IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO

?i. aeaae. I.I.AIAIIIEUeOess

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

IECA?IA Oaia?a ?aai?aia

OAeE 616–053.2/.37–071:616.155.06

O?ce/iee, ia?aiai-ineo?/iee ?icaeoie

? caoai?thaai?noue ae?oae, ye? ia?aianee

aaiie?oe/io oai?iao iiaiia?iaeaeaieo

– iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

Aeena?oaoe?eia ?iaioa aeeiiaia a Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e
aeaaeai?? IIC Oe?a?ie (i. Iieoaaa)

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?

Oanaiei Ia??y ?aaai?aia,

caa?aeoth/a eaoaae?ith i?iiaaeaaoeee aeeoy/eo oai?ia c aeiaeyaeii ca
ae?oueie Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai?? IIC Oe?a?ie
(i. Iieoaaa)

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani?

Oyaeea Ieaenaiae?a Aanee?aia,

caa?aeoth/a eaoaae?ith iaae?ao??? ?1

Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo

?i. aeaae.I.I.Aiaiiieueoey IIC Oe?a?ie;

aeieoi? iaaee/ieo iaoe, i?ioani?,

Noe?ia Ieaia A?eai??aia,

eaoaae?a iaiiaoieia?? Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii?
ina?oe ?i. I.E.Ooieea

IIC Oe?a?ie (i.Ee?a)

I?ia?aeia onoaiiaa: Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC
Oe?a?ie, eaoaae?a oieoaeueii? iaae?ao??? ?1, i.Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny «_30_»__aa?aniy_________1999 ?. i 1330 aiae. ia
can?aeaii? niaoe?ae?ciaaii? ?aaee Ae 26.003.02 i?e Iaoe?iiaeueiiio
iaaee/iiio oi?aa?neoao? ?i. aeaae. I.I.Aiaiiieueoey (252004, i. Ee?a,
aoeuea. O.Oaa/aiea, 17, aoaeeoi??y oa?aiaaoe/ii? ee?i?ee).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? oi?aa?neoaoo (252057,
i. Ee?a, aoe. Ciieia?/ia, 3).

Aaoi?aoa?ao ?ic?neaiee «_27_» na?iiy________1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? ?aaee Ae 26.003.02

aeieoi? iaaee/ieo iaoe Nae?eae N.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Aaiie?oe/ia oai?iaa ieiaea ? iiaiia?iaeaeaiiai
(AOI), yea aeieea? aiane?aeie ianoi?niino? iaoa?? ? aeeoeie ca
a?eo?ioeeoa?ieie aioeaaiaie, noaa?eueii iin?aea? a no?oeoo??
ia?eiaoaeueii? caoai?thaaiino? 5–6 i?noea (E.N. Ia?neaieiia e niaao.,
1981; Oi?ka A. at a1., 1991), ia ?? aeieth i?eiaaea? aeecueei 8%
ia?eiaoaeueieo ao?ao (A.A.Naaeueia, 1993; R.G.Iughes at al., 1994).

Aeooaeuei?noue i?iaeaie AOI iaoiiaeaia oaeiae a?aenooi?noth a oaia??oi?e
/an a Oe?a?i? oaiaeaioe?? aei cieaeaiiy caoai?thaaiino? ia aeaio
iaoieia?th (A.I. Aeecee ? ni?aaao., 1993; I.A. Noe?ia, 1995).

Caaaeyee ai?iaaaeaeaiith a i?aeoeeo ioi?iie caei?ia’y iiaeo iaoiae?a
i?io?eaeoeee, ae?aaiinoeee ? e?eoaaiiy ?ci?ioiiiai eiioe?eoo a inoaii?
aeanyoe??//y ?noioii cieceeanue ?aiiy iaiiaoaeueia nia?oi?noue ?
e?euee?noue aaaeeeo oneeaaeiaiue aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo.

A?aeiii, ui ia?eiaoaeueia iaoieia?y aeeeeea? ii?ooaiiy aaeaioaoe?? a
iaiiaoaeueiiio ia??iae? ? iiaea iaaaoeaii a?aeaeaaoeny a iiaeaeueo?
ia??iaee aeeoeinoaa (Ae.O. Ae?aaaeue ? ni?aaao. , 1992; I. A. No?ie,
1997; I. N. ???ar at al., 1987). Aeey ae?oae, ye? caciaee aieeao
iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a, ? oa?aeoa?iei ?icaeoie
aeecaaeaioaoe?eiiai neiae?iio, ?aii? aeieeiaiiy ? a?eueo oyaeeee ia?aa?a
o?ii?/ieo caoai?thaaiue, ??ciiiai?oi? ii?ooaiiy o?ce/iiai ?
ia?aiai-ineo?/iiai ?icaeoeo (I.A. Aanaeia e niaao., 1996; O.A.Naiaeoeye,
1995; I.A.Oaeaoeeay e niaao., 1995). Iaeiae, aei inoaiiueiai /ano oaaao
iaoeiaoe?a ? oao?aoe?a i?aeoe/ii? ioi?iie caei?ia’y i?e aea/aii?
i?iaeaie aieeao ia?eiaoaeueii? iaoieia?? ia noai caei?ia’y aeeoeie
caeaa?eueoiai i?eaa?oaee ieoaiiy oiene/ii? ae?? a?ia?a?e??oa?iai??, yea
aeieea? i?e AOI, ia oeaio?aeueio ia?aiao nenoaio (OeIN) (A.
Aeiaaeainueea e niaao., 1990; A. E. Aai?iaa e niaao., 1986). O aaeee?e
e?eueeino? oaeeo aeine?aeaeaiue, i?iaaaeaieo o 60-80-o ?ieao, aena?oeai?
iane?aeee yaea?ii? aeiaoyieoe? aai ?ioeo aaaeeeo o?aaeaiue OeIN i?e
aaiie?oe/i?e oai?ia? iiaiia?iaeaeaieo (A. I. Aieueaeaiaa?a e niaao.,
1974; I. Aggers at al., 1963).

A oie aea /an aeine?aeaeaiiy, i?iaaaeai? a inoaii? aeanyoe??//y, aeiaaee
iayai?noue o i?aai?ci? iiaiia?iaeaeaieo, ye? ?icaeaaeeny a oiiaao
?ioiieiioe?eoii? aaa?oiino?, ii?ooaiue ?ioiiaaiaco (I. I. Eaai?eia e
niaao., 1993; I. N. Dooren at al., 1993; I. J. Judd at al., 1990),
i?ioean?a IIE (E. O. Aoe??iei ? ni?aaao., 1990; R. Arann? at al., 1988)
? /eneaiieo ?iceaae?a aiiainoaco (I. N. ?oa?ia, 1995; A. N. Oai e
niaao., 1989). Ona aeuacacia/aia iiaea aieeaaoe ia iiaeaeueoee ?icaeoie
? noai caei?ia’y ae?oae, ye? ia?aianee aaiie?oe/io oai?iao
iiaiia?iaeaeaieo. Aeoiaey/e c oeueiai, ie aaaaeaee ca aeioe?eueia
aea/aiiy iniaeeainoae o?ce/iiai ?icaeoeo, noaiiaeaiiy ia?aiai-ineo?/iiai
noaoono, caoai?thaaiino? oaeeo ae?oae. Iaoa aeine?aeaeaiiy ? neeaaeiaith
/anoeiith eiieo?nii? iaoeiai-aeine?aeii? ?iaioe IIC Oe?a?ie ?
aea?aeaaii? ?a?no?aoe?? 0195 O 026213 «Cia/aiiy ?ioiieo,
a?eueii?aaeeeaeueieo oa aaiieiaaoethth/eo iaoai?ci?a o iaoiaaiac?
caoai?thaaiue i?aai?a aeeoaiiy o iiaiia?iaeaeaieo ? ae?oae ?aiiueiai
a?eo, yeei i?iaiaeeeanue ooo/ia aaioeeyoe?y eaaaiue. ?ic?iaea iaoiae?a
iaoiaaiaoe/ii? ei?aeoe?? aeyaeaieo ci?i c iine?aeoth/ei aeine?aeaeaiiyi
caoai?thaaiino? oa ia?aiai-ineo?/iiai ?icaeoeo ae?oae».

Iaoa ?iaioe. ?ic?iaeoe oa ia??oiooaaoe caoiaee uiaei ?aaa?e?oaoe??
ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, o?aoiaoth/e
aieea oe??? iaoieia?? ia o?ce/iee, ia?aiai-ineo?/iee ?icaeoie oa
caoai?thaai?noue ae?oae ?aiiueiai a?eo a caeaaeiino? a?ae aeaeo
?ci?ioiiiai eiioe?eoo, ia?aa?ao oai?iae oa iayaiino? iaoyaeoth/eo
ia?eiaoaeueieo /eiiee?a.

Caaea/? aeine?aeaeaiiy.

1. I?iaiae?coaaoe aeeiai?eo caoai?thaaiino?, nia?oiino? oa eaoaeueiino?
a?ae aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo a Iieoaanuee?e iaeano? ca
inoaii? 13 ?ie?a.

2. Aea/eoe iniaeeaino? ia?aa?ao AAI-AOI oa Rh-AOI a caeaaeiino? a?ae
aieeao iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a.

3. Aeaoe ioe?ieo o?ce/iiai ?icaeoeo ae?oae c AOI i?e ia?iaeaeaii? oa a
eaoaiiac? c a?aooaaiiyi oi?ie oa ia?aa?ao caoai?thaaiiy.

4. Ioe?ieoe ia?aiai-ineo?/iee ?icaeoie ae?oae ?aiiueiai a?eo, ye?
ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, a?aoiaoth/e iniaeeaino?
ia?eiaoaeueiiai ia??iaeo, oi?io oa ia?aa?a oai?iae, aeai?
iae?iniiia?ao?/iiai aeine?aeaeaiiy, i?iaaaeaiiai a aeeiai?oe?.

5. Aea/eoe iiaeaeueoo caoai?thaai?noue ae?oae i?ney ia?aianaii?
aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo oi?iaeiaae ia?oeo o?ueio ?ie?a
aeeooy.

Iaoeiaa iiaecia.

1. Aia?oa aea/aia ai?aeai?ieia?y aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo a
Iieoaanuee?e iaeano?, aecia/aii oa?aeoa? oa iniaeeaino? aeeiai?ee
caoai?thaaiino?, nia?oiino? oa eaoaeueiino? a?ae AOI ca ia??iae c 1985
?. ii 1997 ?., ui aea? iiaeeea?noue aecia/eoe aeooaeuei?noue aeaii?
i?iaeaie aeey cacia/aiiai ?aa?iio, ?ic?iaeoe caoiaee, ni?yiiaai? ia
i?io?eaeoeeo ? ciaioaiiy caoai?thaaiino? oa ?iaae?aeecaoe?? a?ae AOI.

2. Ia iniia? eiiieaeniiai ianoaaeaiiy a aeeiai?oe? aia?oa aecia/aii
iniaeeaino? iaaaoeaiiai aieeao aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo ia
o?ce/iee ?icaeoie ae?oae ?aiiueiai a?eo.

3. Aeiaaaeaii iayai?noue ca’yceo ii?ooaiue ia?aiai-ineo?/iiai ?icaeoeo
ae?oae, ye? ia?aianee AOI, c aaaee?noth ia?aa?ao ia?eiaoaeueiiai
ia??iaeo ? o?eaae?noth i?e?iaeiiai aeaiaeiaoaaiiy. Aia?oa i?iaaaeaii
aecia/aiiy a?oie ia?aiai-ineo?/iiai ?icaeoeo oa eiao?oe??ioo
ineoiiioi?iiai ?icaeoeo (QD) o ae?oae, ye? ia?aianee aaiie?oe/io oai?iao
iiaiia?iaeaeaieo.

4. Ia iniia? aecia/aiiy aca?iica’yceo i?ae aeaieie iae?iniiia?ao?/iiai
aeine?aeaeaiiy a iaiiaoaeueiiio ia??iae?, aaaee?noth o?aaeaiiy
oeaio?aeueii? ia?aiai? nenoaie oa iniaeeainoyie ia?aiai-ineo?/iiai
?icaeoeo ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo,
aia?oa aeiaaaeaia aeioe?euei?noue i?iaaaeaiiy iae?iniiia?ao?/iiai
ianoaaeaiiy a aeeiai?oe? o aeaiiai eiioeiaaioo iaoe??io?a, iacaeaaeii
a?ae aeaeo ?ci?ioiiiai eiioe?eoo oa ioe?iee ca oeaeith Aiaa? i?e
ia?iaeaeaii?.

5. Anoaiiaeaii iayai?noue ca’yceo i?ae aenieei ??aiai caoai?thaaiino?
i?ioyaii ia?oeo o?ueio ?ie?a aeeooy oa iniaeeainoyie ia?aa?ao aioa- ?
iaiiaoaeueiiai ia??iaeo, aeaeii e?eoaaiiy ? o?eaae?noth i?e?iaeiiai
aeaiaeiaoaaiiy o ae?oae, ye? ia?aianee aaiie?oe/io oai?iao
iiaiia?iaeaeaieo. Aeiaaaeaia ?ieue oe??? iaoieia?? o oi?ioaaii?
eiioeiaaioo ae?oae, ye? /anoi oai??thoue ia ?ani??aoi?io iaoieia?th.

I?aeoe/ia cia/aiiy ?iaioe.

1. Aeiaaaeaii iaiao?aei?noue i?iaaaeaiiy aeeniaina?iiai iaaeyaeo
iaae?ao?a ? iaa?ieiaa ca ae?oueie i?ney ia?aianaii? aaiie?oe/ii? oai?iae
iiaiia?iaeaeaieo oi?iaeiaae ia?oeo o?ueio ?ie?a aeeooy.

2. Iaa?oioiaaii aeioe?euei?noue i?iaaaeaiiy iae?iniiia?ao?/iiai
aeine?aeaeaiiy a aeeiai?oe? a on?o ae?oae c aaiie?oe/iith oai?iaith
iiaiia?iaeaeaieo iacaeaaeii a?ae aeaeo ?ci?ioiiiai eiioe?eoo oa ioe?iee
ca oeaeith Aiaa? i?e ia?iaeaeaii?.

3. Aecia/aii iaaaoeaiee aieea ?aiiueiai ooo/iiai aeaiaeiaoaaiiy ia
caei?ia’y ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo,
?ic?iaeai? ?aeiiaiaeaoe?? uiaei caaacia/aiiy i?e?iaeiiai aeaiaeiaoaaiiy
ae?oae c AOI.

4. Ia i?aenoaa? io?eiaieo aeaieo ia?aaeaa/a?oueny ai?iaaaeeoe a i?aeoeeo
ioi?iie caei?ia’y caoiaee uiaei ?aaa?e?oaoe?? ae?oae ?aiiueiai a?eo
i?ney ia?aianaii? aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo c o?aooaaiiyi
aeyaeaieo iaoieia?/ieo ci?i oeaio?aeueii? ia?aiai? nenoaie, iniaeeainoae
noaiiaeaiiy ia?aiai-ineo?/iiai noaoono, aeeiai?ee o?ce/iiai ?icaeoeo oa
caoai?thaaiino?.

Iniaenoee aianie aaoi?a a ?ic?iaeo iaoeiaeo ?acoeueoao?a. Iniaenoee
aianie aaoi?a iieyaa? o aeeiiaii? ?ioi?iaoe?eiiai iiooeo ? aiae?c?
iaoeiai? e?oa?aoo?e c i?iaeaie, aea/aii? oa i?iaaaeaii? aiae?co
iniaeeainoae aeeiai?ee caoai?thaaiino?, nia?oiino? ? eaoaeueiino? a?ae
aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo o Iieoaanuee?e iaeano? ca ia??iae
c 1985 ?ieo ii 1997 ??e. Aaoi?eith iniaenoi i?iaaaeaiee eiiieaen
aeine?aeaeaiue c aea/aiiy o?ce/iiai, ia?aiai-ineo?/iiai ?icaeoeo,
caoai?thaaiino? oa ioe?iea noaio caei?ia’y ae?oae, ye? ia?aianee AOI,
nenoaiaoeciaai? oa ocaaaeueiai? io?eiai? ?acoeueoaoe, i?iaaaeaia ?o
noaoenoe/ia ia?iaea, noi?ioeueiaai? aeniiaee oa i?aeoe/i?
?aeiiaiaeaoe??.

Ai?iaaoe?y ?iaioe oa ai?iaaaeaeaiiy a i?aeoeeo ioi?iie caei?ia’y.
Aieiai? iieiaeaiiy ?iaioe oa ?acoeueoaoe aeine?aeaeaiue aeiiia?aeaeeny ?
iaaiai?thaaeeny ia can?aeaiiyo Iieoaanueeiai iaeaniiai oiaa?enoaa
iaiiaoieia?a (1994, 1995, 1997 ??.), can?aeaiiyo Iieoaanueeiai i?nueeiai
oiaa?enoaa iaae?ao??a (1995, 1996, 1997 ??.), iaeani?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? aeooa??a-a?iaeieia?a oa iaiiaoieia?a,
i?enay/ai?e i?iaeai? aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo (1997 ?.), ia
iaoeiai-i?aeoe/i?e eiioa?aioe?? c i?aeia?iaeiith o/anoth «Oa?/oaaiiy
caei?iai? oa oai?i? aeeoeie» (Oa?e?a, 1999 ?.), ia iaoeiai-i?aeoe/i?e
eiioa?aioe?? «E?eoaaiiy oa i?io?eaeoeea caoai?thaaiue i?aai?a aeeoaiiy o
ae?oae» (Iieoaaa, 1999 ?.).

Io?eiai? ?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a ?iaioo a?aeae?eaiiy
iaoieia?? iiaiia?iaeaeaieo Aeeoy/i? i?nueei? ee?i?/ii? e?ea?i? ?
aeeoy/eo iie?ee?i?e i.Iieoaae, iieiaiaeo a?aeae?eaiue ? aeeoy/eo
eiinoeueoaoe?e Oeaio?aeueieo ?aeiiieo e?ea?aiue Iieoaanueei? iaeano?,
a?aeae?eaiiy ae?oae ?aiiueiai a?eo aeeoy/i? i?nueei? ee?i?/ii? e?ea?i?
i. *a?i?aoe?, i?i ui na?ae/aoue a?aeiia?aei? aeoe ai?iaaaeaeaiiy.

Iniiai? iieiaeaiiy aeena?oaoe?? aeeth/ai? aei eo?no eaeoe?e ? i?aeoe/ieo
caiyoue aeey nooaeaio?a iaaee/iiai oaeoeueoaoo, a oaeiae neooa/?a
oaeoeueoaoo i?neyaeeieiiii? i?aeaioiaee e?ea??a ia eaoaae??
i?iiaaeaaoeee aeeoy/eo oai?ia c aeiaeyaeii ca ae?oueie Oe?a?inueei?
iaaee/ii? noiiaoieia?/ii? aeaaeai??, aei eo?no eaeoe?e ? i?aeoe/ieo
caiyoue ia eaoaae?? iaae?ao??? ?2 Aoeiaeinueei? iaaee/ii? aeaaeai??.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaai? 5 iaoeiaeo ?ia?o,
a oiio /ene? 3 iaoeia? noaoo? o aeaeaiiyo, ?aeiiaiaeiaaieo AAE Oe?a?ie,
1 ?iaioa – o iaoa??aeao iaoeiaiai eiia?ano, 1 – o oacao
iaoeiai-i?aeoe/ii? eiioa?aioe??.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 161
noi??ioe? iaoeiiieniiai oaenoo ? neeaaea?oueny ?c anooio, iaeyaeo
e?oa?aoo?e, iieno aeei?enoaieo iaoiae?a oa iaoiaeee, 5-oe ?icae?e?a c
aeeeaaeaiiyi ?acoeueoao?a aeanieo aeine?aeaeaiue, caeeth/aiiy,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo e?oa?aoo?e. ?iaioo
?ethno?iaaii 24 oaaeeoeyie ? 17 iaethieaie, ye? caeiathoue 31 ie?aio
noi??ieo. Nienie e?oa?aoo?e aeeeaaeaiee ia 28 noi??ieao ? aeeth/a? 261
aeaea?aei, c ieo 91– ?iicaiieo aaoi??a.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aoei ianoaaeaii 150
iiaiia?iaeaeaieo c ??cieie aa??aioaie AOI. Eiio?ieueio a?oio neeaee 50
iiaiia?iaeaeaieo a?ae ?ioiinoi?nii? aaa?oiino? (c ieo 43 aeiiioaieo ? 7
iaaeiiioaieo). Ia?oo a?oio neeaee 99 ae?oae c aaiie?oe/iith oai?iaith ca
nenoaiith AAI (AAI-AOI) (c ieo 91 aeiiioaia aeeoeia ? 8 iaaeiiioaieo).
Aei ae?oai? a?oie aoei aeeth/aii 51 iiaiia?iaeaeaiiai c aaiie?oe/iith
oai?iaith ca nenoaiith ?acon (Rh-AOI) (c ieo aeiiioaieo – 38,
iaaeiiioaieo – 13). A ia??iae? iiaiia?iaeaeaiino? an?i ae?oyi
i?iaiaeeeinue ee?i?/ia ianoaaeaiiy, yea aeeth/aei cae?aiiy aiaiiaco,
ia’?eoeaia ianoaaeaiiy, eaai?aoi?i? oa ?ino?oiaioaeuei? iaoiaee
aeine?aeaeaiiy. I?e ia?iaeaeaii? aecia/aany ??aaiue ? aa?iii?ei?noue
o?ce/iiai ?icaeoeo o a?aeiia?aeiino? aei oa?i?io aanoaoe?? oa noao?
aeeoeie. 67 ae?oyi c AOI aoei i?iaaaeaii iae?iniiia?ao?/ia
aeine?aeaeaiiy ia oeueo?acaoeiaiio ae?aaiinoe/iiio aia?ao? SSD-725 o??ie
«Alika» (ssiii?y).

Eaoaiianoe/ia niinoa?aaeaiiy o aeeiai?oe? i?iaiaeeeinue ca 112 ae?oueie,
ye? ia?aianee AOI (81 ca nenoaiith AAI, 31- ca nenoaiith ?acon) ? 50
iaetheaie eiio?ieueii? a?oie i?ioyaii ia?oiai ?ieo aeeooy; aei aeaio
?ie?a – ca 85 ae?oueie i?ney AOI (58 – AAI-AOI, 27 – Rh-AOI); 44 – c
eiio?ieueii? a?oie; aei o?ueio ?ie?a niinoa?aaeaiiy o?eaaei ca 58
ae?oueie i?ney AOI (36 ca nenoaiith AAI, 22 – ca nenoaiith ?acon) ? 36
iaetheaie eiio?ieueii? a?oie.

O i?ioean? eaoaiianoe/iiai niinoa?aaeaiiy ioe?ithaaee ??aaiue ?
aa?iii?ei?noue o?ce/iiai ?icaeoeo, ??aaiue ? aa?iii?ei?noue
ia?aiai-ineo?/iiai ?icaeoeo, ooieoe?iiaeueiee noai i?aai?a ? nenoai,
?acenoaioi?noue ? ?aaeoeai?noue i?aai?cio aeeoeie, caoai?thaai?noue. O
ae?oae ia?oiai ?ieo aeeooy aecia/aee a?oio ia?aiai-ineo?/iiai ?icaeoeo
(A.A.Iaiothoeia e niaao., 1984), ia/enethaaee eiao?oe??io ineoiiioi?iiai
?icaeoeo QD (O.?.Iiioaiia?e, 1993). A a?oe? 1, 2, ? 3 ?ie?a aecia/aee
a?oio caei?ia’y aeeoeie.

Aea/aiiy ? aiae?c aeeiai?ee iieaciee?a caoai?thaaiino?, nia?oiino? ?
eaoaeueiino? a?ae AOI iiaiia?iaeaeaieo Iieoaanueei? iaeano? ca ia??iae c
1985 ii 1997 ??e i?iaiaeeee ia i?aenoaa? aeaieo iaeaniiai oeaio?o
iaaee/ii? noaoenoeee.

Iaea?aeai? ?acoeueoaoe ee?i?/ieo, eaai?aoi?ieo oa ?ino?oiaioaeueieo
aeine?aeaeaiue ii?aoeueiaai? iaoiaeii aa??aoe?eii? noaoenoeee
(I.I.I?ioea? ? ni?aaao., 1991) ca aeiiiiiaith IAII ?AI ?N ? i?ia?aie
«Statistica for Windows. Release 4.3» (StatSoft). Aeiaeaoeiai i?iaiaeeee
ei?aeyoe?eiee aiae?c.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. Iaie aoee i?iaiae?ciaai?
iieacieee caoai?thaaiino?, nia?oiino? ? eaoaeueiino? a?ae AOI ca
nenoaiith ?acon ? AAI a Iieoaanuee?e iaeano? ca ia??iae c 1985 ii 1997
??e. Na?aaeiuei??/iee iieaciee caoai?thaaiino? ia AOI a oeae ia??iae
neeaa 6,58±0,29 %i, ui ia a?ae??ciy?oueny a?ae aeaieo aeine?aeaeaiue,
i?iaaaeaieo o ?ioeo ?aa?iiao (A?y?a I.E. ? ni?aaao. 1992; Dudin A. A. at
al. , 1993). Ne?ae a?aecia/eoe, ui i?aeaeuaiiy iieacieea caoai?thaaiino?
ia aaiie?oe/io oai?iao iiaiia?iaeaeaieo a?ae 5,77 %i a 1985 aei 8,14 %i
a 1997 a?aeaoaaeiny ia?aeaeueii ?c ?inoii caaaeueii? caoai?thaaiino?
iiaiia?iaeaeaieo.

O no?oeoo?? caoai?thaaiino? iiaiia?iaeaeaieo a ?aiiueiio iaiiaoaeueiiio
ia??iae? AOI i?ioyaii ia??iaeo, ui aea/aany, iino?eii iin?aea? 6 i?noea
? noaiiaeoue aeecueei 5%. A oie aea /an a?aeaoeiny cia/ia cieaeaiiy
iieaciee?a nia?oiino? ? eaoaeueiino? a?ae AOI ae?oae a ?aiiueiio
iaiiaoaeueiiio ia??iae?.

Io?eiai? aeai? na?ae/aoue i?i c?inoaiiy eiioeiaaioo ae?oae, ye?
ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, ui iaoiiaeth?
aeooaeuei?noue ieoaiue, iia’ycaieo c aieeaii AOI ia iiaeaeueoee ?icaeoie
? noai caei?ia’y aeeoeie. I?e i?iaaaeaii? ee?i?/ieo niinoa?aaeaiue a
iniiao ca?oioaaiiy eiioeiaaioo iiaiia?iaeaeaieo aoea iieeaaeaia
eeaneo?eaoe?y AOI, cai?iiiiiaaia A. A. Aeia?ii?aaiaei, I. I. Oaaaeiaei
(1983).

Aea/aiiy aiaiiaco iieacaei, ui c 150 ianoaaeaieo ae?oae c AOI 52 (34,7
%) ia?iaeeeeny a?ae ia?oi? aaa?oiino?, 98 (65,3%) – a?ae iiaoi?ii?.
Oaeoi?e aioa- oa/aai ?io?aiaoaeueiiai ?eceeo aoee aeyaeai? a on?o
iiaiia?iaeaeaieo. Iaoyaeaiee aeooa?nueeee ? a?iaeieia?/iee aiaiiac iaee
78 (52,0%) ae?iie – 49 (49,5%) c AAI- ? 29 (56,9%) c Rh-ianoi?ni?noth.
Iaoyaeai?noue aeooa?nueeiai ? a?iaeieia?/iiai aiaiiaco i?iyaeyeany
aaaaoi?aciaeie iaaee/ieie aai?oaie o 45 (30,0%) ae?iie – o 30 (30,3%) c
AAI- oa 15 (29,4%) c Rh-ianoi?ni?noth. Naiia?euei? aeeeaei? iaee i?noea
o 15 (10,0%) iaeaooi?o iaoa??a (c ieo 9 (9,1%) c AAI- ? 6 (11,8%) c
Rh-ianoi?ni?noth). Aioaiaoaeueia caaeaaeue ieiaea aoea o 8 (5,3%)
ae?iie. Ae?oae c AOI a?ae iiia?aaei?o aaa?oiinoae iaee 26 (17,3%) (8
(8,1%) c AAI- ? 14 (27,5%) c Rh-ianoi?ni?noth) ae?iie.

Ia?ea?e ?ci?ioiiiai eiioe?eoo i?ae /an oaia??oiuei? aaa?oiino? aoee
aeyaeaii? o 79 ae?iie (44 ca nenoaiith AAI, 35 ca nenoaiith ?acon), e??i
oiai a?aecia/aeeny ?io? oneeaaeiaiiy aaa?oiino? (oieneeic – 28,7%,
caa?ica ia?a?eaaiiy – 23,3%, aiai?y – 24,0%). O a?eueoino? aeiaaee?a a
iaei??? ? o??? ae ae?iee iaei i?noea ii?aeiaiiy aeae?eueeio iaoyaeoth/eo
/eiiee?a. ?io?aiaoaeueia iaoieia?y aoea aeyaeaia o 89 (50 c AAI ? 39 c
Rh-ianoi?ni?noth) ae?iie (59,3%), ye? ia?iaeeee ae?oae c AOI.

Io?eiai? aeai? i?aeoaa?aeaeothoue ?ieue iaoyaeoth/eo ia?eiaoaeueieo
/eiiee?a, ye? iiaeeaeththoue aaaee?noue ia?aa?ao aaiie?oe/ii? oai?iae
iiaiia?iaeaeaieo (I. I. Oaaaeia, 1988; I. E. A?y?a ? ni?aaao., 1992; J.
Garratty, 1984), oneeaaeiththoue i?ioean iaiiaoaeueii? aaeaioaoe??, a
oaeiae iiaeooue iani?eyoeeai iicia/aoeny a iiaeaeueoiio ia ?icaeoeo ?
noai? caei?ia’y aeeoeie (?. A. Caieaae/, 1997; A. I. Na?aethe ? ni?aaao.
, 1997).

I?e i?iaaaeaii? ee?i?/iiai ianoaaeaiiy ae?oae a iaiiaoaeueiiio ia??iae?
aeiaoooia oi?ia AOI aoea ae?aaiinoiaaia o 75 ae?oae (57 ca nenoaiith AAI
? 18 ca nenoaiith ?acon), aeiaoooii-aiai?/ia o 72 ( c ieo 42 ca
nenoaiith AAI ? 30 ca nenoaiith ?acon), iaa?yeiaa oi?ia aoea o?eueee o 3
iiaiia?iaeaeaieo c Rh-AOI. O 47 iaiiaeyo (21 c AAI- ? 26 c Rh-AOI)
caoai?thaaiiy iaei aaaeeee ia?aa?a, o 85 (60 c AAI- ? 25 c Rh-AOI) –
na?aaeiuei? aaaeeino?. Eaaeee ia?aa?a caoai?thaaiiy a?aecia/aany eeoa o
18 iiaiia?iaeaeaieo c AAI-AOI. Ca oeaeith Aiaa? c ioe?ieith ieae/a 7
aae?a ia?iaeeeeny 20 ae?oae ( c ieo 10 c AAI-AOI; 10 c Rh-AOI). A
ii?aeiaii? c aenieei ??aiai iai?yii? a?ia?a?e??oa?iai?? oa aieeaii
iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a, iayai?noue ano?en?? i?e
ia?iaeaeaii? iaaaoeaii iicia/aeany ia noai? oeaio?aeueii? ia?aiai?
nenoaie (OeIN) iiaiia?iaeaeaieo c AOI.

O aino?iio ia??iae? AOI on? ianoaaeai? iaie ae?oe iaee i?iyae o?aaeaiiy
oeaio?aeueii? ia?aiai? nenoaie o aeaeyae? neiae?ii?a i?aeaeuaii?
ia?aiai-?aoeaeoi?ii? caoaeeeaino? aai i?eai?/aiiy, i’yciai? aeenoii??,
noaeiiiiai neiae?iio. Nooi?iue o?aaeaiiy OeIN aoea i?aeoaa?aeaeaia
ia’?eoeaieie aeaieie, io?eiaieie i?e iae?iniiia?ao?/iiio ianoaaeaii?
(INA). Ii?ooaiiy ?oai?/ii-a?iiene/iiai, aaii?aa?/iiai aai ii?aeiaiiai
oa?aeoa?o aoee aeyaeai? o 91,0% ianoaaeaieo ae?oae, iacaeaaeii a?ae
aeaeo ?ci?ioi?caoe?? oa ioe?iee ca oeaeith Aiaa?.

Iacaaaeath/e ia i?iaaaeai? ia ia?oiio ?ioe? aeeooy e?eoaaiiy ?
?aaa?e?oaoe?th, iaeaea /aa?oue (24,1%) ianoaaeaieo ae?oae o a?oe? 1 ?ieo
iaee iaa?ieia?/i? ?iceaaee ? aeiaaaee iiaeaeueoiai aeeniaina?iiai
iaaeyaeo o iaa?ieiaa c i?eaiaeo a?aoii-a?ae?ioeaoaeueiiai neiae?iio,
neiae?iio i?aeaeuaii? ia?aiai-?aoeaeoi?ii? caoaeaeoaaiino?, noaeiiiiai
neiae?iio. A iaei??? aeeoeie, yea ia?iaeeeany iaaeiiioaiith ? ia?aianea
aaaeeo oi?io Rh-AOI, ?icaeioany aeeoy/ee oea?aa?aeueiee ia?ae?/.

I?e i?iaeiaaeaii? niinoa?aaeaiiy a aeeiai?oe? iaie aecia/aii, ui 9
ae?oae, yeeo a a?oe? 1 ?ieo aoei ciyoi c aeeniaina?iiai iae?eo o
iaa?ieiaa, ia ae?oaiio oa o?aoueiio ?ioe? aeeooy iio?aaothoue
iaa?ieia?/iiai ianoaaeaiiy, e?eoaaiiy ? ?aaa?e?oaoe??. A ieo aoei
ae?aaiinoiaaii anoaiiiaa?ioe/iee neiae?ii oa neiae?ii
aaaaoi-a?noea?aeueii? aeenooieoe??. Io?eiai? iaie aeai? ni?aiaaeathoue c
aeoieith I. A. Oaeaoeueei? ? ni?aaaoi??a (1995) uiaei ?icaeoeo
aeecaaeaioaoe?eiiai neiae?iio o ae?oae c a?eueo eaaeeie oi?iaie
ia?eiaoaeueiiai o?aaeaiiy OeIN, ye? caeeoathoueny iaae?aaiinoiaaieie i?e
?aiiueiio i?eieiaii? iaa?ieia?/iiai iaaeyaeo.

Iaai? iniaeeaino? iaee i?noea ? a ia?aiai-ineo?/iiio ?icaeoeo ae?oae
i?ney ia?aianaii? AOI (oaae. 1), o?eueee 45,5% c ieo o a?oe? 1 ?ieo aoei
a?aeianaii aei ? a?oie ia?aiai-ineo?/iiai ?icaeoeo (o eiio?ieuei?e a?oi?
– 78,0% ae?oae). I?ioyaii ia?oiai ?ieo aeeooy o ieo aecia/aeiny a?eueo
iia?eueia oi?ioaaiiy ?ooiai? ooieoe??: 27,2% iaethe?a, ye? ia?aianee
AAI- oa 35,5% – Rh-AOI, ii/aee o?eiaoe aieiao i?ci?oa, i?ae ?o
iaeiie?oee; neae?oe, noiyoe oa oiaeeoe ?c cao?eieith ia 1-2 ai?e?ecia?
oa?i?ie ii/aee 13,5% ae?oae i?ney AAI- ? 12,9% – i?ney Rh-AOI.

Oaaeeoey 1

Ioe?iea ia?aiai-ineo?/iiai ?icaeoeo ianoaaeaieo ae?oae o a?oe? 1 ??e

Ae?oe c AOI

?iciiae?e ae?oae ca a?oiaie ?icaeoeo I a?oia

( n=81) II a?oia

(n=31) * Anueiai (n=112) III a?oia

(n=50)

Aan. % Aan. % Aan. % Aan. %

I a?oia: 38 46,9 13 41,9 51 45,5 39 78,0

1. Ae?oe c aeia?aaeaeaiiyi ?icaeoeo:

a) aenieee ?icaeoie 0 0 0 0 0 0 1 2,0

a) i?enei?aiee ?icaeoie 0 0 0 0 0 0 0 0

2. Ae?oe c iaaa?iii?eiei aeia?aaeaeaiiyi 1 1,2 0 0 1 1,8 4 8,0

3. Ae?oe c ii?iaeueiei ?icaeoeii 37 45,6 13 41,9 50 44,6 34 68,0

II a?oia: 37 45,6 15 48,4 52 46,4 11 22,0

1. Ae?oe ?c cao?eieith a ?icaeoeo ia 1 aiie?eciaee oa?iii

a) I nooiaiy 8 9,9 9 29,0 17 6,3 3 6,0

a) II nooiaiy 0

3 9,6 3 2,7 0 0

a) III nooiaiy 1 1,2 0 0 1 0,9 0 0

2. Ae?oe c iaoeiiaei iaaa?iii?eiei ?icaeoeii 28 34,5 3 9,6 31 27,7 8
16,0

III nooi?iue 6 7,4 2 6,5 8 7,1 0 0

1. Ae?oe ?c cao?eieith a ?icaeoeo ia 2 ai?e?eciaeo oa?i?ie:

a) I nooiaiy 4 4,9 0 0 4 3,6 0 0

a) II nooiaiy 2 2,5 1 3,2 3 27,0 0 0

a) III nooiaiy 0 0 0

0

0 0

2. Ae?oe c iaoeiiaei ieaeiueiaa?iii?eiei ?icaeoeii 0

0 1 3,2 1 0,9 0 0

IV a?oia: 0 0 0 0 0 0 0 0

Iaaeia? noaie

Ae?oe ?c cao?eieith a ?icaeoeo ia 3 ai?e?ecia? oa?i?ie

I?ei?oea: * – aeeth/ath/e aeeoeio c AeOeI, a?oia II? yei? ia
aecia/aeanue.

I?e aeine?aeaeaii? aiioe?eii-aieueiai? noa?e a ia?oiio i?a??//? aeeooy o
10,0% iaiiaeyo, ye? ia?aianee AOI, aeyaeaia aiioe?eia iano?ee?noue,
iaaaoeai? aiioe?ei? ?aaeoe?? aai ieya?noue. A ae?oaiio i?a??//? iaethee,
ye? ia?aianee AOI, iaee iaai? o?oaeiiu? o anoaiiaeaii? ciai?oi?o
eiioaeo?a. I?ioyaii ia?oiai ?ieo aeeooy o 27,2% ae?oae i?ney AAI- ?
16,1% i?ney Rh-AOI aoei aecia/aii cao?eieo a oi?ioaaii? aeoeaii? iiae,
ui oaeiae oneeaaeithaaei ?o iiaeaeueoo nioe?aeueio aaeaioaoe?th.
Cia/aiiy eiao?oe??ioo ineoiiioi?iiai ?icaeoeo QD o a?oe? 1 ?ieo o
ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, aoei
a??ia?aeii ieae/ei (96,5) o ii??aiyii? c ae?oueie eiio?ieueii? a?oie
(99,2).

?ao?iniaeoeaiee aiae?c aeaieo INA-ianoaaeaiiy iiaiia?iaeaeaieo c AOI
iieacaa, ui o 88,9% ae?oae, ye? iaee cao?eieo ia?aiai-ineo?/iiai
?icaeoeo ia ia?oiio ?ioe? aeeooy, aoee aeyaeai? a iaiiaoaeueiiio
ia??iae? o? /e ?io? ii?ooaiiy OeIN. Aecia/aii, ui e??i iaoyaeoth/eo
/eiiee?a ia?eiaoaeueiiai ia??iaeo, cia/iee aieea ia ia?aiai-ineo?/iee
?icaeoie ae?oae, ye? ia?aianee AOI, ia? i?iaaaeaiiy e?eoaaiiy c
o?aooaaiiyi aeaieo iae?iniiia?ao?? ? o?eaae?noue i?e?iaeiiai
aeaiaeiaoaaiiy (R=0,38, ?<0,01). I?iaaaeaiee aiae?c aeeiai?ee o?ce/iiai ?icaeoeo ianoaaeaieo ae?oae a?ae ia?iaeaeaiiy ? oi?iaeiaae ia??iaeo eaoaiianoe/iiai niinoa?aaeaiiy. Aoei aeyaeaii, ui aaea i?e ia?iaeaeaii? 19,4% ae?oae c AOI (15,4% ca nenoaiith AAI, 28,9% ca nenoaiith ?acon) iaee iieacieee o?ce/iiai ?icaeoeo ieae/a na?aaeiueiai o a?aeiia?aeiino? aei oa?i?io aanoaoe??. O 45,0% iiaiia?iaeaeaieo aecia/ia aeenaa?iii?ei?noue o?ce/iiai ?icaeoeo. A ia??iae? aaeaioaoe?? aoea i?ine?aeeiaaia aeeiai?ea ao?aoe ? a?aeiiaeaiiy ii/aoeiai? iane o?ea o ianoaaeaieo iiaiia?iaeaeaieo. Iaeneiaeueia ao?aoa ia?aeiii? iane o?ea neeaaeaea a na?aaeiueiio i?e AAI-AOI – 6,6%, i?e Rh-AOI -7,3% (o eiio?ieuei?e a?oi? – 4,7%). Iiiiaeaiiy ia?aeiii? iane o?ea o iiaiia?iaeaeaieo c AO a?aeaoaaeiny a?eueo iia?eueii, i?ae a eiio?ieuei?e a?oi? (i?e AAI-AOI a na?aaeiueiio – 12,3 aeiae, i?e ?acon-AOI – 14,8 ae?a, o eiio?ieuei?e a?oi? – 9,5 ae?a), ui na?ae/?oue i?i iayai?noue o ae?oae c AOI cia/ieo iaoaaie?/ieo ii?ooaiue. O a?oe? 1 ?ieo iaaeinoaoi?e o?ce/iee ?icaeoie iaee 26,8% ae?oae, ye? ia?aianee AOI, na?aaei?e – 57,1%, aeua na?aaeiueiai – 16,1%. Ne?ae a?aecia/eoe, ui aeenaa?iii?ei?noue o?ce/iiai ?icaeoeo aecia/aia o 49,1% iaethe?a i?ney ia?aianaii? AOI. Ia ae?oaiio ?ioe? aeeooy e?euee?ni? iieacieee o?ce/iiai ?icaeoeo ae?oae, ye? ia?aianee AAI-AOI, iaaeeaeaeeny aei iieaciee?a ?o iaeiie?oe?a a eiio?ieuei?e a?oi?, oiae? ye i?ney ia?aianaii? Rh-AOI a?aecia/a?oueny cia/ia cao?eiea o?ce/iiai ?icaeoeo, iaoiiaeaia cieaeaiiyi oaii?a i?e?inoo c?inoo ? iane. A o?e ?iee ??aaiue o?ce/iiai ?icaeoeo ae?oae an?o ianoaaeaieo a?oi iaeaea ia a?ae??ciyany. Iaeiae, ye?nia ioe?iea iieacaea iayai?noue o ae?oae, ye? ia?aianee Rh-AOI, oaiaeaioe?? aei a?eueo /anoiai aeenaa?iii?eiiai ?icaeoeo. Aecia/aii, ui ae?oe, e?eoaaiiy oa ia?aeiia ?aaa?e?oaoe?y yeeo i?iaiaeeeeny o a?aeae?eaii? iaoieia?? iiaiia?iaeaeaieo, iaa?oue o a?oe? 2-o ? 3-o ?ie?a iathoue e?au? iieacieee o?ce/iiai ?icaeoeo. Ne?ae a?aecia/eoe, ui iaea?eueo iia?euei? oaiie o?ce/iiai ?icaeoeo iaee /anoioai??th/? ae?oe. Ae?oe c AOI iaee aeu? iieacieee caoai?thaaiino? a ?aiiueiio a?oe? o ii??aiyii? c iaetheaie, ye? ia?iaeeeeny a?ae ?ioiinoi?nii? aaa?oiino?. Iaeiei c iieaciee?a yeee a?aeia?aaea? noai caoai?thaaiino? ae?oae ia?oiai ?ieo aeeooy ? ?iaeaen caei?ia'y. Ca io?eiaieie iaie aeaieie, ?iaeaen caei?ia'y a a?oe? 1 ??e o ae?oae ye? ia?aianee AOI, noaiiaea eeoa 7,1 (7,4 – i?ney AAI-AOI ? 6,5 – i?ney Rh-AOI), o eiio?ieuei?e a?oi? – 36,0. A no?oeoo?? caoai?thaaiino? ia?aaaaeaea ?ani??aoi?ia iaoieia?y. Ia ia?oiio ?ioe? aeeooy aino?? ?ani??aoi?i? caoai?thaaiiy ia?aianee 65,2% ae?oae c AOI a aiaiiac? (oaae. 2) – 60,5% i?ney AAI- ? 77,4% i?ney Rh-AOI. Ne?ae a?aecia/eoe, ui a a?eueoino? ae?oae ia?oa ?ani??aoi?ia caoai?thaaiiy aeieeaei aaea a ia?o? i?nyoe? aeeooy. Cia/ia /anoeia caoai?thaaiino? ia ?ani??aoi?io iaoieia?th i?eiaaeaea ia eiioeiaaio /anoioai??th/eo ae?oae. Ia ia?oiio ?ioe? aeeooy na?aae ae?oae, ye? ia?aianee AOI /anoioai??th/eo aoei 15,2% (12,3% i?ney AAI- ? 22,6% i?ney Rh-AOI). Aeyaeaiee a??ia?aeiee (R=0,43, ?<0,0002) ca'ycie i?ae /anoioith ?ani??aoi?ieo caoai?thaaiue o oeeo ae?oae oa iayai?noth aiai?? aaa?oieo o iaoa??, ??aiai a?ia?a?e??oa?iai?? i?e ia?iaeaeaii?, o?eaae?noth i?e?iaeiiai aeaiaeiaoaaiiy. Oaaeeoey 2 Iniiai? caoai?thaaiiy, ia?aianai? ianoaaeaieie ae?oueie i?ioyaii ia?oiai ?ieo aeeooy Eiioeiaaio ae?oae Ia?aianai? Ae?oe c AOI caoai?thaaiiy ? i?aii?a?aei? l a?oia (n= 81) II a?oia (n=31) Anueiai (n= 112) III a?oia (n= 50) noaie Aan. % Aan. % Aan. % Aan. % A?A? 49 60,5 24 77,4 73 65,2* 22 44,0 ?io? caoai?thaaiiy i?aai?a aeeoaiiy (a?iio?o, ea?eiaio?aoa?o, iiaaiii?y) 12 14,8 5 16,2 17 15,2 3 6,0 Aano?iaioa?ieie?o 5 6,2 8 25,8* 13 11,6* 1 2,0 Ioeo 6 7,4 3 9,7 9 8,0 3 6,0 ?ioaeoe?ei? caoai?thaaiiy (a?o?yia a?nia, e?aniooa) 2 2,5 2 6,5 4 3,6 1 2,0 ?io? caoai?thaaiiy 7 8,9 4 12,9 11 9,8 6 12,0 Aiai?y 41 50,6 19 61,2 60 53,6* 10 20,0 ?ao?o 13 16,0 11 35,5 24 21,4* 9 18,0 Aea?a?/iee ae?aoac (aea?aiaea?iaoeo) 27 33,3 9 29,0 36 32,1* 10 20,0 I?ei?oea: ( – a?aei?iiino? aeinoia??i? ii a?aeiioaiith aei iieaciee?a ae?oae eiio?ieueii? a?oie; (( – a?aei?iiino? aeinoia??i? i?ae iieacieeaie ae?oae I oa II a?oi. I?ine?aeeiao?oueny caeaaei?noue i?ae /anoioith iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue ? iayai?noth o ae?oae iaoyaeaiiai i?aii?a?aeiiai oiio o aeaeyae? ii?aeiaiiy aea?a?/iiai ae?aoaco, aiai?? oa ?ao?oo. Ca iayai?noth iaoyaeaiiai i?aii?a?aeiiai oiio o 15,2% ae?oae, ye? ia?aianee AOI (14,8% i?ney AAI- ? 16,2% i?ney Rh-AOI), ?ani??aoi?i? ?ioaeoe?? oneeaaeithaaeeny noaiicoth/ei ea?eiaio?aoa?oii, a?iio?oii aai iiaaiii??th. I?iyae aea?a?/iiai ae?aoaco o aeaeyae? aea?aiaea?iaoeoo aoee aeyaeai? o 32,1% ae?oae (33,3% i?ney AAI- ? 29,0% i?ney Rh-AOI). Aiai?y ia ia?oiio ?ioe? aeeooy ae?aaiinooaaeany o 53,6% (50,6% i?ney AAI- ? 61,2% i?ney Rh-AOI) ae?oae, ye? ia?aianee AOI. Na?aae 41 aeeoeie ia?oiai ?ieo aeeooy, ye? iaee aiai?th i?ney ia?aianaii? AAI-AOI, 24,3% ia?iaeeeeny a?ae aaa?oiino?, yea oneeaaeithaaeanue aiai??th. I?e Rh-eiioe?eo? oaeeo ae?oae aoei iaeaea aaea?/? a?eueoa – 52,6%. Ii?yae c ia?eiaoaeueieie /eiieeaie iaaiee aieea ia /anoioo ?icaeoeo aiai?? (R=0,40, ?<0,001) oa aea?a?/iiai ae?aoaco (R=0,38, ?<0,005) o iaiiaeyo, ye? ia?aianee AOI, iaea o?eaae?noue a?oaeiiai aeaiaeiaoaaiiy. O?eueee 20 (17,9%) ae?oae i?ney ia?aianaii? AOI ciaoiaeeeenue ia i?e?iaeiiio aeaiaeiaoaaii? aei iaeiiai ?ieo. C ia?iaeaeaiiy ia io?eioaaee iaoa?einueeiai iieiea 20 (17,9%) iaiiaeyo. Iaea?eueo ?noioia cieaeaiiy /anoioe a?oaeiiai aeaiaeiaoaaiiy a?aecia/aeiny o ae?oae, ye? ia?aianee AOI, c o?aoueiai i?nyoey aeeooy – c 64,2% aei 37,4% (?en. 1). Io?eiai? iaie aeaii? a?aeia?aaeathoue caaaeueio oaiaeaioe?th aei cieaeaiiy /anoioe a?oaeiiai aeaiaeiaoaaiiy iaiiaeyo a Oe?a?i? (?. A. Aiaaoe?ueiaa, 1998). C 60 ae?oae, a yeeo i?ney ia?aianaii? AOI ?icaeioeanue aiai?y, 55 (91,7%) ciaoiaeeeenue ia i?e?iaeiiio aeaiaeiaoaaii? ia a?eueoa 6 i?nyoe?a, a 39 (6,5%) c ieo aoee ia?aaaaeai? ia ooo/ia aeaiaeiaoaaiiy o ia?o? o?e i?nyoe? aeeooy aai cian?i ia io?eioaaee iaoa?einueeiai iieiea. Aiaeia?/i? ?acoeueoaoe aoee iaea?aeai? o ae?oae c ee?i?/ieie i?iyaaie aea?a?/iiai ae?aoaco. Ia ae?oaiio ? o?aoueiio ?ioe? aeeooy o ae?oae, ye? ia?aianee AOI, caa??aaeany oaiaeaioe?y aei i?aeaeuaii? caoai?thaaiino?. Aei eiioeiaaioo /anoioai??th/eo a a?oe? aeaio ?ie?a aoei aeeth/aii 22,6% (19% i?ney AAI- ? 26,9% -i?ney Rh-AOI), a a 3 ?iee 27,5% (25,0% i?ney AAI- ? 31,8% i?ney Rh-AOI) iaethe?a, ye? ia?aianee AOI (?en. 2). Iacaaaeath/e ia i?iaaaeaia e?eoaaiiy aiai??, a?aenioie oe??? iaoieia?? o ae?oae, ye? ia?aianee AOI, caeeoaany aeineoue aenieei ia ae?oaiio (35,3%) ? o?aoueiio (22,4%) ?ioe? aeeooy. % ?en. 1. Aeeiai?ea i?iaaaeaiiy i?e?iaeiiai aeaiaeiaoaaiiy ianoaaeaieo ae?oae. * – a?aei?iiino? aeinoia??i? ii a?aeiioaiith aei iieaciee?a ae?oae eiio?ieueii? a?oie. ?en. 2. *anoea ae?oae, ye? /anoi oai??thoue ia ?ani??aoi?io iaoieia?th, caeaaeii a?ae a?eo. ? – AAI-AOI, ?? – Rh-AOI. Ia oii? cieaeaiiy e?eueeino? aea?aiaea?iaoic?a ia o?aoueiio ?ioe? aeeooy o ii??aiyii? c ia?oei ?ieii, o ae?oae, ye? ia?aianee AOI, i?aeaeueeanue caoai?thaai?noue ia aea?a?/io iaoieia?th i?aai?a aeeoaiiy. ?icaeoie o oeeo ae?oae iano?oeoeaiiai ? ?aoeeaeeaoth/iai a?iio?oo, noeeuei?noue aei iiaoi?ieo ai?ciae?a a?iioiiano?oeoe?? iiaeia ?icoe?ithaaoe ye i?iyae aoii?/iiai (aea?a?/iiai) ae?aoaco. Oaeei /eiii, ?ciioiiee eiioe?eo ni?ey? aenie?e a?aceeaino? ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iaoiiaeth? ?o i?aeaeuaio caoai?thaai?noue oa noeeuei?noue aei oi?ioaaiiy aea?a?/ieo noai?a. I?ney ia?aianaii? AOI o ae?oae ?aiiueiai a?eo ia oii? ianoa/? oaoaeueieo caian?a cae?ca a?aecia/a?oueny aeniea /anoioa ?icaeoeo aiai??. Ii?yae c ?ioeie /eiieeaie cia/io ?ieue a ?? aeieeiaii? a?ae?a?a? ?aii? ooo/ia aeaiaeoaaiiy. Ca iayai?noth iani?eyoeeaiai i?aii?a?aeiiai oiio o aeaeyae? aiai?? oa aea?a?/iiai ae?aoaco ae?oe, ye? ia?aianee AOI, iathoue i?aeaeuaio noeeuei?noue aei iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue, ui, a naith /a?ao, ni?ey? ii?ooaiiyi e?iaioai?aiiy oa nainea?e?caoe?? i?aai?cio. Oeaia eiei, ui aeieea? oaeei /eiii, oneeaaeith? aaeaioaoe?th aeeoeie, iia??oo? caaaeueiee noai ?? caei?ia'y, ni?aaeyth/e iaaaoeaiee aieea ia o?ce/iee oa ia?aiai-ineo?/iee ?icaeoie. AENIIAEE 1. O Iieoaanuee?e iaeano? ??aaiue caoai?thaaiino? ia aaiie?oe/io oai?iao iiaiia?iaeaeaieo c??n a?ae 5,77 ‰ a 1985 ?ioe? aei 8,14 ‰ o 1997 ?ioe? i?e iaeii/aniiio cieaeaii? ??aiy ?aiiuei? iaiiaoaeueii? nia?oiino? ? eaoaeueiino? (c 0,26‰ aei 0,07‰ oa c 5,11% aei 0,88% a?aeiia?aeii. 2. Aaiie?oe/ia oai?iaa iiaiia?iaeaeaieo nooo?ai aieeaa? ia o?ce/iee ?icaeoie ae?oae a aioa- ? iinoiaoaeueiiio ia??iae?: 19,4% ae?oae c AOI i?e ia?iaeaeaii? iathoue iieacieee o?ce/iiai ?icaeoeo ieae/a na?aaeiueiai, 45,0% – aeenaa?iii?eiee o?ce/iee ?icaeoie. Ao?aoa ia?aeiii? iane o?ea o iiaiia?iaeaeaieo c aaiie?oe/iith oai?iaith a?eueo cia/ia, oaiie ?? a?aeiiaeaiiy oiia?eueiai?. Oi?iaeiaae ia?oeo aeaio ?ie?a aeeooy ae?oe, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iathoue a??o? iieacieee o?ce/iiai ?icaeoeo, i?ae ?o iaeiie?oee (o?ce/iee ?icaeoie ieae/a na?aaeiueiai ia ia?oiio ?ioe? o 26,8% ae?oae, ia ae?oaiio – o 25,9%; aeenaa?iii?ei?noue – o 50,9% oa 65,9% a?aeiia?aeii). O ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iieacieee o?ce/iiai ?icaeoeo caeaaeaoue a?ae oaeoi??a ia?eiaoaeueiiai ia??iaeo oa i?iaaaeaiiai e?eoaaiiy ? ?aaa?e?oaoe?? o a?aeae?eaii? iaoieia?? iiaiia?iaeaeaieo iaa?oue o a?oe? 2-o (R2=0,40) oa 3-o (R2=0,44) ?ie?a. 3. O ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, niinoa??aathoueny a?eueo iecuee? oaiie oi?ioaaiiy ie?aieo ia?aiai-ineo?/ieo ooieoe?e (aiioe?eieo ?aaeoe?e, aeoeaii? iiae oa ?ioeo), ui iaoiiaeth? cao?eieo (54,5%) ? aeenaa?iii?ei?noue (30,4% ae?oae) ?o ia?aiai-ineo?/iiai ?icaeoeo. Eeoa 45,5 % ae?oae ia?oiai ?ieo aeeooy i?ney ia?aianaii? AOI aoee a?aeianai? aei 1-? a?oie ia?aiai-ineo?/iiai ?icaeoeo (o eiio?ieuei?e a?oi? – 78,0%).Na?aaei? cia/aiiy eiao?oe??ioo ineoiiioi?iiai ?icaeoeo (QD) o ae?oae, ye? ia?aianee AOI, a??ia?aeii ieae/a (96,4 – i?ney AAI-AOI, 96,7 – i?ney Rh-AOI), i?ae o ?o iaeiie?oe?a o eiio?ieuei?e a?oi? (99,2). 4. *anoioa ?icaeoeo ? aaaee?noue iaa?ieia?/ii? iaoieia?? o ae?oae c aaiie?oe/iith oai?iaith iiaiia?iaeaeaieo a?aeiia?aea? iayaiino? ci?i c aieo oeaio?aeueii? ia?aiai? nenoaie, aeyaeaieo i?e iae?iniiia?ao?/iiio ianoaaeaii? a iaiiaoaeueiiio ia??iae?. Nai?/ania i?iaaaeaiiy iia?aoe?? cai?iiiai ia?aeeaaiiy e?ia?, e?eoaaiiy oa ia?aeiia ?aaa?e?oaoe?y o a?aeae?eaii? iaoieia?? iiaiia?iaeaeaieo c o?aooaaiiyi aieeao iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a, iniaeeainoae ia?aa?ao aaiie?oe/ii? oai?iae, aeaieo iae?iniiia?ao?? ia oii? o?eaaeiai niinoa?aaeaiiy iaa?ieiaa aeicaiey? oieeiooe ?icaeoeo iacai?ioieo ci?i c aieo oeaio?aeueii? ia?aiai? nenoaie o oeueiai eiioeiaaioo ae?oae. 5. An? ae?oe, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iio?aaothoue i?iaaaeaiiy iae?iniiia?ao?/iiai ianoaaeaiiy a aeeiai?oe?, aeeniaina?iiai iaaeyaeo o iaae?ao?a ? iaa?ieiaa aei 3-o ?ie?a aeey nai?/aniiai aeyaeaiiy ci?i o ia?aiai-ineo?/iiio noaoon? oa i?iaaaeaiiy a?aeiia?aeieo e?eoaaeueieo oa ?aaa?e?oaoe?eieo caoiae?a. Ca iaoeie aeaieie, e?eoaaiiy o iaa?ieiaa aeiaaathoue 24,1% ae?oae o a?oe? 1 ?ieo, 18,8% – o a?oe? 2-o ?ie?a, 20,7% – o a?oe? 3-o ?ie?a. 6. Ia?aianaia AOI ni?ey? i?aeaeuaiith ??aiy caoai?thaaiino? ae?oae ?aiiueiai a?eo: aei eiioeiaaioo oaeeo, ye? /anoi oai??thoue ia ?ani??aoi?io iaoieia?th a?aeiinyoue ia 1-io ?ioe? aeeooy – 17,9% ae?oae, ia 2-io – 22,3%, ia 3-io ?ioe? aeeooy – 27,5 % iaethe?a c ?ci?ioiiei eiioe?eoii, oiae? ye o eiio?ieuei?e a?oi? a?aeiia?aeii: 0% – ia 1-io oa 2-io ?ieao, 5,6% – ia 3-io ?ioe? aeeooy. E??i ia?eiaoaeueieo /eiiee?a, cia/iee aieea ia caoai?thaai?noue ae?oae ?aiiueiai a?eo, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, ia? o?eaae?noue i?e?iaeiiai aeaiaeiaoaaiiy. 7. Ae?oe, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iathoue oi?iaeiaae ia?oeo o?ueio ?ie?a aeeooy i?aeaeuaio caoai?thaai?noue ia aiai?th: ia ia?oiio ?ioe? – 53,6%, ia ae?oaiio – 35,3%, ia o?aoueiio – 22,4% (a eiio?ieuei?e a?oi? – 20,0%, 15,9%, 11,1% a?aeiia?aeii); aenieo /anoioo aeyaeaiiy i?iya?a aea?a?/iiai ae?aoaco: 32,1% ia ia?oiio ?ioe?, 15,3% – ia ae?oaiio, 12,1% – ia o?aoueiio (a eiio?ieuei?e a?oi? 20,0%, 4,5%, 5,6% a?aeiia?aeii). Cia/iee aieea ia ?icaeoie oe??? iaoieia?? o aeaii? eaoaai??? ae?oae iathoue ianaiia?aae iayai?noue aiai?? aaa?oieo o iaoa??, aaaee?noue ia?aa?ao aaiie?oe/ii? oai?iae ? o?eaae?noue i?e?iaeiiai aeaiaeiaoaaiiy. I?AEOE*I? ?AEIIAIAeAOe?? 1. Ca on?ia ae?oueie, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iacaeaaeii a?ae aeaeo ?ci?ioiiiai eiioe?eoo, oi?ie ? ia?aa?ao caoai?thaaiiy, aeioe?eueii i?iaiaeeoe aeeniaina?iee iaaeyae iaae?ao?a oa iaa?ieiaa ia iaioa ia?oeo o?ueio ?ie?a aeeooy c a?aooaaiiyi aeyaeaieo iaoieia?/ieo ci?i oeaio?aeueii? ia?aiai? nenoaie, iniaeeainoae noaiiaeaiiy ia?aiai-ineo?/iiai noaoono, aeeiai?ee o?ce/iiai ?icaeoeo oa caoai?thaaiino?. 2. On?i ae?oyi c AOI, iacaeaaeii a?ae aeaeo ?ci?ioiiiai eiioe?eoo ? ioe?iee ca oeaeith Aiaa?, iaiao?aeii i?iaiaeeoe iae?iniiia?ao?/ia ianoaaeaiiy a aino?iio ia??iae? caoai?thaaiiy (iaia'yceiai i?ney i?iaaaeaiiy iia?aoe?? cai?iiiai ia?aeeaaiiy e?ia?), /a?ac 3-4 oeaei? i?ney ia?iaeaeaiiy, o a?oe? 2-3 i?nyoe?a, o iiaeaeueoiio – ca iayaiino? iieacaiue. 3. O ca'yceo c iaiao?aei?noth i?iaaaeaiiy o ae?oae c aaiie?oe/iith oai?iaith iiaiia?iaeaeaieo aaeeei? e?eueeino? a?io?i?/ieo oa ?ioiieia?/ieo aeine?aeaeaiue, ?ioaineaii? oa?ai??, aeeiai?/iiai iae?iniiia?ao?/iiai ianoaaeaiiy ? niinoa?aaeaiiy iaa?ieiaa, on? ae?iee, o yeeo i?iaiico?oueny ?ioiieiioe?eoiee noai, iiaeii? ia?iaeaeoaaoe a oiiaao niaoe?ae?ciaaiiai noaoe?iia?o. Ae?oae, oai?eo ia AOI, iaiao?aeii iaia'yceiai ia?aaiaeeoe aeey iiaeaeueoiai e?eoaaiiy oa ia?aeiii? ?aaa?e?oaoe?? aei a?aeae?eaiue iaoieia?? iiaiia?iaeaeaieo o a?oe? 5-7 ae?a. 4. O?aoiaoth/e iaaaoeaiee aieea ?aiiueiai ooo/iiai aeaiaeiaoaaiiy ia iieacieee o?ce/iiai, ia?aiai-ineo?/iiai ?icaeoeo ? caoai?thaaiino? ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, ne?ae ?aeiiaiaeoaaoe aeaiaeiaoaaiiy ?o a?oaeiei iieieii iaoa?? c 5-?–7-? aeiae aeeooy, a aei oeueiai – ianoa?eciaaiei ae?ii/ei iieieii. Aaaaeaoe iaia'yceiaei caa?aaeaiiy eaeoaoe?? oa ?? noeioeyoe?th o iaoa??a oai?eo iiaiia?iaeaeaieo ca aeiiiiiaith caaaeueiii?eeiyoeo cania?a (a?coaeueiee ? oaeoeeueiee eiioaeo c aeeoeiith, ?aaoey?ia coe?aeaeoaaiiy iiei/ieo caeic, o?oioa?ai?y). Nienie ?ia?o, iioae?eiaaieo ca oaiith aeena?oaoe?? 1. Ca'ycie i?ae o?eaae?noth i?e?iaeiueiai aeaiaeiaoaaiiy ? /anoioith ?icaeoeo aiai?? oa aenoaeaoeaiiai ae?aoaco ia ia?oiio ?ioe? aeeooy o ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaiiai // I?iaeaie aeieia?? oa iaaeeoeeie. – Iieoaaa. – 1997, ? 1-2. – N.88-90. 2. O?ce/iee ?icaeoie oa caoai?thaai?noue ae?oae ia?oiai ?ieo aeeooy i?ney ia?aianaii? aaiie?oe/ii? oai?iae iiaiia?iaeaeaiiai //Iaae?ao??y, aeooa?noai oa a?iaeieia?y. – E.- 1998, ?2. – N.17-19. 3. Aeyaeaiiy ci?i iae?iniiia?ao?/iei ianoaaeaiiyi o ae?oae, oai?eo ia aaiie?oe/io oai?iao iiaiia?iaeaeaieo // Aoeiaeinueeee iaaee/iee a?niee.— *a?i?aoe?, 1999.- ? 1. – N. 77-79. 4. Caaeneiinoue oyaeanoe oa/aiey aaiieeoe/aneie aieacie iiai?iaeaeaiiuo io iiea e a?oiiu e?iae ?aaaiea // "Aioo??oiueioo?iai? (a?iaeaeai?) ?ioaeoe?? iiaiia?iaeaeaieo": ? Eiia?an iaiiaoieia?a Oe?a?ie. – Oa?e?a, 1998. – N. 59-61. 5. Aeieeiaiiy aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo ca nenoaiith AAI o ae?oae c ??cieie a?oiaie e?ia? // "O?c?ieia?y oa iaoieia?y ?ioi?oaoo, aaiinoaco oa ia?aeeniiai ieeneaiiy e?i?ae?a". I?aeia?iaeia eiioa?aioe?y: oace aeiiia?aeae. – Iieoaaa, 1997. – N. 45. Aiioaoe?y Ieca?ia Oaia?a ?aai?aia. O?ce/iee, ia?aiai-ineo?/iee ?icaeoie ? caoai?thaai?noue ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe (niaoe?aeuei?noue 14.01.10 – iaae?ao??y). Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?iai? aeaae. I.I. Aiaiiieueoey, Ee?a, 1999. O ?iaio? aea/ai? iniaeeaino? o?ce/iiai, ia?aiai-ineo?/iiai ?icaeoeo ? caoai?thaai?noue ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo c o?aooaaiiyi ia?aa?ao ia?eiaoaeueiiai ia??iaeo . Iaaaaeai? aeai? i?i aeeiai?eo caoai?thaaiino?, ?aiiuei? iaiiaoaeueii? nia?oiino? oa eaoaeueiino? a?ae aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo o Iieoaanuee?e iaeano? ca ia??iae ?c 1985 ii 1997 ??e. Aeyaeaii, ui ae?oe, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, iathoue o ?aiiueiio a?oe? i?aeaeuaio caoai?thaai?noue ia aiai?th, ?ani??aoi?io ? aea?a?/io iaoieia?th oa ? a?oiith ?eceeo uiaei oi?ioaaiiy eiioeiaaioo /anoioai??th/eo. Onoaiiaeaii iaaaoeaiee aieea aaiie?oe/ii? oai?iae ia o?ce/iee ?icaeoie ae?oae a aioa- ? iinoiaoaeueiiio ia??iae?. Aeyaeaiee a??ia?aeiee ca'ycie i?ae ia?aianaiith aaiie?oe/iith oai?iaith iiaiia?iaeaeaieo ? aeenaa?iii?ei?noth ia?aiai-ineo?/iiai ?icaeoeo o ae?oae ia?oiai ?ieo aeeooy. ?ic?iaeaii eiiieaen caoiae?a uiaei ?aaa?e?oaoe?? ae?oae i?ney ia?aianaii? aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo. Iaa?oioiaaii iaiao?aei?noue iaia'yceiaiai iae?iniiia?ao?/iiai ianoaaeaiiy a aeeiai?oe? oa ia?aeiii? ?aaa?e?oaoe?? o a?aeae?eaii? iaoieia?? iiaiia?iaeaeaieo on?o ae?oae, oai?eo ia aaiie?oe/io oai?iao iiaiia?iaeaeaieo, ?oiueiai i?e?iaeiiai aeaiaeiaoaaiiy o?eaae?noth aei 12 i?nyoe?a ? aeeiai?/iiai aeeniaina?iiai iaaeyaeo ca ieie iaae?ao?a ? iaa?ieiaa i?ioyaii ia?oeo o?ueio ?ie?a aeeooy. Eeth/ia? neiaa: aaiie?oe/ia oai?iaa iiaiia?iaeaeaieo, o?ce/iee ?icaeoie, ia?aiai-ineo?/iee ?icaeoie, caoai?thaai?noue, ae?oe ?aiiueiai a?eo, ?aaa?e?oaoe?y. Annotation Tamara Ivanovna Myzgina. Physical, nervous-psychical development and sickrate of children who suffered from hemolytic disease of newborn (manuscript). A thesis for the degree of a Candidate of medical sciences (14.01.10 – Pediatrics), A.A.Bogomolets National medical university, Kyiv, 1999. In the work there were studied the peculiarities of physical, nervous-psychical development and sick-rate in children who had suffered hemolytic disease of new-born with account of perinatal period. There was revealed that children who had suffered from HDN have high sick-rate and so they are the risk group in forming the group of often sick. In children with isoimmune conflict there marked the development of anemia, allergical and respiratory pathology in more early age. It was determined the children with HDN have lover indexes of physical health and tendency to disharmonic development. There was revealed the connection between HDN and disharmony of nervous-psychical development in children of the first year of life. There was grounded the necessity of dynamic dispensary observation for the period of three years those children who had suffered from HDN. Key words: hemolytic disease of newborn, physical development, nervous-psychical development, sick-rate, children of early age, rehabilitation. Aiiioaoeey Iucaeia Oaia?a Eaaiiaia. Oece/aneia, ia?aii-ineoe/aneia ?acaeoea e caaieaaaaiinoue aeaoae, eioi?ua ia?aianee aaiieeoe/aneoth aieaciue iiai?iaeaeaiiuo (?oeiienue). Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe (niaoeeaeueiinoue 14.01.10 – iaaeeao?ey), Iaoeeiiaeueiue iaaeeoeeineee oieaa?neoao ei. aeaae. A.A.Aiaiiieueoea, Eeaa, 1999. Oeaeueth aeenna?oaoeeiiiie ?aaiou yaeeanue ?ac?aaioea e iainiiaaiea ia?ii?eyoee ii ?aaaeeeoaoeee aeaoae, eioi?ua ia?aianee aaiieeoe/aneoth aieaciue iiai?iaeaeaiiuo (AAI), n o/aoii aeeyiey aeaiiie iaoieiaee ia oece/aneia, ia?aii-ineoe/aneia ?acaeoea e caaieaaaaiinoue aeaoae ?aiiaai aic?anoa a caaeneiinoe io aeaea ecieiioiiiai eiioeeeoa, oa/aiey aieacie e iaee/ey ioyaiuathueo ia?eiaoaeueiuo oaeoi?ia. Aeey ?aoaiey iinoaaeaiiuo caaea/ auei i?iaaaeaii eiiieaeniia ianeaaeiaaiea 150 iiai?iaeaeaiiuo n aaiieeoe/aneie aieaciueth ii nenoaia AAI (99 aeaoae) e ?acon (51 ?aaaiie). Ca 112 aeaoueie, ia?aianoeie aaiieeoe/aneoth aieaciue iiai?iaeaeaiiuo, inouanoaeyeinue eaoaiianoe/aneia iaaethaeaiea ia i?ioyaeaiee 1-3 eao n ii?aaeaeaieai o?iaiy e aa?iiie/iinoe oece/aneiai ?acaeoey, a?oiiu ia?aii-ineoe/aneiai ?acaeoey, eiyooeoeeaioa ineoiiioi?iiai ?acaeoey (QD); eco/aiu oaeaea no?oeoo?a e iniaaiiinoe caaieaaaaiinoe ianeaaeiaaiiuo aeaoae. Aiaeec noaoenoe/aneeo aeaiiuo iieacae, /oi ca ia?eiae n 1985 a. ii 1997 a. a Iieoaaneie iaeanoe ioia/aaony iiauoaiea o?iaiy caaieaaaaiinoe AAI (io 5,8‰ aei 8,1‰) i?e cia/eoaeueiii nieaeaiee ca oio aea ia?eiae iieacaoaeae ?aiiae iaiiaoaeueiie nia?oiinoe (io 0,26‰ aei 0,07‰) e eaoaeueiinoe (io 4,5% aei 0,08%) io aeaiiie iaoieiaee. Yoi iaoneaaeeaaao oaaee/aiea eiioeiaaioa aeaoae, ia?aianoeo AAI, e ii?aaeaeyao aeooaeueiinoue eco/aiey iniaaiiinoae eo iineaaeothuaai oece/aneiai, ia?aii-ineoe/aneiai ?acaeoey e caaieaaaaiinoe. Eaoaiianoe/aneia iaaethaeaiea aeaoae iinea ia?aianaiiie AAI n o/aoii aeaiiuo, iieo/aiiuo i?e eo ianeaaeiaaiee a iaiiaoaeueiii ia?eiaea, iicaieeei auyaeoue, /oi AAI ieacuaaao nouanoaaiiia aeeyiea ia oece/aneia ?acaeoea a aioa- e iinoiaoaeueiii ia?eiaeao: 19,4% ianeaaeiaaiiuo eiaee i?e ?iaeaeaiee iieacaoaee oece/aneiai ?acaeoey ieaea n?aaeieo e aanoaoeeiiiiio aic?anoo, a 45,0% – aeenaa?iiie/iinoue oece/aneiai ?acaeoey; caoai a oa/aiea ia?auo aeaoo eao aeecie o /aoaa?oe iaaethaeaaiuo aeaoae ii?aaeaeyeinue ionoaaaiea a oece/aneii ?acaeoee e aieaa /ai o iieiaeiu – aai aeenaa?iiie/iinoue. Auyaeaia io?eoeaoaeueiay ei??aeyoeeiiiay naycue iaaeaeo iieacaoaeyie oece/aneiai ?acaeoey ianeaaeiaaiiuo aeaoae a aic?anoa 2-o e 3-o eao e iaee/eai ioyaiuathueo ia?eiaoaeueiuo oaeoi?ia. Iieiaeeoaeueiia aeeyiea ia oece/aneia ?acaeoea aeaoae ?aiiaai aic?anoa iinea ia?aianaiiie AAI ieacuaatho i?iaaaeaiiua a iaiiaoaeueiii ia?eiaea ea/aiea e ?aaaeeeoaoeey a ioaeaeaiee iaoieiaee iiai?iaeaeaiiuo. Auyaeaia oaeaea naycue iaaeaeo ia?aianaiiie AAI e aeenaa?iiie/iinoueth ia?aii-ineoe/aneiai ?acaeoey, caaea?aeeie oi?ie?iaaiey ioaeaeueiuo ia?aii-ineoe/aneeo ooieoeee. Ia ia?aii aiaeo aeecie o aeaoae, ia?aianoeo AAI, ioia/aeanue caaea?aeea ?aaeoeoeee aaconeiaiuo ?aoeaenia, aieaa ieceea oaiiu oi?ie?iaaiey iioi?iuo ooieoeee e aeoeaiie ?a/e, /oi iaoneiaeei caaea?aeeo (54,5%) eee aeenaa?iiie/iinoue (34,5%) ia?aii-ineoe/aneiai ?acaeoey ianeaaeiaaiiuo iaoeeaioia. Onoaiiaeaia cia/eiay ei??aeyoeeiiiay caaeneiinoue iaaeaeo noaiaiueth caaea?aeee ia?aii-ineoe/aneiai ?acaeoey e ?aiiei eneonnoaaiiui anea?ieeaaieai, aeaeii ea/aiey AAI, naiaa?aiaiiinoueth i?iaaaeaiey ?aaaeeeoaoeee a ioaeaeaiee iaoieiaee iiai?iaeaeaiiuo. Aeieacaii, /oi /anoioa ?acaeoey e oyaeanoue iaa?ieiae/aneie iaoieiaee, cia/aiea eiyooeoeeaioa ineoiiioi?iiai ?acaeoey (QD) o ianeaaeiaaiiuo aeaoae ei??aee?otho n iaee/eai iaoieiae/aneeo eciaiaiee oeaio?aeueiie ia?aiie nenoaiu, auyaeaiiuo i?e iae?iniiia?aoe/aneii enneaaeiaaiee a iaiiaoaeueiii ia?eiaea. Onoaiiaeaii, /oi aeaoe, ia?aianoea AAI, eiatho a ?aiiai aic?anoa aieaa aunieea iieacaoaee caaieaaaaiinoe, /ai eo naa?noieee: o ieo ioia/aaony iiauoaiiue ?ene ?acaeoey aiaiee, ?anie?aoi?iie e aeea?ae/aneie iaoieiaee. Aiaiey auea aeeaaiinoe?iaaia ia ia?aii aiaeo aeecie o 53,6%, ia aoi?ii – o 35,3%, ia o?aoueai – o 22,4% ianeaaeiaaiiuo aeaoae, aeea?ae/aneea caaieaaaiey niioaaonoaaiii a 32,1%, 15,3% e 12,1% neo/aaa. Cia/eoaeueiia aeeyiea ia ?acaeoea aeaiiie iaoieiaee eiatho iaee/ea aiaiee aa?aiaiiuo o iaoa?e, oi?ia e oyaeanoue ia?aianaiiie AAI e ?aiiee ia?aaiae ia eneonnoaaiiia anea?ieeaaiea. Aeieacaia ?ieue AAI a oi?ie?iaaiee eiioeiaaioa /anoiaieathueo. Auyaeaia aeinoiaa?iay cia/eiay naycue iaaeaeo oaeoi?aie ia?eiaoaeueiiai ia?eiaea, oyaeanoueth oa/aiey caaieaaaiey, aeaeii i?iaaaeaiiiai ea/aiey, aeeeoaeueiinoueth anoanoaaiiiai anea?ieeaaiey e iieacaoaeyie caei?iauey aeaoae ?aiiaai aic?anoa, ia?aianoeo AAI. A ?aaioa iainiiaaia iaiaoiaeeiinoue iaycaoaeueiiai iae?iniiia?aoe/aneiai ianeaaeiaaiey e ia?ae/iie ?aaaeeeoaoeee a ioaeaeaiee iaoieiaee iiai?iaeaeaiiuo anao aeaoae n AAI, eo anoanoaaiiiai anea?ieeaaiey aei 12 ianyoeaa e aeeiaie/aneiai aeeniaina?iiai iaaethaeaiey ca ieie iaaeeao?a e iaa?ieiaa ia i?ioyaeaiee ia?auo o?ao eao aeecie. Eeth/aaua neiaa: aaiieeoe/aneay aieaciue iiai?iaeaeaiiuo, oece/aneia ?acaeoea, ia?aii-ineoe/aneia ?acaeoea, caaieaaaaiinoue, aeaoe ?aiiaai aic?anoa, ?aaaeeeoaoeey.

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