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Клініко-патогенетичні стадії діабетичних ангіопатій нижніх кінцівок: їх діагностика і лікування: Автореф. дис… канд. мед. наук / А.П. Дуднік, Ін-т е

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?INOEOOO AIAeIE?EIIEIA?? OA IAI?IO ?A*IAEI

?i. A.I. EII?NA?AIEA AII OE?A?IE

AeOAeI?E Aeea Ieeei?aia

OAeE 616.718-06:616.379-008.64:616.13/14

EE?I?EI-IAOIAAIAOE*I? NOAAe?? Ae?AAAOE*IEO

AIA?IIAO?E IEAEI?O E?IOe?AIE: ?O Ae?AAIINOEEA ? E?EOAAIIss

14.01.14- aiaeie?eiieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

20

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia ia eaoaae?? oaeoeueoaonueei? oa?ai?? Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?.ss.Ai?aa/aanueeiai IIC Oe?a?ie.

Iaoeiaee ea??aiee:

caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? Oaaae Ieeiea ?aaiiae/, Oa?iii?euenueea aea?aeaaia iaaee/ia
aeaaeai?y ?i. ?.ss. Ai?aa/aanueeiai, caa?aeoaa/ eaoaae?e
oaeoeueoaonueei? oa?ai??

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe Iaiueeianueeee Ai?en
Ieeeoiae/, ?inoeooo aiaeie?eiieia?? oa iai?io ?a/iaei ?i. A.I.
Eii?na?aiea AII Oe?a?ie, caa?aeoaa/ a?aeae?eaiiy i?io?eaeoe/ii?
ae?aaaoieia??;

aeieoi? iaaee/ieo iaoe, i?ioani? O?aeeianueeee A?eoi? Ieaenaiae?iae/,
Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i. ?.ss. Ai?aa/aanueeiai,
caa?aeoaa/ eaoaae?e oaeoeueoaonueei? o??o?a??.

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.
I.I.Aiaiiieueoey IIC Oe?a?ie, eaoaae?a aiaeie?eiieia??

Caoeno a?aeaoaeaoueny “2” eenoiiaaea 1999?. i 13aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.558.01 c aiaeie?eiieia?? a
?inoeooo? aiaeie?eiieia?? oa iai?io ?a/iaei ?i. A.I. Eii?na?aiea AII
Oe?a?ie ca aae?anith 254114, i. Ee?a-114, aoe. Aeoai?iaenueea, 69.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
aiaeie?eiieia?? oa iai?io ?a/iaei ?i. A.I. Eii?na?aiea AII Oe?a?ie
(254114, i. Ee?a-114, aoe. Aeoai?iaenueea, 69).

Aaoi?aoa?ao ?ic?neaiee “ 2 ” aeiaoiy 1999 ?.

A/aiee nae?aoa?

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

aeieoi? a?ieia?/ieo iaoe
Eaeeinueea E.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Oeoe?iaee ae?aaao ? iaeiei c iaea?eueo
?iciianthaeaeaieo caoai?thaaiue aiaeie?eiii? nenoaie ? eiai iiioeyoe?eia
/anoioa na?aae ianaeaiiy Oe?a?ie neeaaea? a?ey 2% [A.?.Iaiuee?a,1995,
I.Ae.O?iiueei, A.N.?o?iia, A.?.E?aa/aiei,1996]. *enei oai?eo ia
oeoe?iaee ae?aaao, yeei aoei i?iaaaeaii aiiooaoe?th oeaiei ieaei?o
e?ioe?aie ca?eueoeeinue ca inoaii? o?eaeoeyoue ?ie?a iaeaea o 10 ?ac?a
[N.A.Eoae?yeiaa,1995, A.A.?aauaiei,1998].

A?aoiaoth/e cia/io iioe?ai?noue caoai?thaaiiy oa oaiaeaioe?th aei eiai
iiaeaeueoiai ?inoo i?iaeaia aea/aiiy iaoiaaiaoe/ieo iaoai?ci?a
ae?aaaoe/ieo aia?iiao?e ieaei?o e?ioe?aie (AeAIE), a a?aeoae ?
aaeaeaaoieo iaoiae?a e?eoaaiiy iaaoaa? aaaeeeaiai cia/aiiy
[A.N.?o?iia,1996].

Caeeoa?oueny a?aee?eoei ieoaiiy i?i aca?iicaeaaei?noue ci?i a oaeeo
aaaeeeaeo caoenii-i?enoinoaaeueieo nenoaiao i?aai?cio, ye ?ioiii?
?aaeoeaiino?, aaiinoaco, a?eueii?aaeeeaeueiiai ieeneaiiy e?i?ae?a oa
i?e?ioee?eoeyoe?? a caeaaeiino? a?ae a?eo iaoe??io?a, aaaeeino?
oeoe?iaiai ae?aaaoo, o?eaaeino? caoai?thaaiiy oa noaae?? ae?aaaoe/ieo
aia?iiao?e ieaei?o e?ioe?aie.

Canoinoaaiiy eiiieaenii? iaaeeeaiaioicii? oa?ai?? caeeoa?oueny iniiaiei
iaoiaeii e?eoaaiiy ae?aaaoe/ii? aia?iiao??, i?eioeeie yeiai
aecia/athoueny ?? iaoiaaiacii. Oa?iaeioa?ai?y i?e oe?e iaoieia??
aoaeo?oueny c o?aooaaiiyi aieeao ia ii?ooaiee iaoaaie?ci, aaii?aieia?/i?
aeanoeaino?, noaeeiio no?ieo, a?iien?th oeaiei, iiaeaaeaiiy
a?ia?i?iaeoeoe?? eiio??inoey?ieo ai?iii?a. Ia aeeaey/enue ia aaeeeee
a?naiae e?ea?nueeeo cania?a, no/ania iaaeeoeeia ia aieiae?? aoaeoeaieie
iaoiaeaie i?io?eaeoeee ? e?eoaaiiy aia?iiao?e [J.Larson et al.,1995].
I?ecia/aiiy oa?iaeieia?/ieo i?aia?ao?a naii ii nia? i?noeoue caa?ico
?icaeoeo iani?eyoeeaiai aieeao ia i?aai?ci, oiio e?eoaaiiy ae?aaaoe/ieo
aia?iiao?e caeeoa?oueny aaaeeith ? ana ua ia ae??oaiith i?iaeaiith, ui
ciooo? i?iaeiaaeoaaoe iiooe a?eueo aeineiiaeeo, iaoiaaiaoe/ii
iaa?oioiaaieo, aaeaeaaoieo iaoiae?a oa?ai?? ae?aaaoe/ieo aia?iiao?e, ye?
iathoue iaeiaioo e?euee?noue iia?/ieo ?aaeoe?e.

Ia?niaeoeaiei o oeueiio ieai? ? aeei?enoaiiy o?ce/ieo oaeoi??a, cie?aia
aeaeo?iiaai?oieo iie?a iecueei? ?ioaineaiino? ??cieo oa?aeoa?enoee,
na?aae yeeo iniaeeai? oaaae caneoaiaothoue eaca?ia aei?ii?ithaaiiy
iecueei? ?ioaineaiino? [I.I.Aiaeia?,1992; I.?.AEeey?a ? ni?aaao.,1997]
oa i?e?ioaeeueiaa aei?ii?ithaaiiy [A.?.Iynaoeueeee ? ni?aaao.,1993].

A?aoiaoth/e aaaeeeao ?ieue i?e?ioee?eoeyoi?iiai ?onea a ?icaeoeo ?
i?ia?anoaaii? AeAIE [J.Wylie-Rossett et al.,1995], aeoeaii aea/a?oueny
ae?y aaciaeoeaieo i?aia?ao?a ia ??ci? eaiee iaoiaaiaco caoai?thaaiiy.
?acii c oei, aieea aioaaii?no?a eaeueoe?th ia ia?aa?a aia?iiao?e i?e
oeoe?iaiio ae?aaao?, i?e?ioee?eoeyoi?i? ci?ie, ia?aeenia ieeneaiiy
e?i?ae?a (IIE), aioeieneaeaioio nenoaio caoenoo (AINC) oa ?ioiiee noaoon
o oai?eo ia oeoe?iaee ae?aaao ? ee?i?ei-eaai?aoi?i? i?iyae AeAIE ia
nueiaiaei?oi?e aeaiue ua iaaeinoaoiuei aea/aiee [I.A.Aiae???a ?
ni?aaao.,1995].

Oaeei /eiii, aeiaaa? aea/aiiy oa ooi/iaiiy eiiieaen oai?aoe/ieo ?
i?aeoe/ieo ieoaiue iaoiaaiaco oa e?eoaaiiy ae?aaaoe/ieo aia?iiao?e
ieaei?o e?ioe?aie.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa aeeiiaia
ca?aeii ieaio iaoeiai-aeine?aeieo ?ia?o Oa?iii?euenueei? aea?aeaaii?
iaaee/ii? aeaaeai??, caoaa?aeaeaia ?IE ii i?iaeai? “Aiaeie?eiieia?y” ? ?
o?aaiaioii eiiieaenii? iaoeiai-aeine?aeii? ?iaioe eaoaae?e.

Iaoa ?iaioe – iioei?caoe?y e?eoaaiiy oai?eo ia ?inoe?iicaeaaeiee
oeoe?iaee ae?aaao (?COeAe) c aia?iiao?yie ieaei?o e?ioe?aie oeyoii
aeeth/aiiy a eiiieaenio oa?ai?th eiia?iiaaiiai iaai?oi-eaca?iiai
ii?ii?iaiiy, aaeaeaoo oa i?e?ioaeeueiai? ?aciiainii? oa?ai?? a
caeaaeiino? a?ae ee?i?ei-iaoiaaiaoe/ii? noaae?? ?icaeoeo iaoieia?/iiai
i?ioeano.

Aeey ae??oaiiy iinoaaeaii? iaoe aoee aecia/ai? ianooii? caaea/?
aeine?aeaeaiiy:

1. Aea/eoe iniaeeaino? ii?ooaiue ?ioiii? ?aaeoeaiino?, i?ioean?a
e?iiia?ieneaeaoe??, aaii?aieia?? oa ia?eoa?e/ii? aaiiaeeiai?ee o oai?eo
ia ?inoe?iicaeaaeiee oeoe?iaee ae?aaao c aia?iiao?yie ieaei?o e?ioe?aie
a caeaaeiino? a?ae noaae?? aia?iiao?e, o?eaaeino? caoai?thaaiiy, nooiaiy
aaaeeino? oeoe?iaiai ae?aaaoo.

2. Aeine?aeeoe aoaeoeai?noue canoinoaaiiy iaai?oi-eaca?ii? oa?ai?? i?e
ae?aaaoe/ieo aia?iiao?yo ieaei?o e?ioe?aie, ?? aieea ia aoaeaaiaeiee ?
e?i?aeiee iai?ie, noai ?ioi?oaoo, cai?oaeueio nenoaio e?ia?, aeeiai?eo
ia?aiao??a ia?eoa?e/ii? aaiiaeeiai?ee.

3. Ioe?ieoe aoaeoeai?noue canoinoaaiiy aaeaeaoo o oai?eo c ae?aaaoe/ieie
aia?iiao?yie ieaei?o e?ioe?aie oa eiai aieea ia ee?i?/i? i?iyae
caoai?thaaiiy oa ia?aiao?e ia?aeeniiai ieeneaiiy e?i?ae?a ?
aioeieneaeaioii? nenoaie caoenoo, ?ioiii? ?aaeoeaiino?, aaiinoaco oa
i?e?ioee?eoeyoe?? a ieaei?o e?ioe?aeao.

4. Aecia/eoe oa?aiaaoe/io aoaeoeai?noue i?e?ioaeeueiai? ?aciiainii?
oa?ai?? ? ?? aieea ia iniiai? eaiee iaoiaaiaco ae?aaaoe/ieo aia?iiao?yo
ieaei?o e?ioe?aie.

5. ?ic?iaeoe iieacaiiy aeey aeeoa?aioe?eiaaiiai canoinoaaiiy ai?iaiaaieo
iaoiaeee e?eoaaiiy o oai?eo ia oeoe?iaee ae?aaao (OeAe) c aia?iiao?yie
ieaei?o e?ioe?aie.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

1. Anoaiiaeaii, ui iaoiaaiaoe/i? noaae?? ? ee?i?/i? i?iyae ae?aaaoe/ieo
aia?iiao?e ieaei?o e?ioe?aie aecia/athoueny nooiaiai ii?ooaiue
e?i?aeiiai iai?io, a?eueii?aaeeeaeueiiai ieeneaiiy e?i?ae?a, aaiinoaco,
?ioiii? ?aaeoeaiino? oa aaiiaeeiai?ee, a caeiiii??iino? ?o ci?i
caeaaeaoue a?ae o?eaaeino? oeoe?iaiai ae?aaaoo oa a?eo iaoe??io?a.

2. Canoinoaaiiy eeoa oeoe?icieaeoth/i? oa?ai?? o oai?eo c ae?aaaoe/ieie
aia?iiao?yie ieaei?o e?ioe?aie ia aeicaiey? aeiaeoeny iiaii?
eiiiainaoe?? iieaciee?a e?i?aeiiai iai?io, ia?aeeniiai ieeneaiiy
e?i?ae?a, aioeieneaeaioii? nenoaie caoenoo, ?ioiiiai noaoono oa
ii?iae?caoe?? ia?aiao??a ia?eoa?e/ii? aaiiaeeiai?ee, ui aeiaaa?
aeiaeaoeiaiai canoinoaaiiy cania?a c aia?ii?ioaeoi?ieie,
aioeieneaeaioieie oa ?ioiiiiiaeoethth/eie aeanoeainoyie.

3. Iaoeiai iaa?oioiaaii aeioe?euei?noue aeeoa?aioe?eiaaieo iaoiae?a
oa?ai?? aia?iiao?e ieaei?o e?ioe?aie o oai?eo ia ?inoe?iicaeaaeiee
oeoe?iaee ae?aaao, ui aeeth/athoue iaai?oi-eaca?io, i?e?ioaeeueiao
?aciiainio oa?ai?th oa aioaaii?no eaeueoe?th aaeaeao i?ieiiaiaaii? ae??,
aieea yeeo iniiaaiee ia aeyaeaiiio iiceoeaiiio aieeaia? aeaieo
e?eoaaeueieo eiiieaen?a ia ee?i?/i?, a?io?i?/i? oa aaiiaeeiai?/i? i?iyae
ae?aaaoe/ieo aia?iiao?e ieaei?o e?ioe?aie.

4. Aia?oa cai?iiiiiaaii eiia?iiaaio iaai?oi-eaca?io oa?ai?th:
iicanoaeeiia ii?ii?iaiiy e?ia? /a?aoaaoe c eaca?iioieoo?ith. Iieacaii,
ui aeiiiaiaiiy ?inoe?iioa?ai?? eiia?iiaaiei iaai?oi-eaca?iei
ii?ii?iaiiyi aaaea aei noaa?e?caoe?? a?ieia?/ieo iaia?ai caaaeyee
i?aeaeuaiith ooieoe?iiaeueii? caeaoiino? aioeieneaeaioieo nenoai,
aeinyaiaiiy aaeaino i?ae ia?aeeniei ieeneaiiyi e?i?ae?a ?
aioeieneaeaioiith nenoaiith caoenoo, ui a naith /a?ao ni?ey?
ii?iae?caoe?? iai?iieo oa ?ioiieo i?ioean?a a i?aai?ci?.

5. Aia?oa iaa?oioiaaii canoinoaaiiy iaai?oi-eaca?ii? oa?ai?? o
ii?aeiaii? c aaeaeaoii aeey iioaioe?thaaiiy ae?? oeoe?icieaeoth/i?
oa?ai?? oai?eo ?inoe?iicaeaaeiee oeoe?iaee ae?aaao c aia?iiao?yi
ieaei?o e?ioe?aie. Anoaiiaeaii aeiaaio?eaae? (a??eueoa 3-o i?nyoe?a)
iiceoeai? ci?ie iieaciee?a e?i?aeia?aie, ia?aiao??a ia?aeeniiai
ieeneaiiy e?i?ae?a, ?ioiiiai noaoono oa ia?eoa?e/ii? aaiiaeeiai?ee i?ae
aieeaii cai?iiiiiaaii? eiia?iiaaii? i?ia?aie e?eoaaiiy.

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

1. Iieacieee ?aiaacia?aie ? oa?iia?aie ieaei?o e?ioe?aie, a oaeiae
ia?aeeniiai ieeneaiiy e?i?ae?a, aioeieneaeaioii? nenoaie caoenoo,
?ioiiiai noaoono i?aai?cio oa nenoaie cai?oaiiy e?ia? yaeythoueny
?aii?ie ae?aaiinoe/ieie e?eoa??yie ??cieo ee?i?ei-iaoiaaiaoe/ieo
aa??aio?a ia?aa?ao ae?aaaoe/ieo aia?iiao?e ieaei?o e?ioe?aie, a
aeeiai?ea oeeo ia?aiao??a iiaea neoaeeoe iaa?oiooaaiiyi aeey aecia/aiiy
aaeaeaaoiino? ? aoaeoeaiino? e?eoaaiiy.

2. I?aenoaaith aeey i?ecia/aiiy iaai?oi-eaca?ii? oa?ai?? ? nooo?a?
c?ooaiiy ia?aiao??a e?i?aeia?aie, ia?aeeniiai ieeneaiiy e?i?ae?a,
cieaeaiiy ooieoe?iiaeueiiai noaio aioeieneaeaioii? nenoaie caoenoo ?
?ioiii? ?aaeoeaiino?, cia/i? ii?ooaiiy ia?eoa?e/ii? aaiiaeeiai?ee.

3. A?aoiaoth/e ia?aaaaeaiiy aia?ii?ioaeoi?ii? ae?? aioaaii?no?a
eaeueoe?th, ?o aaciaeeeyooth/o ae?th, iiceoeaiee aieea ia e?i?aeiee
iai?i ? i?ioeane e?iiia?ieneaeaoe?? oa iacia/iee ?ioiiiiaeoethth/ee
aieea, aaeaeaaoiei iieacaiiyi aei ?o canoinoaaiiy ? ooieoe?iiaeueia
noaae?y ae?aaaoe/ieo aia?iiao?e ieaei?o e?ioe?aie o oai?eo ia
?inoe?iicaeaaeiee oeoe?iaee ae?aaao.

4. I?e ii?aeiai?e ae?? iaai?oi-eaca?ii? oa?ai?? oa aaeaeaoo ?o ae?y
iioaioe?th?oueny, ui i?iyaey?oueny ii?iae?caoe??th iai?io e?i?ae?a,
i?ioean?a ia?aeeniiai ieeneaiiy e?i?ae?a, ?ioiiiai noaoono oa
ia?eoa?e/ii? aaiiaeeiai?ee.

5. I?aenoaaith aeey i?ecia/aiiy i?e?ioaeeueiai? ?aciiainii? oa?ai?? ?
ii?ooaiiy iieaciee?a ia?eoa?e/ii? aaiiaeeiai?ee ooieoe?iiaeueiiai
oa?aeoa?o oa c?ooaiiy ia?aiao??a ?ioiii? ?aaeoeaiino? o oai?eo c
ae?aaaoe/ieie aia?iiao?yie ieaei?o e?ioe?aie, ia ?aii?o noaae?yo
caoai?thaaiiy, aac yaieo ci?i a e?i?aeiiio iai?i? oa ii?ooaiue
aaiinoaco.

6. A oe?eiio io?eiai? ?acoeueoaoe eiiieaeniiai ee?i?ei-eaai?aoi?iiai
aeine?aeaeaiiy aeicaieeee ?ic?iaeoe aeeoa?aioe?eiaai? iieacaiiy aei
i?ecia/aiiy IEO, aioaaii?no?a eaeueoe?th, a oaeiae ?o ii?aeiaiiy oa
i?e?ioaeeueiai? ?aciiainii? oa?ai?? caeaaeii a?ae noaae?? ae?aaaoe/ieo
aia?iiao?e ieaei?o e?ioe?aie.

Iniaenoee aianie caeiaoaa/a. Aeena?oaio naiino?eii i?iaiaeeea
ee?i?ei-eaai?aoi?i? oa ?ino?oiaioaeuei? ianoaaeaiiy o oai?eo, ?ic?iaeea
iaoiaeeeo i?iaaaeaiiy i?ioeaaeo? iaai?oi-eaca?iiai ii?ii?iaiiy oa
i?e?ioaeeueiai? ?aciiainii? oa?ai?? o oai?eo ia ?COeAe c aia?iiao?yie
ieaei?o e?ioe?aie (?aoe?iiae?caoi?nuee? i?iiiceoe?? ?114 oa 115 a?ae
29.12.1995). Noaoenoe/ia ia?iaea oeeo?iaiai iaoa??aeo, ioi?ieaiiy
?iaioe, oi?ioethaaiiy aeniiae?a oa e?oa?aoo?ia ioi?ieaiiy aeena?oaoe??
aeeiiai? aaoi?ii naiino?eii. Aeena?oaioii ia aoee aeei?enoai?
?acoeueoaoe oa ?aea? ni?aaaoi??a ioae?eaoe?e.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe??
aeiiia?aeaeenue ia iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? i?iaeaie
aioo??oiuei? iaoieia?? oa i?neyaeeieiiii? i?aeaioiaee
e?ea??a-oa?aiaao?a” (Ee?a, 1996), ia iaoeiaeo eiioa?aioe?yo
Oa?iii?euenueei? iaaee/ii? aeaaeai?? (1995 – 1997 ??.), Oa?iii?euenueeeo
iaeanieo iaoeiaeo eiioa?aioe?yo (1995 – 1997 ??.), ia ni?eueiiio
can?aeaii? eaoaae? oaeoeueoaonueei? oa?ai??, i?iiaaeaaoe/ii? oa?ai??,
aini?oaeueii? oa?ai?? ?1, aini?oaeueii? oa?ai?? ?2, caaaeueii? o??o?a??,
caaaeueii? a?a??ie, e?ea??a iaeanii? ee?i?/ii? e?ea?i?, ?ioa?i?a oa
eo?naio?a oaeoeueoaoo i?neyaeeieiiii? i?aeaioiaee e?ea??a (Oa?iii?eue,
1997).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 9 iaoeiaeo ?ia?o,
a oiio /ene? a aeo?iaeao: “E?ea?nueea ni?aaa”, “A?niee iaoeiaeo
aeine?aeaeaiue”, “Aiaeie?eiieia?y” oa “Nea??nueeee iaaee/iee aeo?iae”,
aeiouaii ?ioi?iaoe?eiee eeno (Ee?a,1996), ioi?ieaii 2
?aoe?iiae?caoi?nueeeo i?iiiceoe??.

No?oeoo?a ? ianya aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia oe?a?inueeith
iiaith ia 149 noi??ieao iniiaiiai oaenoo, iaa?aiiai ia eiii’thoa??,
?ethno?iaaia 13 iaethieaie, 56 oaaeeoeyie ? neeaaea?oueny c? anooio,
iaeyaeo e?oa?aoo?e, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, iaaiai?aiiy
?acoeueoao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo e?oa?aoo?e,
yeee aeeth/a? 354 aeaea?aea.

INIIAIEE CI?NO

Ia’?i ? iaoiaee ee?i?/ieo aeine?aeaeaiue. Ianoaaeaii 128 oai?eo ia
?COeAe c aia?iiao?yie ieaei?o e?ioe?aie na?aae yeeo aoei 75 (58,6 %)
/ieia?e?a, 53 (41,4%) ae?iie. A?e iaoe??io?a eieeaaany a?ae 17 aei 68
?ie?a (44,3+5,8 ?iee). O?eaae?noue caoai?thaaiiy noaiiaeea a?ae 1
i?nyoey aei 25 ?ie?a.

Ae?aaiic OeAe ? AeAIE, ?o aaaee?noue aenoaaeyee o a?aeiia?aeiino? c
eeaneo?eaoe??th A.N.?o?iiaa [1989]. Aeae?eyee eaaeo, na?aaeith oa aaaeeo
nooi?iue oeoe?iaiai ae?aaaoo ? o?e noaae?? ae?aaaoe/ieo aia?iiao?e
ieaei?o e?ioe?aie. ?iciiae?e oai?eo ia noaae?? ae?aaaoe/ieo aia?iiao?yo
ieaei?o e?ioe?aie a?aeaoaaany a caeaaeiino? a?ae ae?aaeaiino?
iae?iaia?iiao?e. I?e?iaia?iiao??, ye? oaeiae aecia/aeenue o ianoaaeaieo
oai?eo, ia aiineee ?noioiiai aeeaaeo a ee?i?/io ea?oeio aia?iiao?e
ieaei?o e?ioe?aie.

A ia?o? aei? ia?aaoaaiiy a ee?i?oe? ? i?ney e?eoaaiiy an?i oai?ei
i?iaiaeeeinue noaiaea?oeciaaia ee?i?/ia ? caaaeueiii?eeiyoa eaai?aoi?ia
aeine?aeaeaiiy, yea aeeth/aei aecia/aiiy ae?eai??, ai?noo aetheice a
na/? oa aecia/aiiy eaoiiiaeo o?e a e?ia?.

Ai?no caaaeueiiai oieanoa?eio (ON) oa oieanoa?eio e?iii?ioa?ae?a
aeniei? u?eueiino? (ON EIAU) aecia/aee ca iaoiaeii Abell [A.A.Eiea? ?
ni?aaao.,1982]. Ca io?eiaieie aeaieie ?ic?aoiaoaaee eiao?oe??io
aoa?iaaiiino? (EA), ye ni?aa?aeiioaiiy (ON – ON EIAU) / ON EIAU
[A.O.Aeaaeaeaieiaa ? ni?aaao.,1992]. O?eae?oea?eaee (OA) aecia/aee ca
iaoiaeii Chromy et all [1997].

Aeine?aeaeaiiy noaio ia?aeeniiai ieeneaiiy e?i?ae?a (IIE) (ca ai?noii
ae??iiaeo eii’thaao?a oa iaeiiiaiai aeeaeueaeaa?aeo) i?iaiaeeee ca
iaoiaeii L.Placer [1969], ia?aeeniooai?aiiy (IO) – ca iaoiaeeeith
Stocse et Dormandy [1971]. Noai nenoaie aioeieneaeaioiiai caoenoo (AINC)
i?aai?cio ioe?ithaaee ia i?aenoaa? aea/aiiy eiioeaio?aoe?? a?oai?i?a ?
oa A oethi?iiao?e/iei iaoiaeii [?.*.*a?iyoneaia ? ni?aaao.,1984],
aeoeaiino? oa?iaio?a aioeieneaeaioiiai caoenoo – noia?ieneaeaeeniooace
(NIAe) ca nooiaiai ?ia?a?oe?? a?aeiiaeaiiy i?o?ineiueiai oao?acie?th ca
iaoiaeii A.A.Aeoaei?ii? ? ni?aaao. [1983] aeooao?iiia?ieneaeace (AI) ?
aeooao?ii?aaeoeoace (A?) [A.I.E?oae?eiaa oa ?.I.Ooooiai, 1976],
ia?ieneaeacio aeoeai?noue (II) [A.Iiiiaa oa E.Iaeeianueei?, 1971].

Noai nenoaie O – e?ioioeeo?a ioe?ithaaee ca oanoii niiioaiiiai
?icaoeiooai?aiiy ? ?aaeoe?? aeanoii? o?ainoi?iaoe?? (?AOE) c
ianiaoeeo?/iei i?oiaaiii – o?oiaaiaaethoei?iii [A.O. *a?iooaiei ? ?.N.
Eiainiaa,1978], a A-e?ioioeeo?a ca iaoiaeii eiiieaiaioa?iiai
?icaoeiooai?aiiy [A.I. *a?aae??a, 1976]. ??aaiue oee?eoethth/eo ?ioiieo
eiiieaen?a (Oe?E) aecia/aee oeyoii naeaeoeaii? i?aoeei?oaoe?? eiiieaen?a
o ?ic/ei? iie?aoeeaiae?eieth [E.?.Oioeiaa, 1978].

I?i noai cai?oaeueii? nenoaie e?ia? oa o?a?eiie?co noaeeee ca
iieacieeaie iaei? eiaaoeia?aie, ye? oa?aeoa?ecothoue caaaeueio
cai?oaeueio caeaoi?noue e?ia?, ia?oo, ae?oao ? o?aoth oace cai?oaiiy
[A.A.Iaiueoeeia,1987].

Aea/aiiy ia?eoa?e/ii? aaiiaeeiai?ee i?iaiaeeee ca aeiiiiiaith
?aiaacia?ao?/iiai (?IA-1-01) oa oa?iia?ao?/iiai (“?aaeoaa-IO” ii
eiii’thoa?eciaai?e i?ia?ai? “SIT-INFRA”) aeine?aeaeaiiy ieaei?o
e?ioe?aie. Aiae?c ?aia?ai i?iaiaeeee ca?aeii ?aeiiaiaeaoe?e N.E.Aeo?oe
[1990] oa A.?.Iie?uoe ? ni?aaao. [1983], oa?iia?ai ii noaiaea?oeciaai?e
iaoiaeeoe? [E.A.?icaioaeueae ? ni?aaao.,1986].

22 iaoe??ioe (a?oia ii??aiyiiy) io?eioaaee oeoe?icieaeoth/o oa?ai?th,
yea ia?aaeaa/aea ae??oo, ?inoe?iioa?ai?th a aaeaeaaoieo aeicao, a oaeiae
a?iaaiiee noeioeyoi?, a?oai?ie a?oie A, anei?a?iiao eeneioo, ianaae
i?a, e?eoaaeueio o?ceoeueoo?o.

40 oai?ei ?? a?oie ii?yae ?c canoinoaaiiyi aeua aeacaieo iaaeeeaiaio?a
i?iaiaeeee eiia?iiaaia iicanoaeeiia ii?ii?ithaaiiy e?ia? ? aieea ia
oi/ee eeane/ii? eeoaenueei? aeoioieoo?e (eaca?iioieoo?a) c aeiiiiiaith
iai?ai?ia?aeieeiaiai iaai?oi-eaca?a “Eo/-2” i?iiaiai ?io?a/a?aiiiai
niaeo?o c aeiaaeeiith oaee? 0,85 iei, u?euei?noth iioieo iiooaeiino? 25
iAo/ni2, iino?eiei iaai?oiei iieai c ?iaeoeoe??th 25 iOe. O?eaae?noue
aieeao ia eoa?oaeueio aaio ? a?oa??th aei??aithaaa 15 oa. Eo?n noaiiaea
5-7 naain?a, /a?ac aeaiue. O a?euei? aei? i?iaiaeeee eaca?iioieoo?o. *an
ae?? ia oi/eo 60 nae. O?eaae?noue naaino aei 10 oa., a caeaaeiino? a?ae
e?eueeino? oi/ie. Eo?n neeaaeaa 7 naain?a.

??? a?oio neeaee 23 oai?eo ia ?COeAe, o yeeo eo?n oeoe?icieaeoth/iai
e?eoaaiiy aeiiiaithaaany i?eeiiii i?oaaeei?io i?ieiiaiaaii? ae?? –
aaeaeaoo a aeic? 20 ia/ aeiao ca 1 i?eeii ia i?ioyc? 18+3 aei?.

?V a?oia – 21 oai?ee, o yeeo IEO ii?aeioaaee c i?eeiiii aioaaii?noa
eaeueoe?th aaeaeaoo ca iaaaaeaieie aeua iaoiaeeeaie.

22 oai?ei V a?oie ii?yae ?c ?ooeiiei e?eoaaiiyi i?iaiaeeee eo?n
i?e?ioaeeueiai? ?aciiainii? oa?ai?? ca aeiiiiiaith aia?aoo “Aeaeo?ii?ea
IA*-102”. Ae?yee ia a?ieia?/ii aeoeai? oi/ee caaaeueii? ae??: A36, GI4,
J22,J16; i?noeaai? ae??: F2, F3, RP6, VB37 , ye? aeyaeyee ca aeiiiiiaith
aia?ao?a “IYI” aai “?aoeaen”. Oaeeueia?ae ?ici?uaee ia a?aenoai? 3-5 ii
iaae oe??ith. Iaeei naain aeeth/aa ii?ii?iaiiy 2-4-o (ia?ieo) oi/ie ia
i?ioyc? 15 oaeeei. I?ioeaaeo?e a?aeioneaee uiaeaiii. Eo?n e?eoaaiiy
aeeth/aa 6-10 naain?a.

Eiio?ieueio a?oio neeaaeaee 30 caei?iaeo in?a aiaeia?/iiai ianoaaeaiei
oai?ei a?eo.

Noaoenoe/io ia?iaeo c aecia/aiiyi na?aaeiuei? a?eoiaoe/ii? aaee/eie (I)
oa na?aaeiueieaaae?aoe/ii? iiieeee (+m) i?iaiaeeee ia ia?niiaeueiiio
eiii’thoa?? ?N:286 ii i?ia?ai? “Statgraf”; ??cieoey iieaciee?a
aaaaeaeany aeinoia??iith i?e ?0,05 a?aeiinii eiio?ieueii? a?oie).
Eiia??ii, ae?y eaca?iiai i?ii?iiy ?aae?co?oueny oeyoii aca?iiae??
eaaio?a na?oea c e?i?aeiei oa?ii ee?oeiieo iaia?ai, a ?acoeueoao? /iai
ioe aeooao?iio a iaia?aiao a?eo?ioeeo?a e?aua caa??aa?oueny ?
a?aeaoaa?oueny aeoeaaoe?y AINC ee?oei.

Canoinoaaiiy I?O a eiiieaeniiio e?eoaaii? oai?eo ni?eyei ii?iae?caoe??
iieaciee?a IIE ? AINC o oai?eo c aeiee?i?/iith noaae??th AeAIE, i?e
o?eaaeino? ?COeAe aei 1 ?ieo, eiee ci?ie iai?io e?i?ae?a i?i?iaeuei?. O
oai?eo c ?? oa ??? noaae?yie aia?iiao?e ieaei?o e?ioe?aie ai?no
i?iaeoeo?a IIE iaei ci?ithaaany a i?ioean? e?eoaaiiy.

Oaaeeoey 2

Iieacieee ia?aeeniiai ieeneaiiy e?i?ae?a, aioeieneaeaioiiai caoenoo,
?ioiiiai noaoono oa ?aiaacia?ao?? aei ? i?ney e?eoaaiiy (M+m)

o?aaeeoe?eia

e?eoaaiiy

(n=22)O?aaeeoe?eia e?eoaaiiy a ii?aeiaii? c

Iieacieee

iaai?oi-eaca?iith oa?ai??th

(n=40)aaeaeaoii

(n =23)iaai?oi-eaca?iith oa?ai??th oa aaeaeaoii

(n=21)i?e?ioaeeueiaith ?aciiainiith oa?ai??th

(n =22)IAeA,eiieue/e

(2,25+0,08)123,34+0,08*

3,21+0,10*3,33+0,07*

2,51+0,11 3,41+0,09*

3,15+0,10* 3,28+0,08*

2,41+0,103,31+0,08*

2,64+0,09*A?oA,iiieue/e

(2,55+0,02) 122,25+0,02*

2,29+0,02*2,27+0,02*

2,50+0,022,22+0,02*

2,34+0,02*2,25+0,02*

2,60+0,022,26+0,02*

2,50+0,02IO,ieiieue/e

(32,60+0,15)1233,28+0,18*

33,25+0,20*33,23+0,10*

32,43+0,1033,30+0,1*

33,06+0,1*33,26+0,12*

32,33+0,1033,27+0,1*

33,20+0,1*NIAe,%ae.

(11,08+0,17)1210,33+0,07*

10,35+0,07*10,31+0,04*

10,42+0,19*10,34+0,09*

10,37+0,16*10,37+0,08*

10,56+0,4010,32+0,09*

10,53+0,12*A?,iiieueIAAeOI/oa/e

(78,79+2,29)1249,60+1,61*

57,03+1,49*49,89+1,67*

67,74+1,52*49,51+1,32*

55,92+1,49*49,78+1,13*

75,18+1,6049,63+1,71*

61,79+1,48*O-e?ioioeeoe, % (53,36+0,30)1243,39+0,32*

43,58+0,29*43,37+0,34*

51,91+0,32*43,30+0,31*

43,53+0,34*42,88+0,34*

52,07+0,27*42,93+0,33*

52,63+0,39?AOE, %

(74,36+0,92)1263,91+0,50*

66,89+0,45*63,83+0,35*

72,82+0,3464,19+0,64*

65,95+0,71*63,25+0,80*

72,40+0,6163,48+0,45*

73,01+0,59A-e?ioioeeoe,

% (23,70+0,70)1227,33+0,25*

27,00+0,24*27,50+0,20*

23,90+0,1927,24+0,28*

26,29+0,27*27,43+0,20*

24,00+0,2327,23+0,26*

23,82+0,27??,oi.iae.

(1,26+0,10)120,84+0,08*

0,90+0,09*0,86+0,03*

1,01+0,100,80+0,02*

0,90+0,07*0,84+0,05*

1,18+0,090,88+0,05*

1,02+0,09?E,%

(11,80+0,40) 1214,11+0,12*

13,80+0,18*14,18+0,19*

12,54+0,2114,22+0,20*

12,66+0,1814,13+0,14*

12,26+0,1914,20+0,15*

12,61+0,13Oa.i?.,oi.iae./nae(8,75+0,20)126,34+0,30*

6,46+0,30*6,48+0,40*

8,23+0,306,03+0,20*

6,97+0,30*6,32+0,20*

8,31+0,305,97+0,10*

6,64+0,30*IE,%i

(0,98+0,03) 120,72+0,03*

0,81+0,08*0,77+0,04*

0,85+0,03*0,78+0,02*

0,83+0,04*0,74+0,02*

0,86+0,04*0,70+0,04*

0,81+0,07*IE, ie/oa/100ni3

(6,79+0,11) 124,84+0,39*

5,03+0,31*4,48+0,37*

5,31+0,22*4,63+0,42*

5,08+0,19*4,57+0,32*

5,44+0,20*4,54+0,27*

5,11+0,36*I?ei?oee: 1. 1,2 – a?aeiia?aeii cia/aiiy iieaciee?a aei oa
i?ney e?eoaaiiy;

2. * – iieaciee aeinoia??ii
a?aei?iiee a?ae eiio?ieth(P

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