa?aeoaa/ eaoaae?ith.

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe,i?ioani?, Ae?eiaanueeee
Ieeiea Iaaeiae/, Oe?a?inueeee IAe? aeeoy/i? eo?i?oieia?? oa o?c?ioa?ai??
i. ?aiaoi??y, aee?aeoi?

aeieoi? iaaee/ieo iaoe, i?ioani?, Eaaaae?aa Oaoyia Aai?a??aia,
sseoeinueeee IAe? o?ce/ieo iaoiae?a e?eoaaiiy ? iaaee/ii? ee?iaoieia??
?i.N.?.Na/aiiaa ,noa?oee iaoeiaee ni?a?ia?oiee

I?ia?aeia i?aai?caoe?y: ?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia??
AII Oe?a?ie, a?aeae?eaiiy caoai?thaaiue i?aai?a aeeoaiiy, i.Ee?a.

Caoeno aeena?oaoe?? a?aeaoaeaoueny » 28 » o?aaiy 1999 ?. i 14-00

aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee E 52.600.01 i?e
E?einueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ?i.N.?.Aai?a??anueeiai
(333006, i.N?ioa?iiieue, aoe.Eai?ia, 5/7).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? E?einueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i.N.?.Aai?a??anueeiai
(i.N?ioa?iiieue,

aoe.Eai?ia ,5/7.).

Aaoi?aoa?ao ?ic?neaiee “ 26 ” ea?oiy 1999 ?.

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

a/aii? ?aaee,aeieoi? iaaee/ieo

iaoe, i?ioani? I.O.Iaco?aoeue

Caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue oaie. O ca”yceo c ?inoii caoai?thaaiino? ae?oae
a?iio?aeueiith anoiith (AA) ia?aae a/aieie on?o e?a?i na?oo aino?i
anoaea i?iaeaia iiooeo iiaeo aeinoaoiuei aoaeoeaieo cania?a ? iaoiae?a
e?eoaaeueiiai aieeao i?e aeaiiio caoai?thaaii? ( Iicaeaanueeee
A.O.,1996; Oauaiei TH.?., 1997; Eoe”yiiaa I.I., 1996;Eaneoey I.?.,
1995). Aenieee a?aenioie e?ea?nueei? iaia?aiiniino? na?aae oaeeo oai?eo
ana /ano?oa caa?oa? oaaao aeine?aeiee?a a a?e iaiaaeeeaiaioicieo
iaoiae?a oa?ai?? ? ?aaa?e?oaoe??, ye? aeicaieythoue oieeiooe
aeiaeaoeiai? nainea?e?caoe?? i?aai?cio oai?iai ia AA (*o/ae?i I.A.,
1997; Oaaein??a A.A., 1996; A?oaiiiia ?.A., 1996; Aioeie?i I.A., 1996;
Aiaaaeaeuei?eia ?.A., 1993).

Ia nueiaiaei?oi?e aeaiue oaeei aeiiaai a?aeiia?aea? iaoiae
a?iiaa?ioa?ai?? a oiiaao a?iiene/ii? aa?ieaia?e, a iniia? yeiai eaaeaoue
aaeaioaoe?ei? ?aaeoe?? i?aai?cio aeeoeie o a?aeiia?aeue ia a?iien?th, ui
i?eaiaeeoue aei onoiaiiy i?iya?a caoai?thaaiiy, a a iaeaooiueiio — aei
i?aeaeuaiiy ii?iaa /ooeeaino? oai?eo aei ??cieo iani?eyoeeaeo oaeoi??a
ioi/oth/iai na?aaeiaeua (Iineae/ia I.E.,1996; Aaeica?oeaaa A.I.,1986).

Oaaao aeine?aeiee?a oaeiae i?eaa?oathoue i?aia?aoe iaai?th, yeee ?
ooieoe?iiaeueiei aioaaii?noii eaeueoe?th (?iaeueyiia A.A.,1997;
Oaaein??a A.A.,1995; Mathew R.,1988). Anoaiiaeaii, ui ?iie iaai?th,
aaaaeai? aaciina?aaeiuei a aeeoaeuei? oeyoe aei?ineei oai?ei ia AA
aeaaini?eyoeeai aieeaathoue ia ia?aa?a naiiai caoai?thaaiiy, ia iathoue
nenoaiii? ae??, aea cieaeothoue i?aeaeuaio ?aaeoeai?noue a?iio?a, ui ?
iaeiei ?c iaoiaaiaoe/ieo iaoai?ci?a ?icaeoeo aeaii? oai?iae ( ?iaeueyiia
A.A., 1996; Oaaein??a A.A., 1989).

Aei?aaaeaii aeei?enoaiiy a ?aaa?e?oaoe?ei?e oa?ai?? ae?oae c AA
o?oioa?ai?? nieiaeeith ? e?eoaaeueiiai ianaaeo. Nieiaeea oe?iei
canoiniao?oueny a ioeueiiiieia?/i?e i?aeoeoe? ye i?ioecaiaeueiee,
a?aeoa?eoaaeueiee, i?ioeaea?a?/iee oa ?ioiinoeioethth/ee can?a (Neiyeia
A.O.,1995; ?aaiia A.?., 1992). I?ae /an naain?a e?eoaaeueiiai ianaaeo
a?oaeii? ee?oee ?aoeaeoi?ii i?aeaeuo?oueny e?iai-, e?ioiia?a ?
aaciiai?i a eaaaiyo, ca?eueoo?oueny ?iaioa aeeoaeueii? ioneoeaoo?e ?
?icaeaa?oueny aaeueioaaiiy a ei?? aieiaiiai iiceo. E??i oiai, aeaiaioe
a?a?aoe?eiiai ianaaeo iieaaoothoue i?ioean a?aeoiaeaeaiiy iie?ioeiiy ?
ni?eythoue a?aeiiaeaiith i?io?aeiino? aeeoaeueieo oeyo?a (*o/ae?i I.A.,
1997; Oaaein??a A.A., 1996; I?eia A.A., 1995; Aiaaaeaeuei?eia ?.A.,
1993).

I?ioa aieea a?iiaa?ioa?ai??, aa?icieueoa?ai?? ?ic/eiaie iaai?th
noeueoaoo, e?eoaaeueiiai ianaaeo oa a?iaeoeaieo eiiiiiaio?a ei?aiy
nieiaeee ia i?io?aei?noue aeeoaeueieo oeyo?a , a?iio?aeueio
a?ia??aaeoeai?noue ? i?ioeane aaeaioaoe?? o ae?oae a i?aei?enooiiaiio
ia??iae? AA caeeoa?oueny iaei aea/aiee ? iio?aao? iiaeaeueoiai
i?iaaaeaiiy aeine?aeaeaiue o oeueiio iai?yieo. E??i oiai, ia
aeine?aeaeaia aca?iiae?y aeuaiienaieo iaoiae?a oa?ai?? a ?aeeiiio
e?eoaaeueiiio eiiieaen?, a oaeiae ?o aieea ia ia?aa?a caoai?thaaiiy ?
a?iio?aeueio i?io?aei?noue.

Ca”ycie ?iaioe c iaoeiaeie i?ia?aiaie. Aeena?oaoe?eia ?iaioa aeeiiaia
a ?aieao iaoeiai? i?ia?aie E?einueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i.N.?.Aai?a??anueeiai “ ?ic?iaeoe iia? i?aeoiaee aei
ae?aaiinoeee, i?io?eaeoeee ? e?eoaaiiy caiaeueieo caoai?thaaiue eaaaiue
o ae?oae ia iniia? aea/aiiy ooiaeaiaioaeueieo iaoai?ci?a ?o oi?ioaaiiy,
oe?eaiai?aaeaii? ei?aeoe?? ooieoe?e eaaaiue “ (iiia? aea?ae?a?no?aoe??
01.95 U 0024300).

Iaoa aeine?aeaeaiiy. O ae?oae, ye? ciaoiaeeeeny a i?aei?enooiiiio
ia??iae? a?iio?aeueii? anoie, aea/eoe aoaeoeai?noue eiiieaeniiai
?aaa?e?oaoe?eiiai e?eoaaiiy, ui aeeth/a? naaine a?iiaa?e/ii? a?iien??,
?iaaeyoe?? 3% ?ic/eiii iaai?th noeueoaoo, o?oioa?ai?th a?aeaa?ii ei?aiy
nieiaeee ? eo?n ianaaeo a?oaeii? ee?oee.

Caaea/? aeine?aeaeaiiy.

1. ?ic?iaeoe iaoiaeeeo i?iaaaeaiiy aa?icieueoa?ai?? 3% ?ic/eiii iaai?th
noeueoaoo ae?oyi c a?iioieaaaiaaith iaoieia??th.

2. Aea/eoe aieea ia nenoaio ciai?oiueiai aeeoaiiy , a?iio?aeueio
a?ia??aaeoeai?noue ? i?ioeane aaeaioaoe?? o ae?oae c AA ii?aeiaiiai
canoinoaaiiy e?eoaaeueiiai ianaaeo, ?iaaeyoe?e 3% ?ic/eiii iaai?th
noeueoaoo ? ia?i?aeueiiai i?eeiio a?aeaa?o ei?aiy nieiaeee.

3. Ioa?aeoa?ecoaaoe ae?th iaoiaeo a?iiaa?e/ii? a?iien?? ia
i?io?aei?noue aeeoaeueieo oeyo?a , i?aeaeuaio ?aaeoeai?noue a?iio?a ?
nenoaio aaeaioaoe?? o ae?oae a i?aei?enooiiiio ia??iae? AA.

4. Ioe?ieoe aieea ii?aeiaiiai canoinoaaiiy a?iiaa?ioa?ai?? ,ianaaeo
a?oaeii? ee?oee, ?iaaeyoe?e 3% ?ic/eiii iaai?th noeueoaoo ? o?oioa?ai??
nieiaeeith ia noai nenoaie ciai?oiueiai aeeoaiiy ? ia?aa?a AA o ae?oae.

Iaoeiaa iiaecia ?acoeueoao?a aeine?aeaeaiiy. Aia?oa o ae?oae c AA
aea/aia aeeiai?ea aeayeeo ia?aiao??a OCAe, a?ia??aaeoeaiino? a?iio?a ?
i?ioeano aaeaioaoe?? i?ae ae??th aa?iciey 3 % ?ic/eiii iaai?th
noeueoaoo, yeee aeei?enoiaoaaee o eiiieaen? c ia?i?aeueiei i?eeiiii
a?aeaa?o ei?aiy nieiaeee ? e?eoaaeueiei ianaaeai.

Aia?oa aeaia oa?aeoa?enoeea ae?? iaoiaeo a?iiaa?e/ii? a?iien?? ia
i?aeaeuaio ?aaeoeai?noue a?iio?a o ae?oae c AA, a oaeiae iiaeeaeai?
iayai? a?aeiiino? i?i aieea a?iien?? ? cieaeaiiai aa?iiao?e/iiai oeneo
ia nenoaie ciai?oiueiai aeeoaiiy oa aaeaioaoe??.

Iaoeiai iaa?oioiaaii aeei?enoaiiy aa?icieae 3 % ?ic/eiii iaai?th
noeueoaoo a eiiieaen? ?c naainaie a?iiaa?e/ii? a?iien??, ianaaeai
a?oaeii? ee?oee ? o?oioa?ai??th a?aeaa?ii ei?aiy nieiaeee o oai?eo
ae?oae ia AA. Aia?oa ioe?iaii aieea aeuaiienaiiai e?eoaaeueiiai
eiiieaeno ia a?iio?aeueio i?io?aei?noue, a?ia??aaeoeai?noue aeeoaeueieo
oeyo?a, ?acenoaioi?noue i?aai?cio aei iani?eyoeeaeo oaeoi??a.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Aeieacaia i?aeoe/ia
aaaeeea?noue aea/aiiy noaio nenoaie ciai?oiueiai aeeoaiiy ?
a?iio?aeueii? a?ia??aaeoeaiino? aeey ioe?iee aoaeoeaiino? i?iaaaeaii?
oa?ai?? oai?ei ia AA.

?ic?iaeaiee ? ai?iaaaeaeaiee a ee?i?/io i?aeoeeo iaoiae aa?icieueoa?ai??
3% ?ic/eiii iaai?th noeueoaoo. Iaa?oioiaaii eo?niaa eiai canoinoaaiiy c
i?aia?aoaie nieiaeee o ae?oae a i?aei?enooiiee ia??iae AA ia iaioa,
i?ae i?ioyaii 10-14 aei?a.

Aeieacaia ee?i?/ia aoaeoeai?noue nei?i/aiiai eo?no a?iiaa?ioa?ai?? i?e
AA o ae?oae, yeee neeaaea?oueny ?c 10-15 naain?a.

?ic?iaeaiee iiaee e?eoaaeueiee eiiieaen, yeee aeeth/a? naaine
a?iiaa?e/ii? a?iien??, eo?n ianaaeo a?oaeii? ee?oee, ?iaaeyoe?? 3 %
?ic/eiii iaai?th noeueoaoo ? ia?i?aeueiee i?eeii a?aeaa?o ei?aiy
nieiaeee. Aeieacaia aeioe?euei?noue eiai aeei?enoaiiy i?e eaaeiio ?
na?aaeiueiaaaeeiio ia?aa?ao aoii?/ii? oi?ie AA o ae?oae a
i?aei?enooiiiio ia??iae? i?ioyaii 10-15 aei?a.

Iniaenoee aianie caeiaoaa/a. Aaoi? aia?oa iaa?oiooaaea ? ?ic?iaeea
iaoiaeeeo canoinoaaiiy aa?icieueoa?ai?? 3% ?ic/eiii iaai?th noeueoaoo o
ae?oae c AA, a oaeiae aeieacaea iiaeeea?noue eiai canoinoaaiiy
ia?aeaeueii c naainaie a?iiaa?e/ii? a?iien??, o?oioa?ai??th nieiaeeith ?
ianaaeai a?oaeii? ee?oee. I?iaaaeaii aeine?aeaeaiiy aieeao aeaiiai
e?eoaaeueiiai eiiieaeno ia nenoaio ciai?oiueiai aeeoaiiy , i?aeaeuaio
?aaeoeai?noue a?iio?a ? i?ioean aaeaioaoe?? o ae?oae c AA.

Ni?eueii c aa?ioeaio?ii E?einueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo
?i.N.?.Aai?a??anueeiai ai?iaiaaia iaoiaeeea nei?i/aiiai eo?no
a?iiaa?ioa?ai?? aeey oai?eo c a?iioieaaaiaaith iaoieia??th.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy a i?aeoeeo. ?acoeueoaoe
aeine?aeaeaiiy ai?iaaaeaeai? a ee?i?/io i?aeoeeo 1-ai aeeoy/iai
i?nueeiai ee?i?/iiai ia”?aeiaiiy i.N?ioa?iiiey ? a iaaeaaia?/iee
i?ioean ia eaoaae?? iaae?ao??? ? 1 oaeoeueoaoo i?neyaeeieiiii? ina?oe
E?einueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo
?i.N.?.Aai?a??anueeiai.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe?eieo
aeine?aeaeaiue aeieeaaeai? ia I?aeia?iaei?e iaoeia?e eiioa?aioe??
“Aeooaeueiua aii?inu nia?aiaiiie iaaeeao?ee” (Aeoooa,1997 ?.), ia
e?ea?nuee?e eiioa?aioe?? 1-ai aeeoy/iai i?nueeiai ia”?aeiaiiy
(/a?aaiue,1998?), ai?iaiaai? ia ni?eueiiio i?aeeaoaae?aeueiiio
can?aeaii? E?einueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo
?i.N.?.Aai?a??anueeiai (aa?anaiue,1998?.).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii aea? noaoo? a
iaoeiaeo aeo?iaeao, aea? ?iaioe a ca??eao iaoeiaeo i?aoeue.

Ianya oa no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 179
noi??ieao iaoeiiieniiai oaenoo ? neeaaea?oueny c? anooio, /ioe?ueio
?icae?e?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e oa nieneo e?oa?aoo?e,
yeee aeeth/a? 124 ?iaioe aaoi??a, iioae?eiaaieo a NIAe ? 83 ?iaioe
ca?oa?aeieo aaoi??a. ?iaioa ?ethno?iaaia 15 oaaeeoeyie ,3 iaethieaie ?
4 -ia aeieneaie ?c ?noi??e oai?ia.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy

A iniiao ?iaioe iieeaaeai? ?acoeueoaoe ee?i?/iiai ? ia?aee?i?/iiai
ianoaaeaiue 147 ae?oae a i?aei?enooiiiio ia??iae? AA o a?oe? a?ae 6 aei
14 ?ie?a, ye? i?ioiaeeee e?eoaaiiy ia aac? 1-ai aeeoy/iai i?nueeiai
ee?i?/iiai ia”?aeiaiiy i.N?ioa?iiiey ? aa?ioeaio?o EAeIO
?i.N.?.Aai?a??anueeiai.

Na?aae ianoaaeaieo iaie ae?oae aoii?/ia oi?ia AA aeyaeaia o 123 (84%)
oai?eo, iaaoii?/ia — o 6 (4%) ? ci?oaia — o 18 (12%). Eaaeee ia?aa?a
caoai?thaaiiy iaee 82 (55,8%) iniae,na?aaeiueiaaaeeee- 54 (36,7%) ?
aaaeeee- 11 (7,5%).

Ae?aaiic anoaiiaethaaany ca?aeii eeaneo?eaoe?? AA, yea i?eeiyoa ia II
c”?cae? ooec?ao??a ? ioeueiiiieia?a Oe?a?ie (Ee?a,20-23 aeiaoiy 1998
?.).

On?i oai?ei e??i ee?i?/iiai ianoaaeaiiy i?iaiaeeeiny aeine?aeaeaiiy
nenoaie ciai?oiueiai aeeoaiiy ia aia?ao? “Pneumoscope” o??ie E.Jaeger
(I?ia//eia) iaoiaeii eiii”thoa?ii? oeioiao??? (caienoaaeany e?eaa
iio?e-ia”?i) ? “a?aee?eoei” iaoiaeii ia?eaaiiy iioieo (?a?no?oaaany
a?iio?aeueiee ii??). A nai?e ?iaio? ie aeei?enoiaoaaee iaea?eueo
?ioi?iaoeai? iieacieee oeioiao???: OAEAE — oi?niaaia aeeoo?aa ?ii?noue
eaaaiue (a e), IOA1 — ia”?i oi?niaaiiai aeaeioo ca 1 nae (a e), IOA
-i?eiaa oaeaee?noue aeaeioo (a e), IIO 25,50,75 -iaeneiaeuei? ia”?ii?
oaeaeeino? iioieo ia ??ai? aeaeioo 25%, 50%, 75%. AEAE (a e/n), IIO
50 /OAEAE — a?aeiiniee iieaciee, NO*- na?aaei?e o?aiceoi?iee /an
oi?niaaiiai aeaeioo (a n). A?iio?aeueiee ii?? (AI) aei??thaaany a eIa /
(e/c).

C iaoith aeyaeaiiy iai?ioiino? iano?oeoe??, a oaeiae aeey ioe?iee
nooiaiy ae?aaeaiino? a?iioiniacio ianoaaeaiei ae?oyi i?iaiaeeee
ooieoe?iiaeueio i?iao c a?iioie?oeeii — aa?ioaeii. Ii aaee/ei?
?ic?aoiaaiiai eiao?oe??ioo iie?auaiiy noaeeee i?i noai a?iio?aeueii?
a?ia??aaeoeaiino?.

Ii ci?iai ni?aa?aeiioaiiy aeaiaio?a eaeeioeeoa?ii? oi?ioee ia?eoa?e/ii?
e?ia? ioe?ithaaee neeo aieeao i?iaaaeaiiai e?eoaaiiy ia i?ioeane
aaeaioaoe?? o oai?eo c AA.

O oiae? aeine?aeaeaiiy iaie anoaiiaeaii, ui o 59% ae?oae a
i?aei?enooiiiio ia??iae? AA iathoue i?noea ee?i?/i? ? o 95%
?ino?oiaioaeueii aeyaey?i? iciaee iano?oeoe??, nooi?iue ae?aaeaiino?
yei? ciaoiaeeeany a i?yi?e caeaaeiino? a?ae aaaeeino? ia?aa?ao
caoai?thaaiiy. I?iaaaeaiiy ooieoe?iiaeueii? i?iae c a?iioie?oeeii
aeicaieeei aeyaeoe iai?ioi?noue iano?oeoeaieo ii?ooaiue a ?ani??aoi?iiio
o?aeo? o ae?oae c AA ? ae?aaiinooaaoe i?aeaeuaio ?aaeoeai?noue a?iio?a a
75% aeiaaee?a. A?iio?aeueia a?ia??aaeoeai?noue ca?a?no?iaaia o 66 %
oai?eo c eaaeei ia?aa?aii AA ? o 86 % ?c na?aaeiueiaaaeeei ? aaaeeei ??
ia?aa?aii. Aea/aiiy i?ioean?a aaeaioaoe?? o aeaii? eaoaai??? ianoaaeaieo
ae?oae aeyaeei ?o iai?oaeai?noue a 82% aeiaaee?a. O?eueee 18%
iaoe??io?a c eaaeei ia?aa?aii aoii?/ii? oi?ie caoai?thaaiiy ii?ooaiue
i?ioean?a aaeaioaoe?? ia iaee.

Ca?aeii cai?iiiiiaaiiai e?eoaaiiy an? oai?? aoee ?iciiae?eai? ia a?oie.
1-o a?oio neeaee 40 ae?oae, ye? io?eioaaee o?oioa?ai?th a?aeaa?ii ei?aiy
nieiaeee, e?eoaaeueiee ianaae a?oaeii? ee?oee ? aa?icieueoa?ai?th 3%
?ic/eiii iaai?th noeueoaoo i?ioyaii 10-14 aei?a. Ae?oe 2-i? a?oie (39
oai?eo) i?ieoee nei?i/aiee eo?n a?iiaa?e/ii? a?iien??, yeee neeaaeaany
?c 10-15 naain?a. 35 ae?oae, ye? neeaee 3-th a?oio, io?eiaee eiiieaenio
oa?ai?th, yea aeeth/aea 10-15 naain?a a?iiaa?e/ii? a?iien??, 10
i?ioeaaeo? ianaaeo a?oaeii? ee?oee, 10-14 ?iaaeyoe?e 3% ?ic/eiii
iaai?th noeueoaoo ? o?oioa?ai?th a?aeaa?ii ei?aiy nieiaeee i?ioyaii
14-21 aeiy.

A eiio?ieueio a?oio oa?eoee 33 aeeoeie c AA, ye? i?eeiaee
iaaeeeaiaioicio oa?ai?th, ui aeeth/aea i?eeii ioeie?oee?a (a?iiaaenei,
a?nieaii, a?iioioi?oii oa ?i.) oa aoo?e?io ( ii iieacaiiyi) o a?eiaeo
aeicoaaiiyo, a oaeiae aa?icie? c 0,06% ?ic/eiii aoo?e?io (5-10
?iaaeyoe?e ii iieacaiiyi) ? 2% niaeiaei ?ic/eiii (10 ?iaaeyoe?e), a
oaeiae ianaae a?oaeii? ee?oee (10 i?ioeaaeo?), aeaeo?ioi?ac ia a?oaeio
ee?oeo c 3% ?ic/eiii iaai?th noeueoaoo (10 i?ioeaaeo?).

I?aaenoaaeai? iaie a?oie ianoaaeaieo oai?eo aoee ii??aiyeuei? ca a?eii,
noaooth, aeaai?noth ? oa?aeoa?o iniiaiiai caoai?thaaiiy. Oai?? on?o a?oi
i?aae”yaeyee iaeiioeii? nea?ae, aeacoaaee iiae?ai? i?e/eiicia/ei?
oaeoi?e caaino?aiiy caoai?thaaiiy ? iaee aiaeia?/i? ii?ooaiiy a nenoai?
ciai?oiueiai aeeoaiiy.

Naaine aa?ioa?ai?? i?iaiaeeeeny ia aac? aa?aoe?eii? aa?ieaia?e oeio
NAE-72. E?eoaaiiy ii/eiaee c aenioe 1500 i iaae ??aiai ii?y,
i?aeaeuoth/e “aenioo i?aeeiio” eiaeiee ianooiiee naain ia 500 i aei
aeinyaiaiiy ??aiy 3500 i, i?ney /iai “aenioa i?aeeiio” aei e?ioey eo?no
caeeoaeany noaa?eueiith. *an ia?aaoaaiiy “ia ieiuaaeoe?” aai “aenio?”
neeaaeaa 45 oaeeei. I?e a?aeai?? oai?eo aeey i?ioiaeaeaiiy naain?a
a?iiaa?ioa?ai?? ie ei?enooaaeeny iieacaiiyie ? i?ioeiieacaiiyie,
?ic?iaeaieie E.I.Na?a??aith ? ?.I.Oniainueeith (1984).

?iaaeyoe?? 3% ?ic/eiii iaai?th noeueoaoo i?iaiaeeeeny ae?oyi ca
aeiiiiiaith oeueo?acaoeiaiai aa?icieueiiai aia?aoo “Ooiai-1.1” (?in?y).
Iaeiie?aoii aaaaeaia aeica ?ii?a iaai?th neeaea 1,5 iiiey (iniiey?i?noue
250 iiieue/e, ?I 6,6). Aa?icieueoa?ai?th 3% ?ic/eiii iaai?th noeueoaoo
i?iaiaeeee ia ?ai?oa i?ae /a?ac 50-60 oaeeei i?ney cae?i/aiiy naaino
a?iiaa?ioa?ai??. ?iaaeyoe?? 0,06% ?ic/eiii aoo?e?io ? 2% niaeiaei
?ic/eiii i?iaiaeeee ca aeiiiiiaith oiai ae ?iaaeyoe?eiiai aia?aoo ca
caaaeueiii?eeiyoeie iaoiaeeeaie. Niaeiaee ?ic/ei aaiaeeee /a?ac 20-30
oaeeei i?ney aa?iciey aoo?e?io.

A?aeaa? ei?aiy nieiaeee (15,0 : 200) oai?? i?eeiaee o a?eiaeo
aeicoaaiiyo 4 ?ace ia aeaiue ca 30-40 oaeeei aei ?ae? (aeiaiaa aeica
neeaaeaea 40-60 ie).

Noaoenoe/ia ia?iaea aeaieo i?iaiaeeeany ca niaoe?aeueii neeaaeaiith
i?ia?aiith c ia/eneaiiyi t- e?eoa??th No”thaeaioa ia IAI ?AI AO.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy

Aoaeoeai?noue i?iaaaeaiiai e?eoaaiiy i?aaenoaaeaia a oaaeeoe? 1.

Oaaeeoey 1

?acoeueoaoe ?aaa?e?oaoe?eii? oa?ai?? AA o ae?oae o i?aei?enooiiaiio
ia??iae?

Iaea?aeai? ?acoeueoaoe A?oie ianoaaeaieo oai?eo n=147

aeine?aeaeaiiy eiio?ieueia n=33 1-a n=40 2-a n=39 3-y n=35

Aaciina?aaei? ?acoeueoaoe e?eoaaiiy:

oi?io? 55% 60% 64% 77%

caaeia?euei? 27% 30% 28% 20%

iacaaeia?euei? 18% 10% 8% 3%

?acoeueoaoe e?eoaaiiy /a?ac 3
i?nyoe?:

oi?io? 36% 47,5% 49% 69%

caaeia?euei? 12% 20% 15% 14%

?acoeueoaoe e?eoaaiiy /a?ac 6 i?nyoe?a:

oi?io? 24% 35% 41% 60%

caaeia?euei? 3% 12,5% 13% 11%

?acoeueoaoe e?eoaaiiy /a?ac 9-12 i?nyoe?a:

oi?io? — 25% 36% 51%

caaeia?euei? — 5% 8% 3%

Aiae?c aaciina?aaei?o ? a?aeaeaeaieo ?acoeueoao?a i?iaaaeaiiai e?eoaaiiy
aeyaea, ui iaea?eueoo aoaeoeai?noue iaea eiiieaenia oa?ai?y, yea
aeeth/aea naaine a?iiaa?e/ii? a?iien??, ?iaaeyoe?? 3% ?ic/eiii iaai?th
noeueoaoo, o?oioa?ai?th a?aeaa?ii ei?aiy nieiaeee ? eo?n ianaaeo
a?oaeii? ee?oee. Aaciina?aaeiuei iiceoeai? (oi?io? ? caaeia?euei?)
?acoeueoaoe oa?ai?? a aeai?e a?oi? ae?oae neeaee 97% i?ioe 82% a
eiio?ieuei?e a?oi?, 90% — o oai?eo, ye? ia?aeaeueii i?eeiaee
aa?icieueoa?ai?th iaai??i noeueoaoo, o?oioa?ai?th nieiaeeith ?
e?eoaaeueiee ianaae ? 92% — o iaoe??io?a, ye? i?ieoee eo?n a?iiaa?e/ii?
a?iien??. A?aenooi?noue aoaeoo a?ae oa?ai?? i?e eiiieaeniiio e?eoaaii?
cono??/aeany a 6 ?ac?a ??aeoa, i?ae o iaoe??io?a eiio?ieueii? a?oie ? a
3- 3,5 ?ace ??aeoa, i?ae o oai?eo 1-i? ? 2-i? a?oi.

O oiae? aeine?aeaeaiiy anoaiiaeaii, ui oi?io? ?acoeueoaoe e?eoaaiiy a
a?eueoino? aeiaaee?a ?a?no?oaaeeny o ae?oae c eaaeei ia?aa?aii aoii?/ii?
oi?ie AA, caaeia?euei? — i?e na?aaeiueiaaaeeiio ia?aa?ao caoai?thaaiiy ?
a?aenooi?noue aoaeoo a?ae i?iaaaeaii? oa?ai??- i?e aaaeeiio ia?aa?ao
iaaoii?/ii? ? ci?oaii? ?? oi?i. O a?oiao ae?oae, ye? iaea?aeoaaee
aa?icieueoa?ai?th ?ic/eiii iaai?th noeueoaoo ? o?oioa?ai?th nieiaeeith (
1 ? 3 a?oie) , e?euee?noue oi?ioeo ?acoeueoao?a na?aae iaoe??io?a ?c
na?aaeiueiaaaeeei ia?aa?aii caoai?thaaiiy aoea a 2 ?ace aeua, i?ae o
oai?eo, ye? ia i?eeiaee aeaieo aeae?a oa?ai??.

C ia?aa?aii /ano (6 -12 i?n.) a?aei?/aii cia/ia oaanaiiy aoaeoeaiino?
?aaa?e?oaoe?eiiai e?eoaaiiy o an?o a?oiao. Oae, /a?ac 6 i?nyoe?a o
oai?eo eiio?ieueii? a?oie, a oaeiae o iaoe??io?a, ye? i?eeiaee
ia?aeaeueii ianaae, aa?icieue-? o?oioa?ai??, iaaaoeai? ?acoeueoaoe
e?eoaaiiy ia?aaeuoaaee iiceoeai?. A oie /an, ye o ae?oae, ye? i?ieoee
eo?n aa?ioa?ai?? ? eiiieaeniiai e?eoaaiiy ia?aaaaeaee inoaii?. Aeua
aoaeoeai?noue oa?ai?? a 3-e a?oi? aoea /a?ac 12 i?nyoe?a (54%). Iniiaio
iano ae?oae ?c o?eaaeeie iiceoeaieie ?acoeueoaoaie neeaee oai?? c eaaeei
ia?aa?aii aoii?/ii? oi?ie AA.

Cai?iiiiiaai? iaie iaoiaee e?eoaaiiy oi?ioi ia?aiineeeny oai?eie,
i?aeoe/ii ia aeeeeeaee iia?/ieo ? iaaaoeaieo ?aaeoe?e o ae?oae,
ni?eyoeeai aieeaaee ia ee?i?/io ea?oeio caoai?thaaiiy, noai nenoaie
ciai?oiueiai aeeoaiiy ? a?iio?aeueio a?ia??aaeoeai?noue. Aeeiai?ea
iniiaieo neiioii?a AA i?ae aieeaii oa?ai?? i?aaenoaaeaia a oaaeeoe? 2.

Oaaeeoey 2

Aeeiai?ea ?aa?an?? iniiaieo neiioii?a AA o ae?oae, ye? ciaoiaeeeeny a
i?aei?enooiiiio ia??iae? caoai?thaaiiy, i?ae aieeaii e?eoaaiiy.

A?oie Iniiai? neiioiie caoai?thaaiiy

ianoa-aeaieo oai?eo eaoaeue caaeeoea i?e o?ce/iiio iaaaioaaeaii? oaeaeea
noiieth- aai?noue cieaeaiiy o?eie a eaaaiyo

i?aoea-caeaoii no? aiaoe oo noo? aieia? ??ciiea-e?aa?i?

Eiio?ieueia 64% 21 ?c 33 40% 6 ?c 15 50% 13 ?c 26 65% 13 ?c 20 68%
13 ?c 19 71% 10 ?c 14 40% 2 ?c 5

1-a 75% 30 ?c 40 78% 14 ?c 18 76% 19 ?c 25 72% 18 ?c 25 79% 15
?c 19 71% 10 ?c 14 50% 3 ?c 6

2-a 82% 32 ?c 39 65% 11 ?c 17 76% 19 ?c 25 78% 18 ?c 23 89%
16 ?c 18 72% 13 ?c 18 33% 2 ?c 6

3-y 86% 30 ?c 35 83% 15 ?c 18 81% 17 ?c 21 83% 19 ?c 23 89% 16 ?c
18 83% 15 ?c 18 50% 3 ?c 6

I?ei?oea: a /enaeueieeo aeacaiee a?aenioie cieaeaiiy aai cieeiaiiy
neiioiio caoai?thaaiiy, a a ciaiaiieeo — /enei ae?oae, o yeeo a?aei?/ai?
aeai? ci?ie.

O ianoaaeaieo iaie oai?eo i?ae aieeaii e?eoaaiiy cieeee aai cia/ii
ciaioeeeny nooee aai aieiaee ?c a?aeoiaeaeaiiyi iaaaeeei? e?eueeino?
iie?ioeiiy eaoaeue, caaeeoea i?e o?ce/iiio iaaaioaaeaii?,oaeaeea
noiiethaai?noue, ??aeoa aeneooiaoaaeeny o?eie a eaaaiyo, i?aeaeueeeny
aai ii?iae?coaaeeny i?aoeacaeaoi?noue oa aiaoeo.

sse aeaeii,iaea?eueo ae?aaeaiith aeeiai?ea oeeo neiioii?a AA aoea o
ae?oae, ye? iaea?aeoaaee eiiieaenio oa?ai?th, iaio ae?aaeaia o
iaoe??io?a, ye? i?ieoee eo?n aa?ioa?ai??, a oaeiae o oai?eo, ye?
ia?aeaeueii i?eeiaee ianaae, aa?icieue- ? o?oioa?ai?? ? naiith
iecueeith — a eiio?ieuei?e a?oi?. Ne?ae a?aei?oeoe, ui cieaeaiiy
caaeeoee i?e o?ce/ieo iaaaioaaeaiiyo cia/ii /ano?oa ?a?no?oaaeiny a
a?oiao ae?oae, ye? iaea?aeoaaee aa?icieue iaai?th noeueoaoo (1-a ? 3-y
a?oie). Iaea?aeai? ?acoeueoaoe i?aeoaa?aeaeothoue ?nioth/? a e?oa?aoo??
aeai? i?i cae?ai?noue ?ii?a iaai?th caiia?aaoe ?icaeoeo a?iioiniacio ia
ianiaoeeo?/i? iiae?acieee, a oiio /ene? ? ia o?ce/ia iaaaioaaeaiiy.

Iecuee? a?aenioee cieaeaiiy aieiaeo o?ei?a o eaaaiyo i?ae ae??th
aa?ioa?ai?? (33%) iia”ycai? ?c cae?ai?noth a?iien?? i?aeneethaaoe
iaa?yeiai-nae?aoi?iee eiiiiiaio iano?oeoe?? a?iio?a i?e iaaaeaeaaoiino?
a?ia?aaioeeyoe??, yea aeieea? i?ae /an naaino, a?iioiniaciie?oe/iiio
aoaeoo aeaii? oa?ai??. Inue /iio aeei?enoaiiy iaoiaeo a?iiaa?e/ii?
a?iien?? oai?ei c iaaoii?/iith ? ci?oaiith oi?iaie AA iaaaaeaii.

Iiceoeai? c?ooaiiy a ee?i?/i?e ea?oei? caoai?thaaiiy noi?iaiaeaeoaaeeny
ci?iaie a nenoai? ciai?oiueiai aeeoaiiy. Cia/i? a?aei?iiino? a noai?
a?iio?aeueii? i?io?aeiino? o oai?eo c eaaeei ? na?aaeiueiaaaeeei
ia?aa?aii AA aeicaieeee ?o aeae?eeoe a ??ci? i?aea?oie. Aeo?aeii o 82
ae?oae c eaaeei ia?aa?aii aoii?/ii? oi?ie caoai?thaaiiy (i?aea?oia A)
aeyaeaii iacia/ia cieaeaiiy on?o ?icaeyiooeo iaie iieaciee?a oeioiao???
(e??i OAEAE) ? a?iio?aeueiiai iii?o a iaaeao “oiiaii? ii?ie”. O 65
iaoe??io?a ?c na?aaeiueiaaaeeei ? aaaeeei ia?aa?aii AA (i?aea?oia A) aei
e?eoaaiiy a?aei?/aia iii??ii ae?aaeaia iano?oeoe?y anueiai a?io?aeueiiai
aea?aaa i?e caa?aaeaii? iiaeiieo cia/aiue OAEAE.

I?ney i?ioiaeaeaiiy eo?no oa?ai?? o ae?oae c eaaeei ia?aa?aii aoii?/ii?
oi?ie AA o an?o a?oiao ianoaei iiaia a?aeiiaeaiiy i?io?aeiino?
oeaio?aeueieo aeeoaeueieo oeyo?a. I?e oeueiio aaee/eie iieaciee?a, ye?
oa?aeoa?ecothoue oe? a?aeae?ee ?ani??aoi?iiai o?aeoo (IOA1, IOA, IIO25 ?
AI) aeinyaee iiaeiieo cia/aiue (aeea.oaae.3). I?ioa iaeneiaeueia
i?io?aei?noue oeaio?aeueieo aeeoaeueieo oeyo?a aoea a a?oi? ae?oae, ye?
iaea?aeoaaee eiiieaenio oa?ai?th. O a?eueoino? iaoe??io?a aeaii? a?oie
aaee/eie OAEAE, IOA1 ,IOA, IIO25 aeinyaee 100% ? aoee aeinoia??ii
aeua (p1, p2, p3 < 0,05-0,001), i?ae a ?ioeo a?oiao. ?iaeyaeath/e i?io?aei?noue ia?eoa?e/ieo a?aeae?e?a a?iio?aeueiiai aea?aaa, ne?ae aeacaoe, ui aeeiai?ea iieaciee?a, ye? oa?aeoa?ecothoue noai na?aaei?o ? ae??aieo a?iio?a (IIO50, IIO75, IIO50 / OAEAE ? NO*) aoea ??ciith. Oae, o oai?eo eiio?ieueii? a?oie, iaaeeaey/enue ia aeinoia??ia iie?auaiiy i?io?aeiino? na?aaei?o a?iio?a (IIO50, p<0,05) cia/aiiy IIO50, IIO75, IIO50 / OAEAE ? NO* caeeoaeeny iacia/ii cieaeaieie. A oie /an, ye o ae?oae, ye? i?eeiaee ia?aeaeueii e?eoaaeueiee ianaae, aa?icieue- ? o?oioa?ai??, a oaeiae o iaoe??io?a, ye? i?ieoee eo?n aa?ioa?ai??, i?io?aei?noue ia?eoa?e/ieo a?aeae?e?a ?ani??aoi?iiai o?aeoo aoea aeinoia??ii aeua (p1<0,05-0,001) ? aaee/eie ia?aiao??a ae?oai? iieiaeie e?eai? iio?e-ia”?i o ieo aeinyaee iiaeiieo cia/aiue.Aea a?iioiniaciie?oe/iee aoaeo eiiieaenii? oa?ai?? ia ??ai? na?aaei?o ? ae??aieo a?iio?a aeyaeany aeinoia??ii (p1, p2, p3 <0,05 -0,001) aeua, i?ae o ?ai?oa ?icaeyiooeo a?oiao. Ioaea, aeei?enoaiiy o ae?oae c eaaeei ia?aa?aii aoii?/ii? oi?ie AA a i?aei?enooiiee ia??iae cai?iiiiiaaieo iaie iaoiae?a ?aaa?e?oaoe?? i?eaiaeeoue aei a?aeiiaeaiiy i?io?aeiino? ye oeaio?aeueieo, oae ? ia?eoa?e/ieo a?aeae?e?a ?ani??aoi?iiai o?aeoo. Oaaeeoey 3 Noai nenoaie ciai?oiueiai aeeoaiiy o ae?oae o i?aei?enooiiiio ia??iae? AA aei ? i?ney eo?no ?aaa?e?oaoe?eiiai e?eoaaiiy (M±m) Iieacieee OCAe Aeo?aei? aeai? aeine?aeaeaiiy OCAe A?oie ianoaaeaieo oai?eo eiio?ieue n=33 1-a n=40 2-a n=39 3-y n=35 A n=82 B n=65 A n=18 B n=15 A n=23 B n=17 A n=22 B n=17 A n=19 B n=16 1 2 3 4 5 6 7 8 9 10 11 OAEAE 91,3±0,4 90,6±0,7 93,9±1,7 90,6±1,8 95,5±1,1 91,4±0,9 97,6±1,1 91,5±1,1 101,9±1,2 93,9±1,6 p<0,001 p<0,001 p<0,001 p1<0,05 p1<0,001 p2<0,001 p3<0,02 IOA1 86,6±0,6 72,2±1,0 89,1±1,9 75,8±2,1 92,8±1,4 82,4±1,8 96,9±1,7 83,7±1,8 101,6±1,6 87,7±1,8 p<0,05 p<0,05 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,01 p1<0,01 p1<0,01 p1<0,001 p1<0,001 p2<0,001 p2<0,05 p3<0,05 IOA 82,3±0,7 69,2±1,1 86,6±1,8 73,7±2,1 88,3±1,7 81,0±1,7 92,6±1,7 83,3±1,9 97,1±1,8 86,9±1,8 p<0,01 p<0,05 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,02 p1<0,02 p1<0,001 p1<0,001 p1<0,001 p2<0,001 p2<0,02 p3<0,05 IIO25 78,9±0,8 62,3±1,1 82,0±1,9 65,1±2,1 85,9±1,7 73,4±1,9 89,4±1,9 75,6±1,9 94,9±1,9 81,1±2,0 p<0,02 p<0,05 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,01 p1<0,01 p1<0,001 p1<0,001 p1<0,001 p2<0,02 p2<0,01 p3<0,05 IIO50 68,0±0,9 50,5±1,2 72,4±2,0 60,4±2,0 80,0±1,8 62,5±2,1 83,6±1,8 68,2±1,9 90,5±1,9 73,9±2,0 p<0,05 p<0,05 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,01 p1<0,001 p1<0,01 p1<0,001 p1<0,001 p2<0,05 p2<0,001 p2<0,001 p3<0,01 p3<0,05 IIO75 61,8±1,1 47,9±1,2 64,0±2,1 49,7±2,3 72,7±1,9 49,9±2,1 78,7±1,9 57,6±2,0 86,7±2,1 63,2±2,1 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,02 p1<0,001 p1<0,01 p1<0,001 p1<0,001 p2<0,05 p2<0,01 p2<0,001 p2<0,001 p3<0,01 p3<0,05 IIO50/OAE?E 75,4±0,7 57,9±1,2 78,0±1,8 68,6±1,9 83,2±1,5 68,5±1,6 85,4±1,5 73,5±1,7 89,7±1,6 79,2±1,8 p<0,001 p<0,01 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,05 p1<0,01 p1<0,05 p1<0,001 p1<0,001 p2<0,05 p2<0,01 p2<0,001 p3<0,05 p3<0,05 NO* 126,6±4,2 154,4±5,3 118,7±6,0 141,1±5,6 112,6±2,5 133,4±5,2 109,6±2,0 126,3±3,3 104,2±2,1 120,5±2,7 p<0,01 p<0,01 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,05 p1<0,05 p1<0,001 p2<0,01 p2<0,05 AI eIa/(e/n) 0,70±0,02 0,92±0,04 0,68±0,03 0,80±0,05 0,62±0,03 0,73±0,04 0,58±0,03 0,67±0,04 0,51±0,03 0,60±0,04 p<0,05 p<0,05 p<0,001 p<0,001 p<0,001 p<0,001 p<0,001 p1<0,02 p1<0,05 p1<0,001 p1<0,01 p2<0,01 p2<0,05 I?ei?oee: 1. Cia/aiiy an?o ia?aiao??a oeioiao??? iaaaaeai? a % a?ae ?o iiaeiieo aaee/ei; 2. A - i?aea?oia oai?eo c eaaeei ia?aa?aii AA; 3. A - i?aea?oia oai?eo ?c na?aaeiueiaaaeeei e aaaeeei ia?aa?aii AA; 4. ? - aeinoia??i?noue ??cieoeue aaee/ei aei ? i?ney e?eoaaiiy; 5. ?1- aeinoia??i?noue ??cieoeue ?c eiio?ieueiith a?oiith; 6. ?2 - aeinoia??i?noue ??cieoeue ?c a?oiith oai?eo, ye? i?eeiaee ia?aeaeueii e?eoaaeueiee ianaae,aa?icieue- ? o?oioa?ai??; 7. ?3- aeinoia??i?noue ??cieoeue ?c a?oiith iaoe??io?a, ye? i?ieoee eo?n a?iiaa?ioa?ai??. Aiae?c OCAe i?ney i?iaaaeaiiai e?eoaaiiy o oai?eo ?c na?aaeiueiaaaeeei ? aaaeeei ia?aa?aii aoii?/ii?, iaaoii?/ii? ? ci?oaii? oi?i AA iieacaa, ui i?io?aei?noue oeaio?aeueieo aeeoaeueieo oeyo?a iie?auo?oueny a ia?oo /a?ao, aea oaiie ?? a?aeiiaeaiiy caeaaeaoue a?ae ae?aaeaiino? iano?oeoe?? ? aeaeo iaea?aeaiiai e?eoaaiiy. O eiio?ieuei?e a?oi? ae?oae i?io?aei?noue e?oiieo aeeoaeueieo oeyo?a i?ney eo?no ?aaa?e?oaoe?eii? oa?ai?? caeeoaeany iii??ii cieaeaiith, iaaeeaey/enue ia oa, ui cia/aiiy IOA1, IOA, IIO25 aoee aeinoia??ii aeu? (p <0,05), a aaee/eia AI (p<0,05) ieae/a aeo?aeieo. A?eueo cia/i? c?ooaiiy c aieo i?io?aeiino? oeaio?aeueieo a?aeae?e?a ?ani??aoi?iiai o?aeoo aeyaeai? o oai?eo, ye? iaea?aeoaaee ia?aeaeueii ianaae, aa?icieue- ? o?oioa?ai??, a oaeiae o iaoe??io?a, ye? i?ieoee eo?n a?iiaa?e/ii? a?iien??. O oeeo a?oiao cia/aiiy IOA1, IOA, IIO25 ? AI aeinyaee iaae “oiiaii? ii?ie” ? caeeoeeeny o?eueee iacia/ii ci?iaieie. I?iaaaeaiiy aiaeia?/iei oai?ei eiiieaeniiai e?eoaaiiy i?eaaei aei iiaiiai a?aeiiaeaiiy i?io?aeiino? oeaio?aeueieo a?aeae?e?a aeeoaeueieo oeyo?a, a aaee/eie IOA1, IOA, IIO25 ? AI aeinyaee iiaeiieo cia/aiue. Iaie anoaiiaeaii, ui aoaeoeai?noue iaaeeeaiaioicii? oa?ai??, a oaeiae ii?aeiaiiai canoinoaaiiy e?eoaaeueiiai ianaaeo, aa?iciey iaai?th noeueoaoo ? o?oioa?ai?? nieiaeeith ia ??ai? ia?eoa?e/ieo a?aeae?e?a aeeoaeueieo oeyo?a o ae?oae ?c na?aaeiueiaaaeeei ? aaaeeei ia?aa?aii AA iaaeinoaoiy, ine?eueee i?io?aei?oue ae??aieo a?iio?a o iaio a?oiao iaea eeoa oaiaeaioe?th (p >0,05) aei ca?eueoaiiy ? caeeoaeany iii??ii
cieaeaiith. O oie /an, ye cia/aiiy iieaciee?a, ye? oa?aeoa?ecothoue noai
na?aaei?o a?aeae?e?a ?ani??aoi?iiai o?aeoo (IIO50 , IIO50 / OAEAE)
caeeoaeeny eeoa iacia/ii cieaeaieie. A?iioiniaciie?oe/iee aoaeo
a?iiaa?e/ii? a?iien?? ? eiiieaenii? oa?ai?? ia ??ai? ia?eoa?e/ieo
a?aeae?e?a ?ani??aoi?iiai o?aeoo aoa a?eueo ae?aaeaiei. Cia/aiiy
iieaciee?a IIO50, IIO75, IIO50/ OAEAE ? NO* ciaoiaeeeeny a iaaeao
“oiiaii aeiionoeieo ii?i”.

Ne?ae a?aei?oeoe, ui iaea?eueo ae?aaeai? c?ooe a nenoai? ciai?oiueiai
aeeoaiiy i?ae aieeaii ?aaa?e?oaoe?eii? oa?ai?? a?aei?/ai? o iaoe??io?a
?c na?aaeiue iaaaeeei ia?aa?aii aoii?/ii? oi?ie AA ? iaio ae?aaeai? o
oai?eo ia iaaoii?/io ? ci?oaio oi?ie caoai?thaaiiy. O inoaii?o
niinoa??aaeiny ? a?eueo i?ci? cieeiaiiy ee?i?/ii? neiioiiaoeee.

?acoeueoaoe ooieoe?iiaeueii? i?iae c a?iioie?oeeii, i?iaaaeaii? aei ?
i?ney ?aaa?e?oaoe?eiiai e?eoaaiiy, aeacothoue ia cieaeaiiy nooiaiy
a?iioiniacio i?ney i?iaaaeaiiy oa?ai?? o an?o a?oiao. I?i oea na?ae/eee
iaaaoeai? ?acoeueoaoe ?ai?oa iiceoeaieo i?ia c aa?ioaeii. Oae, a
eiio?ieuei?e a?oi? e?euee?noue iiceoeaieo ?acoeueoao?a i?ney e?eoaaiiy
ciaioeeany c 73% aei 39%, o oai?eo, ye? iaea?aeoaaee e?eoaaeueiee
ianaae, aa?icieue iaai?th noeueoaoo ? o?oioa?ai?th nieiaeeith — c 67,5%
aei 32,5%, o iaoe??io?a,ye? i?ieoee eo?n a?iiaa?ioa?ai??- c 77% aei 26%
? o ae?oae, ye? i?eeiaee eiiieaenio oa?ai?th — c 74% aei 14%. Aeai?
i?iae c a?iioie?oeeii aeacoaaee oaeiae ia ci?ie a?iio?aeueii?
a?ia??aaeoeaiino?. Iaaeeeaiaioicia oa?ai?y ni?eyea ?? cieaeaiith o 46%
oai?eo, ianaae, aa?icieue- ? o?oioa?ai?? , ye? canoiniaoaaeeny
ia?aeaeueii- o 57%, aa?ioa?ai?y -o 67% ? eiiieaenia oa?ai?y -o 81%
ae?oae.

I?iaaaeai? iaie ?aaa?e?oaoe?ei? caoiaee iaee aieea ? ia oi?ioaaiiy
aaeaioaoe?eieo ?aaeoe?e o ae?oae, oai?eo ia AA (Oaae.4).

Oaaeeoey 4.

?icaeoie aaeaioaoe?eieo ?aaeoe?e o ae?oae a i?aei?enooiiiio ia??iae? AA
i?ae aieeaii ?aaa?e?oaoe?eii? oa?ai??.

A?oie ia ?aaeoe?? aaeaioaoe??

noaaeaieo oai?eo o?aioaai-iy iai?oaa o?aio-aaiiy aeoeaaoe?? iai?oaa
aeoeaaoe?? ia?aaeoeaaoe?i aino-?ee no?an a?aaeoeai?noi

Eiio?ieueia 5 (15,1%) 13 (39,3) 3 (9,1%) 10 (30,3%) — — 2
(6,1%)

1-a 13 (32,5%) 7 (17,5%) 11 (27,5%) 9 (22,5%) — — —

2-a 7 (18%) 3 (8%) 13( 33%) 12 (31%) 2 (5%) 1 (2,5%) 1 (2,5%)

3-y 5 (14%) 2 (6%) 22 (63%) 5 (14%) 1 (3%) — —

Iaaeeeaiaioicia oa?ai?y ? o?c?ie?eoaaiiy , ye? i?iaiaeeeeny ae?oyi
eiio?ieueii? a?oie, o 69,6% oai?eo ni?eyee eeoa ciaioaiith iai?oae
i?ioean?a aaeaioaoe??, ia aeeeeeath/e ?icaeoeo no?eei? ?acenoaioiino?
i?aai?cio aei iani?eyoeeaeo aieea?a. Iai?oaa aai iaiiaiioe?ii?noue
?aaeoe?e o?aioaaiiy oa aeoeaaoe?? a aeai?e oa ?ioeo a?oiao i?iyaeyeeny o
aeaeyae? aiceiio?e??, iiiioeeoiiai??, eaeeiiai??, iiiioeeoico aai ?o
ii?aeiaiiy.

Ia?aeaeueia canoinoaaiiy e?eoaaeueiiai ianaaeo a?oaeii? ee?oee,
aa?icieueoa?ai?? 3% ?ic/eiii iaai?th noeueoaoo ? o?oioa?ai?? nieiaeeith
a iaei?e iieiaei? aeiaaee?a iaei ae?th neaaei? neee ? a ae?oa?e-
na?aaeiuei?. O ia?oiio aeiaaeeo ?icaeaaeeny ?aaeoe?? o?aioaaiiy ?c
oaeaeeei aoouaiiyi aeinyaiooiai aoaeoo, a a ?ioiio- ?aaeoe?? aeoeaaoe??
c oi?ioaaiiyi no?eei? ?acenoaioiino? i?aai?cio, a iniiaiiio, o
iaoe??io?a c eaaeei ia?aa?aii aoii?/ii? oi?ie AA.

Iaoiae a?iiaa?e/ii? a?iien?? o ia?aaaaeii? a?eueoino? ae?oae (64%)
ni?eya oi?ioaaiith no?eeeo aaeaioaoe?eieo i?ioean?a. Iaeiae, o iieiaeie
aeiaaee?a a?aei?/aeany iai?oaa ?aaeoe?e aeoeaaoe?? o aeaeyae?
aiceiioie??, iiiioeeoiiai?? aai ?o ii?aeiaiiy. O 3% aeiaaee?a
aa?ioa?ai?y i?eaaea aei ?icaeoeo aino?iai no?ano ? a 6% — aeecueeiai aei
iueiai noaio- ia?aaeoeaaoe??, ye? iaoiiaeai? iaaaeaeaaoi?noth
a?iiene/iiai iaaaioaaeaiiy aaeaioaoe?eiei iiaeeeainoyi iaoe??io?a i?e
ci?oaiiio aa??aio? AA.

Iaea?eueo ni?eyoeeaee aieea ia ?acenoaioi?noue i?aai?cio iaea eiieaenia
oa?ai?y, yea o 77% oai?eo ni?eyea ?icaeoeo no?eeeo aaeaioaoe?eieo
?aaeoe?e, ui iicia/eeiny ia a?aeaeaeaieo ?acoeueoaoao ?aaa?e?oaoe?eiiai
e?eoaaiiy.

Ne?ae a?aei?oeoe, ui o an?o a?oiao ianoaaeaieo ae?aaeai? i?aeaeuaiiy
?acenoaioiino? i?aai?cio aeyaeai? o oai?eo c eaaeei ia?aa?aii aoii?/ii?
AA, iaioa ae?aaeai? i?e na?aaeiueiaaaeeiio ?? ia?aa?ao oa i?e ?ioeo
oi?iao caoai?thaaiiy.

O oiae? aeine?aeaeaiiy anoaiiaeaii, ui aeei?enoai? iaie iaoiaee
?aaa?e?oaoe?? iaeaea o ??ai?e i??? iathoue aeanainea?e?coth/o ae?th, yea
i?iyaeyeany cieaeaiiyi aai cieeiaiiyi /enea aiceiio?e?a o ia?eoa?e/i?e
e?ia? ? iiniaiio nae?ao?.

I?aeaiaey/e i?aenoiie ?acoeueoaoai aeine?aeaeaiiy, iiaeia neacaoe,ui
an? aeaee cai?iiiiiaaii? iaie ?aaa?e?oaoe?eii? oa?ai?? AA a
i?aei?enooiiiio ia??iae? iathoue iiceoeaiee aieea ia ee?i?/io ea?oeio
caoai?thaaiiy, ia noai nenoaie ciai?oiueiai aeeoaiiy , a?iio?aeueio
a?ia??aaeoeai?noue ? i?ioeane aaeaioaoe??. Aoaeoeai?noue oeeo iaoiae?a
ia iinooia?oueny iaaeeeaiaioici?e oa?ai??, iaa?oue ia?aaa?oo? ??. E??i
oiai, ianaae, aa?icieue-,o?oi- ? aa?ioa?ai?? aeia?a ia?aiineeeny oai?eie
? i?aeoe/ii ia aeeeeeaee iia?/ieo ? iaaaoeaieo ?aaeoe?e o ae?oae.
Aeei?enoaiiy aeaieo iaoiae?a a ?aeeiiio e?eoaaeueiiio eiiieaen? cia/ii
i?aeaeuo? aoaeoeai?noue i?iaaaeaiiai e?eoaaiiy.

AENIIAEE

1. O 59% ae?oae a i?aei?enooiiiio ia??iae? a?iio?aeueii? anoie iathoue
i?noea ee?i?/i? ? o 95% ?ino?oiaioaeueii aeyaeai? iciaee iano?oeoe??.

I?iaaaeaiiy oeei oai?ei ooieoe?iiaeueii? i?iae c a?iioie?oeeii
-aa?ioaeii (0,2 ia) aeicaiey? ia?aeiiaoeny a iai?ioiino? iano?oeoeaieo
ii?ooaiue ? a 75% aeiaaee?a aeyaeoe a?iio?aeueio a?ia??aaeoeai?noue.

2. ?ic?iaeaia iaoiaeeea i?iaaaeaiiy aa?icieueoa?ai?? 3% ?ic/eiii iaai?th
noeueoaoo (iniiey?i?noue ?ic/eio 250 iiieue/e , ?I 6,6) ae?oyi c
a?iio?aeueiith anoiith, nooue yei? caeeth/a?oueny a oeueo?acaoeiaiio
?iaaeyoe?eiiio aaaaeaii? ?ii?a iaai?th aaciina?aaeiuei a aeeoaeuei?
oeyoe aeeoeie c iaoith cieaeaiiy i?aeaeuaii? ?aaeoeaiino? a?iio?a.
Aeaiee oeyo aaaaeaiiy ?ic/eio n??/aiieenei? iaaiac?? aeia?a ia?aiineany
an?ia (100 %) oai?eie ? ia aeeeeeaa i?yeeo iia?/ieo aoaeo?a.

3. Onoaiiaeaii, ui ?iaaeyoe?? 3% ?ic/eiii iaai?th noeueoaoo ia iathoue
a?iioiniaciie?oe/iiai aoaeoo, ui cao?oaeith? i?iieeiaiiy ?ii?a iaai?th a
niaci??iaai? ae??ai? aeeoaeuei? oeyoe oai?ei ia a?iio?aeueio anoio.

4. Ni?eueia canoinoaaiiy e?eoaaeueiiai ianaaeo, aa?icieueoa?ai?? 3%
?ic/eiii iaai?th noeueoaoo ? o?oioa?ai?? nieiaeeith o 90% ae?oae c
a?iio?aeueiith anoiith cia/ii ciaioo? ee?i?/i? i?iyae caoai?thaaiiy,
iie?auo? ooieoe?th ciai?oiueiai aeeoaiiy, a 57% aeiaaee?a cieaeo?
i?aeaeuaio ?aaeoeai?noue a?iio?a ? o iieiaeie oai?eo ni?ey? ?icaeoeo
no?eei? ?acenoaioiino? i?aai?cio.

5. Nei?i/aiee eo?n a?iiaa?e/ii? a?iien?? (10-15 naain?a) a 92%
aeiaaee?a iiceoeaii aieeaa? ia ee?i?/io ea?oeio a?iio?aeueii? anoie,
ciaioo? ae?aaeai?noue a?iioiniacio, i?aeaeuoth/e i?io?aei?noue
aeeoaeueieo oeyo?a, ? a 64% aeiaaee?a ni?ey? ?icaeoeo no?eeiai
aaeaioaoe?eiiai i?ioeano.

6. I?e nei?i/aiiio eo?n? a?iiaa?ioa?ai?? a?aei?/aii cieaeaiiy
a?iio?aeueii? a?ia??aaeoeaiino? o 2/3 oai?eo a i?aei?enooiiiio ia??iae?
a?iio?aeueii? anoie.

7. I?ae aieeaii eiiieaenii? ?aaa?e?oaoe?eii? oa?ai?? o 97% ae?oae c
a?iio?aeueiith anoiith ca?a?no?iaaia iiceoeaia aeeiai?ea iieaciee?a
nenoaie ciai?oiueiai aeeoaiiy ? neiioii?a caoai?thaaiiy, o 81% — cia/ia
cieaeaiiy i?aeaeuaii? ?aaeoeaiino? a?iio?a ? o 77% — ?icaeoie no?eeeo
aaeaioaoe?eieo ?aaeoe?e.

8. Aaciina?aaei? iiceoeai? ?acoeueoaoe eiiieaeniiai e?eoaaiiy aoee a 1,1
?ace, a a?aeaeaeai? — a 1,3-1,4 ?ace aeu?, i?ae a?ae canoinoaaiiy
eiaeiiai iaoiaeo ie?aii.

I?AEOE*I? ?AEIIAIAeAOe??

1. A i?aei?enooiiiio ia??iae? aoii?/ii? oi?ie AA o ae?oae i?e eaaeiio ?
na?aaeiueiaaaeeiio ?? ia?aa?ao iaiao?aeii aeei?enoiaoaaoe eiiieaenio
oa?ai?th, yea aeeth/a? naaine a?iiaa?e/ii? a?iien??, e?eoaaeueiee
ianaae, ?iaaeyoe?? 3% ?ic/eiii iaai?th noeueoaoo ? o?oioa?ai?th
a?aeaa?ii ei?aiy nieiaeee (15,0:200) i?ioyaii 10-15 aei?a.
I?ioeaiiieacaiiyi aeey i?iaaaeaiiy eiiieaeniiai ?aaa?e?oaoe?eiiai
e?eoaaiiy ? aaaeeee ia?aa?a caoai?thaaiiy c ae?aaeaieie ii?ooaiiyie
a?iio?aeueii? i?io?aeiino? ? ??cea iai?oaa i?ioean?a aaeaioaoe??.

2. Oai?ei c eaaeei ? na?aaeiueiaaaeeei ia?aa?aii aoii?/ii? oi?ie AA a
i?aei?enooiiiio ia??iae? iiaeeeai canoinoaaiiy nei?i/aiiai eo?no
a?iiaa?e/ii? a?iien?? i?ioyaii 10-15 aei?a. E?eoaaiiy ne?ae ii/eiaoe c
“aenioe” 1500 i iaae ??aiai ii?y, i?aeaeuoth/e “aenioo i?aeeiio” eiaeiee
ianooiiee naain ia 500 i. I?e aeinyaiaii? ??aiy 3500 i “aenioa i?aeeiio”
aei e?ioey eo?no e?eoaaiiy caeeoa?oueny noaa?eueiith. *an ia?aaoaaiiy
“ia ieiuaaeoe?” iiaeiai neeaaeaoe 45 oaeeei. I?ioeaiiieacaiiyi aei
aa?ioa?ai?? ? aaaeeee ia?aa?a caoai?thaaiiy ? ??cea iai?oaa i?ioean?a
aaeaioaoe??, a oaeiae iaaoii?/ia ? ci?oaia oi?ie AA c ia?aaaaeaiiyi
iaa?yeiai-nae?aoi?iiai eiiiiiaioo iano?oeoe??.

3. I?e iaiiaeeeaino? i?iaaaeaiiy naain?a a?iiaa?ioa?ai?? oai?ei c eaaeei
? na?aaeiueiaaaeeei ia?aa?aii AA c iaoith cieaeaiiy a?iio?aeueii?
a?ia??aaeoeaiino? ? iie?auaiiy i?io?aeiino? aeeoaeueieo oeyo?a iiaeia
aeei?enoiaoaaoe e?eoaaeueiee ianaae a eiiieaen? c aa?icieueoa?ai??th 3%
?ic/eiii iaai?th noeueoaoo ? o?oioa?ai??th a?aeaa?ii ei?aiy nieiaeee
(15,0: 200) i?ioyaii ia iaioa 10-14 aei?a.

?iaaeyoe?? 3% ?ic/eiii iaai?th noeueoaoo ne?ae i?iaiaeeoe ca aeiiiiiaith
oeueo?acaoeiaiai aa?icieueiiai aia?aoo “Ooiai-1.1” (?in?y) aeicith 1,5
iiiey ?ii?a iaai?th ia 1 ?iaaeyoe?th. O oai?eo c ae?aaeaieie ii?ooaiiyie
OCAe ca 20-30 oaeeei aei aa?icieueoa?ai?? ?ic/eiii iaai?th noeueoaoo
iaiao?aeii aaaaeaiiy a?iioiniaciie?oee?a.

4. I?iaaaeaiiy ooieoe?iiaeueii? i?iae c a?iioie?oeeii aa?ioaeii aei ?
i?ney e?eoaaiiy aeicaiey? noaeeoe i?i noai a?ia??aaeoeaiino? aeeoaeueieo
oeyo?a ? i?i aeeiai?eo a?iioiniacio a i?ioean? oa?ai??.

5. Aeine?aeaeaiiy ni?aa?aeiioaiiy aeaiaio?a eaeeioeeoa?ii? oi?ioee
ia?eoa?e/ii? e?ia? aei, i?ae /an ? i?ney e?eoaaiiy aeicaiey?
eiio?iethaaoe neeo aieeao i?iaiaeeii? oa?ai?? ia ?acenoaioi?noue
i?aai?cio oai?iai ? ia?aa?a o iueiai i?ioeano aaeaioaoe??.

NIENIE ?IA?O, IIOAE?EIAAIEO

CA OAIITH AeENA?OAOe??

1. Aaaae I.E. Yooaeoeaiinoue aeiiaa?ioa?aiee o aeaoae n a?iioeaeueiie
anoiie // Aanoi.oeceioa?aiee e eo?i?oieiaee.-1997.- N3.-N.27-28.

2. Aaaae I.E. Yooaeoeaiinoue eiiieaeniiai ea/aiey aeaoae, no?aaeathueo
a?iioeaeueiie anoiie // Aanoi.oeceioa?aiee e eo?i?oieiaee.-1997.- N 4.-
N.38-39.

3. Aaaae I.E. I?eiaiaiea noeueoaoa iaaiey e ioaa?a ei?iy nieiaeee aieie
i?e a?iioeaeueiie anoia o aeaoae // I?iae., aeinoeaeaiey e ia?niaeoeau
?acaeoey iaaeeei-aeie.iaoe e i?aeoe/aneiai cae?aaiio?.: O?.
E?ui.ain.iaae.oi-oa.-Neioa?iiieue,1997.-O.133, *.2.-N.153-158.

4. Yooaeoeaiinoue eiiieaeniiai ea/aiey aeaoae n aoiie/aneie oi?iie
a?iioeaeueiie anoiu / I.E.Aaaae, E.A.Aiaaaeaeueieeia, I.Ae.Iiaeeeiaaa,
E.E.Ieaenaiei, O.ss.Aeueaeoeeay, A.E.Neoaaiei, A.A.Iieaoeeiaa,
TH.A.Eaiaaaa // Aeooae.aii?.nia?ai.iaaeeao?ee: Iaoa?. Iaaeaeoia?.eiio.
-Na?aoia,1997.-N.4-5.

AIIOAOe?y

Aaaae I.E. Aoaeoeai?noue eiiieaeniiai e?eoaaiiy a?iio?aeueii? anoie o
ae?oae c aeeth/aiiyi aa?ioa?ai??.-?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.10- iaae?ao??y. E?einueeee aea?aeaaiee
iaaee/iee oi?aa?neoao ?i.N.?.Aai?a??anueeiai, N?ioa?iiieue,1998.

A aeena?oaoe?? i?aaenoaaeai? ?acoeueoaoe ee?i?/iiai ? ia?aee?i?/iiai
ianoaaeaiiy 147 ae?oae a i?aei?enooiiiio ia??iae? a?iio?aeueii? anoie.
OCAe aeine?aeaeoaaee iaoiaeii eiii”thoa?ii? oeioiao??? ? “a?aee?eoei”
iaoiaeii ia?eaaiiy iioieo. I?aeaeuaio ?aaeoeai?noue a?iio?a aeyaeyee ca
aeiiiiiaith ooieoe?iiaeueii? i?iae c a?iioie?oeeii, ?ic?aoiaoth/e
eiao?oe??ioe iie?auaiiy.

Anoaiiaeaiee iiceoeaiee aieea iaoiae?a a?iiaa?e/ii? a?iien??,
aa?icieueoa?ai?? 3% ?ic/eiii iaai?th noeueoaoo , o?oioa?ai?? nieiaeeith
? e?eoaaeueiiai ianaaeo, ye? canoiniaoaaeeny ?icae?eueii ? a ?aeeiiio
e?eoaaeueiiio eiiieaen?, ia ee?i?/io ea?oeio caoai?thaaiiy , nenoaio
ciai?oiueiai aeeoaiiy , a?iio?aeueio a?ia??aaeoeai?noue ? i?ioeane
aaeaioaoe??. Oi?ioa ia?aiinei?noue aeaieo aeae?a oa?ai?? ? i?i?iaeuei?
iia?/i? aoaeoe aeicaieythoue ?aeiiaiaeoaaoe ?o aeey aeei?enoaiiy a
oa?ai?? eaaeeo ? na?aaeiueiaaaeeeo oi?i a?iio?aeueii? anoie o ae?oae.

Eeth/ia? neiaa: ae?oe, a?iio?aeueia anoia, e?eoaaiiy.

AIIIOAOeEss

Aaaae I.E. Yooaeoeaiinoue eiiieaeniiai ea/aiey a?iioeaeueiie anoiu o
aeaoae n aeeth/aieai aa?ioa?aiee. –?oeiienue.

Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.10 — iaaeeao?ey. E?uineee ainoaea?noaaiiue
iaaeeoeeineee oieaa?neoao ei. N.E. Aai?aeaaneiai, a. Neioa?iiieue,
1998.

Aeenna?oaoeey iinayuaia aii?inai ?aaaeeeoaoeee aeaoae n a?iioeaeueiie
anoiie (AA). A ?aaioa eco/aia eeeie/aneay yooaeoeaiinoue iaoiaea
aeiiaa?e/aneie aeiienee, eiaaeeoeee 3% ?anoai?a iaaiey noeueoaoa,
oeoioa?aiee ioaa?ii nieiaeeiaiai ei?iy e ea/aaiiai iannaaea a?oaeiie
eeaoee, eniieuecoaiuo a aaeeiii ea/aaiii eiiieaena e ?acaeaeueii.
Aaoi?ii i?iaaaeai aiaeec aeeyiey auoaia?a/eneaiiuo iaoiaeia ia oa/aiea
AA, ninoiyiea nenoaiu aiaoiaai aeuoaiey, a?iioeaeueioth
aeia??aaeoeaiinoue e i?ioeannu aaeaioaoeee o 147 aieueiuo a
iaaei?enooiiii ia?eiaea caaieaaaiey. OAAe enneaaeiaaee iaoiaeii
eiiiuethoa?iie oeioiao?ee e “ioe?uoui” iaoiaeii i?a?uaaiey iioiea. I
ninoiyiee a?iioeaeueiie aeia??aaeoeaiinoe noaeeee ii ?acoeueoaoai i?iau
n a?iioieeoeeii. Ia iniiaaiee eciaiaiee eaeeioeeoa?iie oi?ioeu
ia?eoa?e/aneie e?iae ioeaieaaee ninoiyiea nenoaiu aaeaioaoeee.

A oiaea ea/aiey onoaiiaeaii, /oi i?eiaiaiea 35 aeaoyi n AA eiiieaeniie
oa?aiee, aeeth/aaoae naainu aeiiaa?e/aneie aeiienee, eiaaeyoeee 3%
?anoai?a iaaiey noeueoaoa, oeoioa?aieth nieiaeeie e ea/aaiue iannaae, a
oa/aiea 14-21 aeiy i?eaaei e iieiaeeoaeueiui naeaeaai a eeeie/aneie
ea?oeia caaieaaaiey e ni noi?iiu OAAe o 97% ianeaaeiaaiiuo, nieaeaieth
a?iioeaeueiie aeia??aaeoeaiinoe — o 81% e ?acaeoeth noieeeo
aaeaioaoeeiiiuo ?aaeoeee (?aaeoeee aeoeaaoeee) — o 77%.

Iaiueoae yooaeoeaiinoueth iaeaaeae oei?i/aiiue eo?n aeiiaa?ioa?aiee
(10-15 naainia). I?iaaaeaiea aai 39 iaoeeaioai n AA niinianoaiaaei
oiaiueoaieth eee en/aciiaaieth neiioiiia iniiaiiai caaieaaaiey e
ia?ooaiee a nenoaia aiaoiaai aeuoaiey a 92% neo/aaa, nieaeaieth
iiauoaiiie ?aaeoeaiinoe a?iioia — a 67% e oi?ie?iaaieth ?aaeoeee
aeoeaaoeee — a 64%, ii a iieiaeia neo/aaa n yaeaieyie iai?yaeaiey,
iaoneiaeaiiuie auno?ui ia?anoaieai “auniou iiaeuaia” (eaaeaeue naain ia
500i io auniou 1500i aei 3500i iaae o?iaiai ii?y).

Ia?aeeaeueiia eniieueciaaiea eiaaeyoeee 3% ?anoai?a iaaiey noeueoaoa,
oeoioa?aiee nieiaeeie e ea/aaiiai iannaaea 40 aeaoyi n AA a oa/aiea 2
iaaeaeue i?eaaei e iieiaeeoaeueiui naeaeaai a naii/oanoaee aieueiuo e
iiauoaieth a?iioeaeueiie i?ioiaeeiinoe — o 90% iaoeeaioia, nieaeaieth
iiauoaiiie ?aaeoeaiinoe a?iioia — o 57% ec ieo. E?iia oiai aeaiiay
oa?aiey a ?aaiie noaiaie niinianoaiaaea ?acaeoeth noieeeo e ianoieeeo
i?ioeannia aaeaioaoeee. A ia?aii neo/aa oi?ie?iaaeenue ?aaeoeee
aeoeaaoeee, a ai aoi?ii — ?aaeoeee o?aie?iaee.

Iaeaieaa ieceea ?acoeueoaou ?aaaeeeoaoeeiiiiai ea/aiey (82%) ioia/aiu o
33 aieueiuo n AA, ninoaaeaoeo eiio?ieueioth a?oiio e a oa/aiea 14 aeiae
iieo/aaoeo iaaeeeaiaioicioth oa?aieth (yooeeeei (ii iieacaieyi) e
ioeieeoeee) e oeceiea/aiea (eiaaeyoeee n 0,06% ?anoai?ii yooeeeeia(ii
iieacaieyi) e 2% niaeiaui ?anoai?ii, ea/aaiue iannaae a?oaeiie eeaoee e
yeaeo?ioi?ac ia a?oaeioth eeaoeo n 5% ?anoai?ii iaaiey noeueoaoa). A
yoie a?oiia aeaoae iaaethaeaeanue neaaay aeeiaieea nieaeaiey
a?iioeaeueiie aeia??aaeoeaiinoe (46%) e iai?yaeaiiinoe ianoieeeo
?aaeoeee aaeaioaoeee (?aaeoeee o?aie?iaee o 69,6%).

A ?aaioa i?ineaaeaiu ioaeaeaiiua ?acoeueoaou ?aaaeeeoaoeeiiiiai ea/aiey
a oa/aiea 3-12 ianyoeaa.Iaeaieaa aunieeie iie auee a a?oiia aieueiuo,
i?ioaaeoeo eiiieaenioth oa?aieth (83-54%).

Aunieay yooaeoeaiinoue i?aaeeaaaaiuo iaoiaeia ?aaaeeeoaoeee,
eniieuecoaiuo a aaeeiii ea/aaiii eiiieaena e ?acaeaeueii, a oaeaea
oi?ioay ia?aiineiinoue aieueiuie e, i?aeoe/anee, ionoonoaea iiai/iuo e
iaaaoeaiuo ?aaeoeee o aeaoae iicaieytho eo ?aeiiaiaeiaaoue e oe?ieiio
i?eiaiaieth a i?aeoe/aneie iaaeeoeeia.

Eeth/aaua neiaa: aeaoe, a?iioeaeueiay anoia, ea/aiea.

SUMMARY

BABAK M.L. Complex treatment effectiveness with barotherapy of
bronchial asthma in children.- Manuscript.

Thesis for the decree of candidate of Medical Science by Speciality
14.01.10. — Pediatrics. — Crimea State Medical University by name
S.I.Georgievsky, Specialized Council. Simferopol, 1998.

In dissertation is presented the results of clinical and paraclinical
examinations of 147 children with bronchial asthma in the
interattack period.

Foced expiration was exermined by computer fluorometry method and by
“opened” method of interruption air flow. It was revealed the
heightened reactivity of bronchuses by functional test with
broncholithic, calculating improvement coefficients.

It was determined positive influence of hypobaric hypoxia method,
aerosoltherapy by 3% Magnesii sulfas solution and by Liquorice
phytotherapy and medical massage, using separatly and in united medical
complex, on the clinical picture of disease, external respiration
system, bronchial hyperreactivity and adaptational processes. Good
endurance of present therapeutic species and minimum side-effects allow
to recommend its use in the therapy of rehabilitation of light
and middle-heavy forms of bronchial asthma in children.

Key words: children, bronchial asthma, treatment.

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