OA?E?ANUeEEE AeA?AEAAIEE IAAeE*IEE

OI?AA?NEOAO

IAIO?EIAA IEAIA IEAENAIAe??AIA

OAeE: 616.12-008.2-072.7-053.2

OA?AEOA?ENOEEA OA IOe?IEA

OOIEOe?IIAEUeIEO NA?OeAAEO OOI?A O Ae?OAE

14.01.10 – iaae?ao??y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? IIC
Oe?a?ie

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

Noea/iaa Aaiia ?aai?aia,

Oa?e?anueeee aea?aeaaiee
iaaee/iee oi?aa?neoao,

i?ioani? eaoaae?e
oaeoeueoaonueei? iaae?ao??? c

iaaee/iith aaiaoeeith.

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

Ino?iiieaoeue Naaae?e
Naaae?eiae/,

Aeiiaoeueeee aea?aeaaiee
iaaee/iee oi?aa?neoao,

caa?aeoaa/ eaoaae?e
iaae?ao??? oaeoeueoaoo

i?neyaeeieiiiiai iaa/aiiy,

— aeieoi? iaaee/ieo iaoe

Aiaiao Ethaeieea Oaaein??aia,

Oe?a?inueeee iaoeiai-aeine?aeiee
?inoeooo ioi?iie

caei?ia’y ae?oae oa i?aee?oe?a,
i.Oa?e?a, noa?oee

iaoeiaee ni?a?ia?oiee,

ea??aiee a?aeae?eo iaoieia?? i?aee?oe?a.

I?ia?aeiee caeeaae: Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y,

eaoaae?a aini?oaeueii? iaae?ao???
? 2 ? iaiiaoieia?? OII.

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 11 ” aa?aciy 1999 ?ieo i
1330 aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 64.600.04
i?e Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ca aae?anith:
310022, i.Oa?e?a, i?. Eai?ia, 4.

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (310022, i.Oa?e?a, i?. Eai?ia, 4)

Aaoi?aoa?ao ?ic?neaiee “ 9 ” ethoiai 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
E.?.Ia/a?aiei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

Aei oeueiai /ano caoai?thaaiiy na?oeaai-noaeeiii? nenoaie ? iaei??th c
aeooaeueieo iaaee/ieo i?iaeai. ?? aaaeeea?noue iaoiiaeaia iianthaeiei
c?inoaiiyi na?oeaai-noaeeiii? iaoieia??, yea ia??aeei, ii/aaoenue o
aeeoy/iio a?oe?, noa? aeaea?aeii oyaeeeo caoai?thaaiue o aei?ineeo
(Aiae?ouaiei ?.A., E?anianueea I.A., 1990; I?eoiaeueei A.N., 1993;
Stamler S. et al., 1993). Oiio, ii?yae c oaeineiiaeaiiyi ae?aaiinoeee ?
e?eoaaiiy, aeooaeueieie ? ieoaiiy i?io?eaeoeee oyaeeeo oi?i
ea?ae?aeueii? iaoieia?? ye o aei?ineeo, oae ? o ae?oae (Neaeaeueieeia
A.I., 1993; Aiaaoe?ueiaa ?.A. c ni?aaao. 1997).

O i?aeoe/i?e ae?yeueiino? e?ea??a-iaae?ao??a aeineoue /anoi (o 30 – 60%
ae?oae) cono??/athoueny nenoie?/i? ooie iac?icoi?ei? aaiace, ye?
aeeeeeathoue aaeee? o?oaeiiu? a nai?e o?aeoiaoe?, ai i?e
caaaeueiii?eeiyoeo ee?i?/ieo oa ?ino?oiaioaeueieo aeine?aeaeaiiyo (AEA,
OEA) ia caaaeaee oaea?oueny ?icoeo?oaaoe ?o i?e/eio. Oae? ooie caeaaia
iienoaaeeny a e?oa?aoo?? ye ooieoe?iiaeuei?, aeoeeaeaioaeuei?,
iac?icoi?ei? aaiace (Ineieeiaa I.E., 1977, 1988; Iiue/ I.N. oa ?i.,
1986; Aiae?ouaiei ?.A., E?anianueea I.A., 1990). Caoe?eaaeai?noue aei
ieo ia ciaioo?oueny, ui, i/aaeaeii, ? iineoaeeei i?aenoaaith aeey
aeae?eaiiy ?oa?eee ““Aeia?iye?ni?” na?oeaa? ooie oa o?, ui ia
ni?e/eiythoue oo?aioe (ooieoe?iiaeuei? na?oeaa? ooie) ” (R01.0) a IEC
AIC O ia?aaeyaeo.

A inoaii? ?iee, caaaeyee iioe?aiiio ai?iaaaeaeaiith a i?aeoeeo ioi?iie
caei?ia’y no/anii? oeueo?acaoeiai? ae?aaiinoe/ii? aia?aoo?e, aaeaeiny
c’ynoaaoe i?e/eio aeieeiaiiy aaaaoueio ooieoe?iiaeueieo na?oeaaeo ooi?a.
Na?aae ieo cia/io /anoeio neeaaeathoue iae? no?oeoo?i? aiiiae?? na?oey,
ye? ?yaeii aaoi??a o?aeoothoueny ye ia?aeii? aai aeenieanoe/i?
ea?ae?iiao?? (I?eoiaeueei A.N., Naiaoi?iaa A.N., 1994; Aiaiao E.O, oa
?i., 1997). Onoaiiaeaii, ui ?yae i?e/ei, oae?, ye aino?? ? o?ii?/i?
?ioaeoe??, ?ao?o, o?ii?/i? ?iceaaee aeeaeaiiy, aea?aice, aaaaoinoaeeii?
aeenoii??, aiaeie?eii? caoai?thaaiiy oa ?io?, iiaeooue i?eaanoe aei
?icaeoeo aoi?eiieo ea?ae?iiao?e (Naiaoi?iaa A.N., 1994, 1997). Ca
aeaieie aeuaaeacaieo aaoi??a, aiie nooo?ai aieeaathoue ia aaiiaeeiai?/i?
iieacieee. A aeine?aeaeaiiy ooieoe?iiaeueii? aaeaioaoe?? na?oey o ae?oae
c i?ieaa??oaaiiyi i?o?aeueiiai eeaiaio (I.I.Ii?iciaa, 1990),
aaaaoinoaeeiiith aeenoii??th, ooieoe?iiaeueieie ea?ae?iiao?yie (Iia?eiaa
A.I., 1986; Iiieoe?i I.I., 1997), i?iea?ae?iaeeno?io??th (Ino?iiieaoeue
N.N. c ni?aaao., 1991; Aia?ia A.A., Aaoiaeiaa I.A., 1994) anoaiiaeee o
25-40% c ieo cieaeaiiy oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy.

?yaeii aaoi??a (*a?aeiaoeue A.?., Eiiae?aoue?a A.A., 1993) aeiaaaeaiee
/?oeee ca’ycie i?ae caa?oaeiai?noth ?aeiia iaoeaiiy ? /anoioith
aeiiicieia?/-ieo ci?i na?oeaai-noaeeiii? nenoaie. Onoaiiaeaii, ui 50%
ae?oae, ui iaoeathoue a caa?oaeiaieo i?iieneiaeie a?aeoiaeaie ?aeiiao,
iathoue a?aeoeeaiiy a ?? noai? (Eaaaaeueeiaa N.?. c ni?aaao., 1991). Ca
?iee, ui ieioee i?ney aaa??? ia *AAN, a?aecia/a?oueny cia/ia c?inoaiiy
ooieoe?iiaeueieo ci?i a ?? ae?yeueiino? o ae?oae o aeaeyae?
iae?ioee?eoeyoi?ii? aeenoii??, ooieoe?iiaeueieo ea?ae?iiao?e, ye?, ca
aeaieie e?oa?aoo?e (Iia?eiaa A.I., 1991; Anoaoiaa E.I. c ni?aaa., 1991;
Noaiaiiaa ?.?. c ni?aaao., 1991, Ei??i?a I.I. c ni?aaao., 1997),
aeyaeythoueny o 40-85,5% ae?oae, aaaeoeiaaieo c 30-e?eiiao?iai? ciie
AAN.

C o?aooaaiiyi ci?iaieo oyaeaiue i?i oae caai? ooieoe?iiaeuei? na?oeaa?
ooie ?nioth/a eeaneo?eaoe?y ?o o ae?oae ia a?aeiia?aea? no/aniei aeiiaai
iaae?ao?e/ii? i?aeoeee. A e?oa?aoo?? a?aeo? ?ia?o, i?enay/aieo
aaaaoiieaiiaiio aeine?aeaeaiith noaio ? aaeaioaoe?eieo iiaeeeainoae
na?oeaai-noaeeiii? nenoaie o oeeo ae?oae, aeeth/ath/e aeine?aeaeaiiy
aaaaoaoeaiiai aiiainoaco, iaaaioaaeoaaeueieo i?ia ? iieaciee?a iai?io
niieo/ii? oeaieie, iaia? /?oeeo aeac?aie, ye iiynithaaoe noaie, ui
iaoiiaeththoue ?o aeieeiaiiy. Iaaeinoaoiuei ?ia?o c aea/aiiy ?oiuei?
?ie? a ?icaeoeo na?oeaai-noaeeiii? iaoieia?? a ianooii? ia??iaee aeeooy.
Ia a?aei?aoeueiaaia ?aeeia i?ia?aia ianoaaeaiiy, iaaeyaeo ca oeeie
ae?oueie ? i?iaaaeaiiy o ieo iaa?oioiaaiiai eiiieaeno
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ui ? iineoaeeei i?aenoaaith aeey
cae?eniaiiai iaie aeine?aeaeaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

Aeena?oaoe?eia ?iaioa iia’ycaia c iaoeiaith i?iaeaiith Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ca o/anoth eaoaae? iaae?ao?e/iiai
i?ioeeth ca oaiith “Ae?aaiinoeea, aeeniaina?ecaoe?y ? ?aaa?e?oaoe?y
ae?oae c ea?ae?aeueiith oa ?ani??aoi?iith iaoieia??th” (? aea?aeaaii?
?a?no?aoe?? 01940038041) ? ? o?aaiaioii IAe? eaoaae?e oaeoeueoaonueei?
iaae?ao??? c iaaee/iith aaiaoeeith “Iioei?caoe?y no/anieo i?aeoiae?a aei
ae?aaiinoeee, e?eoaaiiy ? ?aaa?e?oaoe?? a?iioieaaaiaaeo ? ea?ae?aeueieo
caoai?thaaiue o ae?oae, ui iaoeathoue a aeieia?/ii iani?eyoeeaiio
?aa?ii?”.

Iaoa ? caaea/? aeine?aeaeaiiy.

Oaeineiiaeeoe ?aiith ae?aaiinoeeo ci?i na?oeaai-noaeeiii? nenoaie o
ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie, aecia/eoe aeaye? iaoai?cie
?oiueiai oi?ioaaiiy ? iaa?oiooaaoe aeey oaeeo ae?oae aoaeoeai? iaoiaee
i?io?eaeoeee ? e?eoaaiiy.

A?aeiia?aeii aei iinoaaeaii? iaoe aoee aecia/ai? ianooii? caaea/?:

1. Aea/eoe noai na?oeaai-noaeeiii? nenoaie o ae?oae c ooieoe?iiaeueieie
na?oeaaeie ooiaie ca ee?i?ei-aiaiianoe/ieie aeaieie, ?acoeueoaoaie
?ino?oiaioaeueieo aeine?aeaeaiue, a oiio /ene? iaaaioaaeoaaeueieo i?ia,
a?io?i?/ieo aeine?aeaeaiue ? aaaaoaoeaiiai noaoono.

2. Anoaiiaeoe iniiai? iaoai?cie, ui ni?eythoue oi?ioaaiith
ooieoe?iiaeueieo na?oeaaeo ooi?a.

3. Aea/eoe noai iai?io i?iaeoeo?a niieo/ii? oeaieie ? aeayeeo iieaciee?a
ee?oeiiiai ?ioi?oaoo o ae?oae c i?e?iaiiiae?yie na?oey.

4. ?ic?iaeoe noaio-i?ia?aio ianoaaeaiiy ? aeai?eoi aeyaeaiiy a?oi ?eceeo
uiaei ?icaeoeo ??cieo aa??aio?a na?oeaai-noaeeiii? iaoieia?? o ae?oae c
ooieoe?iiaeueieie na?oeaaeie ooiaie, iaa?oiooaaoe aeey ieo eiiieaen
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

O ia?aaaaeii? a?eueoino? ianoaaeaieo ae?oae c ooieoe?iiaeueieie
na?oea-aeie ooiaie (89,5%) aeyaeai? iani?eyoeea? oaeoi?e, ui aoee
i?aenoaaith aeey ?icaeoeo yaieo ? i?eoiaaieo ii?ooaiue o
na?oeaai-noaeeii?e nenoai?.

Onoaiiaeai? iniiai? iaoai?cie oi?ioaaiiy ooieoe?iiaeueieo na?oeaaeo
ooi?a, yeeie aeyaeeeny iai?iii-o?io?/i? ii?ooaiiy ? aaaaoaoeaiee
aeenaaeain, eio?? iaoiiaeee ci?ie nei?i/oaaeueii?, ianinii? ooieoe??
i?iea?aeo, a oaeiae aaeaioaoe?eii-eiiiainaoi?ieo iaoai?ci?a
na?oeaai-noaeeiii? nenoaie, ui i?aeoaa?aeaeaii aeinoia??ieie
ei?aeyoe?eieie ca’yceaie i?ae iayai?noth nenoie?/iiai ooio ? i?iyaaie
oeacaieo ci?i.

Aia?oa anoaiiaeai? aeinoia??i? ci?ie iniiaieo iieaciee?a iai?io
niieo/ii? oeaieie o ae?oae c i?e?iaiiiae?yie na?oey. Aeieacaiee oeyoii
ei?aeyoe?eiiai aiae?co aieea aeeaeie ii?ooaiiai niieo/ii-oeaieiiiai
iai?io ia nooi?iue i?iyao ci?i a na?oeaai-noaeeii?e nenoai?. O ae?oae c
i?e?iaiiiae?yie na?oey i?ae iieacieeaie ee?oeiiiai ?ioi?oaoo ? iai?io
niieo/ii? oeaieie onoaiiaeai? aeinoia??i? ei?aeyoe?ei? ca’ycee, ui ?
i?aeoaa?aeaeaiiyi ii?ooaiiy o ieo caoenii? ooieoe?? niieo/ii? oeaieie.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a.

Onoaiiaeai? ? ?aeiiaiaeiaai? a i?aeoeeo e?eoa??? ae?aaiinoeee
aaaaoaoeaieo aeenooieoe?e ? iai?iii-o?io?/ieo ii?ooaiue o i?iea?ae? ca
iieacieeaie ee?i?/ieo, ?ino?oiaioaeueieo, aaiiaeeiai?/ieo, a?io?i?/ieo
aeine?aeaeaiue, a oaeiae aecia/aiiy aaaaoaoeaiiai noaoono ?
oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy. Aeey aeyaeaiiy yaieo ?
ne?eoeo ci?i o noai? na?oeaai-noaeeiii? nenoaie o ae?oae c
ooieoe?iiaeueieie na?oeaaeie ooiaie cai?iiiiiaaia ?aoe?iiaeueia noaia ?o
ianoaaeaiiy, a oaeiae aeai?eoi iiooeo na?aae ieo a?oi ?eceeo uiaei
?icaeoeo ??cieo aa??aio?a a?eueo oyaeei? na?oeaai-noaeeiii? iaoieia?? a
ianooii? ia??iaee aeeooy. O a?eueoino? ianoaaeaieo ae?oae aeiaaaeaia
ni?iiiaei?noue iinoaiiaee ee?i?/iiai ae?aaiico o aeaeyae?
i?iea?ae?iaeeno?io?? ??cii? aaiace, aaaaoaoeaii? aeenooieoe?? ??ciiai
oeio oa ?o ii?aeiaiiy. C iaoith caiia?aaiiy i?ia?anoaaiiy onoaiiaeaieo
yaieo ? i?eoiaaieo ci?i cai?iiiiiaaia noaia aeeniaina?iiai iaaeyaeo ?
ei?aeoe?? iaoiaaiaoe/ieie caniaaie oa?ai?? ia ??cieo aoaiao
niinoa?aaeaiiy, ui ciaeoei a?aeia?aaeaiiy o aeaio ?ioi?iaoe?eieo eenoao.

Iaoiaeeee, i?ia?aie ianoaaeaiiy oa ?aaa?e?oaoe?? ae?oae c
ooieoe?iiaeueieie na?oeaaeie ooiaie ai?iaaaeaeai? a i?aeoeeo ?iaioe
iaeanii? aeeoy/i? ee?i?/ii? e?ea?i? ? 1, aeeoy/eo i?nueeeo e?ea?aiue ?
16, 19, 24 i. Oa?eiaa, a oaeiae aeeoy/eo i?nueeeo iie?ee?i?e ? 1, 15, 16
i. Oa?eiaa. Oi?ie ai?iaaaeaeaiiy: iaa/aiiy iaoiaeeeai, eiinoeueoaoe??,
?ioi?iaoe?ei? eenoe. Caeiaoo? oai?aoe/i? oa i?aeoe/i? aeai?
aeei?enoiaothoueny a iaaeaaia?/iiio i?ioean? eaoaae?e oaeoeueoaonueei?
iaae?ao??? c iaaee/iith aaiaoeeith OAeIO.

Iniaenoee aianie caeiaoaa/a.

Aaoi?ii iniaenoi i?iaiaeeany a?aea?? ? ee?i?/ia ianoaaeaiiy 171 aeeoeie
c ooieoe?iiaeueieie na?oeaaeie ooiaie ? 40 ae?oae eiio?ieueii? a?oie.
Aaoi? naiino?eii i?iaiaeeea AoiEA c i?ae?aooaaiiyi iieaciee?a
oeaio?aeueii? aaiiaeeiai?ee, AAI c aiae?cii oiea?aioiino? aei o?ce/iiai
iaaaioaaeaiiy, aeine?aeaeaiiy aaaaoaoeaiiai noaoono, ?icoeo?iaeo AEA oa
OEA o an?o ianoaaeaieo ae?oae. Aaoi? iniaenoi i?iaaea aiae?c iaea?aeaieo
aeaieo, noi?ioethaaea aeniiaee ? iniiai? iieiaeaiiy, aeianai? ia caoeno,
i?aeaiooaaea i?aeoe/i? ?aeiiaiaeaoe?? uiaei ianoaaeaiiy, ei?aeoe??
aaaaoaoeaieo ? iai?iii-o?io?/ieo ii?ooaiue o ae?oae c ooieoe?iiaeueieie
na?oeaaeie ooiaie.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??.

Iaoa??aee aeena?oaoe?? aeiiia?aeaeeny ? iaaiai?thaaeeny ia i?nuee?e
tha?eaei?e iaoeiai-i?aeoe/i?e eiioa?aioe?? aeeoy/eo e?ea??a, i?enay/ai?e
10-??//th eaoaae?e aeeoy/eo oai?ia ? 2 OI? (Oa?e?a, 1994 ?.), ia
i?nuee?e tha?eaei?e iaoeiai-i?aeoe/i?e eiioa?aioe??, i?enay/ai?e
50-??//th eaoaae?e aeeoy/eo ?ioaeoe?eieo oai?ia OAeIO (Oa?e?a, 1995 ?.),
ia V (Oa?e?a, 1997) oa VII (Oa?e?a, 1998 ?.) i?nueeeo
iaoeiai-i?aeoe/ieo eiioa?aioe?yo e?ea??a-iaae?ao??a, ia can?aeaii?
Oa?e?anueeiai iaoeiaiai iaaee/iiai oiaa?enoaa (1996 ?.). ?iaioa i?ieoea
ai?iaaoe?th ia i?aeeaoaae?aeueiiio can?aeaii? eaoaae? aeeoy/eo oai?ia,
i?iiaaeaaoeee aeeoy/eo oai?ia, oaeoeueoaonueei? iaae?ao??? c iaaee/iith
aaiaoeeith, aini?oaeueii? iaae?ao???, aeeoy/eo ?ioaeoe?eieo oai?ia OAeIO
(ea?oaiue, 1998 ?.)

Ioae?eaoe??.

Ca oaiith aeena?oaoe?? iioae?eiaaii 6 ae?oeiaaieo ?ia?o, c ieo 4 noaoo?
— a iaaee/ieo aeo?iaeao, 2 – o ca??eao iaoeiaeo i?aoeue.

No?oeoo?a oa ianya aeena?oaoe??.

Aeena?oaoe?eia ?iaioa aeeeaaeaia ia 219 noi??ieao iaoeiiieniiai oaenoo ?
neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 5 ?icae?e?a aeanieo
aeine?aeaeaiue, ocaaaeueiaiiy iaea?aeaieo ?acoeueoao?a, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo e?oa?aoo?e, yeee i?noeoue 252
e?oa?aoo?ieo aeaea?aea. ?iaioa ?ethno?iaaia 40 iaethieaie oa 37
oaaeeoeyie, ye? ia?eiathoue 44 noi??iee.

CI?NO ?IAIOE

Iaoa??ae ? iaoiaee aeine?aeaeaiiy.

Aeine?aeaeaiiy i?iaiaeeeeny a aeaa aoaie. Ia ia?oiio aoai?
aoiea?ae?ia?ao?/ii aoei ianoaaeaii 635 ae?oae a?eii a?ae 1 i?nyoey aei
15 ?ie?a c iaoith ?ice?eooy i?e/ei iayaiino? o ieo nenoie?/ieo ooi?a. O
a?eueoino? c ieo – 425 (67%) – aoee aeyaeai? ??ciiiai?oi? ci?ie a
na?oe?, na?aae yeeo ia?aaaaeaee (o 75%) iae? no?oeoo?i? aiiiae?? na?oey,
o ?ioeo (25%) ciaeaeai? ci?ie e?iaoeee, a?eoi??, ea?aeeoe, o?iaeaeai?
aaaee na?oey.

Ia ae?oaiio aoai? c iaaeyaeo aoee aeeeth/ai? ea?aeeoe, o?iaeaeai? aaaee
na?oey, aino?? ?ioaeoe?ei? caoai?thaaiiy, aeeooci? caoai?thaaiiy
niieo/ii? oeaieie. ?c ?aooe ae?oae oeyoii aeiaaeeiaiai aeai?o aeey
iiaeeaeaiiai ianoaaeaiiy aoea a?ae?a?aia 171 aeeoeia a?eii a?ae 3 aei 15
?ie?a.

Na?aae ianoaaeaieo aoee ye iino?ei? iaoeaioe? aeieia?/ii iani?eyoeeaiai
aiane?aeie oaoiiaaiiiai caa?oaeiaiiy I?aeaeii?e?aecaanueeiai ?aeiio
i.Oa?eiaa (100 ae?oae), oae ? ae?oe c n?iae, ui iino?aaeaeaee a?ae
aaa??? ia *AAN (71 aeeoeia) ? ui iaoeathoue ia ?iaainueeiio aeeeianea?,
yeee ? aeieia?/ii a?aeiinii “/enoei”. Eiio?ieueio a?oio neeaee 40
i?aeoe/ii caei?iaeo ae?oae oiai ae a?eo aac iayaiino? a ieo ooi?a o
na?oe? ? ci?i ia AoiEA.

Iaoiaeeee ianoaaeaiiy, e??i caaaeueiiee?i?/ieo, aeeth/aee ?yae
?ino?oiaioaeueieo, a?io?i?/ieo, ?ioiieia?/ieo aeine?aeaeaiue, a oaeiae
aecia/aiiy aaaaoaoeaiiai noaoono ? oiea?aioiino? aei o?ce/iiai
iaaaioaaeaiiy.

?a?no?aoe?y AEA ? OEA cae?enithaaeany an?i ae?oyi ia 6-eaiaeueiiio
aeaeo?iea?ae?ia?ao? “6-NEK” ae?iaieoeoaa I?ia//eie ? OEA-01 a?o/eciyiiai
ae?iaieoeoaa ca caaaeueiii?eeiyoeie iaoiaeeeaie. I?e oeueiio, ii?yae c
?ioeie iieacieeaie, cia/ia oaaaa i?eae?eyeanue aiae?co ia?aaena?aeiueiai
? e?ioeaai? /anoeie oeoii/eiaiai eiiieaen?a, i?ae?aooaaiith ?iaeaena
Iae?oca.

AAI i?iaaaeaia 112 ae?oyi o a?oe? 8-15 ?ie?a a iieiaeaii? “neaey/e” ia
aaeia?aiiao?? AA 05 “?eoi” (i. Ee?a). ?a?no?aoe?y AEA i?iaiaeeeany a 12
noaiaea?oieo a?aeaaaeaiiyo o niiei?, ia aenio? iaaaioaaeaiiy ? a
aeeiai?oe? ?anoeoooe??. Aeei?enoiaoaaee iaoiaeeeo nooiaiaaiai,
aacia?a?aii ia?anoath/iai iaaaioaaeaiiy, ii/aoeiaa iiooaei?noue yeiai
noaiiaeea 6 eAi/(oa.ea) c iine?aeiaiei i?aeaeuaiiyi eiai ia 3
eAi/(oa.ea) eiaei? o?e oaeeeie aei aeinyaiaiiy noaiaeneiaeueiiai. Eiaeio
oaeeeio i?iae, a oaeiae ia 3-e, 5-e, 7-e oaeeeiao a?aeiiaethaaeueiiai
ia??iaeo ?a?no?oaaee AO, *NN, /anoioo aeeoaiiy. Ca ?acoeueoaoaie
i?iaaaeaiiai iaaaioaaeoaaeueiiai oanoo aecia/aee o?ce/io
i?aoeacaeaoi?noue, oiea?aioi?noue aei o?ce/iiai iaaaioaaeaiiy,
ioe?ithaaee ?aaeoe?th aaiiaeeiai?ee ia aeeiiaio ?iaioo, o?eaae?noue
a?aeiiaethaaeueiiai ia??iaeo.

Aoiea?ae?ia?ao?/i? aeine?aeaeaiiy a I- ? A-?aaeeiao aeeiioaaeeny an?i
ae?oyi ia oeueo?acaoeiaiio aia?ao? “Sonoline SL-1” o??ie “Siemens”
(I?ia//eia) c /anoioith aeao/eea 3,5 iAoe ca caaaeueiii?eeiyoeie
iaoiaeeeaie. I?e ianoaaeaii? ioe?ithaaeeny ii?oiooieoe?ei? ia?aiao?e
na?oey ? aaeeeeo noaeei, ?ic?aoiaoaaeeny iieacieee oeaio?aeueii?
aaiiaeeiai?ee (OI, %dS, OA, N?) ca aeiiiiiaith aeai?eoio Simpson
(iaoiae aeene?a).

Aeine?aeaeaiiy aaaaoaoeaiiai noaoono aeeth/aei aecia/aiiy aeo?aeiiai
aaaaoaoeaiiai oiiono, aaaaoaoeaii? ?aaeoeaiino? ? aaaaoaoeaiiai
caaacia/aiiy ae?yeueiino?. Aeo?aeiee aaaaoaoeaiee oiion aecia/aee ca
oaaeeoeath Aaeia (1981), aeaieie AEA ? ?icoe?ithaaee eiai ye aeoii?/iee
(ii?iioii?/iee), aaaioii?/iee, neiiaoeeioii?/iee aai aeenoii?/iee
(ci?oaiee aa??aio). C iaoith aeine?aeaeaiiy aaaaoaoeaii? ?aaeoeaiino?
aeei?enoiaoaaeeny o?ce/i? oanoe: i?noeaaee aea?iia?ao?ci, ieina?oeaaee
?aoeaen Aoia?a, neiiea?ioeaeiee ?aoeaen *a?iaea, ca ?acoeueoaoaie yeeo
aeae?eyee ii?iaeueio, a?ia?neiiaoeeioii?/io ? aneiiaoeeioii?/io
?aaeoeai?noue. Aeine?aeaeaiiy aaaaoaoeaiiai caaacia/aiiy ae?yeueiino?
cae?enithaaeiny ca aeiiiiiaith ee?iii?oinoaoe/ii? i?iae, ca
?acoeueoaoaie yei? aeae?eyee aeinoaoi? caaacia/aiiy (ii?iaeueiee
aa??aio) ? 5 iaoieia?/ieo aa??aio?a: c iaaei??iei aeeth/aiiyi
neiiaoeei-aae?aiaeiai? nenoaie (a?ia?neiiaoeeioii?/iee) ? c
iaaeinoaoiueith ?? ooieoe??th (aneiiaoeeioii?/iee, a?ia?ae?anoie?/iee,
neiiaoeeianoai?/iee ? anoaiineiiaoe/iee).

C iaoith aeeoa?aioe?eii? ae?aaiinoeee c caiaeueieie caoai?thaaiiyie
na?oeaai-noaeeiii? nenoaie aecia/aeeny aino?ioacia? iieacieee
(ae?eii?ioa?aee, n??iioei?ae), a oaeiae caaaeueiee a?eie ? eiai o?aeoe??
a ne?iaaooe? e?ia? ca caaaeueiii?eeiyoeie iaoiaeeeaie.

Ae?oyi c iaeeie no?oeoo?ieie aiiiae?yie na?oey i?iaiaeeeiny aecia/aiiy
ai?noo a ne?iaaooe? e?ia? caaaeueieo ae?eicai?iiae?eai?a (AAA)
i?oeeiiaei iaoiaeii oa ?o o?aeoe?e (Ooa?i I.?. c ni?aaao., a.n. ?
960626), ??aaiue aene?aoe?? c na/ath ae?eicai?iiae?eai?a ca
Ia?eo?’?aith ?.O. (1969) oa ien?i?ie?io (II) ca iaoiaeeeith E?aeue A.A.
? Ooioeaai? E.I. (1968).

??aaiue O- ? A-e?ioioeeo?a ia?eoa??eii? e?ia? aecia/aany iaoiaeii
?icaoeiooai?thaaiiy ca Jondal M. (1972). Ooieoe?iiaeueia aeoeai?noue
iaeo?io?e?a ioe?ithaaeany ca ?acoeueoaoaie ?aaeoe?? a?aeiiaethaaiiy
i?o?ineiueiai oao?acie?th, ui iinoaaeaia iaoiaeii A?eniaia I.?. ?
Iayinueeiai A.I. (1979). ??aaiue e?ciniiaeueieo eao?iiieo a?ee?a
aecia/aany ca iaoiaeii I.A.Ooae/a c aeei?enoaiiyi a?iioaiieiaiai
neiueiai, aeoeai?noue i??eiia?ieneaeace – ca iaoiaeii A?aoaia-Eiiey.

), na?aaeiy iiieeea na?aaeiuei? a?eoiaoe/ii? (m), e?eoa??e No’thaeaioa
(t), ?iia??i?noue iiieeee (?), eiao?oe?aio ei?aeyoe?? (r) ca
caaaeueiii?eeiyoeie iaoiaeeeaie.

?acoeueoaoe aeine?aeaeaiue.

I?ae /an aeine?aeaeaiiy aoei anoaiiaeaii, ui ooieoe?iiaeuei? na?oeaa?
ooie o a?eueoino? (89,5%) ianoaaeaieo ae?oae aeyaeyeeny ia
iani?eyoeeaiio i?aii?a?aeiiio oii?, ca iayaiino? iaoyaeaiiai
aeooa?nueeiai aiaiiaco (56,7%), iani?eyoeeai? niaaeeiaino? uiaei
na?oeaai-noaeeiieo caoai?thaaiue (31%), ui, i/aaeaeii, e iaoiiaeei o ieo
ci?ie a na?oeaai-noaeeii?e nenoai?.

3,8%.

O a?eueoino? ianoaaeaieo (82,9%) aeyaeai? aeinoia??i? ci?ie iieaciee?a
ae?yeueiino? aaaaoaoeaiiai a?aeae?eo ia?aiai? nenoaie. Oae, o 27,1%
onoaiiaeaia aaaaoaoeaia aeenooieoe?y ca aaaioii?/iei oeiii, ui na?ae/eea
i?i iaaeinoaoith aeoeai?noue neiiaoe/iiai a?aeae?eo AIN. A oie aea /an
aenieee nooi?iue iai?oae eiiiainaoi?ii-i?enoinoaaeueieo ?aaeoe?e i?ea?a
aei oi?ioaaiiy o 22,5% ae?oae aaaaoaoeaii? aeenooieoe?? ii
neiiaoeeioii?/iiio oeio. O 33,3% ae?oae ??ciini?yiiaai? iieacieee
aeo?aeiiai aaaaoaoeaiiai oiiono, aaaaoaoeaii? ?aaeoeaiino? ?
caaacia/aiiy ae?yeueiino? na?ae/eee i?i ae?aaeaiee aeenaaeain a
ae?yeueiino? AIN, ? aaaaoaoeaio aeenooieoe?th o ieo ?icoe?ithaaee ii
ci?oaiiio oeio.

Onoaiiaeai? na?aaei? ei?aeyoe?ei? ca’ycee i?ae iayai?noth nenoie?/iiai
ooio ? i?iyaaie AAe ??cieo oei?a, a oaeiae i?ae eiai iayai?noth ?
ci?iaie iai?iii-o?io?/iiai oa?aeoa?o ia AEA (r=0,41 – r=0,51), ui aeaco?
ia ?o ?ieue o oi?ioaaii? na?oeaaeo ooi?a.

Iaea?eueo ?ioi?iaoeaiei ? oe?iiei iaoiaeii a ?ice?eoo? i?e/ei ooi?a a
na?oe? o ae?oae yaeeany aeaii??ia aoiea?ae?ia?ao?y. Ca aeiiiiiaith
oeueiai iaoiaeo o a?eueoino? ianoaaeaieo (70,2%) iaie aeyaeai? iae?
no?oeoo?i? aiiiae?? na?oey, na?aae yeeo i?ieaa??oaaiiy eeaiai?a (? ? ??
nooiaith) noaiiaeee 36,8%, aiiiaeuei? oi?aee a ii?iaeieiao oeoii/e?a
na?oey – 15,8% ? ii?aeiai? aiiiae?? – 17,6%. O 29,8% no?oeoo?ieo
aiiiae?e ia aoei ciaeaeaii. Oea ? aeaei i?aenoaao aeey ?iciiae?eo an?o
ianoaaeaieo ae?oae ia 2 a?oie: c IAN oa aac IAN.

Ci?ie iieaciee?a oeaio?aeueii? aaiiaeeiai?ee onoaiiaeai? o 57,3% ae?oae.
O 42,1% aiie aoee cieaeaieie, a o 15,2% — i?aeaeuaieie. O /anoeie
(15,8%) ciaeaeaia iii??ia aeeeyoaoe?y e?aiai oeoii/eo, yea
noi?iaiaeaeoaaeany a?eueo ae?aaeaieie ci?iaie eiai ianinii? ooieoe??,
aaaaoaoeaiiai noaoono, iieaciee?a AEA, ui a?aeia?aaeathoue iaoaaie?/i?
ii?ooaiiy a i?iea?ae?.

Oeyoii ei?aeyoe?eiiai aiae?co onoaiiaeaiee nooo?aee aieea (r=0,34 –
r=0,53) oiiono neiiaoe/iiai a?aeae?eo AIN ia iieacieee oeaio?aeueii?
aaiiaeeiai?ee. A iaea?eueo cia/i? (?<0,05) ci?ie ianinii? ooieoe?? e?aiai oeoii/eo ca?a?no?iaai? o ae?oae c aaaioii??th ? aaaaoaoeaiith aeenoii??th ci?oaiiai oa?aeoa?o a ii??aiyii? c ii?iaeueiei ? neiiaoeeioii?/iei oeiaie aaaaoaoeaiiai noaoono. O a?eueoino? (85,7%) ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie i?e i?iaaaeaii? aaeia?aiiao??? aeyaeaia ii?ooaiiy oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy, ui ae?aaeaeiny a cieaeaii? o?ce/ii? i?aoeacaeaoiino? (o 21,4%), iia??oaii? iieaciee?a AEA ia aenio? iaaaioaaeaiiy (o 63,4%), iiaeiaaeaii? a?aeiiaethaaeueiiai ia??iaeo (o 62,5%), ia?aae/aniiio i?eieiaii? i?iae (o 10,7%), a?ia?oii?/iiio oei? ?aaeoe?? aaiiaeeiai?ee (o 17,9%). Ca ?acoeueoaoaie i?iaaaeaieo aeine?aeaeaiue aeyaeaia aeinoia??ia (?<0,05 - ?<0,01) caeaaei?noue iniiaieo iieaciee?a i?iae c aeiciaaiei o?ce/iei iaaaioaaeaiiyi a?ae aa??aio?a aaaaoaoeaiiai oiiono, caaacia/aiiy ae?yeueiino? ? oa?aeoa?o aaaaoaoeaiiai noaoono. I?e oeueiio anoaiiaeaii, ui iaea?eueo aeacaaeaioeaieie ne?ae aeciaoe aaaioii?/iee aeo?aeiee aaaaoaoeaiee oiion, iaaei??ia aaaaoaoeaia caaacia/aiiy ae?yeueiino? ? aaaaoaoeaio aeenooieoe?th ca ci?oaiei oeiii. Aiae?c iaea?aeaieo ?acoeueoao?a AAI oanoa c o?aooaaiiyi aiaiianoe/ieo aeaieo (iani?eyoeea? niaaeeiaee ? i?aii?a?aeiee oiie), iniaeeainoae aaaaoaoeaiiai noaoono, aeaieo AEA ? AoiEA aeicaieea aeae?eeoe a?oie ?eceeo uiaei ?icaeoeo ??cieo aa??aio?a na?oeaai-noaeeiii? iaoieia?? na?aae ianoaaeaieo ae?oae, ui i?aaenoaaeaii o aeaeyae? aeai?eoio ae?aaiinoe/iiai iiooeo ia ?en. 2. Oae, ca ciaeaeaieie yaieie ? i?eoiaaieie ci?iaie 14,3% c ieo a?aeianaii aei a?oie ?eceeo uiaei ?icaeoeo na?oeaai? iaaeinoaoiino?, 24,1% - uiaei ?oai?/ii? oai?iae na?oey ? 8,9% - uiaei a?ia?oii?/ii? oai?iae. Aea/aiiy i?iaeoeo?a iai?io niieo/ii? oeaieie o ae?oae c i?e?iaiiiae?yie na?oey aeicaieeei aeyaeoe aeinoia??ia (?<0,05) cieaeaiiy caaaeueieo AAA e?ia? ca ?aooiie II (p<0,01) oa III (p<0,001) o?aeoe?e ? cia/ia i?aeaeuaiiy ??aith aene?aoe?? II c na/ath (?<0,001) (oaae. 1). I?e oeueiio iaea?eueo Oaaeeoey 1 Noai iai?io i?iaeoeo?a niieo/ii? oeaieie o ae?oae c IAN a ii??aiyii? c? caei?iaeie ae?oueie Iieacieee Ae?oe c IAN m Caei?ia? ae?oe 16,5 <0,001 nooo?a? (?<0,05–p<0,001) ci?ie aeyaeai? o ae?oae c ii?aeiaieie IAN a ii??aiyii? c ?cieueiaaieie ? o ae?oae c IIE ?? nooiaith a ii??aiyii? c ? nooiaiai. Ca aeaieie aeinoia??ieo ei?aeyoe?eieo ca’yce?a aeiaaaeaiee cia/iee aieea (r=-0,33 – r=-0,69, r=0,34 – r=0,58) aeeaeie ii?ooaiiai iai?io niieo/ii? oeaie-ie ia nooi?iue ee?i?ei-?ino?oiaioaeueieo ci?i a na?oe? (iaoaaie?/i? c?ooaiiy a i?iea?ae?, nooi?iue i?ieaa??oaaiiy nooeie eeaiai?a, i?eniiaoic oa ?i.). E??i oiai, o 75% ae?oae c IAN aecia/ai? ci?ie aea/aieo iieaciee?a ee?oeiiiai ?ioi?oaoo, a cae?eniaii? yeiai aaeeea ?ieue iaeaaeeoue niieo/i?e oeaiei?. Na?aae aeine?aeaeaieo iieaciee?a iaea?eueo aeinoia??ii (?<0,01) aoa cieaeaiee ??aaiue i??eiia?ieneaeace. I?ae iieacieeaie ee?oeiiiai ?ioi?oaoo ? iai?iii niieo/ii? oeaieie onoaiiaeai? na?aaei? ei?aeyoe?ei? ca’ycee (r=-0,3 – r=-0,57, r=0,48). I?iaaaeaiee aiae?c io?eiaieo iieaciee?a iai?io niieo/ii? oeaieie ? ee?oeiiiai ?ioi?oaoo o ae?oae c IAN, c o?aooaaiiyi ee?i?/ieo i?iya?a, aeicaieea c’ynoaaoe, ui i?e?iaiiiae?? na?oey ? ia?ea?aie caaaeueiiai ii?ooaiiy iai?io niieo/ii? oeaieie, yea a?aeia?aaea?oueny ia iniiaieo ?? ooieoe?yo (iii?ii-iaoai?/i?e, ii?oiaaiaoe/i?e, o?io?/i?e, caoeni?e – ?ioiieia?/i?e), ui e iaoiiaeth? iniaeeaino? ee?i?/ieo i?iya?a o aeaiiai eiioeiaaioo ae?oae. Oae, o ae?oae c IAN aeinoia??ii (?<0,001) /ano?oa, i?ae o a?oi? aac IAN (83,3% e 45,1%), cono??/aeeny ciai?oi? iciaee aeenieac?? niieo/ii? oeaieie, a oae? aoneoeueoaoeai? oaiiiaie, ye “aeiooaeueiee”, “ioce/iee” a?aeo?iee nenoie?/iiai ooio, i?ciueinenoie?/ia “eeaoeaiiy” ? “oi?aeaeueiee iene”, aecia/aeeny eeoa o ae?oae c IAN. O ieo /ano?oa (?<0,05) ca?a?no?iaai? ci?ie ia AEA, ye? a?aeia?aaeaee ia?aaaaeii ii?ooaiiy iai?iii-o?io?/iiai oa?aeoa?o a i?iea?ae?, ui aeyaeaii iaie o 60% ae?oae c IAN. Aeo?aeiee aaaaoaoeaiee oiion o ae?oae c IAN /ano?oa (?<0,01) aoa ci?iaiee ca aaaioii?/iei aa??aioii ? aaaaoaoeaia aeenooieoe?y /ano?oa (?<0,05) ?a?no?oaaeany ca aaaioii?/iei oeiii, ui aeacoaaei ia c?ea eiiiainaoi?ii-caoenieo iaoai?ci?a o cia/ii? /anoeie c ieo. Oa?aeoa? aaaaoaoeaieo c?ooaiue o ae?oae oe??? a?oie a?aeia?aaeaany e ia ianini?e ooieoe?? e?aiai oeoii/eo. Oae, ?ic?aoiaai? na?aaei? aaee/eie aaiiaeeiai?/ieo iieaciee?a na?ae/eee i?i aeinoia??ia (?<0,05) cieaeaiiy %dS oa N? a a?oi? ae?oae c IAN a ii??aiyii? c a?oiith caei?iaeo ? ae?oae aac IAN. E??i oiai, a a?oi? c IAN aeinoia??ii (?<0,05) a?eueoa aoei ae?oae c? cieaeaieie iieacieeaie oeaio?aeueii? aaiiaeeiai?ee (46,7% i?ioe 31,4%). Oeei, i/aaeaeii, e iiaeia aoei iiynieoe oa, ui aeeeyoaoe?y e?aiai oeoii/eo aeinoia??ii (?<0,05) /ano?oa ciaeaeaia o ae?oae c IAN. Aeyaeaia ia?aaaaeaiiy ia?aneiiaoe/ieo ?aaeoe?e a ii?aeiaii? c ii?ooaiiyi nei?i/oaaeueii? ooieoe?? i?iea?aeo o ae?oae c IAN iaaea? iiaeeea?noue iiynieoe ? cieaeaiiy o?ce/ii? i?aoeacaeaoiino? i?e aeeiiaii? AAI, ui aeyaeaii o 25,6% c ieo, aeinoia??ii /ano?oa (?<0,05), i?ae o ae?oae aac IAN (10,0%). Aiae?c ee?i?ei-?ino?oiaioaeueieo iieaciee?a a a?oi? ae?oae c IAN aeicaieea ae?eoe aei aeniiaeo, ui i?e?iaiiiae?? na?oey ? ni?eyoeeaei a?oioii aeey ?icaeoeo aeeno?io?? i?iea?aeo. I/aaeaeii, ii?ooaiee iai?i niieo/ii? oeaieie a ii?aeiaii? c aaaaoaoeaieie ci?iaie nooo?ai aieeaathoue ia eiai nei?i/oaaeueio caeaoi?noue, ni?eythoue cieaeaiith aaiiaeeiai?/ieo iieaciee?a ? o?ce/ii? i?aoeacaeaoiino? ? i?ecaiaeyoue aei ?icaeoeo aeeeyoaoe?? e?aiai oeoii/eo. Oiio aeyaeai? ci?ie a noai? na?oeaai-noaeeiii? nenoaie o ae?oae c IAN iiaeia iiynieoe a a?eueoino? aeiaaee?a ye i?iyae i?iea?ae?iaeeno?io?? aeenieanoe/iiai oa?aeoa?o. 4,5%). Ia?aaaaeaiiyi neiiaoe/ieo ?aaeoe?e ? ii?ooaiiyi ?aaoeyoe?? noaeeiiiai oiiono, a oiio /ene? ? a i?iea?ae?, o ae?oae aac IAN iiaeia iiynieoe a?eueo /anoa (?<0,05), a ii??aiyii? c a?oiith c IAN, aeyaeaiiy o ieo ci?i i?e i?iaaaeaii? AAI o aeaeyae? o?aiceoi?ii? ?oai?? i?iea?aea e?aiai oeoii/ea. I?iaaaeaiee aiae?c a a?oi? ae?oae aac IAN aeicaieea ae?eoe aei aeniiaeo, ui aeyaeai? ci?ie a noai? na?oeaai-noaeeiii? nenoaie o ieo a a?eueoino? aeiaaee?a iaoiiaeai? iai?oaith eiiiainaoi?ii-i?enoinoaaeueieo iaoai?ci?a, aeeeeeaiith, ?iia??ii, ??ciiiai?oieie iani?eyoeeaeie oaeoi?aie i?aii?a?aeiiai oiio (iayai?noue o?ii?/ieo aiaieu ?ioaeoe??, niiaoe/ii?, iaa?ieia?/ii? iaoieia?? oa ?i.), ui a iiaeaeueoiio iiaea i?eaanoe aei c?eao aaeaioaoe?eieo ?aca?a?a. Oe? ci?ie o ieo iiaeia o?aeooaaoe ye i?iyae i?iea?ae?iaeeno?io?? iae?iaaaaoaoeaii?, ?ioieneeaoe?eii?, aeeniaoaaie?/ii? oa ?ioi? aaiace. Aiae?c a?oie ae?oae c n?iae, ui iino?aaeaeaee aiane?aeie aaa??? ia *AAN, iieacaa, ui oe? ae?oe, iacaeaaeii a?ae a?eo, aeinoia??ii (?<0,05–?<0,001) /ano?oa, i?ae iino?ei? iaoeaioe? I?aeaeii?e?aecaanueeiai ?aeiio i.Oa?eiaa, aeeacoaaee ??ci? nea?ae, iniaeeai anoaii-iaa?ioe/i?, aano?iaioa?ieia?/i? ? ia neieiiaeuei? noaie. A na?aae oiiiai? iaoieia?? o ieo aeinoia??ii (?<0,01) /ano?oa cono??/aeany iaa?ieia?/ia e aiaeie?eiia, ui i?aeoaa?aeaeo? aeai? e?oa?aoo?e i?i nooo?aee aieea a?aeaeaeaieo iane?aee?a ?aae?aoe?eiiai aieeao ia ia?aiao oa aiaeie?eiio nenoaie. Ca iieacieeaie aaaaoaoeaiiai noaoono a a?eiaiio ae?aiacii? 3-9 ?ie?a onoaiiaeaii, ui o ae?oae c n?iae, ui iino?aaeaeaee a?ae aaa??? ia *AAN, aeinoia??ii ??aeoa (?<0,001), i?ae o iino?eieo iaoeaioe?a I?aeaeii?e?aecaanueeiai ?aeiio, cono??/aeanue aaaaoaoeaia aeenooieoe?y ca aaaioii?/iei ? /ano?oa (?<0,05) – ca ci?oaiei oeiai. Oea na?ae/eoue i?i ae?aaeaiee aeenaaeain a ae?yeueiino? aaaaoaoeaii? ia?aiai? nenoaie, ui e iaoiiaeth? iniaeeaino? aeayeeo ee?i?/ieo iieaciee?a ? ? ia?aaeoiiaith aeey oi?ioaaiiy ??cieo oi?i na?oeaai-noaeeiii? iaoieia?? a noa?oiio a?oe?. Ia iniia? i?iaaaeaieo eiiieaenieo ee?i?ei-eaai?aoi?ii-?ino?oiaioaeueieo aeine?aeaeaiue ?ic?iaeaia noaia-i?ia?aia ianoaaeaiiy ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie, yea aeicaiey? aecia/eoe ci?ie a noai? na?oeaai-noaeeiii? nenoaie ? /eii? oaeoi?e, ui ni?eythoue ?o oi?ioaaiith (?en. 1), a oaeiae aeai?eoi aeyaeaiiy a?oi ?eceeo uiaei ?icaeoeo ??cieo aa??aio?a na?oeaai-noaeeiii? iaoieia?? na?aae oeeo ae?oae (?en. 2). Aeoiaey/e c ?acoeueoao?a ianoaaeaiiy, ae?oyi c ooieoe?iiaeueieie na?oeaaeie ooiaie ? aeyaea-ieie a?aeoeeaiiyie a noai? na?oeaai-noaeeiii? nenoaie iaa?oioiaaiei aaaaea?ii i?iaaaeaiiy eiii-eaeno e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ni?yiiaaieo ia caaeainoaaiiy nenoaie iae?iaaaaoaoea-iiai ?aaoethaaiiy ae?yeueiino? i?aai?a e?iaiia?ao ? ii?iae?caoe?th o?io?/ieo i?ioean?a o i?iea?ae?. Ia oe?e i?aenoaa? ?ic?iaeaia noaia e?eoaaeueieo caoiae?a, ?aeiiaiaeiaaieo oaeei ae?oyi, yea ia?aaeaa/a? e?eoaaiiy oiiiai? iaoieia??, ei?aeoe?th aaaaoaoeaieo c?ooaiue c o?aooaaiiyi oeio aaaaoaoeaii? aeen-ooieoe?? (ii?iae?caoe?y ?aaeeio aeiy, ae??oa, EOE, ineoi-, ?aoeaeni-, o?c?ioa?ai?y; i?e AAe ca neiiaoe-eioii?/iei oeiii i?ecia/aiiy naaeaoeaieo i?aia?ao?a, aae?aiiaeieaoi??a, niaciie?oee?a oa ?i.; i?e AAe ca aaaioii?/iei oeiii – aaeaioiaai?a, noeioeyoi??a OeIN, aioeaeai?anaio?a, aaaaoio?iiieo i?a-ia?ao?a oa ?i.), i?ecia/aiiy i?aia?ao?a, ui iie?auothoue iai?ii? i?ioeane a OeIN (iiio?iie, oeei-ia?ecei oa ?i.), a i?iea?ae? (a?oai?ie a?oie A, i?aia?aoe eae?th, ?eaienei, oinoaaeai oa ?i.). E??i oiai, ae?oyi c i?e?iaiiiae?yie na?oey iieacaia i?ecia/aiiy cania?a, ye? iie?ioothoue iai?ii? i?ioea-ne a niieo/i?e oeaiei? (anei?a?iiaa eeneioa, iaia?aiinoaa?e?caoi?e). On?i ae?oyi c aeyaeaieie ci?iaie a na?oeaai-noaeeii?e nenoai? ?aeiiaiaeiaaiee aeeniaina?iee iaaeyae c ianoaaeaiiyi 2 ?ace ia ??e ea?ae?ieiaii, ca?aeii c iieacaiiyie – ?ioeie niaoe?ae?noaie (EI?, iaa?iiaoieia), c eiio?ieai ee?i?/ieo aiae?c?a e?ia? ? na/?, AEA, AoiEA, aecia/aiiyi aaaaoaoeaiiai noaoono, aaaeaii – AAI (iniaeeai ae?oyi c a?oi ?eceeo). Aoaeoeai?noue cai?iiiiiaaii? noaie e?eoaaeueii-i?io?eaeoe/ieo caoiae?a aeiaaaeaia i?e iaaeyae? ca ianoaaeaieie ae?oueie a aeeiai?oe?. Oae, o 53,4% c ieo iaeaeeae/ee ?acoeueoao a?ae i?iaaaeaii? oa?ai?? aoa ?icoe?iaiee ye aeia?ee, o 31,1% – ye caaeia?eueiee ? o 15,5% ae?oae c o?ii?/ieie aiaieua-ie ?ioaeoe?? ? i?e i?e?aeiaii? ?ioa?eo?aioieo caoai?thaaiue ia aoei aeinyaiooi aoaeoo. I?e ianoaaeaii? ae?oae /a?ac 6-24 i?nyoe? o 71,4% ca?a?no?iaaia iiceoeaia aeeiai?ea ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie, o ?ioeo 28,6% ?? ooieoe?iiaeuei? oa?aeoa?enoeee caeeoaeeny aac ci?i. I?ei?oee: AAe – aaaaoaoeaia aeenooieoe?y, A?C – aino?? ?ani??aoi?i? caoai?thaaiiy, OEO – oeoieiai-eeoeiaee o?aeo. ?en. 1. Noaia-ia?ae?e iniiaieo ci?i na?oeaai-noaeeiii? nenoaie o ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie NEA?AE INIAEEAINO? AIAIIACO ?ICEAAeE AIN: OEI, CAAACIA*AIIss AeAI? AEA AOIEA: IA?AIAO?E IIEACIEEE AAIIAeEIAI?EE AAI A?OIE ?ECEEO I?ei?oee: IOeAe – iae?i-oee?eoeyoi?ia aeenoii?y, ?ON – ?oai?/ia oai?iaa na?oey, AO – a?ia?oii?/ia oai?iaa. ?en. 2. Aeai?eoi aeyaeaiiy a?oi ?eceeo uiaei ?icaeoeo ??cieo aa??aio?a na?oeaai-noaeeiii? iaoieia?? na?aae ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie (neeaaeaiee ia i?aenoaa? ianoaaeaiiy 112 ae?oae o a?oe? 8-15 ?ie?a) AENIIAEE 1. Onoaiiaeaii, ui ooieoe?iiaeuei? na?oeaa? ooie o ianoaaeaieo ae?oae – iaoeaioe?a i?iieneiaiai ?aeiio i. Oa?eiaa, aeieeathoue ia iani?eyoeeaiio i?aii?a?aeiiio oii? (o 89,5%), i?e ?icaeoeo aeacaaeaioaoe?eiiai neiae?iio (o 82,9%), ye? i?ecaiaeyoue aei ii?ooaiiy nei?i/oaaeueii? ? ianinii? ooieoe?? i?iea?aea (o 57,3%) ? cieaeaiiy oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy (o 85,7%), ui aeiaaa? canoinoaaiiy e?eoaaeueii-i?io?eaeoe/ieo caoiae?a c iaoith caiia?aaiiy i?ia?anoaaiith aeyaeaieo ci?i. 2. I?ae iayai?noth ooieoe?iiaeueiiai na?oeaaiai ooio ? iieacieeaie ??cieo oei?a aaaaoaoeaii? aeenooieoe??, a oaeiae i?ae eiai iayai?noth ? iieacieeaie ci?iaieo ooieoe?e na?oeaai-noaeeiii? nenoaie onoaiiaeai? aeinoia??i? ei?aeyoe?ei? ca’ycee (r=0,41 – r=0,51), ui aeaco? ia ?oith ?ieue o oi?ioaaii? ooieoe?iiaeueieo na?oeaaeo ooi?a. 3. Iciaeaie ii?ooaii? iai?iii-o?io?/ii? ? ?eoi?/ii? ae?yeueiino? na?oey ? aeyaeai? aeinoia??i? ci?ie a ?yae? iieaciee?a ee?i?/ieo, aaiiaeeiai?/ieo ? a?io?i?/ieo aeine?aeaeaiue, a oaeiae ii?ooaiiy aaaaoaoeaiiai aiiainoaco e oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy. 4. Aeyaeai? ci?ie iniiaieo iieaciee?a iai?io niieo/ii? oeaieie ? ee?oeiiiai ?ioi?oaoo o ae?oae c i?e?iaiiiae?yie na?oey, ui aeinoia??ii (?<0,05 – ?<0,001) a?ae??ciythoueny a?ae oaeeo o caei?iaeo, aeicaieythoue aaaaeaoe i?e?iaiiiae?? na?oey ia?ea?aie caaaeueiiai ii?ooaiiy niieo/ii? oeaieie, ui a?aeia?aaea?oueny ia iniiaieo ?? ooieoe?yo. 5. Onoaiiaeai? ci?ie na?oeaai-noaeeiii? nenoaie o a?eueoi? /anoeie ianoa-aeaieo ae?oae (70%) c i?e?iaiiiae?yie na?oey a?aeia?aaeathoue ?ieue iaoaaie?/ieo ii?ooaiue o ?o aeieeiaii?, ii?yae c aaaaoaoeaiith aeenooieoe??th, ui a ee?i?/iiio ieai? aeicaiey? ?icoe?ithaaoe ?o ye i?iea?ae?iaeeno?io?th ia?aaaaeii aeenieanoe/ii? aaiace c ii?ooaiiyi nei?i/oaaeueii? ? ianinii? ooieoe?? i?iea?aea. O iaioi? /anoeie ianoaaeaieo, aac i?e?iaiiiae?e na?oey, c i?iyaaie aaaaoaoeaiiai aeenaaeaino – ye i?iea?ae?iaeeno?io?th ia?aaaaeii iae?iaaaaoaoeaii? aaiace c ii?ooaiith ?eoi?/iith ae?yeuei?noth. 6. Onoaiiaeaii, ui a a?oi? ae?oae ?c n?iae, ui iino?aaeaeaee aiane?aeie aaa??? ia *AAN, nenoie?/i? ooie aeieeathoue ia?aaaaeii ia oii? ae?aaeaiiai anoaiiiaa?ioe/iiai neiae?iio ? aiaeie?eiii? iaoieia??, ye? i?ecaiaeyoue aei c?eao ?aca?a?a ooieoe?thaaiiy o aeaeyae? neieiiaeueieo noai?a, ui a?aeiia?aea? ee?i?/iiio iiiyooth iniaeeaiai oeio aaaaoinoaeeiii? aeenoii?? ? iaoiiaeth? iaiao?aei?noue a?eueo ?aoaeueiiai aeeniaina?iiai iaaeyaeo ca aeaiith eaoaai???th ae?oae ?c caeo/aiiyi niaoe?ae?no?a ??ciiai i?io?eth. 7. Aeyaeai? ci?ie iieaciee?a oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy a oiae? aeeiiaiiy aaeia?aiiao??? o 47,3% ianoaaeaieo ae?oae o aeaeyae? iciae o?aiceoi?ii? ?oai?? i?iea?aea, a?ia?oii?/iiai oeio ?aaeoe?? aaiiaeeiai?ee ? iaiino?eieo ii/aoeiaeo i?iya?a na?oeaai? iaaeinoaoiino? c o?aooaaiiyi iniaeeainoae aiaiiaco ? ee?i?ei-?ino?oiaioaeueieo aeaieo aeicaieythoue ?icaeyaeaoe ?o ye iiaeeea? i?ia?nieee oi?ioaaiiy oyaeei? na?oeaai-noaeeiii? iaoieia??. 8. ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue noaee iaa?oiooaaiiyi ?ic?iaee i?ia?aie ? aeai?eoia ianoaaeaiiy ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie, aeeniaina?iiai iaaeyaeo ? eiiieaeno e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ni?yiiaaieo ia ei?aeoe?th ? iiia?aaeaeaiiy i?ia?anoaaiiy aeyaeaieo ci?i. I?AEOE*I? ?AEIIAIAeAOe?? 1. O eiiieaen ianoaaeaiiy ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie, e??i caaaeueiii?eeiyoeo a ee?i?oe? aeine?aeaeaiue, ne?ae aeeth/aoe AEA, OEA, AoiEA, aecia/aiiy aaaaoaoeaiiai noaoono oa oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy ? ca?aeii c iaea?aeaieie ?acoeueoaoaie aeyaeoe iciaee ii?ooaiiy ooieoe?iiaeueieo caeaoiinoae na?oeaai-noaeeiii? nenoaie, ui iaoiiaeai? aaaaoaoeaiei aeenaaeainii ? iaoaaie?/ieie c?ooaiiyie a i?iea?ae?, ye? i?ecaiaeyoue aei ci?i nei?i/oaaeueii? ? ianinii? ooieoe?? na?oeaaiai i’yco, cieaeaiiy oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy. 2. Iniiaieie iciaeaie ? ci?ie iieaciee?a ia?aaena?aeiueiai ? oeoii/eiaiai eiiieaen?a (cieaeaiiy aiie?ooaee, oieiueiaiiy, iiaeiaaeaiiy, aeaoi?iaoe?y coaoe?a ? ? O, ci?uaiiy a?ae ?cie?i?? naaiaioo ST), iieacieea Iae?oca, iayai?noue iaoieia?/iiai coaoey U ca aeaieie AEA; cieaeaiiy aiie?ooaee ? oiio ca aeaieie OEA; ci?ie iieaciee?a oeaio?aeueii? aaiiaeeiai?-ee (OA, N?, %dS) ca aeaieie AoiEA; aaaaoaoeai? aeenooieoe?? ca ?acoeueoaoaie aecia/aiiy aeo?aeiiai aaaaoaoeaiiai oiiono, ?aaeoeaiino?, caaacia/aiiy ae?yeueiino?, a oaeiae ii?ooaiiy oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy ca aeaieie AAI (cieaeaiiy o?ce/ii? i?aoeacaeaoiino?, iia??oaiiy iieaciee?a AEA a oiae? iaaaioaaeaiiy, iaoieia?/i? oeie ?aaeoe?? aaiiaeeiai?ee oa ?i.) 3. O ae?oae c i?e?iaiiiae?yie na?oey ca?aeii c aeyaeaieie iciaeaie iaea?eueo ?iia??iei ? ae?aaiic i?iea?ae?iaeeno?io?? aeenieanoe/ii? aaiace, aac i?e?iaiiiae?e – i?iea?ae?iaeeno?io?? iae?iaaaaoaoeaii? aaiace, a o ae?oae ?c n?iae, ui iino?aaeaeaee aiane?aeie aaa??? ia *AAN, iaea?eueo iaa?oioiaaiei ? ae?aaiic aaaaoinoaeeiii? aeenoii?? ??cieo oei?a. 4. Aeey iie?ioaiiy ae?aaiinoeee ?aii?o ci?i o noai? na?oeaai-noaeeiii? nenoaie o ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie ne?ae ei?enooaaoeny cai?iiiiiaaiith noaiith ianoaaeaiiy oaeeo ae?oae, a oaeiae aeai?eoiii aeyaeaiiy na?aae ieo a?oi ?eceeo uiaei iiaeeeai? o?ainoi?iaoe?? oeeo ci?i o oyaee? oi?ie na?oeaai-noaeeiii? iaoieia?? a ianooii? ia??iaee aeeooy. 5. C iaoith ei?aeoe?? ? caiia?aaiiy i?ia?anoaaiith onoaiiaeaieo yaieo ? i?eoiaaieo ci?i a na?oeaai-noaeeii?e nenoai?, iniaeeai o ae?oae c a?oi ?eceeo, ?aeiiaiaeo?oueny ei?enooaaoeny cai?iiiiiaaieie noaiaie aeeniaina?iiai iaaeyaeo ? e?eoaaiiy iaoiaaiaoe/ieie caniaaie oa?ai??. NIENIE ?IA?O, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe?? 1. Iaioeeiaa A.A., Noea/aaa A.E. Ninoiyiea iaiaia i?iaeoeoia niaaeeieoaeueiie oeaie e iieacaoaeae eeaoi/iiai eiioieoaoa o aeaoae n aeoeeaeaioaeueiuie ooiaie, iaoneiaeaiiuie iaeuie no?oeoo?iuie aiiiaeeyie na?aeoea.- Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.- 1998.- ?5.- N. 78-85. 2. Iaioeeiaa A.A., Noea/aaa A.E. Ninoiyiea e iaoaieciu aaeaioaoeee e oece/aneie iaa?ocea ii aeaiiui aaeiy?aiiao?ee o aeaoae n “ooieoeeiiaeueiuie” nenoiee/aneeie ooiaie.- Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.- 1998.- ?6.- N. 102-109. 3. Iaioeeiaa A.A., Noea/aaa A.E. Iaeioi?ua eeeieei-iaoiaaiaoe/aneea iaoaieciu oi?ie?iaaiey oae iacuaaaiuo “ooieoeeiiaeueiuo” nenoiee/aneeo ooiia o aeaoae.- Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.- 1998.- ?10.- N. 21-27. 4. Noea/aaa A.E., Iaioeeiaa A.A. Yoiea?aeeia?aoe/aneay oa?aeoa?enoeea eciaiaiee na?aeoea o aeaoae, ianeaaeiaaiiuo ii iiaiaeo ea?aeeaeueiuo ooiia iayniiai aaiaca.- Aanoiee i?iaeai nia?aiaiiie iaaeeoeeiu.- ? 4.- Oa?ueeia. 1995.- N. 115-119. 5. Iaioeeiaa A.A. Eeeieei-eino?oiaioaeueiay oa?aeoa?enoeea na?aea/ii-ninoaeenoie nenoaiu o aeaoae n ea?aeeaeueiuie ooiaie, iaoneiaeaiiuie iaeuie no?oeoo?iuie aiiiaeeyie na?aeoea.- Iaaeeoeeia naaiaeiy e caao?a.- Ia?eiaee/aneee nai?iee ?aaio iieiaeuo o/aiuo e niaoeeaeenoia.- Auione 2.- Oa?ueeia, 1997.- N.91-92. 6. Iaioeeiaa A.A. Eeeieei-yoiea?aeeia?aoe/aneay oa?aeoa?enoeea eciaiaiee ni noi?iiu na?aeoea o aeaoae n ooieoeeiiaeueiuie nenoiee/aneeie ooiaie.- Nia?aiaiiua i?iaeaiu eeeie/aneie iaaeeoeeiu.- Nai?iee iao/iuo o?oaeia OAIO.- Oa?ueeia. 1994.- N. 63-65. Iaio?eiaa I.I. Oa?aeoa?enoeea oa ioe?iea ooieoe?iiaeueieo na?oeaaeo ooi?a o ae?oae. – ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.10 – iaae?ao??y. Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao, Oa?e?a, 1999 ?. Aeena?oaoe?y i?enay/aia aea/aiith noaio na?oeaai-noaeeiii? nenoaie o ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie o a?oe? 3-15 ?ie?a. Ia i?aenoaa? aiae?co iiaeeaeaiiai ee?i?ei-?ino?oiaioaeueiiai aeine?aeaeaiiy (AEA, OEA, AoiEA, AAI, aea/aiiy aaaaoaoeaiiai noaoono) onoaiiaeaii, ui ooieoe?iiaeuei? na?oeaa? ooie aeieeathoue ia iani?eyoeeaiio i?aii?a?aeiiio oii?, i?e ?icaeoeo aaaaoaoeaieo aeenooieoe?e, iai?iii-o?io?/ieo c?ooaiue a i?iea?ae?, ui i?ecaiaeeoue aei ii?ooaiue nei?i/oaaeueii? ? ianinii? ooieoe?? na?oeaaiai i’yco ? cieaeaiith oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy. O ae?oae c i?e?iaiiiae?yie na?oey onoaiiaeai? aeinoia??i? ci?ie iieaciee?a iai?io niieo/ii? oeaieie ? ee?oeiiiai ?ioi?oaoo. Aeiaaaeaia ni?iiiaei?noue iinoaiiaee ee?i?/ieo ae?aaiic?a i?iea?ae?iaeeno?io?? ??cii? aaiace, aaaaoaoeaii? aeenooieoe?? ??ciiai oeio aai ?o ii?aeiaiiy o ianoaaeaieo ae?oae. ?ic?iaeai? i?ia?aia ? aeai?eoi ianoaaeaiiy ae?oae c ooieoe?iiaeueieie na?oeaaeie ooiaie, aeeniaina?iiai iaaeyaeo ? eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ni?yiiaaieo ia caiia?aaiiy i?ia?anoaaiith aeyaeaieo ci?i. Eeth/ia? neiaa: ooieoe?iiaeueiee na?oeaaee ooi, i?e?iaiiiae?? na?oey, oiea?aioi?noue aei o?ce/iiai iaaaioaaeaiiy, aaaaoaoeaia aeenooieoe?y, niieo/ii? oeaieie iai?i. Iaioeeiaa A.A. Oa?aeoa?enoeea e ioeaiea ooieoeeiiaeueiuo na?aea/iuo ooiia o aeaoae. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.10 – iaaeeao?ey. Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, Oa?ueeia, 1999 a. Aeenna?oaoeey iinayuaia eco/aieth ninoiyiey na?aea/ii-ninoaeenoie nenoaiu o aeaoae a aic?anoa io 3 aei 15 eao n ooieoeeiiaeueiuie na?aea/iuie ooiaie. N yoie oeaeueth ianeaaeiaai 171 ?aaaiie, i?iaeeaathuee a I?aeaeiieeeaecaaneii ?aeiia a. Oa?ueeiaa. A?oiio eiio?iey ninoaaeee 40 i?aeoe/anee caei?iauo aeaoae. Iaoiaeeee ianeaaeiaaiey, e?iia iauaeeeie/aneeo, aeeth/aee YEA, OEA, YoiEA, ii?aaeaeaiea aaaaoaoeaiiai noaoona (enoiaeiiai aaaaoaoeaiiai oiiona, aaaaoaoeaiie ?aaeoeaiinoe e iaania/aiey aeayoaeueiinoe), a oaeaea aaeiy?aiiao?eth. E?iia oiai, o aeaoae n auyaeaiiuie iaeuie no?oeoo?iuie aiiiaeeyie na?aeoea eco/aeenue iaeioi?ua iieacaoaee iaiaia niaaeeieoaeueiie oeaie (aeeeicaieiiaeeeaiu e?iae e ii/e, ienei?ieei ii/e) e eeaoi/iiai eiioieoaoa (O- e A-eeioioeeou ia?eoa?e/aneie e?iae, INO-oano, eeciniiaeueiua eaoeiiiua aaeee, ieaeiia?ieneaeaca). Onoaiiaeaii, /oi ooieoeeiiaeueiua na?aea/iua ooiu aicieeatho o aeaoae ia iaaeaaii?eyoiii i?aii?aeaeiii oiia (o 89,5%), i?e iaee/ee ioyaiuaiiiai aeooa?neiai aiaiiaca (o 56,7%), iaaeaaii?eyoiie ianeaaenoaaiiinoe ii na?aea/ii-ninoaeenoui caaieaaaieyi (o 31%). O aieueoeinoaa (98,2%) aeaoae nenoiee/aneea ooiu nii?iaiaeaeaeenue iiiaiia?aceai yeaeo?i- e oiiiea?aeeia?aoe/aneeo eciaiaiee, eioi?ua eanaeenue ia?ooaiee ?eoia e aaoiiaoecia (o 47,4%), i?iaiaeeiinoe (o 54,3%), eciaiaiee coaoeia ? (o 37,4%), O (o 43,9%), U (12,3%), naaiaioa SO (o 29,8%), nieaeaiey aieueoaaea coaoeia R (24,6%). OEA eciaiaiey au?aaeaeenue, a iniiaiii, a nieaeaiee aiieeooaeu I oiia (38%) e iaee/ee nenoiee/aneiai ooia (80,7%). Yoe ioeeiiaiey io?aaeaee ia?ooaiey iniiaiuo ooieoeee na?aea/iie iuooeu e niioaaonoaiaaee eciaiaieyi iaiaiii-o?ioe/aneiai oa?aeoa?a a ieiea?aea o 56,7% aeaoae e ia?ooaieyi ?aaoeyoeee aeayoaeueiinoe na?aea/ii-ninoaeenoie nenoaiu - o 47,4%. O aieueoeinoaa aeaoae (82,9%) auyaeaiu eciaiaiey iieacaoaeae aeayoaeueiinoe aaaaoaoeaiiai ioaeaea ia?aiie nenoaiu, i?iyaeythueany o 27,1% aaaaoaoeaiie aeenooieoeeae ii aaaioiie/aneiio oeio, o 22,5% – ii neiiaoeeioiie/aneiio, o 33,3% – ii niaoaiiiio. I?e i?iaaaeaiee yoiea?aeeia?aoee o aieueoeinoaa aeaoae n ooieoeeiiaeueiuie na?aea/iuie ooiaie (70,2%) auee auyaeaiu ?acee/iua iaeua no?oeoo?iua aiiiaeee na?aeoea, o 57,3% – eciaiaiey iieacaoaeae oeaio?aeueiie aaiiaeeiaieee, o 15,8% iaia?oaeaia oia?aiiay aeeeyoaoeey eaaiai aeaeoaei/ea. O aieueoeinoaa (85,7%) ianeaaeiaaiiuo a aic?anoa 8-15 eao i?e i?iaaaeaiee aaeiy?aiiao?ee onoaiiaeaii ia?ooaiea oiea?aioiinoe e oece/aneie iaa?ocea. I?e yoii iaia?oaeaiiua eciaiaiey auee ?anoeaiaiu o 25,9% eae ne?uoua ia/aeueiua i?iyaeaiey na?aea/iie iaaeinoaoi/iinoe, a o 30,4% - eae o?aiceoi?iua i?eciaee eoaiee ieiea?aea eaaiai aeaeoaei/ea, ia i?iyaeyaoeany a iieia. Aiaeec iieo/aiiuo ?acoeueoaoia i?iau n aeice?iaaiiie oece/aneie iaa?oceie n o/aoii aiaiianoe/aneeo aeaiiuo, iniaaiiinoae aaaaoaoeaiiai noaoona, aeaiiuo YEA e YoiEA iicaieee auaeaeeoue a?oiiu ?enea ii ?acaeoeth ?acee/iuo aa?eaioia na?aea/ii-ninoaeenoie iaoieiaee a aieaa noa?oai aic?anoa. O aeaoae n iee?iaiiiaeeyie na?aeoea onoaiiaeaiu eciaiaiey iieacaoaeae iaiaia niaaeeieoaeueiie oeaie. O ieo aeinoiaa?ii (?<0,05) nie-aeaiiui ieacaeny o?iaaiue iaueo AAA e?iae ca n/ao II (p<0,01) e III (p<0,001) o?aeoeee e cia/eoaeueii iiauoaiiui – o?iaaiue yene?aoeee ienei?ieeia n ii/ie (?<0,001). E?iia oiai, o 75% aeaoae n IAN ii?aaeaeaiu eciaiaiey iaeioi?uo iieacaoaeae eeaoi/iiai eiioieoaoa, n?aaee eioi?uo iaeaieaa aeinoiaa?ii (?<0,01) ieacaeny nieaeaiiui o?iaaiue ieaeiia?ieneaeacu. I?iaaaeaiiue eeeieei-eino?oiaioaeueii-aeioeie/aneee aiaeec n eniieueciaaieai iaoiaeia ei??aeyoeeiiiiai aiaeeca o aeaoae n IAN iicaieee naeaeaoue auaiae, /oi iee?iaiiiaeee na?aeoea aunooiatho ia?ea?aie iauaai ia?ooaiey iaiaia niaaeeieoaeueiie oeaie e yaeythony aeaaii?eyoiie ii/aie aeey ?acaeoey aeeno?ioee ieiea?aea, a eciaiaiey a na?aea/ii-ninoaeenoie nenoaia o ieo iiaeii o?aeoiaaoue, a aieueoeinoaa neo/aaa, eae i?iyaeaiey ieiea?aeeiaeeno?ioee i?aeiouanoaaiii aeenieanoe/aneiai aaiaca n ia?ooaieai nie?aoeoaeueiie e ianiniie ooieoeee ieiea?aea. Oiaaea eae o aeaoae aac IAN, o eioi?uo ia ia?aue ieai aunooiaao aaaaoaoeaiue aeenaaeain, – eae i?iyaeaiey ieiea?aeeiaeeno?ioee i?aeiouanoaaiii iae?iaaaaoaoeaiiai aaiaca n ia?ooaiiie ?eoie/aneie aeayoaeueiinoueth. A ?aaioa i?eaaaeaia n?aaieoaeueiay eeeieei-eino?oiaioaeueiay oa?aeoa?enoeea a?oii aeaoae n IAN e aac IAN. Onoaiiaeaii, /oi a a?oiia aeaoae ec naiae, iino?aaeaaoeo io aaa?ee ia *AYN, nenoiee/aneea ooiu aicieeatho i?aeiouanoaaiii ia oiia au?aaeaiiiai aeenaaeaina a aeayoaeueiinoe aaaaoaoeaiie ia?aiie nenoaiu, /oi e iaoneaaeeaaao iniaaiiinoe iaeioi?uo eeeie/aneeo iieacaoaeae e yaeyaony i?aaeiinueeie aeey oi?ie?iaaiey ?acee/iuo oi?i na?aea/ii-ninoaeenoie iaoieiaee a aieaa noa?oai aic?anoa. Aeieacaia i?aaiii/iinoue iinoaiiaee eeeie/aneiai aeeaaiica ieiea?aeeiaeeno?ioee ?acee/iiai aaiaca, aaaaoaoeaiie aeenooieoeee ?acee/iuo oeiia eee eo ni/aoaiey o aeaoae n ooieoeeiiaeueiuie na?aea/iuie ooiaie. ?ac?aaioaiu ?aoeeiiaeueiay noaia-i?ia?aiia eo ianeaaeiaaiey e aeai?eoi auyaeaiey a?oii ?enea ii ?acaeoeth ?acee/iuo aa?eaioia na?aea/ii-ninoaeenoie iaoieiaee n?aaee ieo. I?aaeeiaeaiiue eiiieaen ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee iai?aaeai ia i?aaeoi?aaeaeaiea i?ia?anne?iaaiey auyaeaiiuo eciaiaiee. Aai yooaeoeaiinoue aeieacaia i?e iaaethaeaiee ca ianeaaeiaaiiuie aeaoueie a aeeiaieea n?ieii io 6 aei 24 ianyoeaa. Eeth/aaua neiaa: ooieoeeiiaeueiue na?aea/iue ooi, iee?iaiiiaeee na?aeoea, oiea?aioiinoue e oece/aneie iaa?ocea, aaaaoaoeaiay aeenooieoeey, niaaeeieoaeueiie oeaie iaiai, ieiea?aeeiaeeno?ioey. Panfilova E.A. Characteristics and evalnation of functional cardiac murmurs in children.- Manuscript. Dissertation for competition of getting the scientific degree of the candidate of the medical sciences, speciality 14.01.10 – pediatrics. Kharkov State Medical University. Kharkov, 1999. The dissertation is dedicated to study of cardiovascular system’s condition in children with functional cardiac murmurs at the age of 3-15 years. On the basis of analysis of profound clinical-instrumental investigation (ECG, PhCG, EchoCG, VEM, study of vegetative status) it vas determined, that cardiac murmurs appears on the unfavonrable premorbide background, in vegetative disfunction, dismetabolic myocardial disorders, that leads to disturbancies of contractive and pump cardiac function and decrease of tolerance to physical load. Trustwerthy changes of connective tissue metabolism and cellular immunity were revealed in children with the cardiac microanomalies. Competence of clinical diagnosis of myocardiodystrophy of different genesis, vegetative dysfunction of different types or their combinations was proved. Programme and algorythm of investigation of children with functional cardiac murmurs, dispensary observation and complex of medical profilactive measures for prevention of progress of revealed disorders were worked ont. Key words: functional cardiac murmurs, cardiac microanomalies, tolerance to physical load, vegetative dysfunction, connective tissue metabolism, myocardiodystrophy. NEI?I*AIIss AO – a?oa??aeueiee oene AAe – aaaaoaoeaia aeenooieoe?y AAI – aaeia?aiiao??y AIN – aaaaoaoeaia ia?aiaa nenoaia AAA – ae?eicai?iiae?eaie AoiEA – aoiea?ae?ia?ao?y IAN – i?e?iaiiiae?? na?oey II – ienei?ie?i N? – na?oeaaee ?iaeaen OI – oaea?iee ia’?i OA – o?aeoe?y aeeeaeo *AAN – *i?iiaeeuenueea aoiiia aeaeo?inoaioe?y *NN – /anoioa na?oeaaeo nei?i/aiue %dS – ia?aaeiuei-caaei? nei?i/aiiy ei?ioei? a?n? e?aiai oeoii/ea PAGE 6 PAGE 20 A i a i i a c Nea?ae - 92% (anoaii-iaa?ioe/i? - 67%, ea?ae?aeuei? - 40%, OEO - 58,5%) Ia?aianai? caoai?thaaiiy-90% (/ano? A?C- 53%, o?ii?/. aiaieua ?io.-49%, iaoieia?y iaa?ieia?/.-39%,aiaeie?eiia-15%,OEO-48% oa ?i.) Iaoyaeaia niaaeeia?noue uiaei na?oeaai-noaeeiieo caoai?thaaiue - 31% A a a a n o o a a o o e o a n i e e Aa e y a e a i i y O o i e oe ? i i a e ue i i a i o o i O Ii?ooaiiy aeo?aeiiai aaaaoaoeaiiai oiiono-77% Ii?ooaiiy aaaaoaoeaii? ?aaeoeaiino? – 55% I ? I E A ? Ae ? I Ae E N O ? I O ? ss 57% Ii?ooaiiy aaaaoaoeaiiai caaacia/aiiy – 57% Ii?ooaiiy ?eoio – 47% A E A Ii?ooaiiy i?ia?aeiino? – 43% A Ae 83 % Ii?oo. iai?iii-o?io?/.oa?aeoa?o-57% ? i n o ? o i a o a e ue i ? ae i n e ? ae ae a i i y O E A Cieaeaiiy aiie?ooaee I oiia – 38% Nenoie?/. ooi “ooieoe?iiaeueiiai” oa?aeoa?o, ia ca’ycaiee c I oiiii – 67% A o i E A Iii??ia aeeeyoaoe?y eaaiai oeoii/ea-16% Iayai?noue IAN – 70% A A I Ii?ooaiiy aaiiaeeiai?ee – 57% Cieaeaiiy o?ce/ii? i?aoeacaeaoiino?-21% Iia??oaiiy iieaciee?a AEA a oiae? i?iae–63% Iaoieia?/. oeie ?aaeoe?? aaiiaeeiai?ee - 18% Iiaeiaaeaiiy a?aeiiaethaaeueiiai ia??iaeo –62,5% Aeyaeaiee ooieoe?iiaeueiee na?oeaaee ooi Ea?ae?aeuei?, anoaii-iaa?ioe/i? oa ?i. ae?. Iaoyaeaia niaaeeia?noue uiaei IOeAe, ?ON, AO Aiaieua o?ii?/.?ioae., ??ci? ia?aian. ? noiooi? caoai?thaaiiy Neiiaoeeioii?/iee aai ci?oaiee; aeia?neiiaoeeioii?/., aeia?ae?anoie?/ia Aaaioii?/iee aai ci?oaiee; neiiaoeeianoai?/ia, anoaiineiiaoe/ia Iai?iii-o?io?/i? ii?ooaiiy: ci?ie coaoe?a ?,O,U, naaiaioa ST, iiaeeea? ii?ooaiiy ?eoio Iiaeeea? IAN Aeeeyoaoe?y e?aiai oeoii/ea, iiaeeea? IAN *ano?oa i?aeaeuai? Cieaeai? Iciaee ?oai?? ia AEA (aeni-e? O, aeeaie? Q, cnoiaiiy ST) Ia?anoaiiy ai-ie?ooaee coaoey R o a?aea. V5-V6 a oiae? iaaaioaaeaiiy A?ia?nenoie?/iee ? a?ia?ae?anoi-e?/iee oeie ?aaeoe?? aaiiaeeiai?ee Uiaei ?oaie/ii? oai?iae na?oey Uiaei ?icaeoeo na?oeaai? iaaeinoaoiino? Uiaei a?ia?oii?/ii? oai?iae

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