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

?INOEOOO EA?Ae?IEIA?? ?i. aeaae. I.Ae. NO?AAEANEA

*AAAITHE NA?OEAIA AANEE?AIA

OAeE 616.1: 616.126. 42: 612.017. 1

OOIEOe?IIAEUeIEE NOAI NENOAIE E?IAIIA?AO

I?E I?IEAAOAAII? I?O?AEUeIIAI EEAIAIA

O IINO?AAEAeAEEO AIANE?AeIE *I?IIAEEUeNUeEI? EAOANO?IOE

14.01.11 – ea?ae?ieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe?th ? ?oeiien

?iaioa aeeiiaia a ?inoeooo? ee?i?/ii? ?aae?ieia??

Iaoeiaiai oeaio?o ?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie,

i. Ee?a

Iaoeiaee ea??aiee — aeieoi? iaaee/ieo iaoe,

i?ioani? Oiiacthe ?iia Ieeiea?aia,

caa?aeoaa/ a?aeae?eo ea?ae?ieia??
?inoeoooo ee?i?/ii? ?aae?ieia??

Iaoeiaiai oeaio?o ?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie

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

i?ioani? Neaaecaanueea ??eia Eaceie??aia,

aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eo aino?iai ?ioa?eoo i?iea?aea oa
a?aeiiaethaaeueiiai e?eoaaiiy

?inoeoooo ea?ae?ieia?? ?i. aeaae. I.Ae. No?aaeanea AII Oe?a?ie, i. Ee?a

aeieoi? iaaee/ieo iaoe, i?ioani? Aaiaeao sse?a Aa?aiiae/,

aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eo caeiaooeo aaae na?oey ?inoeoooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie, i. Ee?a

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao

?i. I.I. Aiaiiieueoey IIC Oe?a?ie, i. Ee?a,

eaoaae?a i?iiaaeaaoeee aioo??oi?o oai?ia ? 2

Caoeno a?aeaoaeaoueny “ 16 ” eenoiiaaea 1999 ?. i 12 aiaeei?
ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.616.01 i?e
?inoeooo? ea?ae?ieia?? ?i. aeaae. I.Ae. No?aaeanea AII Oe?a?ie (252151,
i. Ee?a, aoe. Ia?iaeiiai Iiie/aiiy, 5)

C aeena?oaoe??th iiaeia iciaeiieoenue o iaoeia?e a?ae?ioaoe? ?inoeoooo
ea?ae?ieia?? ?i. aeaae. I.Ae. No?aaeanea AII Oe?a?ie (252151, i. Ee?a,
aoe. Ia?iaeiiai Iiie/aiiy, 5)

Aaoi?aoa?ao ?ic?neaiee “ 12 ” aeiaoiy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee Aeaye N.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. A?aeiia aei *i?iiaeeuenueei? eaoano?ioe
?ioi?iaoe?y uiaei i?ieaino i?o?aeueiiai eeaiaia (IIE) caniiaaia ia
?acoeueoaoao aeine?aeaeaiiy in?a, ye? ia caciaee ?aae?aoe?eiiai aieeao.
*anoioa IIE o ieo neeaaea? 1,6-17 %, aa??thth/e a ??cieo a?oiao
ianaeaiiy (Barlow J.B., 1988; Barrett C.C., 1991). Iienai? ii?aeiaiiy
i?ieaaoaaiiy nooeie i?o?aeueiiai eeaiaia c iani?eyoeeaeie noiniaii
i?iaiico oai?iaaie nenoaie e?iaiia?ao. I?eaiaeyoueny aeai? i?i oae?
oneeaaeiaiiy, ye aaaeea i?o?aeueia ?aao?a?oaoe?y, ui iio?aao?
iia?aoeaiiai e?eoaaiiy (Eieoia A.A., Aaiaeao ss.A., 1997), ?ioaeoe?eiee
aiaeiea?aeeo, ii?ooaiiy ?eoio ? i?ia?aeiino? na?oey, o?iiaiaiaie?y c
i?eniiaoicii ci?iaieo nooeie eeaiaia. ?ecee ?aioiai? nia?o? i?e i?ieain?
neeaaea? 1,9 ia 10000 oai?eo (Kligfied P., Levy D. et al., 1987), a i?e
i?e?aeiaii? i?o?aeueii? ?aao?a?oaoe?? c?inoa? a 50-100 ?ac?a (Devereux
R.B., Fox R.K. et al., 1987). Iayai? aeai? uiaei noaio no?oeoo? e
iniiaieo ooieoe?e na?oey i?e IIE noia?a/eea? ? ia/eneaii?. Ia ?nio?
?aeeii? aeoiee i?i /anoioo ? ae?aaeai?noue i?o?aeueii? ?aao?a?oaoe?? i?e
IIE. Ae?anoie?/ia ooieoe?y e?aiai oeoii/ea (EO) na?oey i?aeoe/ii ia
aea/aia (Aiiniaa E.I. oa ?io?, 1997). Aeine?aeaeaiiy, i?enay/ai?
aea/aiith o?ce/ii? i?aoeacaeaoiino? oa ?? caaacia/aiiy, iiiaeeiie? ? ia
aeathoue ciiao ?iaeoe inoaoi/i? aeniiaee. A?aeiiinoae i?i IIE a in?a,
eio?? i?aoeththoue c aeaea?aeaie ?ii?coth/iai aei?ii?ithaaiiy ? caciaee
?aae?aoe?eiiai aieeao ca aaa??eieo neooaoe?e, aeiiei? ia aoei. Iaea?eueo
aeaoaeueii aieea ?ii?coth/iai ii?ii?iaiiy ia iaieiiee na?oey iienaiee
noiniaii ia?eea?aea ? i?iea?aea (Cosset R.G., 1987). Ci?ie aiaeiea?aea ?
aaciina?aaeiuei eeaiai?a na?oey i?ney ?ii?coth/iai aieeao a?aeiinyoueny
aei iaeiaio aea/aieo. I?e i?iiaiaa?e oa?ai?? aaciina?aaeiuei ia ae?eyieo
a?oaeii? ee?oeie iienai? iioiauaiiy aiaeiea?aea eeaiai?a, ye?
ii?aeioaaeeny c o?a?icii i?iea?aea ? iioiauaiiyi ia?eea?aea. *ano?oa oea
aoee ci?ie i?o?aeueiiai eeaiaia (IE) ? c’yaeyeeny aiie /a?ac 5-11 ?ie?a
i?ney ii?ii?iaiiy (Stewart I. R., 1984). *eneaii? iaae??oai? ieoaiiy,
??ciiiai?oi?noue ee?i?/ieo i?iya?a IIE iaa?oioiaothoue aeooaeuei?noue
oe??? i?iaeaie aeey e?ea??a aaaaoueio niaoe?aeueiinoae. Aea/aiiy ?? a
in?a, ye? caciaee aieeao ?ii?coth/iai ii?ii?iaiiy, iaiao?aeia aeey
ae??oaiiy i?e/eiii-iane?aeeiaeo a?aeiioaiue ?aae?aoe?eiiai aieeao,
ae?aaiinoeee, aeai?o oaeoeee aaaeaiiy oaeeo oai?eo, i?ioan?eiiai
a?aeai?o ia?niiaeo AAN, ui aeeiio? ?iaioe, ye? aeiaaathoue noaa?eueiiai
caaacia/aiiy aeniei? aaciaee.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aeeiiaia o ?aieao: Oe?a?inueei? aea?aeaaii? i?ia?aie e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe, 1993-1995 ?.?. ca oaiith:
«I?iaeiaaeaiiy aeiaaino?ieiaiai iii?oi?eiao noaio nenoaie e?iaiia?ao a
in?a, ui caciaee ?aae?aoe?eiiai aieeao aiane?aeie *i?iiaeeuenueei?
eaoano?ioe, ?ic?iaea oa oaeineiiaeaiiy niinia?a ae?aaiinoeee,
iiia?aaeaeaiiy oa e?eoaaiiy ?? caoai?thaaiue» oeo? 5.082 *-93; ieaio
I?i?noa?noaa o ni?aaao caoenoo ianaeaia a?ae iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN, 1995-1998 ?.?. ca oaiith: «?ic?iaea nenoaie
caoiae?a c i?io?eaeoeee oa e?eoaaiiy in?a, ui iino?aaeaeaee aiane?aeie
aaa??? ia *i?iiaeeuene?e AAN», oeo? 6/4-95; ieaio iaoeiai-aeine?aeieo
?ic?iaie AII Oe?a?ie, 1997-1999 ?.?. ca oaiith: “Aea/eoe caeiiii??iino?
? oaeoi?e, ui iaoiiaeththoue ?icaeoie na?oeaai? iaaeinoaoiino? i?e
a?ia?oii?/i?e oai?ia? o iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei?
eaoano?ioe”, oeo? 269.

Iaoa aeine?aeaeaiiy: Ia i?aenoaa? aea/aiiy e ocaaaeueiaiiy aeaieo i?i
noai nenoaie e?iaiia?ao i?e i?ieaaoaaii? i?o?aeueiiai eeaiaia o
iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe ioe?ieoe
cia/ei?noue aeey eiai ia?aa?ao ee?i?/ieo i?iya?a, ci?i no?oeoo? ?
ooieoe?e na?oey, o?ce/ii? i?aoeacaeaoiino? ? ?ic?iaeoe oaeoeeo aaaeaiiy
oaeeo oai?eo.

Caaaeaiiy aeine?aeaeaiiy:

1. Aea/eoe /anoioo e iniiai? ee?i?/i? i?iyae IIE a in?a, ye? caciaee
?aae?aoe?eiiai aieeao i?e aaa??? ia *i?iiaeeuenueei? AAN.

2. Cae?enieoe aoi- ? aeiiea?ea?ae?ia?ao?/ia aeine?aeaeaiiy no?oeoo? ?
ooieoe?e na?oey o iino?aaeaeaeeo c IIE ? ioe?ieoe ?o ae?aaiinoe/io
cia/ei?noue.

3. Aea/eoe noai o?ce/ii? i?aoeacaeaoiino? o iino?aaeaeaeeo c IIE.

4. Ocaaaeueieoe ?acoeueoaoe aeine?aeaeaiue ? ioe?ieoe cia/aiiy ee?i?/ieo
i?iya?a, ci?i no?oeoo? ? ooieoe?e na?oey, o?ce/ii? i?aoeacaeaoiino? aeey
ia?aa?ao i?ieaino.

5. ?ic?iaeoe oaeoeeo aaaeaiiy iino?aaeaeaeeo i?e *i?iiaeeuenuee?e
eaoano?io? c i?ieaaoaaiiyi i?o?aeueiiai eeaiaia ? i?iiiceoe?? c
i?ioan?eiiai a?aeai?o.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa i?iaaaeaii aea/aiiy,
nenoaiaoecaoe?y e ocaaaeueiaiiy aeaieo i?i /anoioo oa ae?aaeai?noue
ee?i?/ieo i?iya?a, ci?i no?oeoo? ? ooieoe?e na?oey, o?ce/ii?
i?aoeacaeaoiino? i?e IIE a in?a, ye? caciaee aieeao ?ii?coth/iai
ii?ii?iaiiy. I?iaiae?ciaai? oa ioe?iai? a?aei?iiino? aeyaeaieo ci?i o
ae?aiacii? aeic ii?ii?iaiiy, ye? c?inoathoue, ? o?eaaeino? eiioaeoo c
?ii?coth/ei aei?ii?ithaaiiyi. Iieacaii cia/ei?noue i?e?iaeaeaieo
iniaeeainoae niieo/ii? oeaieie i?e noeeueiino? aei i?ieaino. Aia?oa
iienai? ? eeaneo?eiaai? caeiiii??iino? ci?i ae?anoie?/ii? ooieoe?? EO o
iino?aaeaeaeeo c IIE ? anoaiiaeaii ?oith i??i?eoaoio cia/ei?noue aeey
eiio?iethaaiiy ia?aa?ao IIE. Aecia/aii, ui ii?ooaiiy ooieoe?e na?oey,
o?ce/ii? i?aoeacaeaoiino? o iino?aaeaeaeeo c IIE ei?aeth? c eiai
nooiaiai, iayai?noth i?eniiaoicii? aeaaaia?aoe?? ? i?o?aeueii?
?aao?a?oaoe??. Ia i?aenoaa? niinoa?aaeaiiy a aeeiai?oe? anoaiiaeaii, ui
o iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe i?ioyaii ia?oeo
i’yoe ?ie?a /ano?oa, i?ae a in?a, ye? ia caciaee ?aae?aoe?eiiai aieeao c
IIE, ianooiaei ca?eueoaiiy oyaeeino? nooiaiy i?ieaaoaaiiy IE c
oi?ioaaiiyi ae?anoie?/ii? aeenooieoe?? EO. Ca ?acoeueoaoaie
aeine?aeaeaiue aecia/aii aa??aioe ee?i?/iiai ia?aa?ao IIE, e?eoa???
?icaeoeo ?eceeo oneeaaeiaiue, ?ic?iaeaii aeai?eoi eiai ae?aaiinoeee ?
oaeoeea aaaeaiiy iino?aaeaeaeeo c i?ieainii i?o?aeueiiai eeaiaia.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Canoinoaaiiy e?eoa???a
ae?aaiinoeee ? niaoe?aeueii ?ic?iaeaiiai aeai?eoio aea? ciiao i?aeaeueoe
aoaeoeai?noue aeyaeaiiy IIE, ciaioeoe e?euee?noue iiieeeiaeo aeniiae?a,
ni?ey? aeae?eaiith iino?aaeaeaeeo c aenieei ?eceeii iani?eyoeeaiai
ia?aa?ao IIE ?, oaeei /eiii, iiia?aaeaeaiith iiaeeeaeo oneeaaeiaiue.
Iaa?oioiaaii, ui IIE II-III nooiaiy c i?ia?anoth/ei ia?aa?aii ?
oneeaaeiaieie ? i?ioeiieacaiiyi aeey ae?iaie/eo ?ia?o c aenieei nooiaiai
aaciaee. C iaeyaeo ia oea i?aeaioiaai? i?iiiceoe?? aei iaeaco N 45 IIC
Oe?a?ie a?ae 31.03.94 «Iieiaeaiiy i?i iaaee/iee iaeyae i?aoe?aiee?a
iaaieo eaoaai??e». Caaaeai? i?iiiceoe?? ia?aaeaa/athoue aeeth/aiiy
ia?aeiiiai IIE c oneeaaeiaiei ia?aa?aii aei /enea i?ioeiieacaiue i?e
a?aeai?? i?aoe?aiee?a AAN, ?iaioa yeeo iia’ycaia c aeaea?aeaie
?ii?coth/iai aei?ii?ithaaiiy ? aeiaaa? noaa?eueiiai caaacia/aiiy aeniei?
aaciaee. ?acoeueoaoe aeena?oaoe?eii? ?iaioe ai?iaaaeaeai? a ?iaioo
ee?i?ee ?inoeoooo ee?i?/ii? ?aae?ieia?? IOe?I AII Oe?a?ie, Oe?a?inueeiai
niaoe?ae?ciaaiiai aeeniaina?a ?aae?aoe?eiiai caoenoo ianaeaiiy,
iie?ee?i?ee ? 1 I?nueeiai ?aeiiiiai iaaee/iiai ia’?aeiaiiy,
oa?eoi??aeueiiai iaaee/iiai ia’?aeiaiiy Cae?cie/iiai ?aeiio i. Ee?aa,
Ee?anueei? i?nueei? ee?i?/ii? e?ea?i? ? 3. ?ic?iaeai? i?aeoe/i?
?aeiiaiaeaoe?? uiaei aeeoa?aioe?eiaaii? oaeoeee aaaeaiiy iino?aaeaeaeeo
c IIE aecia/athoue eiie?aoi? caoiaee, ni?yiiaai? ia caa?aaeaiiy ?oiueiai
caei?ia’y ? i?aoeacaeaoiino?.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?y ? iniaenoith ?iaioith aaoi?a.
On? ee?i?/i? e ?ino?oiaioaeuei? aeine?aeaeaiiy, ye? aeeth/athoue
aecia/aiiy oaiioei?/ieo iciae aeenieac?? niieo/ii? oeaieie, aeaeo?i-,
aoi-, aeiiea?ea?ae?ia?ao?/ia, aaeia?aiiao?e/ia aeine?aeaeaiiy, ca??,
oi?ioaaiiy aaoiiaoeciaaii? aace aeaieo, noaoenoe/io ia?iaeo, aiae?c ?
ocaaaeueiaiiy ?acoeueoao?a, aeeiiai? aaoi?ii naiino?eii.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe?eii?
?iaioe aeeeaaeai? ia i?aeia?iaei?e iaoeiai-i?aeoe/i?e eiioa?aioe??
“*i?iiaeeue ? caei?ia’y ianaeaiiy” — Ee?a, ea?oaiue 1994 ?.;
eiioa?aioe?? iieiaeeo a/aieo, i?enay/ai?e 10-??//th IOe?I AII Oe?a?ie
«I?iaeaie ?aae?aoe?eii? iaaeeoeeie i?ney *i?iiaeeuenueei? eaoano?ioe» —
Ee?a, aeiaoaiue 1996 ?.; 2-?e i?aeia?iaei?e eiioa?aioe?? “A?aeaeaeai?
iaaee/i? iane?aeee *i?iiaeeuenueei? eaoano?ioe” — Ee?a, /a?aaiue 1998 ?.

Ioae?eaoe?? ?acoeueoao?a aeine?aeaeaiue. Ca oaiith aeena?oaoe??
iioae?eiaaii 14 iaoeiaeo ?ia?o, a oiio /ene? 3 aeo?iaeuei? noaoo? ?
?icae?e iiiia?ao??: “*i?iiaueueneay aoiiiay yeaeo?inoaioeey — Neaaooe/:
iaaeeoeeineea aniaeou” — Ee?a: Aeua oeiea, 1996. — N. 157-162

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 163 noi??ieao
ae?oeiaaiiai oaenoo, ia? 45 oaaeeoeue ? 13 ?enoie?a. Neeaaea?oueny c?
anooio, 7 ?icae?e?a, cae?i/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ?
nieneo e?oa?aoo?e ?c 195 aeaea?ae.

INIIAIEE CI?NO ?IAIOE

Oa?aeoa?enoeea ianoaaeaieo. Ianoaaeaii 340 iino?aaeaeaeeo aiane?aeie
*i?iiaeeuenueei? eaoano?ioe c IIE. C ?o /enea noi?iiaaia a?oia
niinoa?aaeaiiy, yea aeeth/aea 142 iniae c ia?aeiiei IIE ? 198 — c
aoi?eiiei IIE, o yeeo a?i ii?aeioaaany c ?ioeie oai?iaaie nenoaie
e?iaiia?ao. O a?oi? ii??aiyiiy aoei 70 /ieia?e c ia?aeiiei IIE, ye? ia
caciaee ?aae?aoe?eiiai aieeao, ? i?iaeeaaee o Iieoaanueei? iaeano?, 20
caei?iaeo in?a neeaee eiio?ieueio a?oio. Na?aaei?e a?e ianoaaeaieo o
a?oiao niinoa?aaeaiiy c ia?aeiiei IIE aoa 34,10,8, c aoi?eiiei IIE —
42,21,4, o a?oi? ii??aiyiiy — 32,21,4, eiio?ieuei?e — 30,11,2 ?iee. ?c
caaaeueii? e?eueeino? ianoaaeaieo 82,3 % a?aee o/anoue o e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe (EIE), 9,4 % i?iaeeaathoue ia
eiio?ieueiaaieo oa?eoi??yo ? 8,2 % — aaaeoeiaai? c i. I?ei’youe. Na?aae
o/aniee?a EIE o?eaae?noue ?iaioe ii e?ea?aeaoe?? iane?aee?a
*i?iiaeeuenueei? eaoano?ioe neeaea a na?aaeiueiio 28,410,3 aei?a. O
ea?oi?-o?aai? 1986 ?ieo i?eeiaee o/anoue a EIE 50 %, o /a?ai?-na?ii?
17,3 %, o aa?ani? — a?oaei? — 7,7 % ianoaaeaieo, a 1987 ?ioe? — 5 %, o
ianooii? ?iee — 2,3 %. Na?aaeiy aeica ciai?oiueiai ii?ii?iaiiy (AeCI)
o/aniee?a EIE neeaea 20,91,6 nCa. Aeey iaoeaioe?a eiio?ieueiaaieo
oa?eoi??e AeCI eieeaaeanue a?ae 0,2 nCa aei 3,8 nCa, a na?aaeiueiio
1,40,3 nCa, aaaeoeiaaieo — 1,20,9 nCa. Aeey aiae?co n?iaeiiai i?iyao IIE
i?iaaaeaii ianoaaeaiiy 16 n?iae (36 in?a), a yeeo iaeei c ?? /eai?a aoa
o/anieeii EIE ? a iueiai aeyaeaii IIE.

Iaoiaee aeine?aeaeaiiy. Aeei?enoaia noaiaea?oeciaaia nenoaia
ianoaaeaiiy, eio?a aeeth/aea aiae?c ?aae?aoe?eiiai aieeao, oaiioei?/ieo
iciae aeenieac?? niieo/ii? oeaieie, caaaeueia ee?i?/ia, aeaeo?i-, aoi-,
aeiiea?ea?ae?ia?ao?/ia ? aaeia?aiiao?e/ia aeine?aeaeaiiy.

A?aoiaoaaee AeCI, aei??yi? aaciina?aaeiuei a ia??iae o/ano? a EIE aai
ye? ?aeiino?othaaeeny e ooi/ithaaeeny o a?aeae?e? aeiceiao??? oa
?aae?aoe?eii? a?a??ie IOe?I AII Oe?a?ie.

C oaiioei?/ieo ia?ea??a aeenieac?? niieo/ii? oeaieie aea/aee aiiiae??
aoae?ae? neaeaoo, oe??e, iea, iayai?noue neiae?iio a?ia?iia?eueiino?
noaeia?a, ieineinoiiino?, a?eae, aa?eeiciiai ?icoe?aiiy aai.
Aio?iiiiao?e/i? iniaeeaino? i?e IIE ioe?ithaaee ca?aeii c iieacieeaie
?inoo (ni), iane o?ea (ea), ieiu? iiaa?oi? o?ea (i2), ?iaeaeno iane o?ea
(ea/i2). Iiaeeea?noue n?iaeiiai i?iyao IIE aiae?coaaee ca iayaiino? o
e?iaieo ?iaee/?a i?ieaino eeaiai?a na?oey, aeiaaee?a ?aioiai? nia?o?,
caiaii?i/aiiy, i?ieeaeo ii?ooaiue iiceiaiai e?iaiia?ao a iieiaeiio
a?oe?, ae?aaiic i?aeoaa?aeaeoaaee ca aeiiiiiaith aoiea?ae?ia?ao??.

Aoiea?ae?ia?ao?/ia (AoiEA) aeine?aeaeaiiy i?iaiaeeee a I — ? A —
?aaeeiao ca aeiaaith ? ei?ioeith a?nyie a ia?anoa?iaeuei?e, o 2-o ?
4-eaia?i?e ai?eaeuei?e iiceoe?yo. Aeine?aeaeoaaee noai IE ? ?ioeo
no?oeoo? na?oey, ooieoe?? EO. Iciaeith IIE aaaaeaee iayai?noue
i?iaenaiiy iaei??? aai iaio nooeie IE a ii?iaeieio e?aiai ia?aaena?aey
(EI) a?eueo i?ae ia 3 ii ieae/a ??aiy i?o?aeueiiai e?eueoey, a oaeiae
ci?io oi?ie i?o?aeueiiai ioai?o e aiiiaeueio o?aeoe?th iai?ey?ieo
i’yc?a. Oi?io i?o?aeueiiai ioai?o aeine?aeaeoaaee c ia?anoa?iaeueii?
iiceoe?? ca ei?ioeith a?nnth a iiiaio iaeneiaeueiiai a?aee?eooy nooeie
IE. Aeine?aeaeoaaee noai ? iayai?noue aeaoi?iaoe?? naaiaio?a
(iaae?aeueiiai, na?aaeiueiai, eaoa?aeueiiai) ia?aaeiuei? oa caaeiuei?
nooeie IE. Aaee/eio o?aeoe?? iai?ey?ieo i’yc?a aecia/aee i?e
aeine?aeaeaii? a ai?eaeuei?e iiceoe??. Aei??thaaee a?aenoaiue a?ae
aa?o?aee caaeiueiai iai?ey?iiai i’yco aei e?i?? eeaiaiiiai e?eueoey ia
ii/aoeo ? a e?ioe? nenoiee. Ci?ia oe??? a?aenoai? ia i?ioyc? nenoiee
aaaaeaee aaee/eiith o?aeoe?? iai?ey?iiai i’yco (Sanfillipo A.J.,1992).
Eiiieaen AoiEA e?eoa???a (Takamoto T., 1991) aeei?enoaiee aeey aeyaeaiiy
i?eniiaoicii? aeaaaia?aoe?? (IAe) eeaiaiiiai aia?aoo. Oiaueio nooeie IE
aei??thaaee i?e aeine?aeaeaii? ca aeiaaith a?nnth a ae?anoieo a iiiaio
?o iaeneiaeueiiai a?aee?eooy. A?aoiaoaaee iioiauaiiy nooeie IE a?eueo 3
ii o ae?eyioe? ?? iaeneiaeueii? oiaueie. Aeey aeyaeaiiy IAe eeaiaiiiai
aia?aoo aeei?enoiaoaaee iaoiaeeeo iiaoaeiae aiie?ooaeieo a?noia?ai, ye?
a?aeaeaathoue ?iciiae?e aoiaaii?no? cia?aaeaiiy nooeie IE, caaeiuei?
no?iee EO, i?aeoeoii/eiai? ia?aoeiee, no?iee ai?oe. Aecia/aee ?ici??e EO
? oiaueio eiai no?iie: e?ioeaaee nenoie?/iee (EN?, ii), ae?anoie?/iee
(EAe?, ii) ?ici??e, oiaueio ? aeneo?n?th i?aeoeoii/eiai? ia?aoeiee
(IOIae, ii ? Yioi, ii), caaeiuei? no?iee EO (Oiae, ii ? Ycneo, ii).
Nenoie?/io ooieoe?th EO ioe?ithaaee ia i?aenoaa? aecia/aiiy e?ioeaaiai
nenoie?/iiai (ENI, ie), ae?anoie?/iiai (EAeI, ie) ? oaea?iiai (OI, ie)
ia’?i?a, o?aeoe?? aeeeaeo (OA, %), nooiaiy nei?i/aiiy
ia?aaeiueicaaeiueiai ?ici??o EO i?ae /an nenoiee (%S, %), oaeaeeino?
oee?eoey?iiai nei?i/aiiy aieieii i?iea?aea (Vcf,n-1). Ca aeiiiiiaith
?iioeuenii? aeiiea?aoiea?ae?ia?ao?? (AeAoiEA) ?a?no?oaaee
aeiiea?niaeo?ia?aio, yea a?aeaeaa? o?aini?o?aeueiee iio?e iaiiaiaiiy EO.
Aiae?coaaee oi?io niaeo?ia?aie, ?icoaooaaiiy i?e?a ?aiiueiai (A) ?
i?ciueiai (A) iaiiaiaiiy. E?euee?nio oa?aeoa?enoeeo niaeo?ia?aie
cae?enithaaee ca oaeeie ia?aiao?aie: A (ni/n) — i?eiaa oaeaee?noue
?aiiueiai iaiiaiaiiy, A (ni/n) — i?eiaa oaeaee?noue i?ciueiai
ae?anoie?/iiai iaiiaiaiiy, A/A (oiia. iae.) — a?aeiioaiiy iaeneiaeueieo
(i?eiaeo) oaeaeeinoae ?aiiueiai ? i?ciueiai iaiiaiaiiy EO, Ei (ni) —
?ioaa?ae oaeaeeino? ?aiiueiai ? Ai (ni) — ?ioaa?ae oaeaeeino? i?ciueiai
iaiiaiaiiy, ? (ii ?o. no.) — a?aae??io oeneo i?ae EI ? EO, Odec (in) —
/an oiia?eueiaiiy e?iaioieo a ?aiith ae?anoieo, IVRT (in) — /an
?ciiao?e/iiai ?icneaaeaiiy, yeee aecia/aee a iino?eii-oaeeueiaiio
?aaeei? c ai?eaeueii? iiceoe?? i?e iaeii/ani?e ?a?no?aoe?? ai?oaeueiiai
? o?aini?o?aeueiiai iioie?a. Aei??thaaee /an a?ae iiiaioo cae?i/aiiy
ai?oaeueiiai aei ii/aoeo o?aini?o?aeueiiai iioie?a ia aeiiea?ianeiio
niaeo??. Ca aeiiiiiaith ?iioeuenii? AeAoiEA a 4-o aai 2-oeaia?iie
iiceoe?? eiio?iethaaee iayai?noue i?o?aeueii? ?aao?a?oaoe?? (I?).
?aao?a?oaoe?th a?aoiaoaaee ca nooiaiai i?iieeiaiiy ?aao?a?ooth/iai
iioieo a ii?iaeieio EI: I no. — ia ??ai? nooeie eeaiaia; II no. — ia 1/3
?ici??o EI; III no. – a na?aaeei? ii?iaeieie EI; IV no. – aeinyaaea
i?ioeeaaeii? no?iee e?aiai ia?aaena?aey. Aei??thaaee ia?aaeiueicaaei?e
?ici?? EI (ii), ae?aiao? ai?oe (Aeai, ii), oiaueio ?? no?iee (Oai, ii).

Aeey ioe?iee o?ce/ii? i?aoeacaeaoiino? canoiniaoaaee i?iao ia
aaeia?aiiao??. Aeei?enoiaoaaee iaaaioaaeaiiy, yea iinooiiai c?inoaei.
Ioe?ithaaee iiooaei?noue ii?iaiaiai iaaaioaaeaiiy (Wii?., Ao); /anoioo
na?oeaaeo nei?i/aiue aeo?aeio (*NNaeo., oae/oa) ? ia aenio? ii?iaiaiai
iaaaioaaeaiiy (*NNii?., oae/oa); nenoie?/iee ? ae?anoie?/iee
a?oa??aeueiee oene aeo?aeiee (NAAeaeo., AeAAeaeo., ii ?o. no.) ?
ii?iaiaee (NAAeii?., AeAAeii?., ii ?o. no.); iiaea?eia iiiaeaiiy
aeo?aeia (IIaeo, oiia. iae.) ? ii?iaiaa (IIii?., oiia. iae.);
iaeneiaeueia niiaeeaaiiy eenith (INE, e/oa); o?iiio?iiiee ?aca?a na?oey
(O?N, oae/oa); ?iio?iiiee ?aca?a na?oey (??N, ii ?o. no.); aia?aaoe/iee
eiao?oe??io oiea?aioiino? (AEO, %).

Aeey aeeiiaiiy aeine?aeaeaiue aeei?enoiaoaaee aaaaoieaiaeueiee
iie?ea?ae?ia?ao Bioset-6000 (Aa?iai?y), oeueo?acaoeiaee ae?aaiinoe/iee
aia?ao Aloka SSD-630 c aeiiea?ianueeei i?eeaaeii UGR-38 (ssiii?y),
aaeia?aiiao? AY-05. Ca??, ioe?iea e aiae?c ?acoeueoao?a aeine?aeaeaiue
i?iaiaeeeeny ca aeiiiiiaith eiii’thoa?a IBM Pentium 166 ? iaeaoa
noaoenoe/ieo i?ia?ai Statgraf Version 3.0, Microsoft Excel 5.0.

?acoeueoaoe aeine?aeaeaiiy

I?e AoiEA ianoaaeaii? 5075 iino?aaeaeaeeo i?e *i?iiaeeuenuee?e
eaoano?io? a 6,7 % aeiaaeeao anoaiiaeaii IIE. Aeey iino?aaeaeaeeo c IIE
oa?aeoa?i? /eneaii? ??ciiiai?oi? nea?ae. Iae/ano?oeie aoee: a?eue o
ae?eyioe? na?oey, aieiaiee a?eue, caiaii?i/aiiy, ii/oooy ianoa/?
iia?o?y, noeeuei?noue aei ciai?eoiieaiiy, iiaaia ia?aiinei?noue o?ce/ieo
? aiioe?eieo iaaaioaaeaiue, ci?ia naiiii/oooy caeaaeii a?ae iiaiaeieo
oiia. Niaoeeo?/ieo noa’?eoeaieo i?iya?a IIE o in?a, ye? caciaee
?aae?aoe?eiiai aieeao, ia aeyaeaii.

Ia?aeiiee IIE caeiiii??ii ii?aeioaaany c oaiioei?/ieie iciaeaie
aeenieac?? niieo/ii? oeaieie, ui anoaiiaeaii o 94,8 % ianoaaeaieo. ?c
a?aoiaaieo iciae, e?euee?noue ?o i?e ia?aeiiiio IIE o a?oi?
niinoa?aaeaiiy neeaea, a na?aaeiueiio, 5,81,0, a?oi? ii??aiyiiy —
5,71,2, ui iaeaea a 2 ?ace a?eueoa, i?ae i?e aoi?eiiiio IIE — 3,10,9 ? a
5 ?ac?a, i?ae o caei?iaeo — 1,10,9 (P<0,05). A iniiaiiio oea aoee aiiiae?? iiaoaeiae e?ioe?aie, noiie, oe??e, iea. Iayai?noue o?ueio ? a?eueoa ia?ea??a aoea anoaiiaeaia o 42,3 % ianoaaeaieo c ia?aeiiei i?ieainii i?o?aeueiiai eeaiaia. Na?aae o?ceeaeueieo ci?i i?e IIE aeyaeai? oae? aoneoeueoaoeai? iciaee, ye nenoie?/ia eeaoeaiiy ?/aai nenoie?/iee ooi, ye? e?ioa aeneooiaoaaeenue a iieiaeaii? noiy/e. sse na?ae/aoue iao? niinoa?aaeaiiy, oe? aoneoeueoaoeai? iciaee IIE ia ? niaoeeo?/ieie ? aeineoue iioe?ai? i?e ?ioeo oai?iaao. Aei 20 % aeiaaee?a IIE ia noi?iaiaeaeoaaeenue aeonoe/ieie ci?iaie. Ae?aaiinoe/ia cia/ei?noue ee?i?/ieo i?iya?a IIE iaaaeeea. Anoaiiaeaii, ui i?e ?cieueiaaiiio ?o aeei?enoaii? iiieeeiai iiceoeaiee ? iiieeeiai iaaaoeaiee ?acoeueoaoe iiaeeea? a 50 % aeiaaee?a. Ci?ie AEA, oae? ye aeno?anenoie?y, ia?ieneciaeueia oao?ea?ae?y, neiae?ii WPW, aeieaaee a?eie io/ea A?na oa ?io?, i?e ia?aeiiiio IIE o iino?aaeaeaeeo aeyaeai? a 78,9 % aeiaaee?a, o in?a, ye? ia caciaee ?aae?aoe?eiiai aieeao c IIE - a 74 % (P>0,05). Ii?ooaiiy ?eoio ?
i?ia?aeiino? i?e IIE ?icaeyaeathoueny ye oneeaaeiaiiy eiai ia?aa?ao,
iniaeeai ca iayaiino? neeaaeieo aeaeyae?a noi?aaaio?eeoey?ieo ?
oeoii/eiaeo a?eoi?e (Ia?ouiia A.E. e niaa., 1998).

Aiae?c ?acoeueoao?a AoiEA aeine?aeaeaiiy iieacaa, ui a a?oi?
niinoa?aaeaiiy a 49 % aeiaaee?a i?e ia?aeiiiio ? a 47,2 % i?e aoi?eiiiio
IIE aoei iino?eia i?ieaaoaaiiy ia?aaeiuei? aai caaeiuei? nooeie II no.,
a a?oi? ii??aiyiiy — a 41,4 % (P>0,05). I?ieain III no. ia?aaaaeii c
aieinenoie?/iei i?ieaaoaaiiyi iaio nooeie IE anoaiiaeaii o 21 %
iino?aaeaeaeeo i?e ia?aeiiiio ? 20,8 % i?e aoi?eiiiio IIE (P>0,05) o
a?oi? niinoa?aaeaiiy ? 10 % — o a?oi? ii??aiyiiy (P<0,05). I?e IIE I no. /ano?oa aoei i?ieaaoaaiiy ia?aaeiuei? nooeee IE a ?aiith nenoieo. C?noaaeaiiy aieeao c?inoath/eo aeic ?ii?coth/iai ii?ii?iaiiy a ae?aiacii? 0,2-65,5 nCa iieacaei, ui /anoioa aeiaaee?a iino?eii? oi?ie IIE a i?aea?oiao c AeCI 0,2-9,9 nCa, 10,0-24,9 nCa, 25,0-65,5 nCa ?noioii ia a?ae??ciyeany. I?eniiaoicia aeaaaia?aoe?y nooeie IE anoaiiaeaia o 72,4 % i?e ia?aeiiiio, 46,8 % i?e aoi?eiiiio IIE o a?oi? niinoa?aaeaiiy ? 69,8 % o a?oi? ii??aiyiiy. Iioiauaiiy a iaaeao 3-5 ii ?icoe?ithaaee ye iii??io IAe, a?eueo 5 ii - ae?aaeaio. *ano?oa oea aoea ci?ia e?ioe?aie nooeee (nooeie), i?ae an??? ?? aeiaaeeie. I?e aecia/aii? aoiaaiiino? IE anoaiiaeaii ?? cieaeaiiy ii??aiyii c aoiaaii?noth no?iee ai?oe (P<0,05). Na?aaeiy a?aaeaoe?y a?noia?ai IE i?e ia?aeiiiio IIE neeaea 9,10,4 o iino?aaeaeaeeo a a?oi? niinoa?aaeaiiy ? 9,40,3 a a?oi? ii??aiyiiy, ui aoei a??ia?aeii ieae/a, i?ae o caei?iaeo in?a - 12,50,8 (P<0,01). Anoaiiaeaia ei?aeyoe?y i?ae IAe ? nooiaiai IIE (r=0,68, P<0,05), a oaeiae I? (r=0,31, P<0,05). I?eniiaoicia aeaaaia?aoe?y /ano?oa coiiaethaaea aieinenoie?/ia i?ieaaoaaiiy iaio nooeie. sse iieacaee ?acoeueoaoe aeine?aeaeaiue, iayai?noue I? aeey IIE I no. ia aoea caeiiii??iith, i?e II no. aiia aeyaeaia a 68,2 % aeiaaeeao. A on?o ianoaaeaieo c IIE III no. aoea I? ??cii? ae?aaeaiino?. Anoaiiaeaia i?yia caeaaei?noue i?ae iayai?noth I? ? nooiaiai IIE, e?euee?noth i?ieaaoth/eo nooeie. Na?aae iciae, ui oa?aeoa?ecoaaee ci?ie ooieoe?e EO i?e ia?aeiiiio IIE o a?oi? niinoa?aaeaiiy ? ii??aiyiiy, iaea?eueo ?aii?i aoa ia?a?iciiae?e o?aini?o?aeueiiai iioieo e?ia? i?ae /an ae?anoiee. Oea aecia/aeiny cieaeaiiyi A/A, A, Ai, P ? ca?eueoaiiyi A, Ai, IVRT, Tdec. Io?eiai? ?acoeueoaoe oa?aeoa?ecoaaee ia?aaaaeaiiy i?e IIE e?iaioieo i?ae /an ia?aaena?aeii? nenoiee. C o?aooaaiiyi oei/aniaeo ? oaeaee?nieo iieaciee?a aeae?eaii o?e ??ai? ae?anoie?/iiai iaiiaiaiiy EO. Ii?iaeueia ae?anoie?/ia iaiiaiaiiy EO (I ??aaiue) aoei a 26,2 % aeiaaeeao o a?oi? niinoa?aaeaiiy ? a 38,9 % - ii??aiyiiy (P<0,05). Ae?oaee ??aaiue oa?aeoa?ecoaaany cieaeaiiyi A, Ei, ca?eueoaiiyi A, Ai, IVRT ? ca?a?no?iaaiee o 58,8 % iino?aaeaeaeeo c IIE ? 47,2 % a in?a, ye? ia caciaee ?aae?aoe?eiiai aieeao c i?ieainii (P>0,05). O?ao?e ??aaiue iaa
«inaaaeiii?iaeueio» oi?io, ia?aaaaeaiiy i?eo A ? ca?eueoaiiy A/A
niieo/aeiny ?c cia/iei ca?eueoaiiyi IVRT. A?i ca?a?no?iaaiee a 15,0 % ?
13,9 % aeiaaee?a a?aeiia?aeii (P>0,05). Aeey oeueiai ??aiy
ae?anoie?/iiai iaiiaiaiiy oa?aeoa?i? i?ieaaoaaiiy IE a?eueo 10 ii,
iayai?noue I? ? i?eniiaoicii? aeaaaia?aoe??. O?ao?e ??aaiue
ae?anoie?/iiai iaiiaiaiiy EO i?iaiinoe/ii ia ni?eyoeeaee.

I?e aiae?c? A, Ei, A, Ai a ae?aiacii? aeic 0,2-65,5 nCa ia aeyaeaii
a??ia?aeieo a?aei?iiinoae. I?ioa, IVRT ? Tdec ca?eueooaaany a i?aea?oi?
c AeCI 25,0-65,5 nCa, neeaaeaee ca na?aaei?ie aeaieie 125,30,5 in ?
164,916,1 in a?aeiia?aeii ? aoee a??ia?aeii a?eueoeie, i?ae o i?aea?oi?
c AeCI iaio 25 nCa (P<0,05). Aeey ooi/iaiiy io?eiaieo ?acoeueoao?a i?iaaaeaii ei?aeyoe?eiee aiae?c caeaaeiino? iieaciee?a, ye? oa?aeoa?ecothoue ae?anoie?/io ooieoe?th EO, a?ae aaee/eie AeCI iaoiaeii ?aiaiai? ei?aeyoe?? ca Ni??iaiii. Anoaiiaeaii, ui ia 3 % ??ai? cia/eiino? (P=0,023) ?nio? i?yia caeaaei?noue IVRT ? Tdec a?ae AeCI (P<0,03). A?aoiaoth/e aeyaeai? ci?ie /aniaeo ia?aiao??a o iino?aaeaeaeeo i?e aeicao ii?ii?iaiiy a?eueoeo 25 nCa, aoa i?iaaaeaiee aaaaoioaeoi?iee aiae?c, ui aeeth/aa o naaa iieacieee ae?anoie?/ii? ooieoe?? EO, nooi?iue i?ieaino, iayai?noue I?, ?ici?? EI, a?e ianoaaeaieo. Anoaiiaeaii, ui o a?oi? c a?eueoei cia/aiiyi AeCI a??ia?aeii /ano?oa cono??/aany IIE II ? III no., a 62 % aeiaaeeao aoea I? oa ca?eueoaiee ?ici?? EI. Oea iiaea iia??ooaaoe ae?anoie?/io ooieoe?th EO. O ca'yceo c oeei aoei i?iaiae?ciaaii iieacieee ae?anoie?/iiai iaiiaiaiiy EO o iino?aaeaeaeeo c ia?aeiiei IIE II no. c I? I-II no. A ianoaaeaieo oe??? i?aea?oie ia aeyaeaii e?i?eii? caeaaeiino? i?ae oaeaee?nieie ? /aniaeie ia?aiao?aie ae?anoie?/ii? ooieoe?? ? aaee/eiith aeice ii?ii?iaiiy, yea c?inoa?. Iieacieee, ui oa?aeoa?ecothoue nenoie?/io ooieoe?th EO i?e ia?aeiiiio IIE, a??ia?aeii ia a?ae??ciyeeny a?ae oaeeo o caei?iaeo in?a. Oae ?ica?aeiino? OA o a?oiao niinoa?aaeaiiy ? ii??aiyiiy ia ia?aaeuoaaee 0,2-1,7 % (P>0,05), %S — 0,4-0,7 % (P>0,05), Vcf — 0,3-0,7 % (P>0,05),
ENI — 2,4-3,2 % (P>0,05), EAeI — 1,9-2,2 % (P>0,05). Cieaeaiiy
nei?ioeeaino? i?iea?aea aoei aeyaeaia i?e aoi?eiiiio IIE, aea a?i
niieo/aany c ?ON ? AO II no. Ii??aiyiiy iieaciee?a nenoie?/ii? ooieoe??
EO i?e IIE a i?aea?oiao caeaaeii a?ae aaee/eie aeice ii?ii?iaiiy
iieacaei, ui a?aei?iiino? aoee ia a??ia?aeieie.

Aiae?c o?ce/ii? i?aoeacaeaoiino? iieacaa, ui i?e ia?aeiiiio IIE a a?oi?
niinoa?aaeaiiy Wii?. aoea ieae/ith (138,23,4 Ao), i?ae o eiio?ie?
(146,55,6), aea ?ica?aeiino? ia aeinyaaee noaoenoe/iiai cia/aiiy.
Caaacia/aiiy o?ce/iiai iaaaioaaeaiiy i?e IIE ci?ithaaeinue a?eueo
iieaciaa: INE aoei a??ia?aeii ieae/a, aaee/eia aeo?aeiiai ? ii?iaiaiai
II, ?iaeaen II/Wii? aoee aeu?, i?ae oe? iieacieee a eiio?ie?. O?ce/ia
i?aoeacaeaoi?noue ? ?? caaacia/aiiy cieaeoaaeeny caeaaeii a?ae
ca?eueoaiiy nooiaiy IIE ? I?. Oae, Wii?. i?e IIE III no. aoea ieae/ith a
na?aaeiueiio ia 17,8 Ao ii??aiyii c I no. (P<0,05). I?e oeueiio aoei iai?oaeaiiy o ooieoe?iioaaii? nenoaie e?iaiia?ao, ui oa?aeoa?ecoaaeiny ca?eueoaiiyi aeo?aeiiai II ia 19,1 oiia. iae. (P<0,05) ? ciaioaiiyi O?N ia 13,6 oae/oa. (P<0,05). A?aeaoaaeiny iaaaeaeaaoia i?aeaeuaiiy aia?aiaeo?ao ia eiaeiee Ao aeeiiaii? ?iaioe. O oeeo ianoaaeaieo anoaiiaeai? ci?ie ae?anoie?/iiai iaiiaiaiiy EO na?oey. I?e aoi?eiiiio IIE ci?ie o?ce/ii? i?aoeacaeaoiino? aecia/aee a?eueoith i??ith caoai?thaaiiy nenoaie e?iaiia?ao. Aeyaeai? ci?ie a caaacia/aii? o?ce/iiai iaaaioaaeaiiy i?e IIE ii??aiyii c? caei?iaeie iniaaie iaie ?icoe?iai? ye oaeoi? ?eceeo ii?ooaiiy ooieoe?e na?oey, iacaaaeath/e ia aenieee ??aaiue ii?iaiaiai iaaaioaaeaiiy i?e ia?aeiiiio i?ieain?, ui aeeeeeaii ia?aiai?oaeaiiyi eiiiainaoi?ieo iaoai?ci?a. O ?acoeueoao? i?iaaaeaieo aeine?aeaeaiue anoaiiaeaii, ui ooieoe?iiaeueiee noai nenoaie e?iaiia?ao i?e IIE aecia/athoue nooi?iue IIE, ae?aaeai?noue IAe, iayai?noue ? nooi?iue i?ciuei? I?, noai ooieoe?e EO, ca?eueoaiiy ii?iaeieie EI, ??aaiue o?ce/ii? i?aoeacaeaoiino?. Aeey anoaiiaeaiiy cia/eiino? ?aae?aoe?eiiai oaeoi?a o iino?aaeaeaeeo c IIE i?iaaaeaii aiae?c i?e/eiii-iane?aeeiaeo ni?aa?aeiioaiue caeaaeii a?ae c?inoaiiy aeic ii?ii?iaiiy. Ae?aiacii aeic eieeaaany a?ae 0,2 aei 65,5 nCa. O 73,7 % aeiaaee?a AeCI ia ia?aaeuoaaea 25 nCa. Aiae?c /anoioe aeiaaee?a IIE caeaaeii a?ae aaee/eie AeCI i?aaenoaaeaiee o oaae. 1. A?aoiaoth/e, ui ?noioia a?aeoeeaiiy iieacieea a iaei?e a?oi? iiaeia ?icoe?ithaaoe o?eueee ye i???ioiaio aeac?aeo ia ?ieue ii?ii?iaiiy ? eeoa caeiiii??ia ci?ia ia iaioa i?ae a o?ueio a?oiao aecia/a? iayai?noue aieeao ?aae?aoe?eiiai ii?ii?iaiiy, io?eiai? aeai? ia aeaee i?aenoaa noaa?aeaeoaaoe oaeo caeiiii??i?noue. C'ynoaaiiy caeaaeiino? /anoioe IIE a?ae o?eaaeino? o/ano? a EIE iieacaei, ui o oeo, ooi i?aoethaaa e?eueea i?nyoe?a, aiia aoea aeuith, aea ia aeinyaaea noaoenoe/ii? cia/eiino?. Oaaeeoey 1 *anoioa aeiaaee?a i?ieaino i?o?aeueiiai eeaiaia ? aaee/eia aeice ciai?oiueiai ii?ii?iaiiy (n=240) I?ieainAeica ciai?oiueiai ii?ii?iaiiy, nCai?o?aeueiiai0,2-9,910,0-24,925,0-65,50,2-65,5eeaiaiaaan.%aan.%aan.%aa n.%Ia?aeiiee (I)4217,53815,83113,011146,3Aoi?eiiee (II)4418,35322,13213,312953,7Anueiai8635,89137,96326,3240100,0Aeinoia??i ?noueP I-II = 0,680P I-II = 0,463P I-II = 0,676P I-II = 0,347 Na?aae ?ioeo oaeoi??a, ye? ?aaeueii aieeaathoue ia /anoioo IIE, aoa n?iaeiee i?iya IIE. I?e ianoaaeaii? 16 ?iaeei o/aniee?a EIE a 75 % aeiaaee?a o e?iaieo ?iaee/?a, ye? ia caciaee ?aae?aoe?eiiai aieeao, anoaiiaeaiee IIE. O 5,4 % e?iaieo ?iaee/?a iaee i?noea aeiaaeee ?aioiai? nia?o?. Aaci?e/eiia caiaii?i/aiiy aoei a 11,4 % aeiaaee?a. Io aea, n?iaeia (aaiaoe/ia) noeeuei?noue aei ia?aeiiiai i?ieaino iio?aao? na?icii? oaaae. Ana oea na?ae/eoue i?i oa, ui iaea?eueo nooo?aa cia/aiiy iaa aieea ia?aae?aoe?eieo oaeoi??a aaa???, oaeeo ye iniaeeaino? ?ia?o c EIE, iia'ycai? c? cia/iith o?ce/iith ? aiioe?eiith iai?oaith, ii?ooaiiyi cae/iiai ?aaeeio, ?iaioa a ?aaeei? aaooe oa ?io?. O?eaaea niinoa?aaeaiiy ca iino?aaeaeaeeie c IIE iieacaei (?en. 1), ui i?ioyaii 5 ?ie?a a?aeaoaaeiny aeinoia??ia, ii??aiyii c aeo?aeiei, ca?eueoaiiy aeeaeie i?ieaaoaaiiy a na?aaeiueiio ia 1,9 ii o a?oi? niinoa?aaeaiiy (P<0,05) ? 1,2 ii o a?oi? ii??aiyiiy (P<0,05). ?icoiaeaeaiiy aeeaeie i?ieaaoaaiiy IE o a?oiao niinoa?aaeaiiy ? ii??aiyiiy /a?ac 2 ? 5 ?ie?a neeaee 0,6 ? 0,7 ii (P>0,05). A?aeiia?aeii
aei ci?ie aeeaeie i?ieaaoaaiiy IE a?aeaoany ia?a?iciiae?e ianoaaeaieo ca
nooiaiai IIE. Ni?yiiaai?noue ci?i o a?oi? niinoa?aaeaiiy, ye ? a a?oi?
ii??aiyiiy, oa?aeoa?ecoaaeany iine?aeiaiei c?inoaiiyi aeiaaee?a IIE II
? III no. i?e a?aeiia?aeiiio ciaioaii? /anoioe IIE I no.

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??????????????(?????uey???????en.1 Ci?ie aeeaeie
i?ieaaoaaiiy ca aeaieie i’yoe??/iiai niinoa?aaeaiiy

I?ei?oea. * — aeinoia??i?noue ?icoiaeaeaiiy c aeo?aeii? aeeaeiith
i?ieaaoaaiiy (P<0,05) Ci?ie nenoie?/ii? ooieoe?? EO a?aeaoaaeeny i?e cia/iiio ca?eueoaii? aeeaeie i?ieaaoaaiiy IE, ca?eueoaii? nooiaiy I?, i?e?aeiaii? oneeaaeiaiue. Aiie aoee iaeiaeia? a a?oiao niinoa?aaeaiiy oa ii??aiyiiy ? neeaee 7 %. *anoioa ae?anoie?/ii? aeenooieoe?? EO /a?ac 5 ?ie?a o a?oi? niinoa?aaeaiiy c?inea ia 17 %, ii??aiyiiy - 10 % (P<0,05). Oaeiae c?inea /anoioa I? o 2 ?ace a a?oi? niinoa?aaeaiiy ? o 1,8 ?ac?a - o a?oi? ii??aiyiiy. E?euee?noue aeiaaee?a neiae?iio ?aiiuei? ?aiiey?ecaoeee oeoii/e?a, aeno?anenoie?/ii? a?eoi??, iiaeiaaeaiiy ?ioa?aaeo Q-T, iiaii? aeieaaee i?aeie io/ea A?na a iaio a?oiao ca?eueoeeany. A ie?aieo aeiaaeeao c'yaeeeny ia?ieneciaeueia oao?ea?ae?y, o?a?eeyoe?y ia?aaena?aeue. O aeaio iino?aaeaeaeeo o a?oe? 36 ? 38 ?ie?a aeieeee ii?ooaiiy iiceiaiai e?iaiia?ao, a iaeiiai - /a?ac 4 ?iee i?ney ia?aeiiiai ianoaaeaiiy c’yaeany ?ic?ea nooiaeeeeiaeo oi?ae i?o?aeueiiai eeaiaia. *a?ac 5 ?ie?a anoaiiaeaia cieaeaiiy Wii?. a 24 % aeiaaee?a o a?oi? niinoa?aaeaiiy ? 20 % - ii??aiyiiy (P>0,05), ui aoei iia’ycaii c
i?ia?anoaaiiyi IIE, I?, i?e?aeiaiiyi oneeaaeiaiue. O ieo cieceeany
oaeiae ? aoaeoeai?noue aia?aicaaacia/aiiy o?ce/iiai iaaaioaaeaiiy
noiniaii aeo?aeiei aeaiei.

Ia i?aenoaa? ?acoeueoao?a niinoa?aaeaiue o aeeiai?oe? aeae?eaii o?e
aa??aioe ee?i?/iiai ia?aa?ao IIE: noaa?eueiee, i?ia?anoth/ee,
oneeaaeiaiee. ?c caaaeueii? e?eueeino? ianoaaeaieo a?oie niinoa?aaeaiiy
noaa?eueiee ia?aa?a caoai?thaaiiy anoaiiaeaiee a 43 % aeiaaeeao, a a?oi?
ii??aiyiiy — 63 % (P<0,05), i?ia?anoth/ee a 57 % ? 37 % a?aeiia?aeii (P<0,05), o oiio /ene? a 20,8 % ? 16,7 % - oneeaaeiaiee (P>0,05).
Aiae?c aeeiai?ee ci?i ee?i?ei-?ino?oiaioaeueieo iieaciee?a caeaaeii a?ae
nooiaiy IIE i?e i’yoe??/iiio niinoa?aaeaii? iieacaa, ui IIE III no.
iaea?eueo ia ni?eyoeeaee aeey i?iaiico. I?e IIE III no. oneeaaeiaiiy
anoaiiaeai? a 60 % aeiaaee?a, oiae? ye i?e II no. — 36,8 %, I no. — 4,7
%.

Ia i?aenoaa? aaaaoi??/iiai niinoa?aaeaiiy ca iniaaie c IIE a?ae?a?ai?
e?eoa???, ui oa?aeoa?ecothoue nooi?iue ?eceeo ?icaeoeo oneeaaeiaiue
(oaae. 2).

Oaaeeoey 2

?ecee ?icaeoeo oneeaaeiaiue i?e i?ieain? i?o?aeueiiai eeaiaia

AenieeeIii??ieeIecueeeeIayai?noue iaei??? c iciae:

· IIE III no.

· IAe > 5 ii

· I? III — IV no.

· EI > 40 ii

· Aieinenoie?/iee ooi

· Nenoie?/ia aeenooieoe?y EO

· Niaaeei?ii? oai?iae niieo/ii? oeaieieA?aenooi?noue iciae aenieiai
?eceeo ? iayai?noue aeacaieo:

· IIE II — III no.

· IAe < 5 ii · I? ia aeua II no. · Ae?anoie?/ia aeen-ooieoe?y EO A?aenooi?noue iciae aenieiai ? iii??-iiai ?eceeo oa iayai?noue aeacaieo: · IIE I no. · I? ia aeua I no. Iaea?eueo aenieee nooi?iue ?eceeo iaoiiaeththoue aeeaeia i?ieaaoaaiiy, iayai?noue aaiiaeeiai?/ii cia/ii? I?, ae?aaeaii? IAe, ca?eueoaiiy EI, ae?anoie?/ia aeenooieoe?y EO, aieinenoie?/iee ooi. Aaaaoi??/ia niinoa?aaeaiiy ca iino?aaeaeaeeie c IIE ia?aeiieeai na?ae/eoue, ui an?, o eiai aeyaeaiee IIE, iio?aaothoue aeeniaina?iiai niinoa?aaeaiiy. C o?aooaaiiyi oiai, ui IIE oa?aeoa?eco?oueny iie?ii?o?ciii ee?i?/ieo i?iya?a ? iiaea caeeoaoeny ia ?ici?ciaiei i?ae ianeith ?ioeo oai?ia, ?ic?iaeaiee aeai?eoi ae?aaiinoeee ? oaeoeee aaaeaiiy iino?aaeaeaeeo ?c IIE (?en. 2). Ai?iaaoe?y eiai iieacaea aeinoaoith ?ioi?iaoeai?noue aeey caaacia/aiiy aeeoa?aioe?eiaaiiai oi?ioaaiiy a?oi niinoa?aaeaiiy ? iiia?aaeaeaiiy iaaaoeaieo iane?aee?a IIE. Eiai aeei?enoaiiy iniaeeai iaiao?aeia i?e cae?eniaii? i?ioan?eiiai a?aeai?o ia?niiaeo aeey ia'?eo?a, ui iio?aaothoue noaa?eueiiai caaacia/aiiy ?ia?o. Iieooaaiiy, aiaiiac, oaiioei?/i? ia?ea?e, o?ceeaeueia aeine?aeaeaiiy, AEAA??ia?aei?noue IIE Aeniea - + Aoiea?ae?ia?ao?/ia aeine?aeaeaiiy Iecea -+noiiIIE-noii i?aeoaa?aeaeaiee * Aeeniaina?ia niinoa?aaeaiiy * I?io?eaeoeea oai?ia nenoaie e?iaiia?ao * Aieea ia oaeoi?e ?eceeo oneeaaeiaiue Ia?aa?aNoaa?eueieeI?ia?anoth/ee Oneeaaeiaiee- Ia iio?aao? e?eoaaiiy. - Iaeyae, AEA - ui??/ii. - AoiEA eiaei? 2 ?iee c ioe?ieith ae?anoie?/ii? ooie-oe?? EO. - ?aaeei - ia iio?aao? noo-o?aeo iaiaaeaiue. - I?ioan?eieo iaiaaeaiue iaia?.- Iaeyae, AEA eiaei? 6 i?n. ? ca iieacaiiyie. - AoiEA ? AeAoiEA ui??/ii c eiio?ieai ae?anoie?/ii? ooieoe?? EO. - Aecia/aiiy o?ce/ii? i?aoea-caeaoiino?. - ?aaeei c iaiaaeaiiyi cia/ieo o?ce/ieo iaaaioaaeaiue - Iaiaaeaiiy i?ioan?eii? i?eaeaoiino?.- Iaeyae, AEA, Aoi- ? AeAoiEA ca iieacaiiyie, aea ia iaioa 1 ?aco o 6 i?n. c eiio?ieai ae?anoie?/ii? ooieoe?? EO. - ?aaeei c iaiaaeaiiyi o?ce/ieo iaaaioaaeaiue. - E?eoaaiiy iaaeeeaiaioicia ?, ca iieacaiiyie, iia?aoeaia. - I?ioeiieacai? ?iaioe, ui iio?aaothoue aenieiai nooiaiy aaciaee. ?en. 2 Aeai?eoi ae?aaiinoeee ? oaeoeee aaaeaiiy iino?aaeaeaeeo c i?ieainii i?o?aeueiiai eeaiaia AENIIAEE 1. I?e AoiEA ianoaaeaii? 5075 iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe IIE anoaiiaeaiee a 6,7 % aeiaaeeao, iaeaea a iieiaeie c ieo oea aoa ia?aeiiee IIE. ?icoiaeaeaiiy a /anoio? ? nooiai? IIE caeaaeii a?ae AeCI a ae?aiacii? iaeeo aeic, o?eaaeino? o/ano? a EIE ? i?iaeeaaiiy ia eiio?ieueiaai?e oa?eoi??? ia ia?aaeuoaaee 5 %. 2. I?e ia?aeiiiio IIE o iino?aaeaeaeeo a 72,4 % aeiaaee?a anoaiiaeaia IAe niieo/ii? oeaieie IE, aeey oeeo aeiaaee?a caeiiii??iei aoa n?iaeiee i?iya IIE ?c IAe o e?iaieo ?iaee/?a, ui ia caciaee ?aae?aoe?eiiai aieeao. 3. Ae?aaiinoe/ia cia/ei?noue ee?i?/ieo i?iya?a IIE iaiaaeaia, i?e ?cieueiaaiiio ?o aiae?c? iiieeeiai iiceoeaiee ? iiieeeiai iaaaoeaiee ?acoeueoaoe aeinyaathoue 50 %. Eiiieaenia aeei?enoaiiy aeaieo aiaiiaco, o?ceeaeueiiai aeine?aeaeaiiy ? oaiioei?/ieo ia?ea??a aeenieac?? niieo/ii? oeaieie nei?i/o? /enei iiieeeiaeo ?acoeueoao?a ia 15 - 20 %. 4. I?e oeueo?acaoeiaiio aeine?aeaeaii? na?oey anoaiiaeaii, ui iaea?eueo ?aiiueith iciaeith aeenooieoe?? EO na?oey i?e IIE ? ia?a?iciiae?e o?aini?o?aeueiiai iioieo e?ia? i?ae /an ae?anoiee, ui ia?aaeo? ii?ooaiith nenoie?/ii? ooieoe??. Aeyaeaia ei?aeyoe?y i?ae ci?iaie ia?aiao??a, ui oa?aeoa?ecothoue ae?anoie?/io ooieoe?th EO na?oey, ? nooiaiai IIE, I?, ae?aaeai?noth IAe. 5. O iino?aaeaeaeeo i?e *i?iiaeeuenuee?e eaoano?io? a ianooii? i’youe ?ie?a /ano?oa, i?ae a in?a, ye? ia caciaee ?aae?aoe?eiiai ii?ii?iaiiy, ianooiaei ca?eueoaiiy nooiaiy i?ieaaoaaiiy IE ? I? c oi?ioaaiiyi aeenooieoe?? EO. 6. Ia i?aenoaa? niinoa?aaeaiiy a aeeiai?oe? anoaiiaeaii caeiiii??ia iia??oaiiy ooieoe?? EO na?oey, cieaeaiiy o?ce/ii? i?aoeacaeaoiino?, yea ei?aeth? c? ca?eueoaiiyi nooiaiy IIE ? I?. ?icaeoie oneeaaeiaiue ca?a?no?iaaii o eiaeiiai o?aoueiai c IIE II no. ? eiaeiiai ae?oaiai c IIE III no. A?eueo ae?aaeaia i?ia?anoaaiiy IIE o ii?aeiaii? i?eniiaoicii? aeaaaia?aoe?? IE c ?ioeie oaiioei?/ieie iciaeaie aeenieac?? niieo/ii? oeaieie. 7. Ia iniia? ?acoeueoao?a i'yoe??/iiai niinoa?aaeaiiy ?ic?iaeaii aeai?eoi ae?aaiinoeee ? oaeoeee aaaeaiiy iino?aaeaeaeeo ?c IIE, aeae?eai? aa??aioe ee?i?/iiai ia?aa?ao IIE, e?eoa??? ?eceeo oneeaaeiaiue, ui oa?aeoa?ecothoueny aeinoaoiueith ?ioi?iaoeai?noth aeey caaacia/aiiy aeeoa?aioe?eiaaiiai oi?ioaaiiy a?oi aeeniaina?iiai niinoa?aaeaiiy ? iiia?aaeaeaiiy iaaaoeaieo iane?aee?a IIE. 8. I?ieain i?o?aeueiiai eeaiaia II, III no. c iciaeaie aenieiai ?eceeo oneeaaeiaiue ? i?ioeiieacaiiyi aeey ?ia?o, eio?? iio?aaothoue noaa?eueiiai caaacia/aiiy aenieiai nooiaiy aaciaee, ? iiaeiiee a?aoiaoaaoeny i?e i?ioan?eiiio a?aeai?? ia?niiaeo aoiiieo aeaeo?inoaioe?e. I?AEOE*I? ?AEIIAIAeAOe?? O iino?aaeaeaeeo c oa?aeoa?ieie aeey IIE noa'?eoeaieie i?iyaaie ? aoneoeueoaoeaieie ci?iaie, ye? ii?aeiothoueny c iayai?noth oaiioei?/ieo ia?ea??a aeenieac?? niieo/ii? oeaieie, iaiao?aeii i?iaiaeeoe AoiEA aeine?aeaeaiiy c iaoith aeyaeaiiy IIE. I?e aia?oa anoaiiaeaiiio IIE iaiao?aeii aecia/eoe eiai oi?io, nooi?iue i?ieaaoaaiiy, iayai?noue IAe, ae?aaeai?noue I?, noai ae?anoie?/ii? ooieoe?? EO na?oey, ??aaiue o?ce/ii? i?aoeacaeaoiino? aeey aecia/aiiy oyaeeino? eiai ia?aa?ao. An? oai??, a yeeo aeyaeaiee IIE, i?aeeyaathoue aeeniaina?iiio niinoa?aaeaiith. ?ic?iaeaiee aeai?eoi ae?aaiinoeee ? oaeoeee iiaea aeei?enoiaoaaoeny aeey aeae?eaiiy a?oi c i?aeaeuaiei ??aiai ?eceeo ?icaeoeo oneeaaeiaiue c iaoith aeeoa?aioe?eiaaiiai cae?eniaiiy iaiao?aeieo ia’?io oa ia??iae?a aeine?aeaeaiue o i?ioean? o?eaaeiai niinoa?aaeaiiy, i?io?eaeoe/ieo ? e?eoaaeueieo caoiae?a. I?e i?iaaaeaii? i?ioan?eiiai a?aeai?o ia?niiaeo, yeee aeeiio? ?iaioe, ui aeiaaathoue noaa?eueiiai caaacia/aiiy aenieiai nooiaiy aaciaee, iaiao?aeii i?iaiaeeoe eiiieaen aeine?aeaeaiue c aeeth/aiiyi AoiEA aeey aeyaeaiiy IIE c na?aaei?i ? aenieei ?eceeii ?icaeoeo oneeaaeiaiue, ui ? i?ioeiieacaiiyi aeey aeeiiaiiy ?ia?o oaeiai oeio. NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe?? 1. Aieacie nenoaiu e?iaiia?auaiey: I?ieain ieo?aeueiiai eeaiaia / Oiiacthe E.I., Eiaaeaa A.N., *aaaithe N.A., Aii/a?aiei E.E., Ianoeia A.I. // *a?iiaueueneay aoiiiay yeaeo?inoaioeey - Neaaooe/: iaaeeoeeineea aniaeou / Iiae ?aae. A.A. Aaaaoei, A.A. Iinianeiai, Ae.A. Aacuee. - Eeaa: Aeua oeiea, 1996. - N. 157-162. 2. Nenoaia e?iaiia?auaiey: I?ieain ieo?aeueiiai eeaiaia / Oiiacthe E.I., Eiaaeaa A.N., *aaaithe N.A., Aii/a?aiei E.E., Ianoeia A.I. // Iaaeeoeeineea i?iaeaiu i?iecaiaenoaaiiiai iauaaeeiaiey “*a?iiaueueneay aoiiiay yeaeo?inoaioeey” e iauaeoa “Oe?uoea” / Iiae ?aae. A.A. Aaaaoei, Ae.A. Aacuee - Eeaa: Oaoiaaeyeie, 1996. - N. 25-29. 3. Oiiacthe E.I., *aaaithe N.A. Aeeanoiee/aneay ooieoeey eaaiai aeaeoaei/ea i?e i?ieaina ieo?aeueiiai eeaiaia // Oe?a?inuee?e ea?ae?ieia?/iee aeo?iae. - 1996. - N 1. - N. 33-36. 4. Oiiacthe E.I., *aaaithe N.A., Oiiacthe A.A. I?ieain ieo?aeueiiai eeaiaia: nia?aiaiiia ninoiyiea i?iaeaiu // Oe?a?inuee?e ea?ae?ieia?/iee aeo?iae. - 1996. - N 2. - N. 75-79. 5. Oiiacthe E.I., *aaaithe N.A. I?ieain ieo?aeueiiai eeaiaia: aeeaaiinoeea, ioeaiea cia/eiinoe o ia?niiaea aoiiiuo yeaeo?inoaioeee e iniaaiiinoe iaaethaeaiey // Oe?a?inuee?e ea?ae?ieia?/iee aeo?iae. – 1997. - N 5. - N. 68-72. 6. *aaaithe N.A. Eeeie/aneea i?iyaeaiey e oaiioeie/aneea i?eciaee aeenieacee niaaeeieoaeueiie oeaie i?e i?ieaae?iaaiee ieo?aeueiiai eeaiaia o iino?aaeaaoeo aneaaenoaea *a?iiaueueneie eaoano?iou // Nia?aiaiiua i?iaeaiu ?aaeeaoeeiiiie iaaeeoeeiu: Nai?iee noaoae. - Eeaa, 1997. - N. 72-75. 7. *aaaithe N.A. Oece/aneay ?aaioiniiniaiinoue e iniaaiiinoe aa iaania/aiey i?e i?ieaina ieo?aeueiiai eeaiaia / Iaoa??aee V Eiia?ano ea?ae?ieia?a Oe?a?ie, 12 - 14 o?aaiy 1997 ?., i. Ee?a // Oe?a?inuee?e ea?ae?ieia?/iee aeo?iae. - 1997. - Aeiaeaoie aei 3/96. - N. 203. 8. Oiiacthe I.I., *aaaithe N.A., Oiiacthe A.A. I?ieain i?o?aeueiiai eeaiaia i ooieoe?y na?oey i?e noa??ii? // Oace aeiiia. II Iaoe?iiaeueiiai eiia?ano aa?iioieia?a oa aa??ao??a Oe?a?ie. - Ee?a, 1994. - *. 2. - N. 640. 9. Eiaaeaa A.N., Oiiacthe E.I., *aaaithe N.A. Oece/aneay ?aaioiniiniaiinoue e iniaaiiinoe aa iaania/aiey o iino?aaeaaoeo i?e *a?iiaueueneie eaoano?ioa n i?ieainii ieo?aeueiiai eeaiaia // Oac. aeiee. iao/.- i?aeo. eiio. “*a?iiaueue e caei?iauea ianaeaiey”. - Eeaa, 1994. - O. 2. - N. 39-41. 10. Oiiacthe E.I., *aaaithe N.A., Oiiacthe A.A. Ii?iee na?aeoea o iino?aaeaaoeo i?e *a?iiaueueneie eaoano?ioa // Oace aeiiia. iaoeiai-i?aeo. eiio. “Iaaee/ii ianeiaeee aaa?ii ia *AAN” - Oa?e?a, 1995. - N. 127 - 128. 11. Oiiacthe E.I., *aaaithe N.A., Oiiacthe A.A. Iiaua aeeaaiinoe/aneea iiaeoiaeu e ioeaiea ooieoeee na?aeoea i?e i?ieaina ieo?aeueiiai eeaiaia // Iaoa?eaeu iao/.-i?aeo. eiio. “Aeooaeueiua i?iaeaiu naiaoi?iii-eo?ioiiai ea/aiey aeaoae”. - Aaiaoi?ey, 1995. - N. 88-90. 12. *aaaithe N.A. Ooieoeeiiaeueiia ninoiyiea nenoaiu e?iaiia?auaiey i?e i?ieaae?iaaiee ieo?aeueiiai eeaiaia o iino?aaeaaoeo i?e *a?iiaueueneie eaoano?ioa // Iaoa??aee tha?eaeii? iaoeiai? eiio. iieiaeeo o/aieo, i?enay/aii? 10-??//th Iaoeiaiai oeaio?o ?aae?aoe?eii? iaaeeoeeie “I?iaeaie ?aae?aoe?eii? iaaeeoeeie i?ney *i?iiaeeuenueei? eaoano?ioe”. - Ee?a, 1997. - N. 124-126. 13. Oiiacthe E.I., *aaaithe N.A. I?ieain ieo?aeueiiai eeaiaia o aeeeoaeueii ?aaioathueo n enoi/ieeaie eiiece?othuaai eceo/aiey // Oac. 2-ie iaaeaeoia?iaeiie eiioa?aioeee “Ioaeaeaiiua iaaeeoeeineea iineaaenoaey *a?iiaueueneie eaoano?iou”. - Eeaa, 1998. - N. 400-401. 14. *aaaithe N.A. Iaoiaeeea aeiaaiinoeee i?ieaino iio?aeueiiai eeaiaia o iino?aaeaeaeeo aiane?aeie aaa??? ia *AAN i o ia?niiaeo AAN: ?ioi?iaoe?eiee eeno - Ee?a, 1998. - 3 n. AIIOAOe?ss *aaaithe N. A. Ooieoe?iiaeueiee noai nenoaie e?iaiia?ao i?e i?ieaaoaaii? i?o?aeueiiai eeaiaia o iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe. – ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.11. – Ea?ae?ieia?y. – ?inoeooo ea?ae?ieia?? ?i. aeaae. I. Ae. No?aaeanea AII Oe?a?ie, Ee?a, 1999. Aeena?oaoe?y i?enay/aia aeine?aeaeaiith ooieoe?iiaeueiiai noaio nenoaie e?iaiia?ao i?e i?ieaaoaaii? i?o?aeueiiai eeaiaia (IIE) o 340 iino?aaeaeaeeo aiane?aeie *i?iiaeeuenueei? eaoano?ioe. O ?iaio? aia?oa i?iaaaeaii aea/aiiy, nenoaiaoecaoe?y e ocaaaeueiaiiy aeaieo i?i /anoioo ? ae?aaeai?noue ee?i?/ieo i?iya?a, ci?i no?oeoo? ? ooieoe?e na?oey, o?ce/ii? i?aoeacaeaoiino? i?e IIE a in?a, ye? caciaee ?aae?aoe?eiiai aieeao. Ioe?iai? a?aei?iiino? aeyaeaieo ci?i o ae?aiacii? aeic ii?ii?iaiiy, ye? c?inoathoue, ? o?eaaeino? eiioaeoo c ?ii?coth/ei aei?ii?ithaaiiyi, aaiaoe/ii coiiaeaii? noeeueiino?, c? nooiaiai i?ieaaoaaiiy, iayai?noth i?o?aeueii? ?aao?a?oaoe?? oa i?eniiaoicii? aeaaaia?aoe??, a oaeiae c iniaeea?noth ia?aa?ao IIE. Iieacaii, ui iaea?eueo ?aiiueith ci?iith a ooieoe?iiaeueiiio noai? na?oey ? ae?anoie?/ia aeenooieoe?y. Ca ?acoeueoaoaie aeine?aeaeaiue iaa?oioiaaii aeai?eoi ae?aaiinoeee i?ieaino ? oaeoeee aaaeaiiy iino?aaeaeaeeo c IIE, iaiao?aei?noue eiai aeei?enoaiiy i?e cae?eniaii? i?ioan?eiiai a?aeai?o. Eeth/ia? neiaa: i?ieain i?o?aeueiiai eeaiaia, iino?aaeaeae? aiane?aeie *i?iiaeeuenueei? eaoano?ioe, ee?i?/i? oa oaiioei?/i? i?iyae, ci?ie no?oeoo? ? ooieoe?e na?oey, o?ce/ia i?aoeacaeaoi?noue, oaeoeea aaaeaiiy. SUMMARY Chebanjuk S.V. A functional condition of cardiovascular system in Chernobyl disaster survivors with mitral valve prolapse. - Manuscript. The dissertation is submitted for scientific degree of the candidate of medical sciences in speciality 14.01.11 - Cardiology - The Strazhesko Institute of Cardiology of the Academy of Medical Sciences of Ukraine, Kiev, 1999. The dissertation is devoted to questions of a functional condition of system cardiovascular system in 340 Chernobyl disaster survivors with mitral valve prolapse (MVP). It has been first that data on the frequency and pronouncement of clinical manifestations, changes of heart structure and functions and physical working capacity in the radiation-exposed persons with MVP were studied, systematized and generalized. The differences of above changes were evaluated within ranges of increasing radiation doses and duration of contact with an ionizing irradiation, and genetically-mediated predisposition. The significance of myxomatous degeneration as a morphological basis for MVP is being discussed. Among early functional changes of the heart, a left ventricle diastolic dysfunction was defined. The results of study have permitted to develop a tactics for dispensary observation and the recommendations for professional selection among the persons with mitral valve prolapse. Key words: mitral valve prolapse, the Chernobyl disaster survivors, clinical and phenotypic symptoms, changes of heart structure and functions, physical working capacity, tactics for observation. AIIIOAOeEss *aaaithe N.A. Ooieoeeiiaeueiia ninoiyiea nenoaiu e?iaiia?auaiey i?e i?ieaae?iaaiee ieo?aeueiiai eeaiaia o iino?aaeaaoeo aneaaenoaea *a?iiaueueneie eaoano?iou. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.11 – Ea?aeeieiaey. – Einoeooo ea?aeeieiaee ei. aeaae. I.Ae. No?aaeanei AII Oe?aeiu, Eeaa, 1999. Aeenna?oaoeey iinayuaia aii?inai ooieoeeiiaeueiiai ninoiyiey nenoaiu e?iaiia?auaiey i?e i?ieaae?iaaiee ieo?aeueiiai eeaiaia (IIE) o 340 iino?aaeaaoeo aneaaenoaea *a?iiaueueneie eaoano?iou. A?oiia n?aaiaiey aeeth/aea 70 ianeaaeiaaiiuo n ia?ae/iui IIE, ia iiaeaa?aaaoeony ?aaeeaoeeiiiiio aicaeaenoaeth, 20 caei?iauo eeoe ninoaaeee eiio?ieueioth a?oiio. Aeey aiaeeca naiaeiiai i?iyaeaiey IIE i?iaaaeaii ianeaaeiaaiea 16 naiae, a eioi?uo iaeei ec aa /eaiia aue o/anoieeii eeeaeaeaoeee iineaaenoaee *a?iiaueueneie eaoano?iou e o iaai aue auyaeai i?ieain ieo?aeueiiai eeaiaia. Eniieueciaaia noaiaea?oece?iaaiiay nenoaia ianeaaeiaaiey, aeeth/athuay aiaeec ?aaeeaoeeiiiiai aicaeaenoaey, oaiioeie/aneeo i?eciaeia aeenieacee niaaeeieoaeueiie oeaie, iauaa eeeie/aneia, yeaeo?i-, yoi-, aeiiiea?ea?aeeia?aoe/aneia, aaeiy?aiiao?e/aneia enneaaeiaaiey. I?e yoiea?aeeia?aoe/aneii ianeaaeiaaiee 5075 iino?aaeaaoeo i?e *a?iiaueueneie eaoano?ioa a 6,7 % neo/aaa onoaiiaeai i?ieain ieo?aeueiiai eeaiaia. A ?aaioa aia?aua i?iaaaeaii eco/aiea, nenoaiaoecaoeey e iaiauaiea aeaiiuo i /anoioa e au?aaeaiiinoe eeeie/aneeo i?iyaeaiee, eciaiaiee no?oeoo? e ooieoeee na?aeoea, oece/aneie ?aaioiniiniaiinoe i?e IIE o eeoe, iiaeaa?aoeony ?aaeeaoeeiiiiio aicaeaenoaeth. Ioeaiaiu ?acee/ey auyaeaiiuo eciaiaiee a aeeaiaciia aic?anoathueo aeic iaeo/aiey e aeeeoaeueiinoe eiioaeoa n eiiece?othuei eceo/aieai, aaiaoe/anee iaoneiaeaiiie i?aae?aniieiaeaiiinoth. Iieacaii, /oi iaeaieaa ?aiiei eciaiaieai a ooieoeeiiaeueiii ninoiyiee na?aeoea yaeyaony aeeanoiee/aneay aeenooieoeey. Ia iniiaa ?ane?uoey iniaaiiinoae aeeanoiee/aneiai iaiieiaiey eaaiai aeaeoaei/ea na?aeoea ioa?aeoa?eciaaii o?e o?iaiy aeeanoiee/aneie ooieoeee i?e i?ieaina. Onoaiiaeaia i?ei?eoaoiay cia/eiinoue aeeanoiee/aneie aeenooieoeee eaaiai aeaeoaei/ea i?e IIE ii ioiioaieth e nenoiee/aneie, /oi iicaieyao eniieueciaaoue aa aeey ioai?a iino?aaeaaoeo n iiauoaiiui ?eneii ?acaeoey na?aea/iie iaaeinoaoi/iinoe. Auaeaeaiu e?eoa?ee aeeaaiinoeee IIE, iaeaaeathuea aunieie /oanoaeoaeueiinoueth e niaoeeoe/iinoueth. Onoaiiaeaii, /oi ia?ooaiey ooieoeee na?aeoea, oece/aneie ?aaioiniiniaiinoe o iino?aaeaaoeo n IIE ei??aee?otho ni noaiaiueth i?ieaae?iaaiey, iaee/eai ieo?aeueiie ?aao?aeoaoeee e ieeniiaoiciie aeaaaia?aoeeae. Oece/aneay ?aaioiniiniaiinoue i?e aaiiaeeiaie/anee iaei cia/eiii ia?ae/iii IIE nouanoaaiii ia eciaiyeanue. Iia caeiiiia?ii nieaeaeanue i?e oaaee/aiee noaiaie i?ieaae?iaaiey e iaee/ee au?aaeaiiie ieo?aeueiie ?aao?aeoaoeee. Ii aeaiiui aeeaaiinoe/aneiai enneaaeiaaiey n eniieueciaaieai ?anni?ina, aeaiiuo aiaiiaca, oeceeaeueiiai enneaaeiaaiey, YEA ioia?aiu iaeaieaa eioi?iaoeaiua e?eoa?ee, oa?aeoa?ecothuea noaiaiue aa?iyoiinoe IIE. Niiinoaaeaiea yoeo aeaiiuo n ?acoeueoaoaie yoiea?aeeia?aoe/aneiai enneaaeiaaiey iieacaei, /oi ni/aoaiea nenoiee/aneiai ooia e/eee uae/ea aac /aoeeo oeacaiee ia eiia caaieaaaiea, n o?aiy e aieaa oaiioeie/aneeie i?eciaeaie aeenieacee niaaeeieoaeueiie oeaie e oeacaieai ia iaee/ea IIE o e?iaiuo ?iaenoaaiieeia, eae i?aaeei, naeaeaoaeuenoaiaaei i aunieie aa?iyoiinoe IIE. O/eouaay, /oi ii?oieiae/aneie iniiaie IIE a 72,4 % neo/ayo auea ieeniiaoiciay aeaaaia?aoeey, auyaeaiea oaiioeie/aneeo i?eciaeia niaaeeieoaeueii-oeaiiie aeenieacee e naiaeiiai i?iyaeaiey IIE iainiiaaiii iiaeii ?anniao?eaaoue eae eioi?iaoeaiua e?eoa?ee aunieie aa?iyoiinoe IIE, iniaaiii i?e iaee/ee nenoiee/aneiai ooia e/eee uae/ea. Aeeeoaeueiia iaaethaeaiea ca iino?aaeaaoeie n IIE iieacaei, /oi ia i?ioyaeaiee 5 eao i?ienoiaeeei aeinoiaa?iia, ii n?aaiaieth n enoiaeiui, oaaee/aiea aeoaeiu i?ieaae?iaaiey eae a a?oiia iaaethaeaiey, oae e a a?oiia n?aaiaiey. Iai?aaeaiiinoue eciaiaiee a iaaethaeaaiuo a?oiiao oa?aeoa?eciaaeanue iineaaeiaaoaeueiui ia?anoaieai neo/aaa IIE II e III no. i?e niioaaonoaothuai oiaiueoaiee /anoiou IIE I no. Onoaiiaeaii oooaeoaiea ooieoeee eaaiai aeaeoaei/ea na?aeoea, nieaeaiea oece/aneie ?aaioiniiniaiinoe, eioi?ua ei??aee?iaaee n oaaee/aieai noaiaie IIE e ieo?aeueiie ?aao?aeoaoeee. O iino?aaeaaoeo i?e *a?iiaueueneie eaoano?ioa /aua, /ai o eeoe, ia iiaeaa?aaaoeony ?aaeeaoeeiiiiio aicaeaenoaeth, ianooiaei oaaee/aiea noaiaie i?ieaae?iaaiey ieo?aeueiiai eeaiaia e ieo?aeueiie ?aao?aeoaoeee n ?acaeoeai aeenooieoeee eaaiai aeaeoaei/ea na?aeoea. Ia iniiaaiee ?acoeueoaoia aeeeoaeueiiai iaaethaeaiey auaeaeaii o?e aa?eaioa eeeie/aneiai oa/aiey IIE: noaaeeueiue, i?ia?anne?othuee e ineiaeiaiiue. Ioia?aiu e?eoa?ee, oa?aeoa?ecothuea noaiaiue ?enea ?acaeoey ineiaeiaiee. Ii ?acoeueoaoai enneaaeiaaiee ?ac?aaioai aeai?eoi aeeaaiinoeee i?ieaina e oaeoeee aaaeaiey iino?aaeaaoeo n IIE. Iaee/ea IIE aeieaeii o/eouaaoueny i?e i?ioanneiiaeueiii ioai?a. I?ieain ni n?aaeiei e aunieei o?iaiyie ?enea ?acaeoey ineiaeiaiee yaeyaony i?ioeaiiieacaieai aeey auiieiaiey ?aaio, o?aaothueo noaaeeueiiai iaania/aiey aunieie noaiaie aaciianiinoe. Eeth/aaua neiaa: i?ieain ieo?aeueiiai eeaiaia, iino?aaeaaoea i?e *a?iiaueueneie eaoano?ioa, eeeie/aneea e oaiioeie/aneea i?iyaeaiey, eciaiaiey no?oeoo? e ooieoeee na?aeoea, oece/aneay ?aaioiniiniaiinoue, oaeoeea aaaeaiey. IA?AE?E OIIAIEO IICIA*AIUe AeCI - aeica ciai?oiueiai ii?ii?iaiiy AeAoiEA - aeiiea?aoiea?aeiia?aoiy EIE - e?ea?aeaoe?y iane?aee?a eaoano?ioe EI - e?aa ia?aaena?aey EO - e?aee oeoii/ie IAe - i?eniiaoicia aeaaaia?aoe?y IE - i?o?aeueiee eeaiai I?- i?o?aeueia ?aao?a?oaoe?y IIE - i?ieain i?o?aeueiiai eeaiaia nCa - naioeciaa?o AEA - aeaeo?iea?ae?ia?ao?y AoiEA - aoiea?aeiia?aoiy I?aei. aei ae?oeo 04.10. 99 Oi?iao 60 o 901/16 Iai?? ae?oe. ? 1 . Niin?a ae?oeo ionaoiee. Oiiai. ae?oe. a?e. 1.16 Oiiai. oa?ai-a?aea. 1,39 . Iae.-aeae. a?e. 1,0 . Oe?aae 100 . Cai. ? 92990 _____________________________________________________ O??ia “A?IIE” 252151, Ee?a, aoe. Aieeinueea, 60.

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