.

Клініко-гемодинамічні особливості перебігу ішемічної хвороби серця з супутнім хронічним обструктивним бронхітом та шляхи корекції виявлених порушень:

Язык: украинский
Формат: реферат
Тип документа: Word Doc
0 2147
Скачать документ

1

EOAAINUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

OOOUe Na?oeaia Aieiaeeie??aia

OAeE 616.12 – 005.4616.223 – 002]:08

EE?I?EI-AAIIAeEIAI?*I? INIAEEAINO? IA?AA?AO ?OAI?*II? OAI?IAE NA?Oess C
NOIOOI?I O?II?*IEI IANO?OEOEAIEI A?IIO?OII OA OEssOE EI?AEOe??
AEssAEAIEO II?OOAIUe

14.01.02 – aioo??oi? oai?iae

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Eoaainuee – 1999Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e aeaaeai??, i
.Iieoaaa, IIC Oe?a?ie, eaoaae?a iie?ee?i?/ii? oa?ai??, OeIAeE

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani? Eacaeia TH??e
Ieoaeeiae/, Oe?a?inueea iaaee/ia noiiaoieia?/ia aeaaeai?y, caa?aeoaa/
eaoaae?ith iie?ee?i?/ia oa?ai?y

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

Aeaienthe A?oae?e ?aaiiae/, A?iieoeueeee aea?aeaaiee

iaaee/iee oi?aa?neoao ?i. I.?.Ie?iaiaa, caa?aeoaa/

eaoaae?e aini?oaeueii? oa?ai?? ?2; aeieoi? iaaee/ieo
iaoe, i?ioani?

Neiy/aiei Ieaa Aieiaeeie?iae/, Aeiiaoeueeee

aea?aeaaiee iaaee/iee oi?aa?neoao, caa?aeoaa/ eaoaae?e

i?iiaaeaaoeee aioo??oi?o oai?ia

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.
I.I.Aiaiiieueoey IIC Oe?a?ie (i.Ee?a)

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 9 ” ea?oiy 1999 ?ieo i 14-00
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee E.29.600.01 i?e
Eoaainueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? IIC Oe?a?ie (348045,
i.Eoaainuee, ea.50-??//y Iai?iie Eoaainueea,1; o.54-85-57).

C aeena?oaoe??th iiaeia iciaeiieoeny a iaoeia?e a?ae?ioaoe? Eoaainueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (348045, i. Eoaainuee, ea.50 ??//y
Iai?iie Eoaainueea, 1)

Aaoi?aoa?ao ?ic?neaiee ” 5 ” aa?aciy 1999 ?ieo

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii?

?aaee, aeieoi? iaaee/ieo iaoe,

i?ioani? _______ A.?. Eieii??oeueCAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Na?oeaai-noaeeii? caoai?thaaiiy, cie?aia ?oai?/ia
oai?iaa na?oey (?ON), ? iaeaaaeeea?oith i?e/eiith nia?o? a aei?ineeo
in?a ? in?a iioeeiai a?eo a a?eueoino? ?icaeiaieo e?a?i. I?e i?iaaaeaii?
aiae?co, ca iaoa??aeaie ?iai/i? a?oie ?a?iiaenueeiai oiaa?enoaa
ea?ae?ieia?a (a?eiaa eaoaai??y 45-74 ?iee), a ?a?ii? ia
na?oeaai-noaeeii? caoai?thaaiiy i?eiaaea? aeecueei 40% nia?oiino?
(S.Saus, H.Kraunhout, 1998). O 54% oai?eo aeine?aeaeoaaieo iaie,
a?aei?/aii niieo/aiiy ?ON c ?ioeie caoai?thaaiiyie, cie?aia c o?ii?/ieie
iano?oeoeaieie a?iio?oaie (OIA) a 45% aeiaaee?a.

Aeniea /anoioa niieo/ii? iaoieia?? ia no/aniiio aoai? ia? nooo?aa
nioe?aeueii-aeiiii?/ia cia/aiiy.

?oai?/ia oai?iaa na?oey ? OIA, ? iioe?aieie caoai?thaaiiyie a
oa?aiaaoe/i?e i?aeoeoe?, ye? i?ecaiaeyoue aei cieaeaiiy i?ioan?eieo
iiaeeeainoae, i?aoeacaeaoiino?, ?icaeoeo oneeaaeiaiue, ?iaae?aeecaoe?? ?
nia?oiino? oai?eo. Iiooe iiaeo oeyo?a oa cania?a ai?ioueae c oeeie
caoai?thaaiiyie oaeiae ? aaaeeeaith i?iaeaiith ia no/aniiio aoai?.

??no caoai?thaaiino? a?iioieaaaiaai? nenoaie iaoiiaeaiee ?yaeii i?e/ei:
caa?oaeiaiiyi iia?o?yiiai aanaeio, eo??iiyi, ?acenoaioi?noth
aaeoa??aeueii? oei?e aei aioea?ioee?a (A.A. Aieoa, 1991;
?.A.Aaiaeoeueeee ? ni?aaao., 1987).

O iaoai?ci? ?icaeoeo aeaieo caoai?thaaiue a?aecia/athoue neeaaei?
i?ioeane, ye? aca?iiiaoyaeothoue ?o ia?aa?a. Oae, iia??oaiiy ei?iia?iiai
e?iaioieo i?ecaiaeeoue aei c?inoaiiy oeaieiii? a?iien??, ??ceiai
ciaioaiiy nei?i/oaaeueii? iiaeeeaino? i?iea?aeo, iaaeinoaoiueiai
e?iaiiinoa/aiiy ? o?ainii?oo eenith (I.?.Iae??a ? ni?aaao, 1998;
A.?.Aeaienthe, 1995). Ana aeuaaeacaia iineeth? oi?ioaaiiy a?oa??aeueii?
a?iienai?? ? a?iien?? oeaiei i?e noiooi?e a?iioieaaaiaa?e iaoieia??.
Iaa?ae?iieie oiiaaie oni?oiiai e?eoaaiiy ?ON c noiooi?i OIA ?
iaoiaaiaoe/ia ni?yiiaai?noue ? nai?/ani?noue e?eoaaeueieo caoiae?a,
a?aooaaiiy a?eo ? ooieoe?iiaeueiiai eeano caoai?thaaiiy, ci?ie
aaiiaeeiai?ee ? ?aaoethth/eo ?? iae?iaoii?aeueieo nenoai, noaio ooieoe??
ciai?oiueiai aeeoaiiy. ??aaiue ?ao?aeoa?iino? aei iaaeeeaiaioicii?
oa?ai?? i?e ?ON neeaaea? ca ee?i?/ieie ioe?ieaie a?ae 20% aei 50%
(E.I.Eaueinueeee ? ni?aaao., 1995). A?aecia/a?oueny oaeiae iano?ee?noue
aoaeoo i?e e?eoaaii? oa?ii?aia?aoaie, a?aenooi?noue, ye i?aaeei,
oa?aiaaoe/ieo iane?aee?a, eiee e?ee ae?thoue aeiee ?o i?eeiathoue, ui
?iaeoue caeaaei?noue aaaaoueio oai?eo a?ae aioeaia?iaeueieo i?aia?ao?a.

Aeyaeaiiy ooieoe?iiaeueiiai aca?iica’yceo oeaio?aeueii? oa ia?eoa?e/ii?
aaiiaeeiai?ee, ooieoe?? ciai?oiueiai aeeoaiiy (OCAe), aeaeo?ie?iaoe/ieo
oa ?aieia?/ieo ci?i e?ia?, aeoeaaoe?? ia?aeeniiai ieeneaiiy e?i?ae?a
(IIE), ii?ooaiiy e?i?aeiiai iai?io ? i?ioean?a aaiinoaco, ?o ?ie? ?
iine?aeiaiino? aeeth/aiiy a iaoiaaiac caoai?thaaiiy aeicaiey? ooi/ieoe
ie?ai? eaioethae a ?icaeoeo ?ON c OIA, a?eueo oe?eani?yiiaaii oa
aeeoa?aioe?eiaaii cae?enithaaoe ?o ei?aeoe?th. A?aoiaoth/e
aca?iiiaoyaeoth/a i?ia?anoaaiiy aeaieo caoai?thaaiue, aeooaeueiith
i?iaeaiith ? ?ic?iaea oa ai?iaaaeaeaiiy iaoiaaiaoe/iiai eiiieaeniiai
e?eoaaiiy oai?eo, yea aeeth/a? caniae a?io?ce/ii? ae?? ia i?aai?ci:
canoinoaaiiy aae?e-iaiiiaiai eaca?o, oeueo?ao?ieaoiaiai ii?ii?ithaaiiy
e?ia?, aioeieneaeaio?a. Ii?yae c oeei, aaaeeeaith i?iaeaiith ?
aecia/aiiy iaea?eueo iioeiaeueieo eiiieaenieo i?? ?aaa?e?oaoe?? i?e
noaa?eueieo oi?iao ?ON ?c noiooi?i OIA.

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

Aeeiiaia iaoeiaa ?iaioa ? o?a?iaioii eiieo?nii? i?ei?eoaoii? IAe? IIC
Oe?a?ie “Aeenai?iiiaeuei?, i?aaiiniaoeeo?/i? oaeoi?e aieeao ia
aaii-aiiainoac oai?eo c iaoieia??th na?oeaai-noaeeiii? nenoaie oa oeyoe
ei?aeoe?? aeyaeaieo ii?ooaiue”. ?a?no?aoe?eiee iiia? ?04/1790 a?ae
10.09.95, eiae ?2, ? aea?ae?a?no?aoe?? 0195V026212.

Iaoa ? caaea/? aeine?aeaeaiiy

Iaoith iaoi? ?iaioe ? aea/aiiy iniaeeainoae aaiiaeeiai?ee o oai?eo ia
?ON ?c noiooi?i OIA ? ia??oiooaaiiy aeioe?eueiino? canoinoaaiiy a
e?eoaaii? eiiieaen?a eaaioiai-aioeieneaeaioii? oa?ai??.

I?e aeeiiaii? ?iaioe ie iaiaaaeenue ae??oeoe oae? i?iaeaie:

1.Aea/eoe iniaeeaino? ee?i?/iiai ia?aa?ao ?oai?/ii? oai?iae na?oey ?c
noiooi?i OIA.

2. Aeine?aeeoe noai aaii?aieia?? e?ia? (oyaio a’yce?noue i?e ??cieo
iai?oaao oa oaeaeeinoyo cnoao) i?e aeai?e i?eniaoieia??.

3. Aea/eoe noai e?i?aeiiai iai?io, iieaciee?a IIE oa oa?iaio?a
aioeieneaeaioiiai caoenoo (oieanoa?eio, -e?iii?ioa?ae?a, iaeiiiaiai
ae?aeueaeaa?aeo, ia?aeenii? ?acenoaioi?no? a?eo?ioeeo?a, eaoaeace,
noia?ieneaeaeeniooace, ae??iiaeo eii’thaao?a) o oai?eo ?c noaa?eueiei
ia?aa?aii ?ON ?c noiooi?i OIA.

4. I?iaiae?coaaoe noai ia?eoa?e/ii? oa oeaio?aeueii? aaiiaeeiai?ee
(?aiioeueiiiia?ao?th, aoiea?ae?ineii?th), ooieoe?? ciai?oiueiai aeeoaiiy
(ni??ia?ao?th) o oai?eo ?ON ?c noiooi?i OIA.

5. Aea/eoe ? iaoiaaiaoe/ii iaa?oiooaaoe aieea a?o/eciyiiai i?aia?aoo
aeeaoiie, iaoiae?a eaaioiai-a?aa?oaoe?eii? ae?? – aioo??oiueiaaiiiai
eaca?iiai ii?ii?iaiiy e?ia? (AEIE) oa oeueo?ao?ieaoiaiai ii?ii?iaiiy
e?ia? (OOIE) ia ia?aa?a ?ON ?c OIA.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

O i?ioean? aeine?aeaeaiiy aeyaeaii aca?iica’ycie ii?ooaiue iaoaaie?cio,
ia?aeenieo i?ioean?a, ?aieia??, oeaio?aeueii? oa ia?eoa?e/ii?
aaiiaeeiai?ee, ooieoe?? ciai?oiueiai aeeoaiiy o oai?eo ?ON ?c noiooi?i
OIA. Cai?iiiiiaaii a?io?ce/i? iaoiaee eiiieaeniiai e?eoaaiiy noaa?eueii?
oi?ie ?ON c iaoieia??th aeeoaeueii? nenoaie. I?iaaaeaii iaoeiaee aiae?c
iaoai?cio e?eoaaeueii? ae?? ia i?aai?ci oai?iai ?ic?iaeaieo
oa?aiaaoe/ieo noai. Ia??oioiaaia aeioe?euei?noue canoinoaaiiy a
ee?i?/i?e i?aeoeoe? e?eoaaeueieo eiiieaen?a a?io?ce/ii-aioeieneaeaioii?
ni?yiiaaiino? aeaiee iaoeiaee aiae?c iaoai?cio e?eoaaeueii? ae??
canoiniaaieo iaoiae?a.

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

?acoeueoaoe i?iaaaeaieo iaoeiaeo aeine?aeaeaiue i?eaaaeai? a i?aeoe/ieo
?aeiiaiaeaoe?yo uiaei aeeoa?aioe?eiiai eiiieaeniiai canoinoaaiiy
a?io?ce/ieo ? aioeieneaeaioieo iaoiae?a e?eoaaiiy noaa?eueii? oi?ie ?ON
c noiooi?i OIA, ?acenoaioiiai aei cae/aeieo iaaeeeaiaioicieo cania?a.
Ia??oioiaaii aeioe?euei?noue aeei?enoaiiy oeeo iaoiae?a a e?eoaaii?
oai?eo ia noaa?eueio noaiiea?ae?th c iaoieia??th aeeoaeueii? nenoaie.

?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeaii a iaa/aeueiee i?ioean,
aeei?enoiaothoueny a eaeoe?eieo eo?nao ia eaoaae?? oaeoeueoaonueei? oa
iie?ee?i?/ii? oa?ai?? Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai??,
eaoaae?? aini?oaeueii? oa?ai?? ? 2 A?iieoeueeiai iaaeoi?aa?neoaoo.
Iaoiaee e?eoaaiiy ?ON ?c noiooi?i OIA ai?iaaaeaeaii a 3-?e i?nuee?e
iie?ee?i?oe?, 2-?e i?nuee?e ee?i?/i?e e?ea?i? i. Iieoaae, iaeani?e
e?ea?i? i.??aiiai, ?aeiii?e e?ea?i? i. Eaeooa, ?aaii-O?aie?anueei?
iaeano?, e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae i. Ia??oiiey, iaeanieo
ee?i?/ieo e?ea?iyo i. A?iieoe?, i. Eoaainueea.

Iniaenoee aianie caeiaoaa/a

Aaoi?ii i?iaiae?ciaaii iaoeiao e?oa?aoo?o c aeine?aeaeoaaii? i?iaeaie,
i?iaaaeaii ?ioi?iaoe?eii-iaoaioiee iiooe.

Naiino?eii i?iaaaeai? an? iaoiaee ooieoe?iiaeueii? ae?aaiinoeee, ui
aea/aeeny ca aeaiith oaiith (aeaeo?iea?ae?ia?ao?y, ?aiioeueiiiia?ao?y,
aoiea?ae?ia?ao?y, ni??ia?ao?y, aaeia?aiiao??y), cae?eniaii e?eoaaiiy
oai?eo, i?iaaaeaii noaoenoe/io ia?iaeo aeaieo, i?iaaaeaii aiae?c
iaea?aeaieo iaoeiaeo aeaieo, noi?ioeueiaai? aeniiaee oa i?aeoe/i?
?aeiiaiaeaoe??.

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

Iaoa??aee aeena?oaoe?? aeiaaaeaii ia ?anioae?eainuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Ooiaeaiaioaeuei? ? ee?i?/i? aniaeoe
no/anii? ?aaa?e?oaoe??”, Iieoaaa (1995), ?anioae?eainuee?e eiioa?aioe??
iieiaeeo a/aieo, Iieoaaa (1996), iaoeiai-i?aeoe/i?e eiioa?aioe??
“I?ei?iaiiy eaca??a a iaaeeoeei? ? a?ieia??”, Oa?e?a, (1996), V eii??an
ea?ae?ieia?a Oe?a?ie, Ee?a, (1997), ?anioae?eainuee?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? “Aeooaeuei? ieoaiiy ee?i?/ii? iaaeeoeeie oa aeieia??”
Iieoaaa (1998), ia XIV c’?cae? oa?aiaao?a, Ee?a (1998), ia iaeaniiio
can?aeaii? oiaa?enoaa ea?ae?ieia?a ? oa?aiaao?a, Iieoaaa (1998).

Ioae?eaoe??.

Ca oaiith aeena?oaoe?? iioae?eiaaii 11 iaoeiaeo ?ia?o: 5 iaoeiaeo noaoae
a oaoiaeo aeaeaiiyo, 6 oac aeiiia?aeae ia iaoeiaeo eiioa?aioe?yo oa
c’?caeao, 2 ?ioi?iaoe?eieo eenoea.

Ia’?i ?iaioe

Aeena?oaoe?y aeeeaaeaia ia 128 iaoeiiienieo a?eooao ? neeaaea?oueny ?c
anooio, iaeyaeo e?oa?aoo?e, ?acoeueoao?a aeanieo niinoa?aaeaiue,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ? iieacieea aeaea?ae e?oa?aoo?e.
?iaioo ?ethno?iaaii 22 oaaeeoeyie, 13 a?ao?eaie. Iieaciee e?oa?aoo?e
aeeth/a? 256 ?ia?o: 212 aeaea?ae a?o/eciyieo aaoi??a, 44 – ?iicaiieo.

INIIAIA *ANOEIA

Iaoa??ae ? iaoiaee aeine?aeaeaiiy

Iaie ianoaaeaii 105 oai?eo ia ?ON c noiooi?i OIA. *ieia?ee neeaee 75
in?a (59.7%), ae?iee – 30 in?a (40.3%). Na?aae ianoaaeaieo oai?eo
i?aeoe/ii o an?o aeeooy o?nii iia’ycaia c ineoiaiioe?eiei
iaaaioaaeaiiyi, iayai?noth oe?aeeeaeo cae/ie.

Ae?aaiic ?ON oi?ioaaany iaie ia i?aenoaa? aiaiianoe/ieo,
ee?i?ei-a?io?i?/ieo, ?ino?oiaioaeueieo aeaieo, eio?? iaea?aeai? i?e
ianoaaeaii? .

?c caaaeueii? e?eueeino? ianoaaeaieo oai?eo ae?aaiinoiaaii noaa?eueio
noaiiea?ae?th o 87 in?a, c ieo o 48 – noaa?eueia noaiiea?ae?y ?? o.e. ?
39 – noaa?eueia noaiiea?ae?y ??? o.e. O ?aooe 28 iaoe??io?a a aiaiiac?
ia?aianaia aiaiaaeua i?iea?aeo, oiio ia iiiaio ianoaaeaiiy aoei
aenoaaeaii ae?aaiic iino?ioa?eoiee ea?ae?ineea?ic.

Ae?aaiic noaiiea?ae?? aa?eo?eoaaany ca aeaieie aaeia?aiiao???. Nea?ae
oai?eo a?oie niinoa?aaeaiiy (105 /ieia?e) iaoiiaeai? iniiaiei
caoai?thaaiiyi, ui i?iyaeyeenue aieueiaei neiae?iiii a ae?eyioe?? na?oey
(89%), ca a?oaeieiith aei 8 – 10 ?ac?a ia aeiao c ??aae?aoe??th a e?ao
eiiaoeo (78%) ? e?ao ?oeo (47%), ia?aaiyie a ?iaio? na?oey (21%). Ia
na?oeaaeooy nea?aeeeeny 78,2%, ia caaeooo i?e o?ce/iiio iaaaioaaeaii? –
an? ianoaaeai? iaoe??ioe.

O 65 (52,3%) oai?eo aeyaeee na?oeaao iaaeinoaoi?noue ? noaae??, o ?aooe
40 in?a – na?oeaao iaaeinoaoi?noue ??A noaae??.

O aeine?aeaeoaaieo oai?eo aeyaeaii AeI?NO. –o 67%, AeI??NO. – o 33%. .

Ianoaaeaiiy i?iaiaeeeinue a in?iiuei-ceiiaee ia??iae.

Oai?? ia ?ON c iaoieia??th i?aai?a aeeoaiiy, ianoaaeai? aei e?eoaaiiy ?
i?ney iueiai.

An?o iaoe?aio?a aoei ?iciiae?eaii ia /ioe?e ?aiaeii?ciaai? a?oie:

1-a a?oia, yea aeeth/aea 20 oai?eo, eiio?ieueia, i?eeiaee o?aaeeoe?eio
iaaeeeaiaioicio oa?ai?th, yea aeeth/aea: i?o?aoe, aioaaii?noe
eaeueoe?th, naaeaoeai?, a?aeoa?eoth/?, i?ioecaiaeuei? i?aia?aoe,
niaciie?oeee;

2-a a?oia – 25 oai?eo, ia oii? aaceniiai e?eoaaiiy io?eioaaee aeeaoiie
ii 0.5 a o?e/? ia aeiao aioo??oiuei i?ney ?ae?, ?ic/eiaiee a 25 ie
eoeo?oaecyii? ie?? i?ioyaii 10 aei?a;

3-y oa 4-a a?oie – ii?yae c i?ecia/aiiyi aacenii? oa aioeieneaeaioii?
oa?ai?? (aeeaoiieo) ii 30 oai?eo iaea?aeoaaee eaaioiao aaiioa?ai?th AEIE
? OOIE a?aeiia?aeii i?ioyaii 10 aei?a.

Aacenia oa?ai?y aeeth/aea: i?o?aoe, naaeaoeai? i?aia?aoe, ioeie?oeee.

E?eoaaiiy AEIE – aioo??oiueiaaiii i?iaiaeeee eaca?ia ii?ii?ithaaiiy
e?ia? ?10, uiaeaiii. Canoiniaoaaany aia?ao “Aeie” c aieieienoith
iioeeith. Na?oeiaiae oaiaeeany a eoa?oaeueio aaio. Ii?ii?iaiiy
i?iaiaeeeinue c iiooaei?noth aeoiaeo 1,5 iAo ? /anii aeniiceoe?? 30
oaeeei.

E?eoaaiiy OOIE – i?iaiaeeee ca aeiiiiiaith aia?aoo “?cieueaea IAe-73-I.
O ?ie? noaa?e?caoi?a canoiniaoaaeeny 20 oen.iae. aaia?eio. Ia’?i
ii?ii?iaii? e?ia? aecia/aany c ?ic?aooieo 2 ie/ea iane. O?eaae?noue
naaino OOIE neeaaeaea 25-30 oaeeei. Eo?n e?eoaaiiy 5 i?ioeaaeo? /a?ac
aeaiue.

sse ii?iaoeai? iieacieee aeei?enoai? aeai? a?io?i?/ieo oa
?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy 18 caei?iaeo /ieia?e.

Noai ?aa?iia?ii? aaiiaeeiai?ee aeine?aeaeoaaee ca aeiiiiiaith iaoiaeo
oao?aiiey?ii? ?aia?ao?? – ?aiioeueiiiia?ao?? (?IA). Caien i?iaiaeeany ia
aia?ao? ?aia?ao ?A-4-01 oa ?a?no?aoe?eiiio i?eno?i? aeaeo?iea?ae?ia?ao?
AEEA?-6.

Aeey e?euee?niiai aiae?co ?IA ie aecia/aee oae? iieacieee, ye
?aia?ao?/iee ?iaeaen (??), nenoiei-ae?anoie?/iee iieaciee (NAeI), -a –
/an ?iciianthaeaeaiiy ?aia?ao?/ii? oaee? ia ae?eyioe? na?oea-eaaai?, 1 –
/an oaeaeeiai e?iaiiaiiaiaiiy, – /an iaeneiaeueiiai nenoie?/iiai
iaiiaiaiiy noaeei, i – iaeneiaeueia oaeaee?noue oaeaeeiai
e?iaiiaiiaiaiiy a ii/nae, n – na?aaeiy oaeaee?noue iia?eueiiai
e?iaiiaiiaiaiiy a ii/nae. (Aeiia?aaeiaa O.A.,1986)

Ia?aiao?e oeaio?aeueii? aaiiaeeiai?ee aea/aeenue i?e aeiiiiic? iaoiaeo
aoiea?ae?ineii?? ia aia?ao? iie?ea?ae?iaiae?caoi? IEA4-01 ? aia?ao? aeey
oeueo?acaoeiaiai aeine?aeaeaiiy “SANOANE – 480” a I- ? A-?aaeeiao.

Aecia/aeenue e?ioeaaee ae?anoie?/iee (Dd) ni oa nenoie?/iee (Ds) ni
?ici??e e?aiai oeoii/eo, e?ioeaaee nenoie?/iee (Vs) oa ae?anoie?/iee
(Vd) ia’?ie e?aiai oeoii/eo a ni3, oaea?iee ia’?i (Sv) a ni3,
oaeaee?noue oee?eoey?iiai aei?i/aiiy aieieii i?iea?aeo (Vcf) nae-1,
o?aeoe?y aeaiaiiy (EF) a %. Ia/eneaiiy iieaciee?a aaiiaeeiai?ee
i?iaiaeeeinue ia ia?niiaeuei?e AAI.

I?iao c o?ce/iei iaaaioaaeaiiyi i?iaiaeeee ia aaeia?aiiao?? AA-02 ca
iaoiaeeeith nooiaiaai ca?eueooth/eo iaaaioaaeaiue i?e aeio?eiaii?
noaiaea?oieo oiia, AEA ?a?no?oaaee a 12-oe caaaeueiii?eeiyoeo
a?aeaaaeaiiyo.

Ooieoe?th ciai?oiueiai aeeoaiiy aea/aee ca aeiiiiiaith iaoiaeo
ni??ia?ao?? ia aia?ao? “Iaoaoano-1”: /anoioa aeeoaiiy (*Ae) ca 1 oa.,
oaeeeiiee ia’?i aeeoaiiy (OIAe) e/oa, aeeoo?aa ?ii?noue eaaaiue (AE?E)
e, iaeneiaeueia aaioeeyoe?y eaaaiue (IAE) e/oa, ia’?i oi?niaaiiai
aeaeeoo (IOA1) e/oa.

Aeey aecia/aiiy a’yceino? e?ia? iaie aeei?enoiaoaaany ?ioaoe?eiee
a?neiceiao? A.I. Caoa?/aiei.

Aeey ioe?iee ia?aeeniiai ieeneaiiy e?i?ae?a, e?i?aeiiai iai?io ?
o?c?ieia?/ii? aioeieneaeaioii? nenoaie aea/aee ne?aeoth/? iieacieee:
ae??iia? eii’thaaoe, iaeiiiaee ae?aeueaeaa?ae, oea?oeiieaci?i,
noia?ieneaeaeeniooaca, eaoaeaca, oieanoa?ei, -e?iii?ioa?aee.

Aecia/aiiy oeeo iieaciee?a i?iaiaeeeinue ca caaaeueiiaecia/aieie
iaoiaeeeaie.

?acoeueoaoe aeine?aeaeaiue i?aeeyaaee noaoenoe/i?e ia?iaoe? ca
aeiiiiiaith e?eoa???a No’thaeaoa aeey iaeeo aeai?ie. Noaoenoe/ii
?nioth/ei aaaaeaee ?ica?a i?e ? 0,05.

?acoeueoaoe aeine?aeaeaiiy oa ?o aiae?c

Iaie i?iaiaeeeinue eiiieaenia aeine?aeaeaiiy iieaciee?a aaiiaiiainoaco,
noaio aaiiaeeiai?ee a a?oi? oai?eo noaa?eueiith noaiiea?ae??th, o.e.
??-??? ia oii? OIA – 20 /ieia?e (o 14 a aiaiiac? ia?aeiiee o?ii?/iee
a?iio?o, o 6 – ia?aianaia aino?a iiaaiii?y).

Aeai? oai?? i?eeiaee o?aaeeoe?eia e?eoaaiiy, yea aeeth/aei i?o?aoe,
aioaaii?noe eaeueoe?th, ioeie?oeee, i?ioecaiaeuei? oa naaeaoeai?
i?aia?aoe.

Oai?ei i?iaiaeeeinue aeine?aeaeaiiy a’yceino? e?ia?, ?acoeueoaoe yeeo
aeacothoue ia ?nioth/? ci?ie aaii?aieia??, ye ia iecueeeo, oae ? ia
aenieeo oaeaeeinoyo ? iai?oaeaiiyo cnoao, ui aiai?eoue i?i yaia
iia??oaiiy i?e?ioee?eoeyoi?iiai e?iaioieo ia ??ai? noaeei i?eeiai ?
na?aaeiueiai eae?a?o. Aea ia iniia? iaea?aeaieo aeaieo ie iiaeaii
aiai?eoe ia a?aenooi?noue noaoenoe/ii cia/eieo ci?i (?0.05) oyaii?
a’yceino? e?ia? ia oii? o?aaeeoe?eii? oa?ai?? a a?oi? oai?eo ?ON c
noiooi?i OIA aei ? i?ney e?eoaaiiy ia oaeaeeinoyo cnoao a?ae 15.2 aei
94.0 nae-1. A?aei?/a?oueny oaiaeaioe?y aei cieaeaiiy a’yceino? e?ia? ia
iecueeeo oaeaeeinoyo cnoao (9.7 nae-1).

Aeyaeai? iaoaaie?/i? ii?ooaiiy o ianoaaeoaaieo oai?eo oa?aeoa?ecoaaeenue
ca?eueoaiiyi aeoeaiino? i?ioean?a IIE, ui aeieoiaiooaaeinue c?inoaiiyi
eiioeaio?aoe?? iaeiiiaiai ae?aeueaeaa?aeo (IAeA), ae??iiaeo eii’thaao?a
(AeE), cieaeaii? ia?aeenii? ?acenoaioiino? a?eo?ioeeo?a (I?A), no?eeei
i?eai?/aiiyi aeoeaiino? oa?iaio?a aioeieneaeaioiiai caoenoo eaoaeace,
noia?ieneaeaeeniooace (NIAe). I?ney i?iaaaeaiiai o?aaeeoe?eiiai
e?eoaaiiy iieacieee IIE iie?auoaaeenue, aea ?o aeeiai?ea ia aeinoia??ia
(?>0.05).

I?e a?io?i?/iiio aeine?aeaeaii? o cia/ii? e?eueeino? oai?eo (89%)
a?aei?/aeinue i?aeaeuaiiy ??aiy iieaciee?a e?i?aeiiai iai?io –
-e?iii?ioa?ae?a, oieanoa?eio, aea noaoenoe/ii cia/eieo ci?i oeeo
iieaciee?a a aeai?e a?oi? in?a ie ia aeyaeee (?0.05).

I?e aea/aii? iieaciee?a aioo??oiueina?oeaai? aaiiaeeiai?ee
a?aei?/a?oueny ca?eueoaiiy Dd, Ds, Vd, Vs, ui aiai?eoue i?i cieaeaiiy
nei?i/oaaeueii? ooieoe?? i?iea?aeo ? i?aeoaa?aeaeothoue ii?ooaiiy
iaoaaie?/ieo i?ioean?a a i?ioeeoao. I?ney i?iaaaeaiiai o?aaeeoe?eiiai
e?eoaaiiy iaie aecia/aii iie?auaiiy iieaciee?a oeaio?aeueii?
aaiiaeeiai?ee.

I?e aeine?aeaeaii? noaio ?aa?iia?ii? aaiiaeeiai?ee o oai?eo ia ?ON ?c
noiooi?i OIA a?aei?/aii cieaeaiiy e?iaiiaiiaiaiiy noaeei eaaaiue iaeaea
a 2 ?ace a ii??aiyii? c ii?iaoeaaie, c?inoaiiy /ano iaeneiaeueiiai oa
oaeaeeiai nenoie?/iiai e?iaiiaiiaiaiiy a?aeiia?aeii a 0.8 oa 0.5 ?ac?a,
ciaioaiiy iaeneiaeueii? oaeaeeino? oaeaeeiai e?iaiiaiiaiaiiy ?
na?aaeiuei? oaeaeeino? iia?eueiiai e?iaiiaiiaiaiiy a 1.3 oa 1.7 ?ac?a
a?aeiia?aeii. I?ney i?iaaaeaiiai e?eoaaiiy a?aei?/a?oueny iie?auaiiy
/aniaeo oa oaeaee?nieo iieaciee?a, aea oe? aeai? noaoenoe/ii iacia/ei?
(?>0.05). I?iaaaeaiiy ni??ia?ao?? aeicaieeei a?aecia/eoe ?noioi? ci?ie c
aieo eaaaiaai? nenoaie, ye? iieyaaee o i?aeaeuaii? *Ae a 1.7 ?ace, OIAe
a 1.2 ?ace, cieaeaii? AeI, AE?E, IAE, IOA1. I?ney e?eoaaiiy an?
i?eaaaeai? aeua ii?ooaiiy iaee oaiaeaioe?th aei ii?iae?caoe??.
Aeinoia??ii ca?eueoothoueny iieacieee aeeoaeueiiai ia’?io, IOA1, IAE, ui
a?aeia?aaea? iiceoeaiee aieea i?iaaaeaii? oa?ai??. E?eoaaiiy, yea ie
i?iaiaeeee oai?ei aeaii? a?oie i?eaaei aei iaaii? ee?i?/ii?
iai?oanoaoe?? neiioii?a, iie?auaiiy iieaciee?a IIE, oa?iaio?a
aioeieneaeaioiiai caoenoo, aaiiaeeiai?ee, ?acii c oei a?aei?/a?oueny
iano?eeee ? iaaeiaaio?eaaeee oa?aeoa? oeeo ci?i, ei?ioeee ia??iae
?ai?n?? caoai?thaaiue.

O a?oi?, yea i?eeiaea aeeaoiie ia oii? aacenii? oa?ai?? (25 in?a) a
i?ioean? e?eoaaiiy ia 5-6 aeaiue a?aei?/aeinue ciaioaiiy e?eueeino?
aia?iicieo iaiaae?a c 10±2 aei 5±1 o 13 in?a (60%) in?a. I?e i?iaaaeaii?
i?ia c o?ce/iei iaaaioaaeaiiyi o 12 (48%) in?a aoei iii?oii iie?ioaiiy
aaeaioaoe?? aei o?ce/iiai iaaaioaaeaiiy ia 12%, a inoaii?o
oiea?aioi?noue caeeoeeanue aac ci?i.

Ia ?IA o 9 oai?eo a?aei?/aeenue cieaeaiiy ??, NAeI, ciaioaiiy Vn, Vi.
I?ae aieeaii e?eoaaiiy i?inoaaeo?oueny iie?auaiiy e?iaiiaiiaiaiiy noaeei
eaaaiue (??, NAeI) – a 1,2 ?ace, aea oea ia? o?eueee oaiaeaioe?th aei
ii?iae?caoe??. Ia NIA /anoioa aeeoaiiy ca 1 oa. o 68% oai?eo aoea
ca?eueoaia, o 87% ciaioaia AE?E, IAE, IOA1, ui aiai?eoue i?i iia??oaiiy
aaioeeyoe?? eaaaiue, yea aaaea aei a?iien?? oa a?iienai??. Oeae noai
i?iaieo? i?enooi noaiiea?ae??. I?ney i?iaaaeaiiai e?eoaaiiy iii?oia
iie?auaiiy e?iaiiaiiaiaiiy noaeei eaaaiue (ii aeaiei ?IA) o 68% oai?eo,
o 32% a?aei?/aeanue ?acenoaioi?noue aei i?iaaaeaiiai e?eoaaiiy. Ooieoe?y
ciai?oiueiai aeeoaiiy a oe?e a?oi? oa?aeoa?ecoaaeanue i?aeaeuaiiyi AE?E
(c 2.08±0.1 e aei e?eoaaiiy ? 2.56±0.08 e i?ney e?eoaaiiy), ?aooa
iieaciee?a aeinoia??ii ia ci?ithaaeenue.

I?inoaaeo?oueny iie?ioaiiy iieaciee?a aioo??oiueina?oeaai?
aaiiaeeiai?ee: o 19 oai?eo ciaioeeenue Dd, Ds, Vd, Vs e?aiai oeoii/eo, a
6 – ci?i ia ca?a?no?iaaii; Sv – o 81% aeiaaee?a ca?eueoeany, oi/a
aeinoia??i?noue ia aeyaeaia; Vcf o an?o oai?eo ia ci?ieany; FV – o 73%
aeiaaee?a aeinoia??ii ca?eueoeeanue.

I?e aeine?aeaeaii? ?aieia?/ieo aeanoeainoae e?ia? aeyaeaii aeinoia??ia
ciaioaiiy iieaciee?a a’yceino? ia ??ai? noaeei i?eeiai eae?a?o (i?e
iai?oaeaii? cnoao 0.7 aeei/ni2 – 9.10±0.27 aei ? 8.38±0.18 i.Ian. i?ney
e?eoaaiiy, ?0.05). Aea i?e ii??aiyii? c a?oiith oai?eo, ui iaea?aeoaaee
iaaeeeaiaioicia e?eoaaiiy cia/ieo ci?i ia a?aei?/a?oueny.

Aeine?aeaeaiiy e?i?aeiiai niaeo?o aeyaeei aeinoia??ia ciaioaiiy
iieacieea -e?iii?ioa?ae?a o an?o ianoaaeoaaieo oai?eo. I?e aea/aii? ae??
aeeaoiieo ia IIE oa AIC, a?aei?/aii, ui aeaia e?eoaaiiy caeaoia
aeoea?coaaoe oa?iaioaoeaiee aioeieneaeaioiee caoeno. I?i oea aiai?eoue
aeinoia??ia i?aeaeuaiiy eaoaeace e?ia? a 1,8 ?ace. A oaeiae cieaeo?
??aaiue IAeA a 1,4 ?ace, ui aiai?eoue i?i ?iaea??oaaiiy i?iieneaeaioieo
iaoai?ci?a ?oeioaaiiy.

sse aa/eii c aeuaaeeeaaeaiiai, o oai?eo ia ?ON c noiooi?i o?ii?/iei
iano?oeoeaiei a?iio?oii iii?oi? iiceoeai? ci?ie ee?i?/ii? oa/??
caoai?thaaiiy i?ae aieeaii aioeieneaeaioii? oa?ai??, iieaciee?a
aaiiaeeiai?ee, ooieoe?? ciai?oiueiai aeeoaiiy, aaii?aieia??, aea
iaea?eueo ae?aaeaiee aieea a?aei?/a?oueny ia iieacieee IIE, aeoeaaoe?th
oa?iaio?a aioeieneaeaioiiai caoenoo.

O a?oi? oai?eo ia ?ON c OIA, ui i?eeiaee ia oii? aacenii? oa?ai?? AEIE ?
aeeaoiie (30 /ieia?e), iaee i?noea cieaeaiiy oiea?aioiino? aei o?ce/iiai
iaaaioaaeaiiy o 81% ianoaaeaieo in?a, ae?aaeai? i?iyae aeeoaeueii?
iaaeinoaoiino? o 67% in?a.

I?e canoinoaaii? cai?iiiiiaaii? oa?ai?? a?aei?/aeenue ??no ei?iia?iiai,
i?iea?aeeaeueiiai ?aca?a?a o 89,3%, a oaeiae iie?auaiiy eaaaiaaiai
e?iaioieo o 91,4% oai?eo. O ianoaaeaieo oai?eo aeyaeee ciaioaiiy
e?eueeino? aia?iicieo i?enooi?a i?ioyaii aeiy a?ae 10-9 aei 2-3;
ciaioaiiyi?eeiio i?o?iae?oea?eio a na?aaeiueiio ia 4±1 oaaeaoee.
Ciaioeany i?ioeaio iaaaeaeaaoii? ?aaeoe?? ia iaaaioaaeaiiy o 72,3%
oai?eo nei?ioeany a?aeiiaethth/ee ia??iae (c 15-12 oa. aei ii/aoeo
e?eoaaiiy aei 10-8 oa. i?ney i?iaaaeaiiai e?eoaaiiy).

Oaaeeoey 1.

Iieacieee oeaio?aeueii? aaiiaeeiai?ee o oai?eo ia ?ON c OIA, ye?
i?eeiaee AEIE aeeaoiie

IieacieeeEiio?ieueiaOai?? ia ?ON c OIA ( = 30)?a?oiaaei e?eoaaiiyi?ney
e?eoaaiiys (ni)3.48±0.164.34±1.093.84±1.150.05I?ei?oea: ? – a??ia?aei?noue i?ae
iieacieeaie aei ? i?ney e?eoaaiiy.

I?e ii??aiyii? aoiea?ae?ia?ao?/ieo aeaieo ie a?aei?oeee ciaioaiiy Ds ?
Dd a 1.1 oa 1.17 ?ace a?aeiia?aeii, aeinoia??ia cieaeaiiy eiai ia’?i?a
(Vd aei e?eoaaiiy 185±3.47ni3, i?ney e?eoaaiiy 169±3.2 ni3, p

Нашли опечатку? Выделите и нажмите CTRL+Enter

Похожие документы
Обсуждение

Оставить комментарий

avatar
  Подписаться  
Уведомление о
Заказать реферат!
UkrReferat.com. Всі права захищені. 2000-2020