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

EE?ANUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO

AI?AeAI?IEIA?? OA ?IOAEOe?EIEO OAI?IA

?i. E.A. A?IIAOAANUeEIAI

IAOssO A?eoi? ?aaiiae/

OAeE: 616.98:579.834.115.

616-036-227-07-08-084

AENO?AIAEUeI? NOAIE I?E

EAIOINI??IC? OA ?O EI?AEOe?ss

14.01.13 — ?ioaeoe?ei? oai?iae

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Ee?a – 2000

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Ee?anueeiio iaoeiai-aeine?aeiiio ?inoeooo?
ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i. E.A. A?iiaoaanueeiai IIC
Oe?a?ie

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Aaaao Aaneeue Aaneeueiae/,

caa?aeoaa/ eaoaae?e ?ioaeoe?eieo oai?ia Ee?anueei?

iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Uoi?ea

aeieoi? iaaee/ieo iaoe. i?ioani? Aiiaea??a Eaa Naio?eiae/,

caa?aeoaa/ eaoaae?e ?ioaeoe?eieo oai?ia Aeiiaoeueeiai

aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I. Ai?ueeiai

aeieoi? iaaee/ieo iaoe, i?ioani? I?e?o?i ?aaai Aaneeueiae/,

caa?aeoaa/ eaoaae?e ?ioaeoe?eieo oai?ia Iaeanueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo.

I?ia?aeia onoaiiaa:

Euea?anueeee iaaee/iee oi?aa?neoao ?i. Aeaieea Aaeeoeueeiai, i.Euea?a

Caoeno a?aeaoaeaoueny ____ ___ 2000 ?.
ia aiaeei? a

ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.614.01 ii caoenoo
aeieoi?nueeeo aeena?oaoe?e a Ee?aneiio IAe? ai?aeai?ieia??? oa
?ioaeoe?eieo oai?ia

?i. E.A.A?iiaoaanueeiai (252150, i. Ee?a, aoe. N?/iaaiai
iianoaiiy 23).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Ee?anueeiai IAe?
ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i.E.A. A?iiaoaanueeiai

Aaoi?aoa?ao ?ic?neaiee 2000
?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe
(AE.A. Eeeiaiei)

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Eaioini??ic ? iaei??th c iaea?eueo neeaaeieo
i?iaeai no/anii? iaaeeoeeie. Caoe?eaaeai?noue oe??th iaoieia??th
iia’ycaia c oe?ieei ?iciianthaeaeaiiyi i?e?iaeieo ina?aaee?a ?ioaeoe?? a
Oe?a?i?, aeii?ioaaiiyi ?eoa?iaaii?aa?/ieo oi?i (60-70%), ye?
caeaa?eueoiai oa?aeoa?ecothoueny oyaeeei ia?aa?aii c o?aaeaiiyi aeeoo?ai
aaaeeeaeo i?aai?a ? nenoai (na?oey, ie?ie, ia/?iee, eaaai?a, aaiinoaco).
Iaaeineiiae?noue ee?i?/ii? ae?aaiinoeee, ianai?/ania aini?oae?caoe?y
oai?eo oa iaaeinoaoiy aoaeoeai?noue oa?ai?? o noaae?? ee?i?/ieo i?iya?a
cia/ii oneeaaeiththoue i?iaiic oai?iae, iaoiiaethth/e oei naiei aenieo
(aei 10-15%) caaaeueio eaoaeuei?noue (?.I. Aa?ianianueea oa ?i. 1989), a
i?e oyaeeeo oi?iao aei 30-40%.

Aenia?eiaioaeueii ia??oioiaai? aeine?aeaeaiiy A.?. Iie?ianueeiai, I.I.
Aa?eoaaa oa ?i. (1979, 1983, 1986), A.E. Oa?thiiaa (1983), TH.A.
Aa?ooaeia (1983, 1985), A.A. Aaaaoa oa ?i. (1998) aeyaeee iniiai?
iaoiaaiaoe/i? iaoai?cie ??ciiiai?oieo ee?i?/ieo aa??aio?a eaioini??ico,
oace iaoiaaiaco, i?aai?/ii iia’ycai? c oeeee?/i?noth ee?i?/iiai
ia?aa?ao, aaiacii i?aaiieo o?aaeaiue. Ee?i?/i? niinoa?aaeaiiy A.E.
Eani?eiaa, E.I. Oiea?aae/a (1982), I.N. Nieie (1982, 1989) anoaiiaeee
aeeooci?noue o?aaeaiiy noaeeiieo iaieiiie ? aa?’???a ia oii?
eaioini??ai??, caeo/aiiy a iaoieia?/iee i?ioean i?aeoe/ii on?o i?aai?a ?
oeaiei: aaiaoioeeo?a, eaiaeueoe?a ie?ie, aeueaaie eaaai?a, i?iea?aeo.
?icaeoie neiae?iio ?ioieneeaoe?? i?e eaioini??ic? noi?iaiaeaeo?oueny
ii?ooaiiyi aiiainoaco: iaoaaie?/iei aoeeaeicii, a?iien??th,
aeenai?iiaaiei aioo??oiueinoaeeiiei cai?oaiiyi, i?e?ioee?eoeyoi?ieie
?iceaaeaie, aeecaeaeo?ie?o??th (AE.?. Aic?aiiaa, 2000, E.N.
Aiiaea??a,1999). Aaaeeeaa cia/aiiy i?e ?icaeoeo oai?iae ia? noai
i?aai?cio, caaaeueia ?aaeoeai?noue, iiaiioe?ii?noue ?ioi?oaoo,
iayai?noue noiooi?o oai?ia. Iaoio?c?ieia?/i? iaoai?cie eaioini??ico
caeaoi? oi?ioaaoe aeno?aiaeuei? oiiae aeey i?aai?cio ? noaaaoe i?e/eiaie
?icaeoeo aeno?aiaeueieo noai?a (na?oeaai-noaeeiii?, ie?eiai-ia/?ieiai?,
eaaaiaai? iaaeinoaoiino?). Aiie noathoue i?ia?aeieie eaioethaaie
iaoiaaiaco oai?iae, ye? iaoiiaeththoue oyaee?noue ia?aa?ao oa aeeiai?eo
iaoieia?/iiai i?ioeano. Caoaeaiiy ae?aiaciio aeeoo?aeo ?aaeoe?e
i?ecaiaeeoue aei ?iceaaeo ooieoe?iiaeueieo nenoai, caeaoieo caaacia/eoe
?aaoeyoe?th eieiiioi?ieo ? aaaaoaoeaieo ooieoe?e. Oaiaeaioe?y
aeno?aiaeueieo noai?a aei iiaeeaeaiiy iaa?oue i?ney onoiaiiy ia?aeiiiai
ao?ieia?/iiai oaeoi?o, iaoiiaeth? iia??oaiiy ia?aa?ao oai?iae ? noa?
aaciina?aaeiueith i?e/eiith ia?aoiaeo i?aoa?i?iaeueiiai noaio o
oa?i?iaeueiee.

Iacaaaeath/e ia aaeeeo aeooaeuei?noue i?iaeaie eaioini??ico aeey
iaaeeoeeie ?, cie?aia, ?ioaeoieia??, aei oaia??oiueiai /ano
caeeoathoueny iaaeinoaoiuei aeine?aeaeaieie iaoai?cie ?icaeoeo
aeno?aiaeueieo noai?a o an?e ?o neeaaeiino? oa aaaaoia?aiiino?. Ia
aeyaeaii ?yae aaaeeeaeo iaoieia?/ieo iaoai?ci?a oa oiia, caeaoieo
oi?ioaaoe aeno?aiaeuei? noaie, e?eoa??? ?o ia’?eoeaii? ioe?iee oa
ae?aaiinoeee, oa?aeoa? ci?i aiiainoaco a aeeiai?oe? oai?iae
(aeenaieai??, aeecaeaeo?ie?o??, o?ai??). ?aeiiaiaeiaaia a e?oa?aoo??
iaoiaaiaoe/ia oa?ai?y ia? aaaaoi aeeneooaaaeueieo aniaeo?a ? cia/iith
i??ith ? ia?aoe?iiaeueiith i?e oyaeeiio ia?aa?ao eaioini??ico.

Cacia/ai? oaeoe aeyaeythoue i?aeoe/io iaiao?aei?noue iiaeeaeaiiai
aea/aiiy ca aeiiiiiaith no/anieo iaoiae?a aeine?aeaeaiue, i?aai?/ieo
?iceaae?a o ?o nai?ioe/iiio, ee?i?/iiio, iaoio?c?ieia?/iiio ?
a?io?i?/iiio aniaeoao, ine?eueee, o?eueee ia ?o iniia? iiaeeeaa
iaa?aeeeaaeia ?aoe?iiaeueia ei?aeoe?y ii?ooaiue aiiainoaco.

Iaoa ?iaioe. Oaeineiiaeeoe ae?aaiinoeeo ? iaa?aeeeaaeio oa?ai?th
aeno?aiaeueieo i?ioean?a ? noai?a i?e eaioini??ic? ia i?aenoaa? iiaeo
aeaieo i?i ee?i?ei-iaoiaaiaoe/i? iaoai?cie ?icaeoeo oai?iae.

C oe??th iaoith aecia/aii ianooii? caaaeaiiy:

1. Aeine?aeeoe aeeiai?eo ? iniaeeaino? iaoieia?/ieo ii?ooaiue i?e
na?aaeiuei-oyaeeiio ? oyaeeiio ia?aa?aao eaioini??ico ia iniia?
ee?i?ei-eaai?aoi?ieo oa ?ino?oiaioaeueieo iaoiae?a (ni??ia?ao?y,
?aia?ao?y, oeueo?acaoeiaa aeine?aeaeaiiy na?oey); aeyaeoe aeii?ioth/?
iaoieia?/i? eaioethae oai?iae.

2. I?iaanoe ee?i?ei-ii?oieia?/iee aiae?c eaoaeueieo aeiaaee?a i?e
eaioini??ic? ? aeyaeoe ei?aeyoeaio caeaaei?noue ee?i?/ieo ?
ii?oieia?/ieo i?iya?a o aeeiai?oe? oai?iae.

3. Aeine?aeeoe ee?i?ei-iaoiaaiaoe/i? iaoai?cie aeno?aiaeueieo i?ioean?a
? noai?a (na?oeaai-noaeeiii?, ie?eiai-ia/?ieiai? oa eaaaiaai?
iaaeinoaoiino?, oea?aa?aeueieo, aiaeii-aeaeo?ie?oieo, aaiieiaaoeyoe?eieo
ii?ooaiue), ?o aeeiai?/iee aca?iica’ycie oa ?ieue o iaoiaaiac? oai?iae.

4. Iie?aueoe ae?aaiinoeeo eaioini??ico, ia’?eoeaio ioe?ieo iaoieia?/ieo
i?ioean?a ? noai?a (oyaee?noue ia?aa?ao ? i?iaiic) ia iniia?
aa?eo?eiaaieo ee?i?ei-iaoiaaiaoe/ieo e?eoa???a.

5. C’ynoaaoe ei?aaoth/? iniaeeaino? aoa?aioii? oa aoa?aioii? oa?ai??
a?ae oa?aeoa?o iaoiaaiaoe/ieo i?ioean?a, ia??iaeo oai?iae, oiiiai?
iaoieia??.

6. I?aeaeueoe aoaeoeai?noue e?eoaaiiy eaioini??ico ca ?aooiie
canoinoaaiiy iaoiaaiaoe/ii ? oa?iaeioa?aiaaoe/ii ia??oioiaaieo iiaeo
i?aia?ao?a.

7. Oaeineiiaeeoe iaoiaaiaoe/io oa?ai?th eaioini??ico ca ?aooiie
no/anieo aoa?aioieo oa aoa?aioieo (ieaciaoa?aco, ieaciini?aoe??,
oeueo?ao?eueo?aoe?? e?ia?) iaoiae?a aeaoieneeaoe??, ei?aeoe??
aiaeii-aeaeo?ie?oiiai aaeaino, na?oeaai-noaeeiii?, ie?eiai-ia/?ieiai?
iaaeinoaoiino?),

Iaoeiaa iiaecia ?iaioe.

Aeine?aeaeaii oa?aeoa? oa ?ieue aeno?aiaeueieo i?ioean?a ? noai?a o
iaoiaaiac? eaioini??ico a caeaaeiino? a?ae ??aiy ee?i?ei-ii?oieia?/ieo
ii?ooaiue o i?aaiao oa nenoaiao, eiiiainaoi?ieo iiaeeeainoae i?aai?cio.

Aeine?aeaeaii aeii?ioth/? iaoieia?/i? iaoai?cie aeno?aiaeueieo i?ioean?a
i?e eaioini??ic? (i?e?ioee?eoeyoi?ieo, aaiieiaaoeyoe?eieo,
aaiiaeeiai?/ieo ?iceaae?a, aeenaieai??, aeecaeaeo?ie?o??), ?o
aeaoa?i?ioth/a ?ieue o ?icaeoeo aeno?aiaeueieo noai?a.

Io?eiaii ?ioi?iaoeai? iieacieee noaio i?e?ioee?eoeyoe??, aaiinoaco,
aaiiaeeiai?ee, na?oeaai?, eaaaiaai?, ie?eiai? ae?yeueiino? o oai?eo ia
eaioini??ic ca aeaieie ii?oieia??, oeueo?acaoeiaiai aeine?aeaeaiiy
na?oey, ?aia?ao??, ni??ia?ao??, ae?o?aoe/ii? aeoeaiino? iao?ii?a;
aa?eo?eiaaii e?eoa??? ?ioi?iaoeaiino? a?aeiinii oyaeeino? ? i?iaiico
oai?iae.

Aea/aii ee?i?ei-iaoiaaiaoe/i? i?iyae aeno?aiaeueieo noai?a i?e
eaioini??ic? (na?oeaai-noaeeiii?, eaaaiaai?, ie?eiai?, ia/?ieiai?
iaaeinoaoiino?, oea?aa?aeueieo ?iceaae?a), ?o nenoaiia aeac?ioaa?aoe?y
oa aca?iica’ycie.

?ic?iaeaii ?ioaa?aoeai? i?eioeeie oa iaoiaee iaa?aeeeaaeii?
aoa?aioii-aoa?aioii? ei?aeoe?? aeno?aiaeueieo ii?ooaiue aiiainoaco
(?ioieneeaoe??, aeenaieai??, a?oa??aeueii? a?iioaic??, AeAC) i?e
eaioini??ic?.

Anoaiiaeaii aeioe?euei?noue canoinoaaiiy iiaeo e?ea?nueeeo i?aia?ao?a —
aieieienoeo aioa?ini?aaio?a (a?eini?aa, oaani?aa), aeae?aaiaeecoth/eo
aaiini?aaio?a (ANAAe), ai?iieeneio (aeooa?a?ia).

Aeine?aeaeaii naeaeoeai? iaoai?cie aoa?aioii? ei?aeoe?? (ieaciaoa?aco,
ieaciini?aoe??, oeueo?ao?eueo?aoe?? e?ia?) i?e iie?i?aaii?e
iaaeinoaoiino? o oai?eo ia eaioini??ic.

I?aeoe/ia cia/aiiy ?iaioe.

?ice?eoi ee?i?ei-iaoiaaiaoe/i? iaoai?cie i?ia?aeieo aeno?aiaeueieo
i?ioean?a ? noai?a o aeeiai?oe? eaioini??ico caeaaeii a?ae oyaeeino?
o?aaeaiue oa eiiiainaoi?ieo iiaeeeainoae aiiainoaco:

— aiaeii-aeaeo?ie?oiiai aeenaaeaino (aeneeico, a?ia?a?ae?ai??,
aeecaeaeo?ie?o??);

— aaiieiaaoeyoe?eieo ii?ooaiue (AeAC);

— na?oeaai-noaeeiii? iaaeinoaoiino? (a?oa??aeueii? a?iioaic??,
oeaio?ae?caoe?? oa aeaoeaio?ae?caoe?? IOeE, ci?i
?ii-aaoii-o?iiio?iiii? ae?yeueiino?, aeaa?oo na?oey);

— eaaaiaai? iaaeinoaoiino? (cieaeaiiy ia’?iieo, oaeaee?nieo, oa /aniaeo
iieaciee?a ooieoe?iiaeueii? ae?yeueiino? eaaai?a, a?iien??);

— ie?eiai? iaaeinoaoiino? (o?ai??, ae?o?aoe/ii? oa ee??ainiai?
iani?iiiaeiino?);

— ia/?ieiai? iaaeinoaoiino? (oieanoaco);

— oea?aa?aeueieo o?aaeaiue (aioeaoaeiiao??, iai?ia?oo, aioeaoae?oo).

I?aeaeuaii ??aaiue ae?aaiinoeee, ia’?eoeaii? ioe?iee oyaeeino?
aeno?aiaeueieo noai?a oa i?ioean?a, ia iniia? ee?i?/ieo, eaai?aoi?ieo oa
?ino?oiaioaeueieo e?eoa???a (oeueo?acaoeiaiai aeine?aeaeaiiy na?oey,
?aia?ao??, ni??ia?ao??).

?ic?iaeaii iaoiaaiaoe/ii iaa?oioiaai? i?eioeeie oa noaie
aeeoa?aioe?eiaaii? ?io?a-aeno?aei?ii?aeueii? ei?aeoe?? aeno?aiaeueieo
i?ioean?a oa noai?a i?e eaioini??ic?.

Iie?ioaii aoaeoeai?noue aoa?aioii? oa?ai??:

— ii noaa?e?caoe?? na?oeaai? ae?yeueiino? oa aaiiaeeiai?ee ca ?aooiie
oa?iaeioa?aiaaoe/ii ia??oioiaaiiai e?euee?niiai oa ye?niiai neeaaeo
e?enoaei?aeii-eiei?aeieo ?ic/ei?a, eaoaoieai?i?a, aetheiei?oeei?ae?a;

— ii aeaoieneeaoe?? i?e III ca ?aooiie naiaoe?? eeoeiaeea aieieiyieie
aioa?ini?aaioaie (a?eini?aii, oaani?aii), aeeoeoe?eaeaie (eaeooeueicith)
oa aeoeaaoe?? aiii?iaaiaco – ai?iieeneioaie (aeooa?a?iii).

?ic?iaeai? naeaeoeai? iaoiaee aoa?aioii? oa?ai?? i?e III:

aeene?aoiiai ieaciaoa?aco aeey aeaoieneeaoe?? oa ei?aeoe?? a?ia?aieai??
a 2-o iiaeeo?eaoe?yo: ii 0,3 + 0,01 e ca naain – i?e a?oa??aeuei?e
a?iioaic?? oa o a?eueo ?ioaineaiiio ?aaeei? — ii 0,6 + 0,01 e ca naain –
i?e no?ee?e aaiiaeeiai?oe?;

ieaciini?aoe?? (c ia’?iii ieaciiia?ooc?? 1,5+0,02 e ca naain) aeey
aeaoieneeaoe?? (ca ?aooiie ae?i?iaoe?? c IOeI aei 28,5 + 0,5% iecueei-
oa na?aaeiueiiieaeoey?ieo oiene/ieo ?a/iaei) ? ei?aeoe?? AeAC (II – III
noaae?e, ia o?aaioth/e a?eo?ioeeo?a, o?iiaioeeo?a) aaiini?aaioaie
e?noeiaeie: NEI, EAO oa iiaeie aeae?aaiaeecoth/eie — ANAAe;

oeueo?ao?eueo?aoe?? e?ia? (c ia’?iii oeueo?ao?eueo?aoo 2,0 + 0,1 e ca
naain), aeey aeaoieneeaoe?? oa ciaioaiiy a?ia?a?ae?ai??, a?ia?eae??i??
ca ?aooiie aeno?aeoe?? ?c IOeI aei 50,1 + 1,1% iecueeiiieaeoey?ieo
oiene/ieo ?a/iaei (na/iaeie, e?aaoei?io) oa eae?th;

ii?aeiai? iaoiaee ieaciini?aoe??, aai oeueo?ao?eueo?aoe?? c
ieaciaoa?acii (ii 0,25 + 0,01 e ca naain) — aeey iie?ioaiiy
aeaoieneeaoe?eiiai aoaeoo, aai a?ae?iei?aaoth/iai aoaeoo i?e
a?ia?aieai??.

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe o i?aeoeeo. Ca iaoa??aeaie
aeena?oaoe?? aeaeaii ”Oei/ania? noaiaea?oe ae?aaiinoe/ii-e?eoaaeueiiai
i?ioeano noaoe?iia?ii? aeiiiiiae o 2-o oiiao. // O.2, ?ic. 5
(?ioaeoe?ei? oai?iae)”.- E. 1999; aea? iaoiaee/i? ?aeiiaiaeaoe??:
«Ni?aoe?ei? iaoiaee e?eoaaiiy i?e ?ioaeoe?eieo oai?iaao» (Ee?a, 1998),
«Eaioinii?ic» (Ee?a, 1998); 4 ?ioi?iaoe?eieo eenoa, 3 ?aoe. i?iiiceoe??.
Iniiai? iaoa??aee ? iieiaeaiiy ?iaioe ai?iaaaeaeaii o ee?i?eao IAe?
ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia, Aieiaiiai a?enueeiaiai oieoaeth
II Oe?a?ie, noaoe?iia?ao ?ioaeoe?eiiai i?io?eth oa ?ioaineaii? oa?ai??
iaaee/ieo caeeaae?a Oe?a?ie.

Iniaenoee aianie aaoi?a. Aaoi?ii ianoaaeaii 392 oai?eo ia eaioini??ic,
c ieo 250 — c oyaeeei ia?aa?aii oai?iae. I?iaaaeaii iniiaio /anoeio
ee?i?/ieo aeine?aeaeaiue, an? ianoaaeaiiy ia iie?aiae?caoi?? IA5-02;
?ic?iaeai? oa ee?i?/ii aei?iaoaai? no/ani? iaoiaee aoa?aioii? oa
aoa?aioii? oa?ai?? oai?eo c oyaeeeie oi?iaie eaioini??ico;
canoiniaaii iia? i?aia?aoe (aieieiyi?, aeae?aaiaeecoth/? ni?aaioe,
ai?iieeneioe). Ca oaiith aeena?oaoe?? aaoi? i?ia?a iae?e oa aiae?c
ia?aeiiiai iaoa??aeo, noi?ioethaaa iniiai? iieiaeaiiy ? aeniiaee;
iaoeiai-i?aeoe/i? aeinyaiaiiy aeena?oaoe?? canoinoaaa aeey e?eoaaiiy
oai?eo i?ae /an niaeaoo eaioini??ico o Ieeiea?anuee?e iaeano? a 1996
?ioe?.

Ai?iaaoe?y ?iaioe oa ioae?eaoe??. Iaoa??aee aeena?oaoe?? aeiiia?aeaeenue
ia iaoeiaeo eiioa?aioe?yo Ee?anueeiai IAe? ai?aeai?ieia?? oa
?ioaeoe?eieo oai?ia, Ee?anueeiio i?nueeiio ? iaeaniiio oiaa?enoaao
?ioaeoe?ii?no?a (1994-1999); IV, V c’?caeao ?ioaeoe?ii?no?a Oe?a?ie
(A?iieoey, 1993, Oa?iii?eue, 1998); oa ?anioae?eainueeeo eiioa?aioe?yo,
neiiic?oiao (Eoaainuee, 1994, Iieoaaa,1997, Iaeana,1998,
Ee?a,1998,1999). Ca iaoa??aeaie aeena?oaoe?? iaae?oeiaaii 25 ?ia?o.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 264
ae?oeiaaieo noi??ieao, i?noeoue aaaaeaiiy, iniiaio /anoeio, aiae?c ?
ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiue, aeniiaee, i?aeoe/i?
?aeiiaiaeaoe??, nienie e?oa?aoo?e (302 aeaea?aea, c ieo — 228
caei?aeiiieo). Iniiaia /anoeia neeaaea?oueny c oanoe ?icae?e?a: iaeyaeo
e?oa?aoo?e, iaoa??ae?a ? iaoiae?a, iniaenoeo oai?aoe/ieo ?
aenia?eiaioaeueieo aeaieo, ui a?aeia?aaeai? o 32 oaaeeoeyo, 10
?enoieao, 6 ?noi??yo oai?ia.

Aeena?oaoe?y aoea aeeiiaia ca ieaiii iaoeiaeo aeine?aeaeaiue Ee?anueeiai
IAe? ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia 1987 — 2000 ??. IIC Oe?a?ie

INIIAIEE CI?NO ?IAIOE

Oa?aeoa?enoeea ianoaaeaieo oai?eo. Iaoa??aee ? iaoiaee aeine?aeaeaiue

Iaie ianoaaeaii 392 oai?eo ia eaioini??ic a?eii a?ae 18 aei 72 ?ie?a, c
ieo 102 (34,0%) — a?eii iiiaae 50 ?ie?a. Iniiao aeena?oaoe?? neeaee
aeine?aeaeaiiy, i?iaaaeai? o 300 oai?eo (a o./. 250 – c oyaeeei
ia?aa?aii), ye? e?eoaaeeny o Ee?anueeiio IAe? ai?aeai?ieia?? oa
?ioaeoe?eieo oai?ia ?i. E.A. A?iiaoaanueeiai c 1985 ii 1999 ?iee.
Ae?aaiic eaioini??ico o oeeo oai?eo aoei i?aeoaa?aeaeaii
na?ieia?/ii ?IAA ? ?IAE o 256 (85,3%) aeiaaeeao: L. icterohaemorrhagiae
(231) 77.0%, L. canicola – (13) 4.3%, L. grippotyphosa — 7 (2.3%),
L. pimona — 5 (1.7%), oa ee?i?ei-ii?oieia?/ii, ca aeaieie ee?i?ee oa
aooiin?? — oa?aeoa?ieo iaoieia?/ieo ci?i aioo??oi?o i?aai?a — o 44
(14.7%). 92 aeiaaeee niaeaoo eaioini??ico o 1996 ?ioe? o
Ieeiea?anueei? iaeano? aeeth/aii o aeiaeaoeiao a?oio aeey
iaoeiai-i?aeoe/iiai aecia/aiiy ?iaioe.

A?aaeaoe?th oyaeeino? ia?aa?ao eaioini??ico i?iaaaeaii ia iniia?
ae?aaeaiino? ? o?eaaeino? i?ia?aeieo i?aaiieo ? nenoaiieo ii?ooaiue
aaiiaeeiai?ee, na?oeaai?, eaaaiaai? ae?yeueiino?, cieaeaiiy ae?o?aoe/ii?
aeoeaiino? ie?ie, ?ioaineaiino? aeiaoyieoe?, e?iaioa/?, aiai??.

Oyaeeee ia?aa?a oai?iae o 250 iaoe??io?a oa?aeoa?ecoaaany aino?ei
?icaeoeii c ae?aaeaieie neiioiiaie ?ioieneeaoe?? ai?iaeiaae 3 – 4-o ae?a
ia oe? i?aaiii? ? nenoaiii? iaaeinoaoiino? (NNI, III, EI, o?aaeaiue
OeIN, aaiinoaco, aiaeii-aeaeo?ie?oiiai aeenaaeaino). Na?aaeiueioyaeeee
ia?aa?a eaioini??ico o 50 iaoe??io?a oa?aeoa?ecoaaany aino?ei ?icaeoeii
c iii??ieie, ai?iaeiaae ia?oiai oeaeiy, yaeuaie oieneeico, III (c 2-3-o
e?aoiei i?aeaeuaiiyi e?aaoei?io, 3-o – 5-e e?aoiei i?aeaeuaiiyi
a?e??oa?io), AeAC (aac cia/ii? e?iaioa/? oa aiai??). ?eoa?iaaii?aa?/ia
oi?ia eaioini??ico niinoa??aaeanue o 240 (96,7%) oai?eo.

O cia/ii? e?eueeino? — 241 (80,2%) oai?eo, ia?aaaaeii a?eii iiiaae 50
?ie?a, iaea i?noea noiooiy iaoieia?y (ea?ae?ineea?ic, a?ia?oii?/ia
oai?iaa, aaiaoioieaoeenoeo). 199 (66,4%) iaoe??io?a aoei
aini?oae?ciaaii ia 5-e aeaiue oai?iae ? i?ci?oa. Eaoaeuei?noue i?e
oyaeeiio ia?aa?ao eaioini??ico neeaea 30,8%, ui a?ae caaaeueii?
e?eueeino? oai?eo iniiaii? a?oie aei??aithaaei — 25,6%.

O aeeiai?oe? oai?iae ca aeiiiiiaith ee?i?/ieo, a?io?i?/ieo,
o?ceei-o?i?/ieo iaoiae?a aecia/aeenue iniiai? ia?aiao?e noaio
a?ieia?/iiai na?aaeiaeua i?aai?cio oa aioo??oi?o i?aai?a ? nenoai.
Aeine?aeaeaiiy aaiia?aie, eiaaoeia?aie, a?eeiaiai niaeo?o, na/?,
aeaeo?ie?o?a, aiaeiiai noaio, EIN i?iaaaeai? o aeeiai?oe? oai?iae o 300
iaoe??io?a. E?eai?ieia?/i? iieacieee aeine?aeaeai? o 58 oai?eo,
aeaeo?iea?ae?ia?ao?/i? — o 213 oai?eo, ?aioaaiia?ao?/i? — aioo??oi?o
i?aai?a o 208 oai?eo.

A?ieia?/i? eiinoaioe i?aai?cio aecia/aeenue noaiaea?oieie iaoiaeaie:
a?e??oa?i e?ia? – Jendrasick L., Grof P. (1979); aeoeai?noue AeAO-
Reitman S., Frahkel A. (1957); caaaeueiee a?eie – a?o?aoiaee Kingsley
G. (1940): oa a?eeiaee niaeo? e?ia? – Ao?a?/ A.?. (1955); na/iaeia
e?ia?, na/?, e?eai?o – eiei?eiao?e/iee Richterich R. (1971); e?aaoei?i
e?ia?, na/? – eiei?eiao?e/iee ssoa (1972); IO? – Ea?e-Eoae?yoia (1977);
/an caa?oaiiy ieacie, o?a?eiiaai ieacie – ?ooaa?a ?.A.(1961); /an
?aeaeueoeeo?eaoe?? ieacie – Aaaa?oio O.- ?ie E. (1954); oiea?aioi?noue
ieacie aei aaia?eio – N?aa (1968); o?a?eiie?oe/ia aeoeai?noue – Eociee
A.E. Eioiaoeeiaa I.A.(1981); o?a?eiiaai A – Aaeoaea A.I. (1980);
?ao?aeoe?y naonoea — Iaeoa?eaei ?. (1939); ?iie iao??th, eae?th e?ia?,
na/?, e?eai?o — Iaiueoeeia A.A. (1987), ?I, ?NI2, ?I2, AA e?ia?, ?iie
oei?o – Ano?oi (1960); iniiey?i?noue e?ia?, na/?, e?eai?o – C?eueaa?
A.I.(1984); ee??ain e?aaoei?ia, na/iaeie – Meller 1928); IOeE – Eea?o I.
(1969); a?aeiinia u?euei?noue ieacie – Ieeeoi?ia A.I. (1970). Noaae??
AeAC-neiae?iia ioe?ithaaeenue ca eeaneo?eaoe??th Ia/aaae? I.N. (1981).

Na?aaeiueio?c?ieia?/i? aeai? iaoe??io?a neeaee: a?e 48,9 + 3,6 ?ie?a,
iana o?ea — 87,5 + 2,2 ea, c??no — 175,1+ 0,43 ni., ieiua iiaa?oi? o?ea
-1,70 + 0,04 i2..

Niaoe?aeuei? o?c?ieia?/i? aeine?aeaeaiiy i?iaaaeai? o 102 oai?eo ia
iie?aiae?caoi?? IA5-02 (ni??ia?ao?y, oeueo?acaoeiaa ianoaaeaiiy
ae?yeueiino? na?oey), ?aiaiae?caoi?? ?A5-01 (iieacieee ia?eoa??eii?
aaiiaeeiai?ee) ca oi?o?eiaaieie iaoiaeaie, caoaa?aeaeaieie IIC N?N?
(1981). I?e oeueo?acaoeiaiio ianoaaeaii? na?oey ca eii’thoa?eciaaiith
i?ia?aiith ia/enethaaeenue iniiai? ia?aiao?e ae?yeueiino? e?aiai
oeoii/ea, aaiiaeeiai?ee. Iaoiaeii ni??ia?ao?? a?aee?eoiai oeio c
iiaaiioaoiiao?ii ? aaoiiaoe/iei ?ioaa?aoi?ii aecia/aeenue
ooieoe?iiaeuei? iieacieee eaaai?a o aeeiai?oe? oai?iae.

Iaoiii?oieia?/i? aeine?aeaeaiiy aioo??oi?o i?aai?a ? aieiaiiai iiceo ia
1 –4-io oeaei? oai?iae i?iaaaeaii o 77 iiia?eeo (ni?eueii c noa?oei
iaoeiaei ni?a?ia?oieeii, e.i.i. TH.I. Ai?n?iiaith).

Aeine?aeaeaiiy ee?i?ee oa iaoiaaiaco aeno?aiaeueieo i?ioean?a oa noai?a
i?iaiaeeeinue aaciina?aaeiuei c 4-ai aeiy oai?iae ia oe? ?icaeoeo oa
caanaiiy (1- 5 oeaeaeaiue) neiioii?a ? neiae?ii?a, c ?ioa?aaeii a 1-3
aei? i?e oyaeeiio ? 3 — 5 aei?a — i?e na?aaeiueioyaeeiio ia?aa?ao.

Ia iniia? io?eiaieo aeaieo ?ic?iaeaii iaoiaee aoa?aioii-aoa?aioii?
ei?aeoe?? aeno?aiaeueieo i?ioean?a oa noai?a i?e oyaeeiio ia?aa?ao
eaioini??ico. ?acoeueoaoe oa?aiaaoe/iiai aieeao aoa?aioiiai e?eoaaiiy (1
a?oia — 125 oai?eo) aoee ni?anoaaeaii? ii aieeao ia aiiainoac o
aeeiai?oe? oai?iae c aoa?aioiith oa?ai??th (2 a?oia — 125 oai?eo).

Noaoenoe/io ia?iaeo i?iaaaeaii ?ai?acaioaoeaiei iaoaiaoe/iei aea??eiaei
iaoiaeii ia AII Pentium 300. c ?ic?aooieii iieaciee?a aeia??/i?
a??ia?aeiino?, eiao?oe??ioa No’thaeaioa. ?aaeaeoi? MS Word 97.

Ee?i?ei-iaoiaaiaoe/ia oa?aeoa?enoeea aeno?aiaeueieo i?ioean?a oa

noai?a i?e eaioini??ic?

Ee?i?/iee aiae?c iaoiaaiaoe/ieo iaoai?ci?a eaioini??ico iieacaa, ui
iacaeaaeii a?ae oyaeeino? ia?aa?ao, aeii?ioth/? iaoieia?/i? ci?ie ia
??ai? aeno?aiaeueieo aeey aiiainoaco i?ioean?a oa noai?a niinoa??aaeenue
ia?aaaaeii c aieo na?oeaai-noaeeiii? nenoaie, ie?ie, ia/?iee, aaiinoaco,
aiaeii-aeaeo?ie?oiiai aaeaino (?en. 1).

I?e oeueiio ii?aeiai? ii?ooaiiy aaiiaeeiai?ee ? na?oeaai? ae?yeueiino?
?icaeaaeenue o 93,3% oai?eo, ie?eiai? ? ia/?ieiai? ae?yeueiino? — o
99,6%, ii?ooaiiy ae?yeueiino? an?o aeua cacia/aieo i?aai?a ? nenoai — o
84,3%.

Aeey aecia/aiiy iaoiaaiaoe/ii? iniiae no?oeoo?ieo ? ooieoe?iiaeueieo
ci?i o i?aaiao ? nenoaiao iaie i?iaaaeaii ii?oieia?/i? aeine?aeaeaiiy
aioo??oi?o i?aai?a ? aieiaiiai iiceo a aeeiai?oe? oai?iae o 77
eaoaeueieo aeiaaeeao.

Iaoiii?oieia?/i? aeine?aeaeaiiy aioo??oi?o i?aai?a oa aieiaiiai iiceo
iiia?eeo ia ia?oiio oeaei?, ii/eiath/e c 4-? aeiae aeyaeee ae?aaeai?
?iceaaee i?e?ioee?eoeyoe??, ye? i?iyaeyeeny aeenoii??th noaeei,
iioeiaeaeaiiyi no?iee (iaa?ye, aiaieuaaa aeaneaaiaoe?y aiaeioae?th,
ieaciaoe/ia i?ini/oaaiiy). A iaeieo i?aaiao — na?oe?, ie?eao,
ia/?ioe? aeii?ioaaee ia?aaaaeii niaciiaai? a?oa??iee: iii?iaeiai?
eai?ey?e ? aaioee (?oai?caoe?y i?aai?a), o ?ioeo — eaaaiyo, naeac?ioe?,
aieiaiiio iiceo – noaeeie aoee ia?aaaaeii ?icoe?ai?, caiiaiai?
e?ia’th c i?iyaaie noaco, neaaeaeo, aaethoeiaoe?? a?eo?ioeeo?a. O 66,6%
oai?eo niinoa??aaeenue ii?oieia?/i? i?iyae AeAC e?ia? (iecee o?a?eio,
i?ao?iiae, i?e?io?iiae), iaea?eueo /anoi o iiceo (44,4%), eaaaiyo
(38,8%), ie?eao, ia/?ioe? (33,3%). O an?o iiia?eeo aoei aeyaeaii
/enaeuei? e?iaiaeeeae, ia?aaaaeii o eaaaiyo (88,8%), no?ioe? oeoiea,
eeoee (66,6%), i?iea?ae? (55,5%), ie?eao (39,0%). Aeeno?io?y c
iae?icii /anoeie ee?oei niinoa??aaeanue ia?aaaaeii o ie?eao,
ia/?ioe?, i?iea?ae?. Ae?aaeaiee na?iciee iaa?ye a ia/?ioe? i?ecaiaeea
aei ci?ie no?oeoo?e aeieueie o 85,8% niinoa?aaeaiue, aeeneiiieaenaoe??
aaeie, ?ic’?aeioaaiiy aaiaoioeeo?a, ii?ooaiiyi iaia?a?aiino? nenoaie
aeia/ieo eai?ey??a, ui ni?eyei iiaa?iaiith a?e??oa?io o e?ia
neioni?aeieo eai?ey??a oa ?ioaineaiiio c?inoaiith a?ia?a?e??oa?iai??.
I?e?ioee?eoeyoi?i? ? aaiieiaaoeyoe?ei? ?iceaaee aoee ii?oieia?/iei
noano?aoii ci?i caoaeaeoaaiino?, i?ia?aeiino?, nei?i/oaaiiy i?iea?aeo
na?oey, a?oa??aeueii? a?iioaic??, oeaio?ae?caoe?? e?iaiia?ao.

Ia ae?oaiio oeaei? oai?iae niinoa??aaeenue i?ia?anoth/?
i?e?ioee?eoeyoi?i? oa aaiieiaaoeyoe?ei? ii?ooaiiy ?c cia/ieie
oeoieiai-eeoeiaeie, eaaaiaaeie, iiniaeie e?iaioa/aie. O an?o iiia?eeo
ii?oieia?/ii aoee aeyaeai? /enaeuei? ?iciianthaeaeai? e?iaiaeeeae,
cie?aia, a eaaaiyo (78,0%), na?oe? (50,7%, i?ae aiaeiea?ae – 31,2%,
i?aeoeoii/eiao ia?aai?iaeeo a iaeano? i?ia?aeii? nenoaie na?oey –
10,4%), no?ieo oeoieo oa e?oee (36,4%), iiceo (27,3%), ie?ie (19,5%). O
ie?eao ?icaeaaany aiaieuaaee ooaoeiiae?ic, aai oioaeueiee ei?oeeaeueiee
iae?ic. O i?iea?ae? c?inoaee aeeno?io?/i? ci?ie i?iea?ae?ioeeo?a c
ae??aieie aiaieuaie iae?ico (ia?aio?iaoiciee i?iea?aeeo). O ia/?ioe? ia
oe? ?ioa?noeoe?aeueiiai iaa?yeo ? /anoeiaiai a?aeiiaeaiiy aaei/ii?
aoaeiae aeieueee c?inoaee yaeua aioo??oiueiia/?ieiaiai
oeaio?ieiaoey?iiai oieanoaco. Ii?yae c iiiioeaethey?iei iae?icii o
oeaio?? aeieueie aeyaeyeenue a?oie iae?ioeciaaieo aaiaoioeeo?a. A oeae
ia??iae ?icaeaaeeny caiaeuei? yaeua: iai?ia?o o 17,0% oai?eo,
iai?iaiaioeaoae?o o 43,0%, iiaaiii?y o 17,0%, i?iea?aeeo o 6,5%.

O?ao?e oeaeaeaiue oai?iae oa?aeoa?ecoaaany /enaeueieie e?iaiaeeeaaie
ia?aaaaeii a eeoee (61,1%), ie?ee (41,6%), eaaai? (52,0%) c
oeoieiai-eeoeiaeie (59,8%), iiniaeie (32,5%) e?iaioa/aie. O oeae ia??iae
a a?eueoino? i?aai?a niinoa??aaeenue caiaeuei? i?ioeane, ia?aaaaeii a
eaaaiyo (aiaieuaaa aenoaeaoeaia iiaaiii?y – 49,4%), oa iiceo
(iai?iaiaioeaoae?oe – 71,6% c o?aaeaiiyi aeeaieeo oeaiei iiceo o 57.2%).
III c ianeaieie e?iaioa/aie a oeae ia??iae aoee i?e/eiith eaoaeueieo
aeiaaee?a. Ia 4-io oeaei? oai?iae iinooiiai ciaiooaaeanue ?ioaineai?noue
aaii?aa?/iiai neiae?iio ? caiaeueieo yaeu o aioo?eoi?o i?aaiao oa OeIN,
a?aeiiaethaaeanue ?o no?oeoo?a ? ooieoe?y. Eaoaeuei? aeiaaeee aoee
iaoiiaeai? iie?i?aaiiith, ia?aaaaeii, ie?eiai-ia/?ieiaith
iaaeinoaoi?noth.

Ee?i?ei-ii?oieia?/iee aiae?c eaoaeueieo aeiaaee?a i?e eaioini??ic?
iieacaa, ui ia 1-io oeaei? aiie niinoa??aaeenue ia?aaaaeii (15,4%) ia
oe? NNI, ia 2 – 4-io – ia oii? III (52,5%). Cia/iee a?aenioie –27,0%
eaoaeueieo aeiaaee?a aoei iaoiiaeaii AeAC c e?iaioa/aie, ia?aaaaeii
eaaaiaaeie (2,6%) ia 1-io oeaei?, oeoieiai-eeoeiaeie (10,2%), eaaaiaaeie
(3,8%), iiniaeie (2,6%) – ia 2-io oeaei?. Iaea?eueoa (53,8%)
eaoaeuei?noue niinoa??aaeanue ia 2-io, iaeiaioa (2,6%) – ia 4-io oeaei?
oai?iae (?en.2).

Io?eiai? iaoiii?oieia?/i? aeaii? na?ae/aoue i?i cia/i? no?oeoo?i?
ci?ie o aioo??oi?o i?aaiao, oiio aea/aiiy iniaeeainoae aeeiai?ee
ee?i?/ieo i?iya?a eaioini??ico (300 oai?eo) iaie i?iaaaeaii c
o?aooaaiiyi aeyaeaieo caeiiii??iinoae o oa?aeoa?? no?oeoo?ieo ci?i
aioo??oi?o i?aai?a oa aeii?ioth/eo iaoieia?/ieo iaoai?ci?a, caeaoieo
i?ecaanoe aei eaoaeueieo aeiaaee?a. Ee?i?/i? aeine?aeaeaiiy iieacaee, ui
o an?o oai?eo oyaeeei oa na?aaeiueioyaeeei ia?aa?aii c 4-? aeiae
a?aeaoaathoueny aaaaoiooieoe?iiaeuei? iaoieia?/i? i?ioeane, ye?
ciaoiaeyoueny a iino?eiiio aeeiai?/iiio ?icaeoeo ia ??ai?
ia?aaeaeno?aiaeueieo oa aeno?aiaeueieo ci?i. Aecia/ath/eie oaeoi?aie o
oi?ioaaii? aeno?aiaeueieo noai?a o 190 (96,7%) oai?eo aoee oaeaee?noue
?icaeoeo ii?ooaiue aiiainoaco, ?ioaineai?noue oa aeeooci?noue i?aaiieo
? nenoaiieo o?aaeaiue, iani?iiiaei?noue eiiiainaoi?ieo iaoai?ci?a.

Ai?iaeiaae ia?oeo 3 – 4-o aei?a o 247 (82,3%) oai?eo iaoiaaiaoe/ii
oi?ioaaeenue aeno?aiaeuei? i?ioeane: aiaeioieneeic c ?cioii?/iith
aeaa?ae?aoaoe??th, aeao?oeeoii ??aeeie o aiaeiaacaeueiiio,
o?ainoeaethey?ii-oeaethey?iiio naeoi?? iiiaae 3,9+0,05 e.
Aaiieiaaoeyoe?ei? ii?ooaiiy ia oeae /an o 96,7% oai?eo
oa?aeoa?ecoaaeenue ?icaeoeii AeAC (a?ia?-a?iieiaaoeyoe??) c i?aeaeuaiei
??aiai o?a?eiiaaio (5,1+0,1 a/e), oa ca?eueoaiiyi /ano
?aeaeueoeeo?oeaoe?? ieacie (209,6 + 2,5 nae), cieaeaiiyi IO? (72,3+0,9%)
ia oii? ia??iaee/iiai i?aeaeuaiiy o?a?eiie?co aei 16,7+0,5%. Ana oea
ni?eyei i?e?ioeeeoeyoi?iei ?iceaaeai, cieaeaiith aoaeoeaiiai IOeE oa
?icaeoeo no?oeoo?ii-ooieoe?iiaeueieo o?aaeaiue na?oeaai-noaeeiii?
nenoaie (c 2 – 3-? aeiae), eaaai?a, ie?ie, ia/?iee (c 3 – 4-? aeiae),
OeIN (c 5 – 6-? aeiae). Iani?iiiaei?noue ?o ooieoe?iiaeueii?
ae?yeueiino? oi?ioaaea aeno?aiaeuei? aeey i?aai?cio noaie: NNI, EI, II,
II, oea?aa?aeuei? ?iceaaee, ye? aaciina?aaeiuei aecia/aee oyaee?noue
ia?aa?ao oa aeo?ae oai?iae.

Ii/aoeia? na?oeaai-noaeeii? ?iceaaee o 199 (66,3%) iaoe??io?a c 3-?
aeiae aecia/aeenue iano?eeeie eieaioi?aeieie noaiaie ia oii? ?ioaineaii?
neaaeino?, oao?ea?ae??th aei 118,2 + 1,1 ia oa-1, oa oao?a?eoi??th o
54,0% aeiaaee?a. Aiae?c iieaciee?a na?oeaai? ae?yeueiino? ?
aaiiaeeiai?ee (oaae. 1) iieacaa, ui i?e na?aaeiueioyaeeiio ia?aa?ao
aiie nooo?ai ia ci?ithaaeenue, a oie /an ye i?e aaaeeiio ia?aa?ao o
85,2% oai?eo ?icaeaaeanue NNI. Aiia oa?aeoa?ecoaaeanue: cieaeaiiyi
aeaa?oo na?oey, a?ieia?/ii? aeoeaiino? i?iea?aea c ii?ooaiiyi
i?ia?aeiino?, caoaeeeaino?, nei?ioeeaino?, aaiiaeeiai?/ieie ?iceaaeaie,
ia?aaaaeii (90,0%) ii a?iiaeeiai?/iiio oeio. A i?ioean? ?icaeoeo NNI
ciaiooaaeanue nei?i/oaaeueia aeoeai?noue i?iea?aea a nenoieo, o?aeoe?y
aeeeaeo, aiane?aeie /iai /anoeia e?ia? a ae?anoieo caeeoaeanue o e?aiio
oeoii/eo, i?ecaiaey/e aei ca?eueoaiiy eiai ia’?io ? eiiiainaoi?ii?
a?ia?o?io??. Ca nooiaiai ae?aaeaiino? NNI aeae?eaii 3 noaae??. Noaae?y
eiiiainaoe?? oa?aeoa?ecoaaeanue a?aeiinii caaeia?eueiei na?oeaaei
aeaa?oii, OIN, na?oeaaei ?iaeaenii (3,01 + 0,13 e/oa•i2), i?e iii??iiio
cieaeaii? OI aei 68,1+1,7 ie, o?aeoe?? aeeeaeo aei 56,0 +2,1%,
oaea?iiai ?iaeaeno (39,8 + 1,5 ie/i2), ciaioaiiyi AOn. o 62,0% oai?eo
i?e ii?iaeueiiio ioeueniaiio AO, oa CII 1797,5+18,5aeei/n•ni5. Noaae?y
noaeiiiainaoe?? oa?aeoa?ecoaaeanue i?ia?anoth/ei cieaeaiiyi OI aei 60,0
+ 1,5 ie, oaea?iiai ?iaeaeno (35,1 +1,9 ie/i2), o?aeoe?? aeeeaeo aei
49,2+1,9% (?<0,05), oeaio?ae?caoe??th e?iaiia?ao aeey noaa?e?caoe?? OIN, a a?aeiia?aeii ? na?oeaaiai ?iaeaeno (2,82 + 0,17 e/oa•i2), aaiiaeeiai?/ieie ?iceaaeaie - a?oa??aeueiith a?iioaic??th c iii??iei cieaeaiiyi ioeueniaiai AO, CII aei 1556 + 12,3 aeei/n•ni5. O 46,0% oai?eo ia oe?e noaae?? ia ni?aoeueiaoaaa eiiiainaoi?iee iaoai?ci i?aeaeuaiiy *NN, ui caiia?aaei cieaeaiith OIN. Noaae?y aeaeiiiainaoe?? oa?aeoa?ecoaaeanue ??ceei cieaeaiiyi ianinii? ooieoe?? na?oey: OI aei 49,3+1,3 ie, o?aeoe?? aeeeaeo iiiaae 38,9+1,6%, oaea?iiai ?iaeaeno aei 28,8 + 2,3 ie/i2, iaae?iiyi CII (864,5+17,2 aeei/n•ni5), aeaoeaio?ae?caoe??th e?iaiia?ao, c?inoaiiyi *NN, noacii e?ia? o aaeeeiio oa iaeiio eie? e?iaiia?ao ?c cia/ieie e?iaiaeeeaaie o eaaai?, oee?eoeyoi?iith a?iienai??th, noa- ? aeaeiiiainiaaiei aoeeaeicii. Aeaeo?iea?ae?ia?ao?/i? ci?ie a?aei?/aeeny o 92,8% oai?eo i?e oyaeeiio ia?aa?ao eaioini??ico (cieaeaiiy aieueoaaeo coaoe?a, ?icoe?aiiy oa ci?uaiiy ?ioa?aaeo S-O, ?icuaieaiiy coaoey QRS). A?eoi?y (ia?aaaaeii e?aioeoii/eiaa aeno?anenoie?y) c’yaeyeanue c 3-4-? aeiae oai?iae o 74,3% /ie. Na?oeaai-noaeeii? ?iceaaee aeii?ioaaee ai?iaeiaae 4 – 6-? aeiae oai?iae ? coiiaethaaee ?ioaineaiee ?icaeoie III c 6-7-? aeiae o 93,1% oai?eo. I?e na?aaeiueioyaeeiio ia?aa?ao III oa?aeoa?ecoaaeanue iii??iith o?ai??th ? aeiaoyieoeath o?eaae?noth aei 5,8 + 0,3 aei?a, i?e oyaeeiio - cia/iei ii?ooaiiyi eeoai/eiai? o?eueo?aoe??, eaiaeueoeaai? ?aaani?aoe??, eiioeaio?aoe?eii? aeoeaiino? iao?ii?a, ae?aaeaiith aeiaoyieoeath o?eaae?noth aei 30,7 + 1,1 aei?a (oaae. 2). Cieaeaiiy ae?o?aoe/ii? oa ee??ainiai? aeoeaiino? i?ecaiaeeee aei i?ia?aae??ioiiai c?inoaiiy o?ai??. O e?ia? oaeaeei i?aeaeuoaaany ??aaiue e?aaoei?io iiiaae 118,4+5,7 ieiieue/e, na/iaeie iiiaae 5,7+0,2 iiieue/e ai?iaeiaae aeiae i?e ie?ao??? (54,4% iaoe??io?a), nyaath/e e?eoe/iiai ??aiy ai?iaeiaae 6-7-e aei?a (ia 9 – 11-o aeiao oai?iae). Ua oaeaeoa i?aeaeuoaaeenue e?aaoei?i (iiiaae 130,5+7,9 ieiieue/e), na/iaeia (iiiaae 8,6+0,4 iiieue/e ai?iaeiaae aeiae) i?e aio??? o 35,6% iaoe??io?a, nyaath/e e?eoe/iiai ??aiy ai?iaeiaae 4–5-e aei?a (ia 8 – 10-o aeiao oai?iae), e?aaoei?i - aei 1117,6+10,1 ieiieue/e, na/iaeia aei 51,8+1,8 iiieue/e. ?o ee??ain i?e ie?ao??? cieaeoaaany ia 68,5+3,8% a?ae ii?ie. Oaeiae ??cei aei 209,8+9,8 ieiieue/e c?inoaa ??aaiue ai?aeo o e?ia?, iaoiiaethth/e yaeua aioeaoaeiiao??. Aeeiai?ea aiaeii-aeaeo?ie?oiiai aaeaino ia 8 – 10-o aeiao oai?iae aecia/aeanue aene?aoi?ii-eiioeaio?aoe?eiith iiaeeea?noth ie?ie. Ie?aiaio??y i?ecaiaeeea aei no?eei? a?ia?a?ae?aoaoe?? aiaeiaacaeueiiai naeoi?o ia oii? a?ia?iniiey?iino? ieacie (317,7+0,9 iini/e) , c ianooiiith o?ainoeaethey?iith a?ia?a?ae?aoaoe??th, a i?e NNI o 29,6% iaoe??io?a ? aei aioo??oiueiee?oeiii? a?ia?a?ae?aoaoe?? (aiaei?e ?ioieneeaoe??). Ai?iaeiaae 2-ai oeaeiy oai?iae aiaeii-aeaeo?ie?oi? ii?ooaiiy aeeiai?/ii ci?ithaaeenue ia ??ai? aeci-aiaeiaacaeueiiai aeenaaeaino, ? eeoa ia oe? a?aeiiaeaiiy ae?o?aco iinooiiai ?aa?anoaaee. Aeey aaeaeaaoii? ioe?iee II ie aaaaeaee iaaeinoaoi?ie 3 noaae?? (TH.A.Eiac?i, A.I.Eacaioeaa,1996), a ca’yceo c /ei ca aeaieie iaoiaaiaco aeae?eeee 4 noaae??. Ia?oa noaae?y - cieaeaiiy ae?o?aco, oa?aeoa?ecoaaeany ciaioaiiyi e?eueeino? na/? aac ee??ainiai? iaaeinoaoiino? iao?ii?a (o?eaaea 1,5+0,2 aeiae). Ae?oaa - ie?aiaio??? (ae?o?ac iaio i?ae 400 ie/aeiao), noi?iaiaeaeoaaeanue i?ia?aae??ioiei c?inoaiiyi o?ai?? i?e iecuee?e ee??ainia?e aeoeaiino? (o?eaaea 1 – 6 ae?a). *ei ?ai?oa ?icaeaaeanue aio??y, oei a?eueo no?eeith aiia aoea. O?aoy noaae?y - iani?iiiaeiiai ae?o?aco, oa?aeoa?ecoaaeany c?inoaiiyi ia’?io na/? aei 1,5+0,2 e i?e iecuee?e ee??ainia?e aeoeaiino? iao?ii?a (o?eaaea 1 – 4-e aeiae). Iniaeeaa oaaaa aei oe??? noaae?? aoea coiiaeaia iayai?noth o cia/ii? e?eueeino? oai?eo (41,0%) c?inoaiiyi ii?ooaiue aiiainoaco, o?ai?? i?e iii??iiio ca?eueoaii? ae?o?aco (iiiaae 0,3 + 0,1 e ai?iaeiaae 2,8 + 0,3 ae?a). O /aoaa?o?e noaae?? - a?aeiiaeaiiy ae?o?aco, i?aeaeuoaaeenue o?eueo?aoe?eia, ?aaani?aoe?eia aeoeai?noue ie?ie aei iie?o??? (i?e iecuee?e u?eueiino? na/?), o e?ia? aeoeaii cieaeoaaany ??aaiue na/iaeie, e?aaoei?io oa aiii?th (a na?aaeiueiio aei 16,2 + 0,3% ia aeiao). O?aaeaiiy ia/?iee niinoa??aaeinue o an?o oai?eo ? noi?iaiaeaeoaaeinue ca?eueoaiiyi ?? ?ici???a ia 10,7+1,1%, cieaeaiiyi aene?aoi?ii? aeoeaiino?, aiane?aeie /iai aaea aei 6-7-? aeiae a e?ia? i?aeaeuoaaany ??aaiue a?e??oa?io a 4,2+0,3 ?ace. Ia ii/aoeo 2-ai oeaeiy (8 – 9-a aeiaa) o an?o oai?eo c oyaeeei ia?aa?aii eaioini??ico iaei i?noea ?ioaineaia c?inoaiiy ??aiy a?e??oa?io i?e aeoeaiino? AeAO 1,2 + 0,01 iiieue/e•aiae. O 56,8 % oai?eo iaeneiaeueiiai ??aiy a?ia?a?e??oa?iai?y nyaaea aei 13,2 + 0,2 aeiae (377,6 +3,9 ieiieue/e), o 38,0% iaoe??io?a, c o?eaaeith ie?aiaio???th, ia 12 –14-o aeiao (812,4+11,7 ieiieue/e). I?e oeueiio, /ei o?eaae?oith aoea o?ai?y, oei a?eueoa c?inoaa a?e??oa?i. Cieaeaiiy eiai ??aiy a?aeaoaaeiny ia oe? iie?o??? o noaae?? a?aeiiaeaiiy ae?o?aco II. Ca na?aaeiueinoaoenoe/ieie aeaieie iaeneiaeueiiai ??aiy II nyaaea ia 10 –12-o aeiao oai?iae - 78,0% oai?eo, II - ia 11—13-o aeiao - 80,5%. Oyaeeee ia?aa?a ia 2-io oeaei? noi?iaiaeaeoaaany a?ia?o?io??th ? ca?eueoaiiyi iane i?iea?aea e?aiai oeoii/ea aei 176,6+3,8 a, cieaeaiiyi o?aeoe?? aeeeaeo iiiaae 15,2 + 0,4%, ui i?ecaiaeeei aei cieaeaiiy ia’?io e?ia?, yea iaaeoiaeeea aei i?aaiai oeoii/ea, a?aeiia?aeii, ? o eaaai?. NNI oa iiaaiii?/i? yaeua o 60,5% oai?eo i?ecaiaeeee aei ii?ooaiiy ooieoe?? eaaai?a ca iano?oeoeaiei oa ?ano?eeoeaiei oeiii, c yaeuaie EI a?ae eiiiainiaaiiai aei aeaeiiiainiaaiiai ??aiy. A iniia? EI aoee ci?ie ia’?iieo, oaeaee?nieo oa /aniaeo iieaciee?a ooieoe?? eaaai?a (oaae. 3). Eiiiainiaaia EI oa?aeoa?ecoaaeany i?aeaeuaiiyi OI i?e ca?eueoaii? *Ae, cieaeaiiyi ii/aoeiai? oaeaee?nii? aeoeaiino? aeeoaiiy o 38,0% /ie. *an niie?eiiai aeaeeoo oa aeaeeoo AE?Eo. ciaiooaaany ca ?aooiie nei?i/aiiy iaeneiaeueii? oaeaeeino? aeaeeoo. A e?ia? ?NI2 iaa oaiaeaioe?th aei cieaeaiiy o 42,0% oai?eo, ?I2 ia ci?ithaaany. Noaeiiiainiaaia EI oa?aeoa?ecoaaeanue caaeeoeith aei 29,1+0,7/oa c? cieaeaiiyi /ano aaeeoo ia 50,8+1,2% AeI, AE?E oa AE?Eo. ia 20-30% a?ae o?c?ieia?/ii? ii?ie. Ciaioaiiy ooieoe?iiaeueii? aeoeaiino? eaaai?a, AE?E i?ecaiaeeei aei cieaeaiiy o 44,0% oai?eo ?I2, ? ?icaeoeo eiiiainiaaiiai ?ani??aoi?iiai aeeaeico - o 22,8%. Noaae?y aeaeiiiainaoe?? oa?aeoa?ecoaaeanue c?inoaiiyi caaeeoee, iiaeaeueoei cieaeaiiyi AeI, OI (aei 40,8+1,3%). ?iaeoeaaoe?y aeeoaeueii? aeoeaiino?, oaeaee?nieo oa ia’?iieo ooieoe?e aaeeoo ? aeaeeoo i?ecaiaeeee aei cieaeaiiy AE?E, AE?Eo. ia 31,5+0,4%, c?inoaiith ia?oaiai i?inoi?o oa a?iinoaco a eaaaiyo. Cieaeaiiy oaeeeiii? aeueaaiey?ii? aaioeeyoe?? ia 43,9+0,6% i?ecaiaeeei aei a?ia?eaii?? ? a?iien?? c iaae?iiyi ?I2 o e?ia? ia 25,1+0,9%. Iae?ioieneeic ia 2-io oeaei? oyaeeiai ia?aa?ao neeaaeaa iaa?ae’?iio /anoeo iaoieia?/iiai i?ioeano o 83,8% oai?eo. Neiae?iiieie o?aaeaiiyie OeIN aoee: caaaeueiiiiceiaee (64,0%), aaaaoi-noaeeiiee (67,7%), iai?iaaaeueiee (37,0%), aioeaoae?oe/iee (3,3%). I?e oeueiio, o a?eueoino? oai?eo – 70,1% o?aaeaiiy aoee ii?aeiaieie. Iai?ia?o a?aei?/aany o 14,0% oai?eo oa oa?aeoa?ecoaaany ca na?aaeiueinoaoenoe/ieie aeaieie iacia/iith e?eai?iith a?ia?oaic??th (268,5+6,7 ii aiae.no.), iii??iei (aei 203,4+9,8•106/e), ia?aaaaeii e?ioioeeoa?iei ieaioeeoicii (51,7+4,1%) c aaii?aa?/iei eiiiiiaioii (6,5% /ie.); iii??iith (0,47+0,01 a/e) i?ioa?ii?ao??th (ia?aaaaeii c aeiaoe?iiaith o?aeoe??th). Ia oii? III o e?eai?? niinoa??aaeinue no?eea i?aeaeuaiiy ??aiy na/iaeie oa iniiey?iino?, aeecaeaeo?ie?o?y, aeao?oeeo aooa?ieo iniia aei 3,96+0,05 iiieue/e i?e ?I 7,31+0,02. I?e caaaeuei?e oaiaeaioe?? aei na?iciiai oa?aeoa?o caiaeaiiy a e?eai?? o 7 ?c 35 oai?eo a?aei?/aeeny yaeua ai?eiiai caiaeaiiy c i?ioa?ii?ao??th aei 0,98+0,03 a/e, iaeo?io?eueiei ieaioeeoicii aei 785,6+22,9•106/e oa aaeoa??aeueiith oei?ith o 5 oai?eo (iiaaiieie, noao?eieie). Aaiieiaaoeyoe?ei? ii?ooaiiy ii?yae c i?aaiieie aoee i?ia?aeiith neeaaeiaith /anoeith iaoieia?/iiai i?ioeano o oeae ia??iae o 88,0% oai?eo, iniaeeai i?e ?eoa?iaaii?aa?/iiio eaioini??ic? ia oe? o?ii?/iiai o?aaeaiiy ia/?iee (20,4% oai?eo). Ae?oaee oeaeaeaiue oai?iae o 99,6% iaoe??io?a oa?aeoa?ecoaaany i?ia?anoth/ith a?iieiaaoeyoe??th ?c cieaeaiiyi IO? aei 63,4+1,9%, iiaeiaaeaiiyi /ano ?aeaeueoeeo?eaoe?? ieacie aei 288,7+4,2 nae., /ano cai?oaiiy ieacie aei 16,2+0,2 oa., cia/ieie e?iaioa/aie oa e?iaiaeeeaaie o 44,0% oai?eo (iiniaeie, oeoieiai-eeoeiaeie, eaaaiaaeie, i?aeoe??yieie). O 22,0% aiie i?ecaiaeeee aei aiai?? (cieaeaiiy e?eueeino? a?eo?ioeeo?a aei 2,15+0,1 •1012/e, ??aiy aaiiaeia?io - 80,9+1,3 a/e), cieaeaiiy a?eea aei 52,5+0,5a/e ca ?aooiie ye aeueaoi?io, oae ? aeiaoe?io . Ia oii? aiai?? niinoa??aaeinue cia/ia i?eai?/aiiy i?ieiaaoeyioii? aeoeaiino? c ?icaeoeii eiaaoeiiao?? iio?aae, iaae?iiyi ??aiy caaaeueiiai a?eea aei 52,5 + 0,5 a/e, o?a?eiiaaio aei 2,8+0,02 a/e oa IO? aei 40,7+1,9% (15,0% oai?eo). O?ao?e oeaeaeaiue oyaeeiai ia?aa?ao oai?iae oa?aeoa?ecoaaany iinooiiaei a?aeiiaeaiiyi ooieoe?? ie?ie, ia/?iee o 79,4% aeiaaee?a, noaa?e?caoe??th aaiiaee-iai?ee, na?oeaai?, eaaaiaai? ae?yeueiino? o 80,5%, aaiinoaco o 75,6% (oaae.4). A oie aea /an o 20,5% oai?eo (ia?aaaaeii c o?ii?/iei aaiaoicii – 13,5%), aei 15 – 18-? aeiae c?inoaea II ? a?e??oa?iai?y nyaaea iaeneiaeueiiai ??aiy 410,7 + 9,9 ieiieue/e, a a iaea?eueo oyaeeeo - 10,8% aeiaaee?a - 816,7+9,1 ieiieue/e, i?e aeoeaiino? AeAO 1,1 + 0,03iiieue//an*e. O oe?e a?oi? o 9,2% oai?eo i?ia?anoaaea aiai?y (c? cieaeaiiyi e?eueeino? a?eo?ioeeo?a aei 2,01 + 0,02•1012/e), a?iieiaaoeyoe?y (AeAC III no.) c no?eeith a?iio?a?eiiaaiai??th (1,8 + 0,1 a/e). Ai?iaeiaae 3-ai oeaeiy ia oe? iie?o??? i?e oyaeeiio ia?aa?ao oai?iae, aiaeii-aeaeo?ie?oi? ii?ooaiiy aeeiai?/ii ci?ithaaeenue ia ??ai? aeci- ? aiaeiaacaeueiiai aeenaaeano o 43,2% oai?eo oo?eioaaeanue no?eea a?iia?ae?aoaoe?y oa a?iiaieai?y, oaiaeaioe?y aei a?iioaic??. ??aaiue ai?aeo o e?ia? aei 20-21-? aeiae cieaeoaaany aei 98,7+2,3 ieiieue/e. *aoaa?oee oeaeaeaiue oai?iae oa?aeoa?ecoaaany iinooiiaei a?aeiiaeaiiyi ae?o?aco oa ?aa?anii III (o?ai??, aeenaieai??), noaa?e?caoe??th aaiiaeeiai?ee, i?aeaeuaiiyi i?ieiaaoeyioii? aeoeaiino?, ciaioaiiyi ?ioaineaiino? e?iaioa/? o 64,7% oai?eo. Cia/i? e?iaioa/? c aiai??th iaee i?noea eeoa o 1,7% oai?eo. Ia iniia? noaoenoe/iiai aiae?co aeeiai?ee ee?i?/ieo i?iya?a eaioini??ico o 100 oai?eo, iaie aa?eo?eiaaii 14 iaea?eueo ?ioi?iaoeaieo e?eoa???a oyaeeino? ? i?iaiico ee?i?/iiai ia?aa?ao eaioini??ico a iaae? ?<0,05 (oaae.5). Eiaeai e?eoa??e ioe?ithaaany ca ae?aaeai?noth a?ae 1-ai aei 3-o aae?a. 1-io nooiaith a?aeiia?aeaa 1 aae (ci?ia aaee/ei a?ae ii?ie aei cacia/aiiai ??aiy), 2-io – 2 aaee (ci?ia iieaciee?a), 3-io – 3 aaee. Aeey na?aaeiueioyaeeiai ia?aa?ao aoea aecia/aia ci?ia iieaciee?a a?ae ii?ie aei 1-ai nooiaiy o 94,0% oai?eo (?<0,01), caaaeueia noia aae?a neeaaeaea - 5 - 13. Aeey oyaeeiai ia?aa?ao ci?ia iieaciee?a ia?aaaaeii (92,0% oai?eo) niinoa??aaeanue a iaaeao 2-ai - 3-ai nooiai?a (?<0,01), caaaeueia noia aae?a neeaaeaea - 14 - 42. Aeey oyaeeiai ia?aa?ao eaioini??ico i?iaaaeaia a?aaeaoe?y ae?aaeaiino? e?eoa???a a iaaeao 2-ai ? 3-ai nooiai?a aeey aecia/aiiy eiiiainaoi?ieo iiaeeeainoae i?aai?cio ? i?iaiico. Ae?oaa nooi?iue aoea oa?aeoa?ia aeey ni?iiiaeieo eiiiainaoi?ieo i?ioean?a (?<0,05, ni?eyoeeaiai ia?aa?ao o 85,0% oai?eo), 3-y nooi?iue – aeey noa– aai aeaeiiiainiaaieo eiiiainaoi?ieo i?ioean?a (?<0,05, ni?eyoeeaiai ia?aa?ao o 50,5% oai?eo). Aiae?c ee?i?/ii-ii?oieia?/ieo aeaieo na?ae/eoue, ui c 5-6-? aeiae ai?iaeiaae 2 – 3-ai oeaei?a ia?aa?a oyaeeeo oi?i eaioini??ico noi?iaiaeaeoaaany ii?aeiaieie i?aaiii-nenoaiieie o?aaeaiiyie (neiae?iiii iie?i?aaiii? iaaeinoaoiino?), c iayai?noth neia?a?/iiai aoaeoo o iaoieia?/ieo i?ioeanao, aeac?ioaa?aoe??th ? iani?iiiaei?noth eiiiainaoi?ieo iaoai?ci?a. Ca oa?aeoa?ii iaoieia?/ieo iaoai?ci?a i?e eaioini??ic? o eiai iaoiaaiac? iaie aeae?eaii 4 ia??iaee c ?<0,05 aeey 88,0% oai?eo c oyaeeei ia?aa?aii, oa 86,0% - c na?aaeiueioyaeeei: 1-e (ia?aeiiiai aiaeioieneeico) – oa?aeoa?ecoaaany eaioini??ai??th, oienai??th, a?ia?oa?i??th, a?iiaieai?/ieie, i?e?ioee?eoeyoi?ieie, aaiiaeeiai?/ieie ?iceaaeaie, (o?eaaa c 1-? aei 4-? aeiae iacaeaaeii a?ae oyaeeino? ia?aa?ao oai?iae); 2-e (i?aaiii-nenoaiii? iaaeinoaoiino?) – oa?aeoa?ecoaaany ooieoe?iiaeueiith iani?iiiaei?noth na?oeaai-noaeeiii? nenoaie, ie?ie, ia/?iee, eaaai?a, aoi?eiiei aiaeioieneeicii, AeAC, aeenaieai??th, aeecaeaeo?ie?o??th, (o?eaaa c 4–? aeiae ai?iaeiaae 3-o – 5-e ae?a i?e na?aaeiueioyaeeiio ia?aa?ao, oa ai?iaeiaae 8 – 12-e ae?a i?e oyaeeiio ia?aa?ao); 3-e (a?aeiiaeaiiy) – oa?aeoa?ecoaaany iinooiiaith noaa?e?caoe??th ae?yeueiino? o?aaeaieo i?aai?a ? nenoai, aeoeaaoe??th eiiiainaoi?ieo iaoai?ci?a, (o?eaaa c 8 – 10-? aeiae ai?iaeiaae 7 – 10-e ae?a i?e na?aaeiueioyaeeiio, oa c 13 – 19-? aeiae ai?iaeiaae 12 – 20-e ae?a i?e oyaeeiio ia?aa?ao); 4-e (?aeiiaaeanoeaioe??) – oa?aeoa?ecoaaany ii?iae?caoe??th ae?yeueiino? i?aai?a ? nenoai, iieaciee?a aiiainoaco, (ianooiaa ia 3 – 4-e oeaeaeaiue i?e na?aaeiueioyaeeiio oa 5 – 8-e oeaeaeaiue - i?e oyaeeiio ia?aa?ao). Aeey ae?aaiinoeee eaioini??ico iaie canoiniaaia eeaneo?eaoe?y, yea caeaoia a?aeia?aaeaoe oa?aeoa? i?aaiieo ? nenoaiieo o?aaeaiue, nooiaiue ?o aecia/aiino?. Eaioini??ic: 1. Ao?ieia?y. 2. Oyaee?noue ia?aa?ao: oyaeeee, na?aaeiueioyaeeee, eaaeee. 3. Oa?aeoa?enoeea i?aaiii-nenoaiieo o?aaeaiue ii oyaeeino?: na?oeaai-noaeeiia nenoaia (NNI, i?iea?aeeo); ie?ee (II, aio??y, ie?aiaio??y, iie?o??y, iao?ioe/iee neiae?ii); ia/?iea: (II, aaiaoic); eaaai? (EI, aeeno?an-neiae?ii, iiaaiii?y, ?ioa?eo eaaai?a); ia?aiaa nenoaia (eiia, iai?ia?o, aioeaoae?o, aioeaoaeiiao?y, iaa?ye iiceo); nenoaia e?ia? (neiae?ii AeAC, e?iaioa/a, o?iiaice, aiai?y); oeoieiai-eeoeiaee o?aeo (aano?eo, aioa?eo, eie?o, iaie?aaoeo). 4. Caeeoeia? yaeua: i?iea?ae?iaeeno?io?y, iao?ioe/iee neiae?ii, aaiaoi-iaaae?y, oieaoeenoeo, i??eiiao?eo, a?o?eo, anoai?/iee neiae?ii oa ?io?. 5. Iane?aeie oai?iae: iiaia, /anoeiaa iaeoaeaiiy, nia?oue. Iniaeea?noth eeaneo?eaoe?? ? oa, ui aiia aeeth/a? i?aaiii-nenoaii? o?aaeaiiy ye neeaaeia? /anoeie iaoiaaiaco eaioini??ico. ?icaeyaeaoe aeiaoyieoeth i?ia?aeiei eiiiiiaioii eeaneo?eaoe?? (A.?.Iie?ianueeee ? ni?aaao., 1979 ?.) ie aaaaea?ii iaaeioe?eueiei, ine?eueee aiia nooo?ai ia aieeaaea ia oyaee?noue ia?aa?ao oai?iae. Aeine?aeaeai? iaoiaaiaoe/i? iaoai?cie aeno?aiaeueieo noai?a ? i?ioean?a i?e eaioini??ic? aecia/eee aaaeo/? iai?yiee oa?aiaaoe/ieo caoiae?a. Ei?aeoe?y aeno?aiaeueieo i?ioean?a oa noai?a i?e eaioini??ic? Ee?i?/iee aiae?c iieacaa, ui o 75,0% iaoe??io?a e?eoaaiiy aioea?ioeeaie ? ?aa?ae?aoaoe??th ?icii/eiaeinue c 4-? aeiae oai?iae ? i?ci?oa oa eeoa o 25,0% iaoe??io?a c 2 - 3-? aeiae. I?e oeueiio, o 66,9% aeiaaee?a i? aeica aioea?ioee?a, i? ia’?i ?aa?ae?aoaoe?? ia a?aeiia?aeaee oa?aeoa?o iaoieia?/ieo ci?i. C iaoith oaeineiiaeaiiy iaoiaaiaoe/ii? oa?ai?? i?e oyaeeiio ia?aa?ao eaioini??ico iaie ?ic?iaeaii ? iai?aoeueiaaii aa?eo?eiaai? iaoiaee iaa?aeeeaaeii? aoa?aioii? (100 oai?eo) ? aoa?aioii? (125 oai?eo) ei?aeoe?? iaoieia?/ieo i?ioean?a ? noai?a ai?iaeiaae anueiai aino?iai ia??iaeo oai?iae. I?ia?aeieie eaieaie iaoiaaiaoe/ii? oa?ai?? eaioini??ico c 4-ai aeiy oai?iae ? noaa?e?caoe?y i?e?ioee?eoeyoe??, aaiinoaco, ia’?io ? neeaaeo oee?eoethth/i? e?ia? (ca ?aooiie ?aa?ae?aoaoe??), aaiiaeeiai?ee (ianinii? ooieoe?? na?oey, AO). ?aa?ae?aoaoe?y i?aai?cio i?e aeneeic? ? aeii?ioth/ei o?aaiaioii iaa?aeeeaaeii? oa?ai?? ? nai?/ania ?? canoinoaaiiy aeicaiey? noaa?e?coaaoe aaiiaeeiai?eo ia ??ai? eiiiainiaaii? NNI oa aeinyaoe ae?o?aco o 25,5% oai?eo c ie?aiaio???th. Niinoa?aaeaiiy aeiaaee, ui ia?aeiio ?aa?ae?aoaoe?th aeioe?eueii i?iaiaeeoe ?ciiniiey?ieie ?ic/eiaie ai?iaeiaae 24-36 aiaeei ? o ?? ia’?i aeeth/aoe aeo?aoe ia?aeiiiai aiaeioieneeico aei aini?oae?caoe?? (1,5+0,05 e) oa aeiaia? a?ieia?/i? aeo?aoe. Iiaeaeueo? (c 5 – 6-? aeiae) - ia’?ie ?iooc?? iiaeii? a?aeiia?aeaoe noeoiiino? iiaiaeeiieo a?ieia?/ieo aeo?ao (na/a, eae, aethaioa) oa aeiaiaeo - 0,8 e i?e ii?iioa?i?? oa aeiaeaoeiai - 0,5 e ia eiaeiee a?aaeon i?aeaeuaii? oaiia?aoo?e. ?ioaineai?noue ?icaeoeo iaoieia?/ieo i?ioean?a i?e oyaeeiio ia?aa?ao eaioini??ico iaoiiaethaaea aeioe?euei?noue iaa?aeeeaaeii? ei?aeoe?? NNI oa EI o 84,4% iaoe?aio?a aaciina?aaeiuei c 4-5-? aeiae oai?iae ca ?aooiie noaa?e?caoe?? o?iii-?ii-aaoiio?iiii? ae?yeueiino? na?oey, eaaaiaai? aaioeeyoe??, aaciiai?io. Iiceoeaiee ?iio?iiiee aoaeo o 72,0% oai?eo ai?iaeiaae 4–6-e aiaeei aeinyaaany a/a aaaaeaiiyi 30-60 ia i?aaei?cieiio, aai aeioai?io – aei 0,3 ia/ea ia aiaeeio ia oii? ae?eiceae?a oa aeaiiey??coth/iai ?ic/eio. Aeey oo?eiaiiy a?eueo noaa?eueii? aaiiaeeiai?ee i?e noa- aai aeaeiiiainiaai?e NNI ca ?aooiie noaeeiiiai eiiiiiaioa ie ia??oiooaaee aeioe?euei?noue eiiieaenii? ei?oeeinoa?i?aeii-neiiaoii?iaoeeiai? (i?aaei?cieii, a?ae?iei?oecii, aeioai?ia, ii?aae?aiae?ia) oa?ai?? (oaae. 6). I?e eiiiainiaai?e oa noaeiiiainiaai?e EI ciaioaiiy aeeoaeueii? iaaeinoaoiino? o 84,0% oai?eo aoei aeinyaiooi ca ?aooiie a?aeiiaeaiiy ooieoe?? eaaai?a (naiaoe??th oa noeioeyoe??th ae?aiaaeii? ooieoe?? a?iio?a, ?iaaeyoe??th eenith, aeaeiii?an??th caeooiai oeoiea, eeoeiaeea), ciaioaiiy aiai??. Nooo?ao noaa?e?caoe?th aaiinoaco c iiaeoeyoe??th i?ieiaaoeyioii? aeoeaiino? i?e ??-??? no. AeAC iaoiiaethaaei yeiiiaa ?aii? canoinoaaiiy aia?ii?ioaeoi?a -12,5% ?ic/eio aoaiceeaoo o aeiaia?e aeic? 750–1250 ia, a ii?aeiaii? c ?ia?a?oi?aie o?a?eiie?co (i?e o?a?iie?oe/i?e aeoeaiino? iiiaae 10%): c 5% ?ic/eiii ai?iieai?iiiai? eeneioe - 100-200 ie ia aeiao, aai eiio?eeaeii iiiaae 60 000 IAe (i?e aio???). Aaiicai?uoth/a oa?ai?y na?aeith ?cia?oiiith e?ia'th, ieaciith, e??ii?aoeei?oaoii aoea canoiniaaia eeoa a 10,0% aeiaaee?a, i?e cia/ieo e?iaioa/ao c aiai??th. E?eoaaeuei? caoiaee c 2 – 3-ai oeaei?a oai?iae aeeth/aee ei?aeoe?th III, a oaeiae, e?iaiia?ao, na?oeaai? ae?yeueiino?, aeeoaiiy, oea?aa?aeueieo ?iceaae?a, aiaeii-aeaeo?ie?oiiai aaeaino, EIN. Aeey i?aeo?eiee IOeE ia 2-o oeaei? oai?iae iaie aecia/aii iioeiaeueiee neeaae ?iooc?? (e?enoaei?ae?a, aeaeno?ai?a, eiei?ae?a) a caeaaeiino? a?ae ii?ooaiue aiiainoaco (oaae. 7). Ca o?aaeeoe?eieie noaiaie, eiiieaen oa?aiaaoe/ieo caoiae?a i?e II c ie?aiaio???th aeeth/aa noeioeyoe?th ae?o?aco a?ia?iniiey?ieie ?ic/eiaie 20-40% aetheice, 10% iao??th oei?eaeo, eaceenii. A oie aea /an, oe?eani?yiiaaia canoinoaaiiy o iaoe??io?a c ie?aiaio???th iiiaae iaeio aeiao, iacaaaeath/e ia noaa?eueio aaiiaeeiai?eo, 0,05% ?ic/eio aeioai?io o aeic? 0,5 ia/ea iane ia 400 ie 5% ?ic/eio aetheice i?iaeiaae 4–6-e aiaeei, i?ecaiaeeei aei iiyae na/? iaa?oue ia iii??ieo aeicao eaceeno (25,0% aeiaaee?a). O oai?eo ia iie?o??th iiiaae 4,0 e, aeey ciaioaiiy iniioe/iiai aieeao ia ?ioaineai?noue ae?o?aco ? ei?aeoe?? aeaeo?ie?oiiai aaeaino, aei 40% aeiaiaiai ia’?io ??aeeie aaiaeeeinue i?aeueii ai?iaeiaae 2-ai oeaeiy oa aei 80% - ai?iaeiaae 3-ai. Niinoa?aaeaiiy iieacaee, ui a neeaae ?iooc?? aeioe?eueii aeeth/aoe ii?aeiai? ?ciiniiey?i? aetheici-nieueia? ?ic/eie: 5% aetheice -500 ie + 4% eae?th oei?eaeo - 40ie, aai o?enieue - 400 ie + 40% ?ic/eiii aetheice - 30 ie). Aeey i?aeaeuaiiy eiiiainaoi?ieo iiaeeeainoae i?aai?cio i?e III ie iai?aoethaaee naeaeoeai? caniae ?io?aei?ii?aeueii? aeaoieneeaoe?? i?aai?cio ca ?aooiie noeioeyoe?? aeaoieneeaoe?eii? ? aene?aoi?ii? ae?yeueiino? eeoeiaeea, a oaeiae – ai?aeiaeo?ae?coth/i? ae?? e?ia?. Aoaeaaieieiyi? ni?aaioe: a?eini?a, oaani?a, c aenieiaaeni?aoe?eieie aeanoeainoyie AANI “Aeiai?”, caeaoieie ia?aaeuoaaoe iaeno/ani?o? ni?aaioe (A.A.I?eiea?a,1999) iieacaee aenieee aeaoieneeaoe?eiee aoaeo o aeiaia?e aeic? 8,0 a (oa 15,0 a i?e ie?aiaio???) ?c cieaeaiiyi ai?iaeiaae 5-7 aei?a ??aiy a?e??oa?io a 1,6+0,2 ?ace, na/iaeie a 1,5+0,1 ?ace (85,6% oai?eo). Canoinoaaiiy on??? aeice ni?aaioo iaeii?aciai ia i?/ o iaea?eueo aaaeeeo aeiaaeeao aeicaieeei caa?aaoe oa?aiaaoe/iee aieea aac iaaaoeaiiai aieeao ia ae?yeuei?noue eeoeiaeea. Aeey i?ioeae?? cai?ioiueiai aniieooaaiiy oiene/ieo ?a/iaei a e?ia c eeoeiaeea, i?aeaeuaiiy eiai e?iaoeee oa /anoioe aeao?eaoe?e, iaie aoee canoiniaai? i?aeuei? aeeoeoe?eaee (eaaoeueica, eaeooeueica, aeooaeaen ii 50 ie 3 ?ace ia aeaiue). Aecia/aii ia oeueiio oii? a?eueo ?ioaineaia cieaeaiiy ??aiy o?ai??? (a 1,3 + 0,1) a?aeiinii oai?eo, ye? ia aeei?enoiaoaaee aeeoeoe?eaee. Aia?oa i?e oyaeeeo oi?iao eaioini??ico ie i?iaaee noeioeyoe?th ai?aeiaeo?ae?coth/i? ae?? e?ia? ca ?aooiie aiii?iaaiaco. Anoaiiaeaii, ui 4% ?ic/ei aeooa?a?io o aeiaia?e aeic? 40 – 60 ie i?ecaiaeea aei cieaeaiiy ?ioaineaiino? c?inoaiiy ai?aeo o e?ia? i?e ie?ao??? oa a?eueo oaeaeeiio (a 2,1+0,1 ?ace) cieaeaiith eiai eiioeaio?aoe?? ai?iaeiaae 5 aei?a i?e iie?o??? (a oie /an ye a eiio?ieuei?e a?oi? eiai eiioeaio?aoe?y ciaiooaaeanue eeoa a 1,3 + 0,2 ?ace). Ne?ae oaeiae cacia/eoe, ui canoinoaaiiy aeooa?a?io ciaiooaaei yaeua iae?ioieneeico. Ia 2-io oeaei? oai?iae i?e cia/ieo yaeuao iae?ioieneeico ia oii? iai?ia?oo c e?eai?iith a?ia?oaic??th o 12,0% oai?eo aenieee oa?aiaaoe/iee aoaeo ii naiaoe?? e?eai?o ? caiia?aaiith c?inoaiiy iaa?yeo iiceo aoei a?aei?/aii i?e canoinoaaii? iaoiaeo aeiciaaiiai aeaaaeaiiy e?eai?a aei 50,8+6,0 ie ai?iaeiaae 20-e oaeeei ia oii? a/a ?iooc?? ?ciiniiey?ieie nieueiaeie ?ic/eiaie. I?ney eiaeiiai naaino /a?ac 6 – 8 aiaeei o oai?eo nooo?ai ciaiooaaeenue yaeua iae?ioieneeico, iai?iaaaeueiee neiae?ii. I?e ooieoe?iiaeuei?e iani?iiiaeiino? a?ieia?/ieo nenoai aeaoieneeaoe?? i?aai?cio (ie?ie, ia/?iee), ii?yae c eiina?aaoeaiith oa?ai??th o 125 iaoe??io?a c oyaeeith oi?iith eaioini??ico aoei canoiniaaii aoa?aioio oa?ai?th. Caaaeueieie iieacieeaie aeey i?iaaaeaiiy aeno?aei?ii?aeueii? oa?ai?? ie aaaaeaee: 1) iayai?noue aeniei? eiioeaio?aoe?? oa oaeaeea c?inoaiiy e?eueeino? oiene/ieo ?a/iaei (na/iaeie, e?aaoei?io, a?e??oa?io) a e?ia? i?e III; 2) iani?iiiaei?noue aoa?aioii? oa?ai?? ? aeaoieneeaoe?eieo nenoai i?aai?cio, a ia?oo /a?ao ie?ie, ia/?iee, aeey oaeaeei? ae?i?iaoe?? oiene/ieo ?a/iaei; 3) ae?aaeaio a?ia?ieaci?th, a?iieiaaoeyoe?th, ye? ia ei?aaothoueny eiina?aaoeaii. Aeioe?euei?noue iaoiaeieia?/iiai aeai?o aeno?aei?ii?aeueii? oa?ai?? aeeth/aea: iaoiaaiaoe/i?noue ii onoiaiith iniiaieo iaoieia?/ieo i?ioean?a ? noai?a; iioeiaeuei?noue oa?aiaaoe/iiai aoaeoo i?e i?i?iaeueiiio iaaaoeaiiio aieea? ia aiiainoac, oa?iaeie?iaoeeo e?e?a. I?e caaaeuei?e aeaoieneeaoe?ei?e ni?yiiaaiino? eiaeia c iaoiaeee iaea naeaeoeai? iieiaeaiiy . Aeene?aoiee ieaciaoa?ac c iaoith aeeo/aiiy ieacie c oiene/ieie eiiiiiaioaie ??cii? iieaeoey?ii? iane, cieaeaiiy a?ia?aieai?? aoa canoiniaaiee iaie o 50-e oai?eo ia eaioini??ic c III. A?aeiia?aeii aei oyaeeino? iaoieia?/ieo ci?i oa eiiiainaoi?ieo iiaeeeainoae i?aai?cio ai?iaaaeaeaii 2 aa??aioe ieaciaoa?aco: 1-e - ii 0,3+0,01e (5,0 + 0,2% IOeE) c ae-eo/aiiyi aei 1,5+0,1 e ieacie (25,1 + 0,6 IOeE) ca eo?n e?eoaaiiy (30 oai?eo); 2-e - ii 0,6+0,01e (10,2 + 0,3% IOeE) c aeeo/aiiyi aei 2,4+0,1 e ieacie (49,9 + 0,6 IOeE) ca eo?n e?eoaaiiy (20 oai?eo). Aeey cieaeaiiy a?ia?aieai?? noai?thaaany aeao?oeeo caiiaithth/iai ia’?io aei 50%. Naaine ieaciaoa?aco (3 - 5) i?iaiaeeeenue c ?ioa?aaeii 48,0+0,4 aiaeei ia oeaio?eooc? ?N6. Ieaciini?aoe?y c iaoith aeno?aeoe?? oiene/ieo ?a/iaei ?c e?ia? oa ei?aeoe?? aaiinoaco aoea canoiniaaia o 50 oai?eo c i?ia?anoth/ith III ia aia?ao? OAA 01 c aeei?enoaiiyi: a) iaiiaeeo?eiaaieo aeoeaiaaieo aoae?a: NEI 2E, EAO 2 ianith 300 a - 30 /ie.; a) aeae?aaiaeecoth/eo aaiini?aaio?a ANAAe -4 ianith 200 a , ?ici??ii a?aioe 0,4-0,59 ii (OO 88 Oe?a?ie 258.009-94) - 20 /ie. Ia’?i ieaciini?aoe?? ca naain neeaaeaa iiiaae 1,5+0,02 e, ui neeaaeaei 25,1+0,3% IOeE. Naaine (4-5) i?iaiaeeeenue /a?ac 48,1+0,2 aiae. I?e a?ia?a?ae?aoaoe?? ieaciini?aoe?y i?iaiaeeeanue a eiiieaen? c ieaciaoa?acii ii 0,25+0,01 e – 10 oai?eo. C iaoith aeno?aeoe?? iecueeiiieaeoey?ieo a?ieia?/ieo niieoe acioenoiai iai?io, aeaeo?ie?o?a oa iaaeeeoeo aiaee o 25 oai?eo ia?aaaaeii c ie?aiaio???th aoei canoiniaaii oeueo?ao?eueo?aoe?th e?ia? ia AEI 2 (ae?ae?caoi?e Ae?I 02-02). Naaine (3-4) i?iaiaeeeenue c ?ioa?aaeii o 48,8+1,3 aiaeeie c aeeo/aiiyi aei 2,0+0,1 e oeueo?ao?eueo?aoo ca iaeei naain (0,8+0,1 e/aiae.), ui neeaaeaei 33,4 + 0,2% IOeE. Caaaeueiee ia’?i ca eo?n e?eoaaiiy neeaaeaa iiiaae 6,0 +0,1 e. Aeey cieaeaiiy a?ia?aieai?? aeao?oeeo ?ic/ei?a aeey ?iooc?? nyaaa 20-40% a?ae aeeo/aiiai ia’?io (a caeaaeiino? a?ae AO). Aeey iioaioe?thaaiiy aeaoieneeaoe?eiiai aoaeoo o?eueo?aoe?y /a?aoaaeanue c ieaciaoa?acaie ii 0,25 + 0,01 e – 10 oai?eo. Ia oii? ieaciaoa?aco o ?aaeei? aei 0,3+0.01ie ca naain (aei 7,5 +0,2% e ca naain oa 37,5+0,3% IOeI ca eo?n e?eoaaiiy), iaa i?noea iii??iee aeaoieneeaoe?eiee aoaeo, yeee oaea i?ney 3-ai naaino caaacia/oaaa cieaeaiiy na/iaeie, e?aaoei?io, a?e??oa?io, noaa?e?caoe?th aaiiaeeiai?/ieo iieaciee?a (oaae.8). No?eeee oa?aiaaoe/iee aoaeo c iiaeaeueoith iiceoeaiith ae??th niinoa??aaany o 80,0% oai?eo ia oii? caa?aaeaii? ae?o?aoe/ii? aeoeaiino? ie?ie ? /anoeiaee (c iie?ioaiiyi ae?yeueiino? na?oey, eeoeiaeea, cieaeaiiyi c?inoaiiy o?ai?? ai?iaeiaae 4-o -6-e aiaeei) - o 20,0% oai?eo c ie?aiaio???th. O i?ioean? e?eoaaiiy o 96,0% oai?eo ia niinoa??aaeinue iaaaoeaiiai aieeao ia aeenaaeain aiiainoaco, ioaea aeioe?eueii canoiniaoaaoe oeae iaoiae i?e no?eeeo iie?i?aaiieo ii?ooaiiyo. Ieaciaoa?ac o a?eueo ?ioaineaiiio ?aaeei? (aei 15,0 + 0,2% ca naain, oa 75,0 + 0,4% IOeI ca eo?n e?eoaaiiy), cae?enithaaa a?eueo ae?aaeaiee aeaoieneeaoe?eiee aoaeo. Ia eiai oii? a?aei?/aeinue iie?ioaiiy noaio oai?iai aaea i?ney ae?oaiai naaino, aeoeaia cieaeaiiy ??aiy o?ai??, noaa?e?caoe?y na?oeaai-noaeeiieo iieaciee?a o 80,0% oai?eo, ua a?eueo aoaeoeaia cieaeaiiy a?ia?a?ae?aoaoe?? i?e a?ia?ieaci??, c i?aeaeuaiiyi ??aiy AO. ? eeoa o aeiaaeeao no?eei? ie?aiaio??? aoaeo aoa ei?ioei/aniee, aea e eiai aoei aeinoaoiuei, uia aei 4-5-ai aeiy aio??? o oai?eo a?aei?/aeanue a?aeiinii noaa?eueia na?oeaaa oa oea?aa?aeueia ae?yeuei?noue, a oie /an ye o 2-e a?oi? o an?o oai?eo niinoa??aaeanue ae?aaeaia aioeaoaeiiao?y oa iano?eea aaiiaeeiai?ea ? na?oeaaa ae?yeuei?noue. Oeae iaoiae aoa aeioe?euei?oee a ?aiiueiio ia??iae? oai?iae i?e a?aeiinii caaeainiaaieo eiiiainaoi?ieo iiaeeeainoyo i?aai?cio. Ee?i?/ia canoinoaaiiy ieaciini?aoe?? o oa?ai?? oyaeeeo oi?i eaioini??ico iaoiiaeei a?eueo ae?aaeaiee, i?ae i?e ieaciaoa?ac?, oa?aiaaoe/iee aieea (iniaeeai aeaoieneeaoe?eiee) ia i?aai?ci iaoe??io?a (oaae. 9). Ia a?aei?io a?ae aaiini?aoe?? (?.E.Aeaaeaiei, A.A.Noa?eeia, 1997), ieaciini?aoe?y ia iaea iaaaoeaiiai aieeao ia AeAC, aiai?th, ine?eueee ia o?aaioaaeenue o?iiaioeeoe, a?eo?ioeeoe. Nooi?iue ae?aaeaiino? aeaoieneeaoe?eiiai aoaeoo aoa iaoiiaeaiee oeiii ni?aaioo ? ia’?iii ea?aiia?ooc??. Aeae?aaiaeecoth/? aaiini?aaioe iaee a?eueo ae?aaeaio aaeni?aoe?eio aeoeai?noue a?aeiinii NEI, EAO. I?ney eiaeiiai naaino ?c e?ia? aeeo/aeinue aei 22,5+1,0% a?e??oa?io, oa 28,5 + 0,5% i?iaeoeo?a acioenoiai iai?io, iniaeeai i?e canoinoaaii? ANAAe. . Na?aaeiueinoaoenoe/i? aeai? /a?ac 16 aiaeei na?ae/eee i?i nooo?ao noaa?e?caoe?th aaiinoaco aaea i?ney 1-ai naaino o 92,0% oai?eo, iaa?oue i?e ie?aiaio???. Iie?iooaaany ooieoe?iiaeueiee noai iaeaea an?o i?aai?a (oeoieiai-eeoeiaiai o?aeoo, aiaeiiai aaeaino, na?oeaai-noaeeiii? nenoaie). Canoiniaai? ia’?ie ieaciiia?ooc?? iaoiiaeee ae?aaeaio oa?aiaaoe/io ae?th, ia iia??ooth/e aeenaaeaino aiiainoaco, a i?e iii??i?e aaia?ei?caoe?? ni?eyee i?ieiaaoeyioi?e aeoeaiino?, i?ioeae?yee e?iaioa/? i?e a?iieiaaoeyoe?? (nei?i/aiith /ano caa?iaiiy e?ia? ia 2,9+0,3 oa., ?aeaeueoeeo?eaoe?? ieacie ia 53,4+4,2 nae.). Aeey cieaeaiiy a?ia?a?ae?aoaoe?? o 20,0% oai?eo ieaciini?aoe?y /a?aoaaeanue c ieaciaoa?acii ii 0,25+0,01 ie. Oeueo?ao?eueo?aoe?th e?ia? aoei canoiniaaii o iaoe??io?a c iaea?eueo cia/iei o?aaeaiiyi ie?ie. Aeeo/aiiy ca naain ?c IOeE aei 33,5+2,4% ??aeeie c oiene/ieie ?a/iaeiaie iaoiiaethaaei cia/iee aieea ia aiiainoac (oaae.10). Aeaoieneeaoe?eiee aoaeo niinoa??aaany ca ?aooiie aeeo/aiiy ?c IOeI aei 50,1+1,1% (?<0,05) i?iaeoeo?a acioenoiai iai?io (na/iaeie, e?aaoei?io) oa 10,8+0,05% (?<0,05) a?e??oa?io. O 88,0% oai?eo c a?ia?a?ae?aoaoe??th ca iaeei naain c e?ia? aeeo/aeinue aei 0,8+0,05e (P<0,05) aiaee, ui aeicaieeei cieceoe ??aaiue a?ia?aieai??, i?aeaeueoe aaiieiioeaio?aoe?th i?e ie?aiaio???. A on?o aeiaaeeao canoiniaaiiai ia’?io oeueo?ao?eueo?aoo aoei aeinoaoiuei aeey ciaioaiiy a?ia?eae??i?? (i?e eiai i?aeaeuai? - 16,0%), aiai??, noaa?e?caoe?? IOeE, iieaciee?a aaiinoaco (nei?i/aiiy /ano cai?oaiiy e?ia? ia 2,5+0,2 oa.). Ia oii? e?eoaaiiy i?aeaeuoaaeanue ooieoe?iiaeueia aeoeai?noue na?oeaai-noaeeiii? oa aeeoaeueii? nenoai ca ?aooiie i?aeaeuaiiy o?aeoe?? aeeeaeo ia 15,8+2,3%, ciaioaiiy aoeeaeico aei eiiiainiaaiiai ??aiy. No?eeee iiceoeaiee aoaeo c aeoeaiei ?aa?anii oai?iae iaa i?noea i?e a?aeiiaeaii? na/iaeeo/ath/i? ooieoe?? ie?ie a ianyc? iiiaae 1,0+0.05 e ia i?ci?oa, i?ae i?ney 3–4 naaino. O aeiaaeeao no?eei? ie?aiaio??? iieacieee o?ai?? ai?iaeiaae 24 aiaeei ciiao iiaa?oaeenue aei ii/aoeiaiai ??aiy. Aeey iioaioe?thaaiiy aeaoieneeaoe?eiiai aoaeoo o 40,0% oai?eo c ie?aiaio???th oeueo?ao?eueo?aoe?y /a?aoaaeanue c naainaie ieaciaoa?aco ii 0,25+0,01 e. Canoinoaaiiy aoa?aioieo cania?a o oa?ai?? aaaeeeo oi?i eaioini??ico aeicaieeei cia/ii ?ai?oa (a?aeiinii 2-? a?oie - c aoa?aioiei e?eoaaiiyi) a?aeiiaeoe ae?yeuei?noue o?aaeaieo i?aai?a: ia/?iee ia 9,4+0,4 aeiy (ia?aaaaeii ia oii? ieaciini?aoe??), ie?ie ia 6,5+0,3 aeiy (iniaeeai ia oii? oeueo?ao?eueo?aoe??), noaa?e?coaaeenue iieacieee na?oeaai-noaeeiii? nenoaie ia 4,7+0,5 aeiy, aiaeii-aeaeo?ie?oi? ia 7,1+0,7 aeiy oa aaiieiaaoeyoe?ei? ia 12,3+0,4 aeiy (?en.3). i?e eaioini??ic?. I?ei??oaoii aoa?aioiiai oa?aiaaoe/iiai iai?yieo o an?o aeiaaeeao aoa aeaoieneeaoe?eiee aoaeo ??ciiai nooiaiy ?ioaineaiino?, ca ?aooiie aeeo/aiiy oiene/ieo oa a?ieia?/ii aeoeaieo ?a/iaei aaciina?aaeiuei ?c e?ia?, noeioeyoe?? ooieoe?? oeoieiai-eeoeiai? nenoaie, ye aieiaii? eiiiainaoi?ii? aeaoieneeaoe?eii? nenoaie i?aai?cio i?e II. Ia i?aenoaa? ee?i?ei-iaoiaaiaoe/ieo aeaieo ie anoaiiaeee i?eioeeie iaa?aeeeaaeii? ao?iiaoiaaiaoe/ii? oa?ai?? a caeaaeiino? a?ae oa?i?io oai?iae: c 1 - 3-? aeiae - aioea?ioeeioa?ai?y a na?aaei?o oa?aiaaoe/ieo aeicao ia oe? i?aeueii-ia?aioa?aeueii? ?aa?ae?aoaoe?? ianyaii iiiaae 3,0 e ia aeiao; c 4 – 5-? aeiae ? ai?iaeiaae 2 – 3-o oeaei?a - ia?aioa?aeueii-i?aeueia ei?aeoe?y iie?i?aaiii? iaaeinoaoiino? (III, NNI, EI, o?aaeaiue OeIN, aaiinoaco, aiaeii-aeaeo?ie?oiiai aaeaino). I?e i?iaaaeaii? ei?aeyoe?eiiai ni?anoaaeaiiy aaaeeino? ia?aa?ao c oa?aiaaoe/iith aoaeoeai?noth aoei cana?ae/aii, ui canoinoaaiiy aioea?ioeei-?aa?ae?aoaoe?eii? oa?ai?? ai?iaeiaae ia?oeo 3-o aei?a oai?iae cia/iith i??ith caiia?aaei ?ioaineaiino? ?icaeoeo iaoieia?/ieo i?ioean?a, aiane?aeie /iai o ia?aaaaeii? e?eueeino? - 7,7 (?c 8,3%) iaoe??io?a niinoa??aaany na?aaeiueioyaeeee ia?aa?a. A oie aea /an, canoinoaaiiy o?aaeeoe?eii? aioea?ioeei-?aa?ae?aoaoe?eii? oa?ai?? c 4-? aeiae ? i?ci?oa aoei iaio aoaeoeaiei, nooo?ai ia caiia?aaei ?icaeoeo i?aaiii-nenoaiieo o?aaeaiue ? o 82,6% (?c 91,7%) aeiaaee?a niinoa??aaany oyaeeee ia?aa?a oai?iae. A iaoiaaiaoe/iiio aecia/aii? a aeeiai?oe? oai?iae ao?io?iiia ? iaoiaaiaoe/ia oa?ai?y ciaoiaeeeenue ca ?aoe?iiaeuei?noth o ??ciiio ni?aa?aeiioaii?. C 4 - 5-? aeiae oai?iae ia oe? ?icaeoeo iie?i?aaiii? iaaeinoaoiino? aeioe?euei?noue iaoiaaiaoe/ii? oa?ai?? (iniaeeai aeaoieneeaoe?eii?) nooo?ai c?inoaea, aioea?ioeei- oa na?ioa?ai??? cieaeoaaeanue, aiane?aeie a?ioiene/iiai aoaeoo. E??i oiai, ee?i?/ia ni?anoaaeaiiy ia?aa?ao oai?iae i?e canoinoaaii? aaoa?iaaiiiai aaia-aeiaoe?io ca o?aaeeoe?eiith noaiith o 122 (40,7%), a?ia??ioiiith ieaciith – 10 (3,3%) iaoe??io?a oa aac ieo 168 (56,0%) iieacaei a?aenooi?noue oa?aiaaoe/ii? ia?aaaae na?ioa?ai?? (? >0,05)
ia ee?i?/iee ia?aa?a eaioini??ico.

I?iaaaeai? aeine?aeaeaiiy aeiaaee, ui aoa?aioi? iaoiaee o eiiieaeni?e
oa?ai?? eaioini??ico caeaoi? i?aeaeueoe aoaeoeai?noue aoa?aioii?
oa?ai??, i?aeaeueoe eiiiainaoi?i? iaoai?cie i?aai?cio, nei?aaoaaoe
ii?ooaiiy aiiainoaco, aeno?aiaeuei? i?ioeane oa noaie, nooo?ai
nei?ioeoe o?eaae?noue iaoieia?/ieo neiioii?a. Eaoaeuei?noue i?e
canoinoaaii? aoa?aioii? oa?ai?? cieceeanue ia 20,0% ? neeaea (20,8%), o
oie /an, ye o a?oi? c aoa?aioiith oa?ai??th aiia aei??aithaaea 40,8%. A
caeaaeiino? a?ae iaoiaeo aiia naeaeoeaii cieaeoaaeanue aei 20,0% — i?e
ieaciaoa?ac?, aei 18,0% — i?e ieaciini?aoe??, oa aei 28,0% — i?e
oeueo?ao?eueo?aoe??. Iaea?eueo aeniea oa?aiaaoe/ia aoaeoeai?noue i?e
oyaeeeo oi?iao eaioini??ico niinoa??aaeanue i?e ieaciini?aoe??.

I?aaaioeaia oa?ai?y eaioini??ico ia ia??iae
ai?aeai?ieia?/iiai niaeaoo.

Iaoeiai-i?aeoe/i? ?ic?iaee aoee ai?iaiaai? o 1996 ?ioe? i?ae /an niaeaoo
ai?aeai??? eaioini??ico o Aeiiai?anueeiio ?aeii? Ieeiea?anueei? iaeano?.
Ia ia??iae niaeaoo aoei aeyaeaii ? aini?oae?ciaaii 92 iaoe??ioe
(aeiaeaoeiaa a?oia) ai?iaeiaae ia?oeo 3-o aei?a oai?iae. Noai oai?eo ia
ia??iae aini?oae?caoe?? ioe?ithaaany ye oyaeeee, ine?eueee o an?o
aeiaaeeao iaa i?noea ae?aaeaiee ?ioieneeaoe?eiee neiae?ii. Eiiieaen
oa?aiaaoe/ieo caoiae?a aoa iiaoaeiaaiee ia aeeoa?aioe?eiaaiiio
canoinoaaii? aioea?ioee?a ia oii? ?aa?ae?aoaoe??. Aeey iaoe??io?a c
ia?oi? aeiae oai?iae (23,8%) aoea canoiniaaia i?aeueia oa?ai?y
aeieneoeeee?iii 0,3 a/aeiaa, aai a?eo?ii?oeeiii 1,5 a/aeiaa oa
?aa?ae?aoaoe?y a ianyc? aei 3,0 e/aeiaa i?ioyaii 5 – 6-e aei?a. Aeey
iaoe??io?a, aeyaeaieo ia ae?oao aeiao oai?iae (42,1%), canoiniaoaaeanue
ia?aioa?aeueia oa?ai?y aaiceeiai?oe?e?iii — 4 – 6 ie. IAe/aeiaa, aai
eaaii?oeaoeiii noeoeeiaoii — 2,0 – 3,0 a/ae iaa, aetheici-nieueiaeie
?ic/eiaie 0,8 e/aeiaa ia oii? i?aeueii? ?aa?ae?aoaoe?? ai?iaeiaae 4 –
5-e aei?a. Aeey iaoe??io?a, aeyaeaiei ia o?aoth aeiao oai?iae (33,5%),:
aoea canoiniaaia ?iooc?eia oa?ai?y aetheici-nieueiaeie ?ic/eiaie a
ianyc? 1,0 + 0,1 e/aeiaa c aeaenaciiii 4 — 8 ia/aeiaa, i?aeueia
?aa?ae?aoaoe?y, aioa?ini?aoe?y ai?iaeiaae 4– 6 aei?a. Ao?io?iiia
oa?ai?y aeua cacia/aieie aioea?ioeeaie i?iaiaeeeanue ia oii? ?iooc?eii?.
I?ioeeaioini??iciee ?ioiiaeiaoe?i ia canoiniaoaaany.

Caaaeueia o?eaae?noue aioea?ioeeioa?ai?? neeaea 6,2+0,2 aei? (aei 3-ai
aeiy ii?iioa?i??). Ia oii? e?eoaaiiy o an?o aeiaaeeao ia 1-2-e aei?
eoi??oaaeeny ii/aoeia? yaeua NNI, III, ia 3-4-e aei? i?ioiaeeea
?ioieneeaoe?y. 95,4% oai?eo aoei aeienaii ia 4-5-e aei? ii?iioa?i?? (8,9
+ 0,3 aeaiue e?eoaaiiy) o caaeia?eueiaiiio noai? c ii?iaeueieie
iieacieeaie aaiia?aie ? ooieoe?iiaeueiiai noaio i?aai?a ? nenoai. A on?o
aeiaaeeao iaa i?noea eaaeee ia?aa?a oai?iae c iii??iei ?ioieneeaoe?eiei
neiae?iiii. ?aoeeaeea?a oai?iae ia niinoa??aaeinue.

Oaeei /eiii, ii?aeiaia ao?iiaoiaaiaoe/ia oa?ai?y, canoiniaaia c ia?oeo
aei?a oai?iae, caiia?aa? ?icaeoeo iaoieia?/ieo i?ioean?a ? iaoiiaeth?
eaaeee ia?aa?a eaioini??ico.

AENIIAEE

1. Aeno?aiaeuei? i?ioeane ? iniiaieie iaoiaaiaoe/ieie iaoai?ciaie i?e
eaioini??ic?, ? oaeeie, ui aecia/athoue oyaee?noue ia?aa?ao ? aeo?ae
oai?iae. A iniia? oi?ioaaiiy aeno?aiaeueieo noai?a iieyaathoue ae?aaeai?
ii?oieia?/i? ci?ie a i?aaiao c ii?ooaiiyi i?e?ioee?eoeyoe??
(?oai?caoe?y oa noac e?ia? a noaeeiao, AeAC), c aeano?oeoeaieie oa
caiaeueieie yaeuaie, ye? i?ecaiaeyoue aei ooieoe?iiaeueii?
iani?iiiaeiino? i?aai?a.

2. Iaoio?c?ieia?/iei noano?aoii aaaaoi/enaeueiino? ? oyaeeino? ia?aa?ao
aeno?aiaeueieo noai?a ? ?ioaineai?noue ?icaeoeo ? ii?aeiaiiy ii?ooaiue
aiaeii-aeaeo?ie?oiiai aaeaino, EIN, aaiiaeeiai?ee, ?iceaae?a
ooieoe?iiaeueii? ae?yeueiino? na?oey, eaaai?a, ie?ie, ia/?iee, ia?aiai?
nenoaie. Na?aaeiueioyaeeee ia?aa?a eaioini??ico oa?aeoa?eco?oueny
iii??ieie eiiiainiaaieie ii?ooaiiyie aiiainoaco ai?iaeiaae aeaio
oeaei?a, oyaeeee – ae?aaeaieie ii?ooaiiyie aiiainoaco c iie?i?aaiiith
iaaeinoaoi?noth ai?iaeiaae 3-o – 5-e oeaei?a.

3. ??ciiiai?oi? i?e?ioee?eoeyoi?ii-aaiieiaaoeyoe?ei? ii?ooaiiy ia oe?
eaioini??ai??, oienai?? ? a?iiaieai?? c 1-? aeiae oai?iae ? ia?aeiieie
aeaoa?i?-ioth/eie oaeoi?aie iaaeinoaoiino? nenoaiiiai e?iaiia?ao ?
o?aaeaiiy i?aai?a.

Aiaeii-aeaeo?ie?oi? ii?ooaiiy oa?aeoa?ecothoueny aeenaieai??th c
?cioii?/iith a?iia?ae?ai??th, aioo??oiueiee?oeiiith aeaa?ae?aoaoe??th ia
1-io oeaei? oai?iae, iica- ? aioo??oiueiee?oeiiith a?ia?a?ae?aoaoe??th,
a?ia?aieai??th (i?e ie?aiaio???) oa a?iiaieai??th (i?e iie?o???) c
no?eeith aeecaeaeo?ie?o??th ia 2 –3-io oeaeiyo.

Aaiieiaaoeyoe?ei? ii?ooaiiy niinoa??aathoueny i?aeoe/ii o an?o
oai?eo c

3-? aeiae ? ai?iaeiaae anueiai ia??iaeo oai?iae, oa?aeoa?ecothoueny
no?eeei AeAC c eiaaoeiiao??th niiaeeaaiiy ia oii? o?aiceoi?iiai
i?aeaeuaiiy o?a?eiie?co, aeeoocieie e?iaiaeeeaaie a on?o i?aaiao oa
iiniaeie, oeoieiai-eeoeiaeie, eaaaiaaeie e?iaioa/aie, ye? i?ecaiaeyoue
aei aiai?? oa eaoaeueieo aeiaaee?a o 8,0% oai?eo.

4. A iaoiaaiac? eaioini??ico NNI ? III ? aeii?ioth/eie, a EI ?
oea?aa?aeuei? o?aaeaiiy ?aoeaneaieie iaoieia?/ieie noaiaie, ye?
oi?iothoue iniaeeaino? ee?i?/iiai ia?aa?ao eaioini??ico.

NNI ?icaeaa?oueny o 85,2% iaoe??io?a c oyaeeei ia?aa?aii eaioini??ico,
ia?aaaaeii c 3-? aeiae oai?iae. Aiia oa?aeoa?eco?oueny cieaeaiiyi
aeaa?oo na?oey (o?aeoe?? aeeeaeo, oaea?iiai ?iaeaeno) aei 10 –20% i?e
eiiiainiaai?e iaaeinoaoiino?; ia 21-30%, oeaio?ae?caoe??th e?iaiia?ao —
i?e noaeiiiainiaai?e; iiiaae 30% c iaae?iiyi CII iiiaae 22,3%,
aeaoeaio?ae?caoe?y e?iaiia?ao — i?e aeaeiiiainiaai?e. NNI a
aaciina?aaeiueith i?e/eiith nia?o? o 8,8% oai?eo.

III ?icaeaa?oueny o an?o iaoe??io?a c oyaeeei ia?aa?aii eaioini??ico c
4-? aeiae ? aeii?io? ai?iaeiaae 2 — 4-ai oeaei?a. A iaoiaaiac? II
niinoa??aa?oueny 4 noaae??: ii/aoeiaa (?c ciaioaiiyi ia’?io na/?),
ie?aiaio??? (c iecueeith ae?o?aoe/iith aeoeai?noth ie?ie, aai iiaiith ??
a?aenooi?noth i?e aio???), iani?iiiaeiiai ae?o?aco (c iecueeith
ee??ainiaith aeoeai?noth ie?ie), a?aeiiaeaiiy ae?o?aco
(aene?aoi?ii-eiioeaio?aoe?eii? ooieoe??).

A iaoiaaiac? ia/?ieiai? iaaeinoaoiino? eaaeaoue iii??i? aeano?oeoeai?
i?ioeane c aioo??oiueiia/?ieiaei oieanoacii, ye? ia noi?iaiaeaeothoueny,
cacae/ae, cia/iei oeeoie?cii. AEiaoyieoey ia? ii?aeiaiee oa?aeoa?
(oieanoac, aaiie?c), ? ii ?ioaineaiino? ni?aa?aeiineoueny c
?ioaineai?noth aaiie?co a?eo?ioeeo?a. III ? i?e/eiith eaoaeueieo
aeiaaee?a o 14,0% oai?eo c aaaeeei ia?aa?aii eaioini??ico.

EI niinoa??aa?oueny o 60,6% iaoe??io?a c oyaeeei ia?aa?aii eaioini??ico
ia?aaaaeii c 2-ai oeaeiy ? noi?iaiaeaeo?oueny
?ano?eeoeaii-iano?oeoeaieie i?ioeanaie ?c ci?iith oaeaee?nieo, /aniaeo
oa ia’?iieo oa?aeoa?enoee aeeoaiiy aac iciae a?iien?? i?e
eiiiainiaai?e noaae??, cieaeaiiyi AeI, AE?E ia 20-30%, ?I2 aei 10,2% —
i?e noaeiiiainiaai?e, ae?aaeaiith caaeeoeith c? cieaeaiiyi AeI (aei
40,8%), IIAe, no?eeith a?iien??th oa a?ia?eaii??th — i?e
aeaeiiiainiaai?e noaae??.

O?aaeaiiy OeIN iathoue i?noea o 80,1% oai?eo o aeaeyae? ii?aeiaieo
o?aaeaiue: caaaeueiiiiceiaiai (64,0%), iai?iaaaeueiiai (51,6%),
aioeaoae?oe/iiai (6,6%) neiae?ii?a. Iai?ia?o c iii??iei ieaioeeoicii
(aei 203,4•106/e), ia?aaaaeii e?ioioeeoa?iei, iano?eeith aaii?aa??th,
i?ioa?ii?ao??th, e?eai?iaeeiai?/ieie ?iceaaeaie ia? i?noea o 14,.0%
aeiaaee?a.

5. Ioe?iea aaaeeino? ia?aa?ao ? i?iaiico eaioini??ico iiaeiia
i?iaiaeeoeny ca e?eoa??yie, ui a?aeia?aaeathoue ae?aaeai?noue ii?ooaiue
aiiainoaco o aeeiai?oe? oai?iae: aeneeico, NNI (AAe na?aaei? a?ae
aeo?aeiiai, oaea?iee ?iaeaen) — c 2-? aeiae, noaio ie?ie,
aiaeii-aeaeo?ie?oiiai aaeaino, aaiinoaco, na?oeaai-noaeeiii? nenoaie,
eaaai?a, OeIN, ia/?iee (?ioaineai?noue c?inoaiiy o?ai??, ee??ain
na/iaeie, o?aeoe?y aeeeaeo na?oey, IIAe, ?I2, ia’?i e?iaioa/?, ??aaiue
aaiiaeia?io, AO, e?euee?noue o?iiaioeeo?a) — c 4-? aeiae ? ai?iaeiaae
3-o oeaei?a.

6. Ao?io?iiia oa?ai?y y i?ia?aeiith ai?iaeiaae ia?oeo 2 — 3-o ae?a
oai?iae ? o ii?aeiaii? c iaoiaaiaoe/iith aeicaiey? caiia?aoe
i?ia?anoaaiith iaoieia?/iiai i?ioeano ? aeinyaoe iaeoaeaiiy oai?eo
oa?i?iii aei 7 –10-e aei?a, oiae? ye c 4-i? aeiae aieiaia ?ieue
iaeaaeeoue iaoiaaiaoe/i?e oa?ai??, a aioea?ioeee aeicaieythoue eeoa
caiia?aoe caaino?aiith iniiaii? ? aeoeaaoe?? aoi?eiii? ?ioaeoe??. O oeae
ia??iae iniaeeaiai cia/aiiy iaaoaa? aeeiai?/ia ii?aeiaiiy
aoa?aioii-aoa-?aioii? oa?ai??, ine?eueee oea aeicaiey? nooo?ai
i?aeaeueoe aoaeoeai?noue e?eoaaiiy oyaeeeo oi?i eaioini??ico, nei?ioeoe
o?eaae?noue ? aa?o?noue e?eoaaiiy a 1,3 ?ace, eaoaeuei?noue — o 2 ?ace.

7. Iniaeeaino? ci?i ae?yeueiino? i?aai?a a ??ciiiai?oi? ia??iaee
oai?iae ? iniiaith aeey canoinoaaiiy naeaeoeaieo caoiae?a e?eoaaiiy.

Aoa?aioio oa?ai?th aeioe?eueii aeei?enoiaoaaoe aeey noaa?e?caoe?? noaio
aiiainoaco (a ia?oo /a?ao, aaiiaeeiai?ee, na?oeaai? ae?yeueiino?,
aaiinoaca, ae?o?aca ca ?aooiie aeeoa?aioe?eiaaiiai coaeeaaiiy
e?enoaei?aeii-aeaeno?aiiaeo ?ic/ei?a c eaoaoieai?iaie ?
aetheiei?oeei?aeaie, aaiinoaoee?a) oa iineeaiiy aiaeiaaiieo iaoai?ci?a
aeaoieneeaoe?? ca ?aooiie aioa?ini?aoe?? (aoaeaaieieiyieie ni?aaioaie),
aiii?iaaiaco (ai?iieeneioaie).

8. Aoa?aioio oa?ai?th aeioe?eueii i?iaiaeeoe o aeiaaeeao
iani?iiiaeiino? a?ieia?/ieo nenoai aeaoieneeaoe?? ? iaooeeueiiio
i?ia?anoaaii? III.

Aeene?aoiee ieaciaoa?ac o ia’?i? 0,3 + 0,01 e ca naain i?e NNI, oa 0,6
+ 0,01 e – i?e noaa?euei?e aaiiaeeiai?oe? iaoiiaeth? cia/iee
aeaoieneeaoe?eiee ? a?ae?iei?aaoth/ee aoaeoe.

Ieaciini?aoe?y o ia’?i? 1,5 + 0,02 e ia a?aioeueiaaieo ni?aaioao,
iniaeeai ia aeae?aaiaeecoth/eo, iaoiiaeth? cia/iee aeaoieneeaoe?eiee (ca
?aooiie ae?i?ia-oe?? c IOeI aei 28,5 + 0,5%
iecueei-na?aaeiueiiieaeoey?ieo oiene/ieo ?a/iaei) ? aaiinoaoe/iee
aoaeoe i?e AeAN, ia o?aaioth/e a?eo?ioeeo?a, o?iiaioeeo?a.

Oeueo?ao?eueo?aoe?y e?ia? c ia’?iii oeueo?ao?eueo?aoo 2,0 + 0,1 e i?e
III nooo?ai ciaioo? ??aaiue ?ioieneeaoe?? (ca ?aooiie aeno?aeoe?? aei
50,1 + 1,1% na/iaeie, e?aaoei?io c e?ia?), a?ia?a?ae?aoaoe??,
a?ia?eae??i??.

NIENIE IAOEIAEO ?IA?O,

IAAe?OEIAAIEO CA OAIITH AeENA?OAOe??

1. O?aaeaiiy i?aaiia aeeoaiiy i?e ieoa?iaaii?aai/iiio eaioinii?ici //
Iioae

oeieii oai?iae, 1996.- N 4.- N.13-17 (na?aaao.Aiiniiiaa TH.I.)

2. I?eiaiaiea ieaciini?aoeee ia ni?aaioa NEI 2E i?e oyaeaeii oa/aiee
eaioinie?ica // Eiea?nueea ni?aaa, 1997.- N 2.- N. 105-107.

3. Eeeieei-ii?oieiae/aneay oa?aeoa?enoeea ii?aaeaiee ia?aiie nenoaiu i?e
eeoa?iaaii??aae/aneii eaioinie?ica // Eiea?nueea ni?aaa, 1997.- N 3.- N.
94-99. (niaao. Aieneiiaa TH.I.).

4. Ia?ooaiey aaiinoaca i?e oyaeaeii oa/aiee eeoa?iaaii??aae/aneiai
eaioinie?ica // Eiea?nueea ni?aaa, 1997.- N 4.-N.73-76 (niaao.Aieneiiaa
TH.I.).

5. Ni?aoeeiiiua aniaeou oa?aiee i?e eioaeoeeiiiie iaoieiaee //
Nia?aiai-iua aniaeou aiaiiie iaaeeoeeiu: Na. iao/iuo o?oaeia Aeaaiiai
aiaiiiai eeeie/aneiai ainieoaey.- E.: 1998.- N 83-93.

6. Ei??aeoeey aiaeii-yeaeo?ieeoiiai aaeaina e EIN i?e oyaeaeii oa/aiee
eaioinie?ica // Eiea?nueea ni?aaa, 1998.- N 1.- N. 156-158.

7. Ca?aea/iay iaaeinoaoi/iinoue e aa ei??aeoeey i?e eaioinie?ica //
AEo?iae i?aeoe/aneiai a?a/a, 1998.- N 5.- N.35-36.

8. Eeeie/aneea aniaeou aeene?aoiiai ieaciaoa?aca a oa?aiee
iieei?aaiiie iaaeinoaoi/iinoe o aieueiuo eeoa?iaaii??aae/aneie
oi?iie eaioinie?ica

// Eiea?nueea ni?aaa, 1998.- N 8.- N. 141-143.

9. I?eioeeiu eeanneoeeaoeeiiiie aeeaaiinoeee eaioinie?ica // AEo?iae
i?aeoe/anei ai a?a/a, 1999.-? 2 .-N.33-34.

10. Iniiai? i?eioeeie e?eoaaiiy eaioini??ico // AEo?iae i?aeoe/aneiai
a?a/a, 1999.- ? 3.-N.40-42 (ni?aaao. Ai?iaeaoeueeee I.I.).

11. Iaoiii?oieiaey e iaeioi?ua aii?inu iaoiaaiaca ii?aaeaiee ia/aie i?e
eeoa?iaaii??aae/aneii eaioinie?ica // E?ea?nueea ni?aaa, 1999.-? 4.-
N.111-116 (niaao.Ai?n?iiaa TH.I.).

12. Eeeieei-iaoiaaiaoe/aneea aniaeou ino?ie ii/a/iie iaaeinoaoi/iinoe
i?e eaioinie?ica // No/ani? ?ioaeoe??, 1999.- ? 3.- N. 67-70.

13. E?eoaaiiy ?eoa?iaaii??aa?/iiai eaioini??ico // ?ioaeoe?ei?
oai?iae, 1999.- ? 4.- N. 59-62 (ni?aaao. Aiae A.Ae.).

14. Aaiieiaaoeyoe?ei? ii?ooaiiy i?e eaioinie?ic? // Eaai?aoi?ia
ae?aaiinoeea, 1999.-? 4.- N.18-20.

15. Eeeie/aneea aniaeoe ino?ie ia/aii/iie iaaeinoaoi/iinoe i?e
eaioin-ie?ica // E?ea?nueea ni?aaa, 1999.- ? 5.-N.43-46.

16. Ieaciini?aoeey ia aeaeeaaiaeece?othueo ni?aaioao i?e oyaeaeii
oa/aiee eaioinie?ica // E?ee Oe?a?ie, 1999.- ? 12.-N.61-62 .

17. I?eioeeiu eioaa?aoeaiie oa?aiee eaioinie?ica // Eioaeoeee ia ciatho
a?aieoe: I?eeiaeaiea e “Scholl of Fundamental Medicine jurnal”, Vol.
5, N 1..- Oa?ueeia, 1999.- N. 70-71.

18. Ania?aeeeac na?aeoea e ia/aie i?e eaioinie?ica // E?ea?nueea
ni?aaa, 2000.-? 1.- N.56-60 (niaao.Aieneiiaa TH.I.).

19. Aiaeii-aeaeo?ieeoiua ia?ooaiey e eo ei??aeoeey i?e eaioinie?ica //
No/ani? ?ioaeoe??, 2000.- ? 1.- N. 36-40.

20. Eeeie/aneia i?eiaiaiea oeueo?aoeeueo?aoeee e?iae o aieueiuo
eaioinie?icii n ino?ie iaaeinoaoi/iinoueth ii/ae e ia/aie // E?ea?nueea
ni?aaa, 2000.-? 2.- N.82-86.

21. Eeeieei-ii?oieiae/aneay oa?aeoa?enoeea eaoaeueiuo enoiaeia i?e
eaioinie?ica // No/ani? ?ioaeoe??, 2000.- ? 2.- N.64 -66.

22. Aeioeie/aneay oa?aeoa?enoeea ieeao?e/aneie noaaeee ii/a/iie
iaaeinoaoi/iinoe i?e eaioinie?ica // Eaai?aoi?iay aeeaaiinoeea, 2000.- ?
2.- N.27–29.

23. Iaoiaaiaoe/aneea iniaaiiinoe eioaeoeeiiii-oiene/aneiai oiea i?e
eaioinie?ica // No/ani? ?ioaeoe??, 2000.- ? 3.- N.36 — 38.

24. Ioeaiea ninoiyiey nenoaiu iee?ioee?eoeyoeee ii aeaiiui
i?eaeeciaiiiai ii?oieiae/aneiai enneaaeiaaiey // Na.: ”Iiaia a
eaai?aoi?iie aeeaaiinoeea aieaciae aioo?aiieo i?aaiia”.-
Ai?ioeeiaa?aae, 1989.- N.524-525 (niaao. Aa?ooaei TH.A., Ia?neaeneee
TH.A., Ea?aaaiia A.?.).

25. Eeeieei-iaoiaaiaoe/aneea aniaeou eaai/iie iaaeinoaoi/iinoe i?e
oyaeaeii oa/aiee eaioinie?ica // Iaoa??aee II iaoeiaiai neiiic?oio
”Aeooaeuei? i?iaeaie aeieia?? oa ee?i?/ii? ?ioiieia??”.- Ee?a-Eoaainuee,
1994.- N.45.

AIIIOAOeEss

Iaoyo A.E. Yeno?aiaeueiua ninoiyiey i?e eaioinie?ica e eo ei??aeoeey –
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie aeieoi?a iaaeeoeeineeo iaoe ii
niaoeeaeueiinoe 14.01.13 — eioaeoeeiiiua aieacie.- Eeaaneee
iao/ii-enneaaeiaaoaeueneee einoeooo yieaeaieieiaee e eioaeoeeiiiuo
aieaciae ei. E.A.A?iiaoaaneiai, Eeaa, 2000.

Ii oaia aeenna?oaoeee ianeaaeiaaii 392 aieueiuo eaioinie?icii, ec ieo
250 n oyaeaeui oa/aieai e 92 — n eaaeei oa/aieai (aniuoea 1996 a a
Ieeieaaaneie iaeanoe). Eniieueciaaiu eeeie/aneea, aeioeie/aneea,
eino?oiaioaeueiua iaoiaeu (nie?ia?aoey, ?aia?aoey, oeueo?acaoeiaia
enneaaeiaaiea na?aeoea n i?ia?aiiiui au/eneaieai ia?aiao?ia
aaiiaeeiaieee). A aeeiaieea caaieaaaiey enneaaeiaaiu
eeeieei-iaoiaaiaoe/aneea aniaeou yeno?aiaeueiuo i?ioeannia e ninoiyiee
(aeenaieaiee, aeenyeaeo?ieeoee, aeennaieie?iaaiiiai aioo?eninoaeenoiai
naa?ouaaiey e?iae, ino?ie na?aea/ii-ninoaeenoie, aeuoaoaeueiie,
ii/a/iie, ia/aii/iie iaaeinoaoi/iinoe, oea?aa?aeueiuo ii?aaeaiee).
Ianoiyoaeueii i?iaiaeece?iaaiu iniaaiiinoe ?acaeoey iaoieiae/aneeo
eciaiaiee ia ia?aie iaaeaea aieacie. I?iaaaeaia a?aaeaoeey i?aaiiie
iaaeinoaoi/iinoe ii oyaeanoe a caaeneiinoe io oa?aeoa?a
eeeieei-ii?oieiae/aneeo ia?ooaiee, aic?anoiuo iniaaiiinoae e
eiiiainaoi?iuo aiciiaeiinoae i?aaiecia. Aa?eoeoee?iaaiu e?eoa?ee
oyaeanoe e i?iaiica caaieaaaiey ii aaaeouei iaoieiae/aneei ia?aiao?ai,
oniaa?oainoaiaaia aeeaaiinoeea yeno?aiaeueiuo i?ioeannia e ninoiyiee.

Ia iniiaaiee iaoiaaiaca ?ac?aaioaiu i?eioeeiu eiiieaeniie oa?aiee
i?aaiiuo e nenoaiiuo ii?aaeaiee a caaeneiinoe io aeeeoaeueiinoe
caaieaaaiey. Oniaa?oainoaiaaia aooa?aioiay oa?aiey ca n/ao
iaoiaaiaoe/anee iainiiaaiiuo iaoiaeee ea/aiey (ea/anoaaiiiai e
eiee/anoaaiiiai ninoaaa eiooceiiiie oa?aiee) e iiauo eaea?noaaiiuo oi?i
(aieieienouo yioa?ini?aaioia, aieiieeneio, aeenaoa?eaeia). Eco/aiu
iaoaieciu ei??aae?othuaai aeeyiey aooa?aioiuo iaoiaeia ia ia?ooaiey
aiiainoaca i?e oyaeaeii oa/aiee eaioinie?ica. ?ac?aaioaiu iieacaiey e
iaoiaeu yooa?aioiie oa?aiee: aeene?aoiiai ieaciaoa?aca a 2-o
iiaeeoeeaoeeyo, ieaciini?aoeee ia einoi/eiauo (NEI, EAO) e
aeaeeaaiaeece?othueo aaeni?aaioao (ANAAe), oeueo?aoeeueo?aoeee e?iae,
niiniaiua eoie?iaaoue ii/a/ii-ia/aii/ioth iaaeinoaoi/iinoue,
aeiieiaaoeyoeeth, aeia?aieaieth. Iiauoaia yooaeoeaiinoue ea/aiey
eaioinie?ica, nie?auaia aeeeoaeueiinoue ea/aiey, eaoaeueiinoue ia 21,3%
i?e oyaeaeii oa/aiee caaieaaaiey.

Eeth/aaua neiaa: eaioinie?ic, na?aea/ii-ninoaeenoay, eaai/iay, ii/a/ii-
ia/aii/iay iaaeinoaoi/iinoue, iaieiaeo, ieaciaoa?ac, ieaciini?aoe?y,
oeueo?aoeeueo?aoeey.

AIIOAOe?ss

Iaoyo A.?. Aeno?aiaeuei? noaie i?e eaioini??ic? oa ?o ei?aeoe?y.-
?oeiien.

Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy aeieoi?a iaaee/ieo iaoe ca
niaoe?aeuei?noth 14.01.13 — ?ioaeoe?ei? oai?iae. Ee?anueeee IAe?
ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i. E.A. A?iiaoaanueeiai, Ee?a,
2000.

Ii oai? aeena?oaoe?? aeine?aeaeaii 392 oai?eo ia eaioini??ic (ia?aaaaeii
?eoa?iaaii?aa?/iee), cie?aia 250 — c oyaeeei ia?aa?aii. Canoiniaai?
ee?i?/i?, a?io?i?/i?, ?ino?oiaioaeuei? caniae ianoaaeaiiy oai?eo
(ni??ia?ao?y, oeueo?acaoeiaa ianoaaeaiiy na?oey ? aaiiaeeiai?/ieo
ia?aiao??a). A aeeiai?oe? oai?iae aeine?aeaeai? ee?i?ei-iaoiaaiaoe/i?
iaoai?cie aeno?aiaeueieo i?ioean?a ? noai?a (aeenaieai??,
aeecaeaeo?ie?o??, aeenai?iiaaiiai aioo??oiueinoaeeiiiai cai?oaiiy e?ia?,
na?oeaai-noaeeiii?, aeeoaeueii?, ie?eiai?, ia/?ieiai? iaaeinoaoiino?,
oea?aa?aeueieo ?iceaae?a). A caeaaeiino? a?ae eiiiainaoi?ieo iaoai?ci?a
aeae?eai? noaae?? oyaeeino? i?aaiii? iaaeinoaoiino?. Aa?eo?eiaai?
e?eoa??? oyaeeino? ? i?iaiico, i?aeaeuaiee ??aaiue ae?aaiinoeee
aeno?aiaeueieo i?ioean?a oa noai?a i?e eaioini??ic?. ?ic?iaeai?
i?eioeeie eiiieaenii? aoa?aioii-aoa?aioii? oa?ai?? a caeaaeiino? a?ae
o?eaaeino? oai?iae. Oaeineiiaeaia eiina?aaoeaia oa?ai?y, ca ?aooiie
iiaeo iaoiaeee oa e?e?a (ni?aaio?a aoaeaaieieiyieo oa a?aioeueiaaieo,
ai?iieeneio, aeeoeoe?eae?a). Ai?iaaaeaeai? aoa?aioi? iaoiaee e?eoaaiiy –
aeene?aoiee ieaciaoa?ac, ieaciini?aoe?y, oeueo?ao?eueo?aoe?y e?ia?.
Cieaeaia eaoaeuei?noue ia 20,3% i?e oyaee?e oi?i? eaioini??ico.

Eeth/ia? neiaa: eaioini??ic, na?oeaai-noaeeiia, eaaaiaaa,
ie?eiai-ia/?ieiaa

iaaeinoaoi?noue, iai?ia?o, ieaciaoa?ac, ieaciini?aoe?y,
oeueo?ao?eueo?aoe?y.

ANNOTATION

Matyash V.I. Life-threatening conditions associated with leptospyrosis
and it correction.-Manusnript.

The /dissertation for acquiring the scientific rank of the doctor of
medical sciences on a speciality 14.01.13 — infectious diseases. Kyiv
Scientific-Research Institute of Epidemiology and Infectious Diseases
named by L.V.Gromaschevsky.

According to the theme of the dissertation 392 patients with
leptospyrosis (basically — icterohaemorrhagiae), including 250 with
severe symptoms have been investigated. The routine, biochemical,
analyses of the patients (including spyrography, ultrasound measure of
heart and hemodynamic parameters) has been done. Clinical-pathogenetic
mechanisms of life-threatening processes and condition (disvolemia,
diselectrolithum, diseminationed endovasous folding of a blood,
infection-toxic shock, acute cardiac, respiratory, renal, liver failure:
cerebral infringements, and also set of syndrome of polyogranous
failure) has been studied in dynamic. Depends on compensatory mechanisms
the stages of severity of organous failure were located. The level of
diagnostics of the life-threatening nonditions and leptospyrosis has
been verified. The set of eisodically — efferent therapies has been
worked out. The conservative therapy was improved as well, the modern
techniques and new medicines (carbonic and granulated sorbents,
aminacids, disaccharides) have been applied. Efferent methods of
treatment — discrete plasmapheresis, plasmasorbtion, blood
ultrafiltration have been implemented. As the results: the treatment
level is increased, the lethality is decreased by 20,3%.

Key words: a leptospyrosis, shock, cardiac, pulmonary, renal, liver
failure, plasmapheresis, plasmasorbtion, ultrafiltration.

NIENIE NEI?I*AIUe

AOn. — a?oa??aeueiee oene (nenoie?/iee)

AOae. — a?oa??aeueiee oene (ae?anoie?/iee)

AA — aooa?i? iniiae

a/a — aioo??oiueiaaiii

AO — aaiaoie?eo

AeI — aeeoaeueiee ia’?i

AeAC — aeenai?iiaaia aioo??oiueinoaeeiia cai?oaiiy

AE?E — aeeoo?aa ?ii?noue eaaai?a

AE?Eo. — aeeoo?aa ?ii?noue eaaai?a (oi?niaaia)

CII — caaaeueiee ia?eoa??eiee ii??

EIN — eeneioii-iniiaiee noai

EI — eaaaiaaa iaaeinoaoi?noue

II — ie?eiaa iaaeinoaoi?noue

III — ie?eiai-ia/?ieiaa iaaeinoaoi?noue

NNI — na?oeaai-noaeeiia iaaeinoaoi?noue

iae. aei. — iaeeieoey aei??o

IOeE — ia’?i oee?eoethth/i? e?ia?

IOeE — ia’?i oee?eoethth/i? ieacie

II — ia/?ieiaa iaaeinoaoi?noue

IO? — io?io?iia?iiaee ?iaeaen

?I — eiioeaio?aoe?y ?ii?a aiaeith

?I2 — ia?oe?aeueiee oene eenith

?NI2 — ia?oe?aeueiee oene aoaeaeeneiai aaco

OI — oaea?iee ia’?i

OeAO — oeaio?aeueiee aaiiciee oene

OeIN — oeaio?aeueia ia?aiaa nenoaia

*Ae — /enei aeeoaiue

*NN — /enei na?oeaaeo nei?i/aiue

OIE — oaeeeiiee ia’?i eaaai?a

OIN — oaeeeiiee ia’?i na?oey

_______________________________________________

I?aeienaii aei ae?oeo 11.11.2000 ?. Oi?iao 60o90/16.

Ae?oe ionaoiee. Oiiai. ae?oe. a?e. 2-2,5.Oe?ao 100

Caiiaieaiiy 360

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2

1

14

13

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