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

E?IAANUeEA E??a TH???aia

OAeE 616.37—002.2—036.65—074+616—073.432.19

IIOEI?CAOe?ss EAAI?AOI?II-?INO?OIAIOAEUeII? Ae?AAIINOEEE O?II?*IIAI
?AOeEAeEAOTH*IAI

IAIE?AAOEOO

14.01.02 — aioo??oi? oai?iae

Aaoi?aoa?ao

aeenna?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Eoaainuee — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
?i. I. Ai?ueeiai I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie.

IAOEIAEE EA??AIEE — aeieoi? iaaee/ieo iaoe AOAA?A??Oe IAOAEss AI?EN?AIA,
Aeiiaoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i. I.Ai?ueeiai, i?ioani?
eaoaae?e aioo??oi?o oai?ia

IO?Oe?EI? IIIIAIOE: aeieoi? iaaee/ieo iaoe, aeioeaio O?ENOE* OAIA?A
IEEIEA?AIA, Aoeiaeinueea aea?aeaaia iaaee/ia aeaaeai?y, i?ioani?
eaoaae?e aini?oaeueii? oa?ai?? oa ee?i?/ii? oa?iaeieia??

aeieoi? iaaee/ieo iaoe, aeioeaio IAN??OA?E? ETHAeIEEA IEOAEE?AIA,
Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao, aeioeaio eaoaae?e
oaeoeueoaonueei? oa?ai??

I?IA?AeIA ONOAIIAA — Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe
?i. I.E.Ooieea IIC Oe?a?ie, eaoaae?a aano?iaioa?ieia?? ? ae??oieia??

Caoeno a?aeaoaeaoueny 03 aa?aciy 2000 ?. i 9.00 aiae. 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; oae. 54-85-57).

C aeena?oaoe??th iiaeia iciaeiieoenue o 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 30 n?/iy 2000 ?ieo.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe, i?ioani? Eieii??oeue A.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Ca aeaieie Anana?oiuei? i?aai?caoe?? ioi?iie
caei?ia’y oai?iae i?aai?a o?aaeaiiy ? iaeieie c iaea?eueo
?iciianthaeaeaieo o na?o?, caeiath/e o?ao? i?noea ii caoai?thaaiino?
i?ney na?oeaai-noaeeiii? oa iieieia?/ii? iaoieia?? (TH.A.Oeeeiiia n
niaao., 1999). I?e/iio i?iaiico?oueny c?inoaiiy caoai?thaaiino?
aano?iaioa?ieia?/iith iaoieia??th, ui coiiaeth? aeooaeuei?noue iiooeo ?
aeei?enoaiiy aoaeoeaieo iaoiae?a ?? ae?aaiinoeee ? e?eoaaiiy (?.I.Iaeei,
E.A.Aeooei, 1999). Iaeieie c iaeneeaaei?oeo aeey ae?aaiinoeee ?
e?eoaaiiy ? caoai?thaaiiy i?aeoeoieiai? caeice (IC) (I.ss.A?eai?ueaa,
A.A.sseiaaiei, 1998; A.A.Ia?aaea??e, N.I.Oea/, 1998), ye? ui??/ii
a?aaeathoue iaeiiai c aeanyoe oeny/ ianaeaiiy Caie? (A.C.Gough et al.,
1996). Ca aeaieie ?anioae?eainueeiai Oeaio?o noaoenoeee a Oe?a?i?
??ciith iaoieia??th IC a 1998 ?ioe? no?aaeaeaei iiiaae 370 oeny/ in?a,
i?e/iio eeoa a oiio ae ?ioe? ?o e?euee?noue ca?eueoeeanue ia 51 oeny/o
in?a ii??aiyii c 1997 ?ieii. Caoai?thaai?noue iaoieia??th IC a Oe?a?i?
neeaaea? 101,3 aeiaaeee ia 100 oeny/ ianaeaiiy, a ?iciianthaeaeai?noue —
739,1 aeiaaee?a ia 100 oeny/ ianaeaiiy. Inoaii?e iieaciee o Aeiiaoeuee?e
iaeano? aeuee — 778,9 aeiaaee?a ia 100 oeny/ ianaeaiiy, ui aecia/a?
iniaeeao aeooaeuei?noue i?iaeaie aeey oaooa?nueeiai ?aa?iio. Na?aae
caoai?thaaiue IC iniaeeaa i?noea caeia? o?ii?/iee ?aoeeaeeaoth/ee
iaie?aaoeo (O?I) (O.I.O?enoe/, 1996; E.I.Ian??oa?e?, 1997;
A.?.Aaeiae/aiei, 1999). ?iciianthaeaeai?noue O?I a ?iaeono??aeueii
?icaeiooeo e?a?iao ?a?iie neeaaea? 25 aeiaaee?a ia 100 oeny/, a
caoai?thaai?noue — 5 aeiaaee?a ia 100 oeny/ ianaeaiiy (J.M.Lohr, 1998).
Oae, a I?ia//ei? a?eueoa 20 oeny/, a ?in?? — a?eueoa 60 oeny/ oai?eo ia
O?I. A no?oeoo?? caoai?thaaiue i?aai?a o?aaeaiiy O?I caeia? 9-12%
(I.O.Aeaeiaei, I.E.ssaeo/aineee, I.ss.Aaaae, 1991; J.M.Lohr, 1998).

O?I neeaaea? aei 25% aeiaaee?a caa?oaiue aei aano?iaioa?ieia?/ieo
eaa?iao?a iie?ee?i?e Oe?a?ie (C.I.Oieaaeue n niaao., 1999).
Aeaaaeoeyoe??/iee aiaiiac O?I i?aeaeuo? ?ecee ?icaeoeo ?aeo IC o 5 ?ac?a
(A.A.Eaeeiei, 1999; A.B.Lovenfels et al. 1993). Oyaeea ooieoe?iiaeueia
iaaeinoaoi?noue IC, yea ?icaeioeanue aiane?aeie O?I, ? i?e/eiith
?iaae?ae?caoe?? oai?eo i?aoeacaeaoiiai a?eo (E.E.Aeaaoy??aa, 1992;
I.A.Aoaa?a?eoe, 1998; TH.A.Eaaiia oa ni?aaao., 1998), ui i?ecaiaeeoue
aei aeiiii?/ieo ao?ao ye aeey i?aei?e?inoa, oae ? aeey e?a?ie a oe?eiio
(I.E.Oaeueiiaa, 1999).

Iaie?aaoeoe i?ecaiaeyoue aei oneeaaeiaiue ? iaa?oue nia?o? oai?eo
(E.I.Aaeaieaae/, I.E.ssoiioiaa, 1999; TH.A.Eaaiia, A.A.ssniaoeia, 1999).

Ae?aaiinoeea O?I aeineoue neeaaeia (A.I.Iaeauoe oa ni?aaao., 1995;
A.E.Oacaiia, 1997; ?.I.Eaoa?ai/oe, 1999). Iacaaaeath/e ia aaeeeo
e?euee?noue eaai?aoi?ieo oa ?ino?oiaioaeueieo oano?a (a?eueo ca 80),
ae?aaiinoeoe? iaie?aaoeo?a ua aeaeaei aei anooio o “cieioee a?e”,
ine?eueee aeiaeai ?c oano?a ia ? aaca?aeiiaiei; aaaaoi iaoiaeee
neeaaei?, aei?iaiaa?o?ni?, iia’ycai? c ?eceeii aeey oai?iai, ia
aeicaieythoue ae?aaiinooaaoe caoai?thaaiiy ia ?aii?o noaae?yo
(A.E.A?aaaiaa, 1996; H.B.Yeueooaei, 1998; T.Homma, 1998). O?I iaeaaeeoue
aei caoai?thaaiue, ca yeeo /ano?oa ia? i?noea a?ia?ae?aaiinoeea (a 38,7%
aeiaaeeao), i?ae iaaeiioe?iea neiioii?a iaie?aaoeoo (a 6,5% aeiaaeeao)
(ss.N.Oeeiia?iai, 1992; I.A.Yeueooaei, 1998). Cai/a?aaeiia ?icoaooaaiiy
IC, ianiaoeeo?/i?noue i?iya?a O?I (A.A.Oaeeiia oa ni?aaao.,1998), /anoa
ii?aeiaiiy c ?ioeie caoai?thaaiiyie i?aai?a o?aaeaiiy (E.I.Ian??oa?e?,
1997; A.?.Iaeei, A.A.Aecaiieianueea, 1999) — oea o? iniiai? i?e/eie, ye?
aecia/athoue ae?aaiinoe/i? iiieeee (I.A.Aoaa?a?eoe, 1998; O.I.O?enoe/,
E.A.Oanoaeiaa, 1999). Ia/?oe?noue ae?aaiinoe/ieo e?eoa???a /anoi
i?ecaiaeeoue aei oiai, ui ae?aaiic O?I aenoaaeythoue o?eueee ia
i?aenoaa? aieth o e?aiio i?ae?aaa?’?, oi/a ?o i?e/eiith iiaea aooe ia
eeoa iaoieia?y IC, aea e oeoieo, naeac?ieiaiai eooa iaiaeiai? eeoee,
e?ai? ie?ee, naeac?iee, ieaeiuei? /anoee e?ai? eaaai?, oiui
(P.G.Lankisch, 1997). *anoioa ae?aaiinoe/ieo iiieeie i?e O?I aeinyaa?
45% (I.A.Yeueooaei, 1998; P.G.Lankisch, 1997), ui ni?e/eiy? iai?aaeeueia
e?eoaaiiy oai?eo. Ana aeuaaeeeaaeaia iaa?oioiao? iaiao?aei?noue ?ic?iaee
?ioi?iaoeaieo, aeinooiieo aeey i?aeoeee ca aa?o?noth ? oaoi?eith
aeeiiaiiy iaoiae?a ae?aaiinoeee O?I. Aacoiiaii, aeioe?eueieie ? e
iioei?caoe?y aaea a?aeiieo iaoiae?a ae?aaiinoeee caoai?thaaiiy ?c
a?aooaaiiyi ?o ?acoeueoao?a i?e aeai?? oaeoeee eiai e?eoaaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aeeiioaaeanue a?aeiia?aeii aei iniiaiiai ieaio IAe? Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ? yaey? niaith o?aaiaio o?ueio
IAe?: “Aea/eoe iiaeeeaino? aeei?enoaiiy aioo??oiueiaaiiiai eaca?iiai
ii?ii?iaiiy e?ia? oa aioa?ini?aaio?a o e?eoaaii? oai?eo ia o?ii?/iee
?aoeeaeeaoth/ee iaie?aaoeo”(? aea?ae?a?no?aoe?? 0193V034223),
“?ioiieia?/i? aniaeoe iaoiaaiaco, ee?i?ee, ia?aa?ao oa e?eoaaiiy
iniiaieo oi?i o?ii?/iiai iaie?aaoeoo” (? aea?ae?a?no?aoe?? 0196V009525),
“Iaoiaaiaoe/i? aniaeoe e?eoaaiiy oai?eo ia o?ii?/iee ?aoeeaeeaoth/ee
iaie?aaoeo ?ia?a?oi?aie i?ioaie?oe/ieo oa e?iie?oe/iiai oa?iaio?a” (?
aea?ae?a?no?aoe?? 0197V018396).

Iaoa aeine?aeaeaiiy: i?aeaeueoe ye?noue ae?aaiinoeee o?ii?/iiai
?aoeeaeeaoth/iai iaie?aaoeoo.

Aeey ?aae?caoe?? cacia/aii? iaoe aoee iinoaaeai? oae? caaea/?
aeine?aeaeaiiy:

1. I?iaiae?coaaoe iniaeeaino? ee?i?/iiai ia?aa?ao o?ii?/iiai
?aoee-aeeaoth/iai iaie?aaoeoo a ?o ca’yceo c ?ioi?iaoeai?noth
o?aaeeoe?eieo ?ino?oiaioaeueieo ? eaai?aoi?ieo oano?a i?e aeaiiio
caoai?thaaii?.

2. ?ic?iaeoe aano?iaeoiaeaiaeueiee ciiae i?ea?iaeueii? eiino?oeoe?? aeey
io?eiaiiy aeoiaeaiaeueiiai ai?noo c iaoith ioe?iee ciai?oiueinae?aoi?ii?
ooieoe?? i?aeoeoieiai? caeice.

3. Aea/eoe ae?aaiinoe/io ?ioi?iaoeai?noue aoo?e?i-eaeueoe??aiai oanoo
i?e o?ii?/iiio ?aoeeaeeaoth/iio iaie?aaoeo?.

4. Iioei?coaaoe eaai?aoi?io ae?aaiinoeeo o?ii?/iiai ?aoeeaeeaoth/iai
iaie?aaoeoo ia i?aenoa? ?ic?aooieo ?iaeaen?a “ooeeaiiy“ oa?iaio?a o e?ia
c aeei?enoaiiyi o?aaeeoe?eieo eaai?aoi?ieo iieaciee?a.

5. Aeaoe ee?i?/io ioe?ieo ?ioi?iaoeaiino? oeueo?acaoeiaeo a?noia?ai i?e
ae?aaiinoeoe? o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo.

6. Iaa?oiooaaoe ia?aaaae iioei?ciaaieo eaai?aoi?ieo oa
?ino?oiaioaeue-ieo (oeueo?acaoeiaiai aeine?aeaeaiiy, aeoiaeaiaeueiiai
ciiaeoaaiiy) iaoiae?a ianoaaeaiiy ii??aiyii c o?aaeeoe?eieie caniaaie
ae?aaiinoeee o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo, ioe?ieoe ca’ycie
?o ?acoeueoao?a c ee?i?eith caoai?thaaiiy.

7. Iaa?oiooaaoe aoaeoeai?noue a?aooaaiiy ?acoeueoao?a iioei?ciaaieo
ia-oiae?a ae?aaiinoeee o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo o aeai??
oaeoeee e?eoaaiiy oai?eo.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa ?ic?iaeai? ?iaeaene
“ooeeaiiy” oa?iaio?a IC o e?ia, aeiaaaeaia ?o aeniea ae?aaiinoe/ia
?ioi?iaoeai?noue i?e O?I ii??aiyii c o?aaeeoe?eieie eaai?aoi?ieie
oanoaie (iaoaio ?O ia aeiao?ae N2139542). Iiaeie oeyoaie iioei?ciaaia
oeueo?acaoeiaa ae?aaiinoeea O?I: ia’?eoea?ciaai? ?acoeueoaoe niiia?ao??
IC c a?aooaaiiyi aeaieo a?noia?ao?? oa ooieoe?iiaeueii-niiia?ao?/ieo
ia?aeaeae. Neiino?oeiaaiee i?ea?iaeueiee aeaieaiaeueiee
aano?iaeoiaeaiaeueiee ciiae aeey aeine?aeaeaiiy ciai?oiueinae?aoi?ii?
ooieoe?? IC (iaoaio Oe?a?ie ia aeiao?ae N24080). Iaa?oioiaai?
iiaeeea?noue oa ia?aaaae aeei?enoaiiy cai?iiiiiaaiiai
aoo?e?i-eaeueoe??aiai oanoo aeey ciiaeiaiai aeine?aeaeaiiy IC a
ae?aaiinoeoe? O?I (??oaiiy a?ae 27.10.1999 i?i aeaea/o iaoaioo Oe?a?ie
ia aeiao?ae “Niin?a noeioethaaiiy ciai?oiuei? nae?aoe?? i?aeoeoieiai?
caeice”), aeioe?euei?noue a?aooaaiiy ?acoeueoao?a iioei?ciaaieo iaoiae?a
ae?aaiinoeee O?I o aeai?? oaeoeee eiai e?eoaaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Iaa?oioiaaia
aeioe?euei?noue aeei?enoaiiy cai?iiiiiaaiiai niiniao ioe?iee
ciai?oiueinae?aoi?ii? ooieoe?? IC oai?eo ia O?I — aoo?e?i-eaeueoe??aiai
oanoo. A?i ia? iaioo aa?o?noue ii??aiyii c nae?aoei-iaie?aicei?iiaei
oanoii, ia iinooiath/enue eiio a ?ioi?iaoeaiino?, aacia/iee aeey oai?eo,
aeinooiiee aeey i?aeoeee. Aeiaeaeaiee ciiae aeey ae?aaiinoeee
caoai?thaaiue IC, yeee ia? i?inoo eiino?oeoe?th, ia iio?aao?
i?aai?caoe?? niaoe?aeueiiai ae?iaieoeoaa, oa iiaea aooe aeaioiaeaiee ?c
noaiaea?oieo eeoeiaeo ciiae?a. ?ic?iaeai? oeyoe iioei?caoe??
eaai?aoi?ii? oa niiia?ao?/ii? ae?aaiinoeee O?I. Aiie cia/ii
i?aeaeuothoue ?ioi?iaoeai?noue ?ooeiieo aeine?aeaeaiue c aeei?enoaiiyi
eeoa i?inoeo ?ic?aooie?a, aac i?aeaeuaiiy aa?oino? oeeo aeine?aeaeaiue,
caeo/aiiy iiaeo oaoiieia?e oa aeiaeaoeiai? aia?aoo?e. Cai?iiiiiaai?
niiniae i?aeaeuothoue ye?noue ae?aaiinoeee O?I. ?ic?iaeai? aeai?eoie
aeai?o oa?aiaaoe/ii? oaeoeee i?e O?I aeoiaey/e c ?acoeueoao?a
oaeineiiaeaieo iaoiae?a eiai ae?aaiinoeee. Oea aeicaiey? nei?ioeoe
no?iee eoi??oaaiiy caaino?aiiy O?I.

Iniiai? ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue ai?iaaaeaeai? aei
i?aeoeee oa?aiaaoe/ieo oa aano?iaioa?ieia?/ieo a?aeae?eaiue e?ea?aiue
i?no Ee?aa, Aeiiaoeueea, A?iieoe?, Oa?eiaa, *a?i?aoe?a oa Iaeanueei?
iaeano?. Io?eiai? iia? aeai? aeeth/ai? aei iaa/aeueiiai i?ioeano
Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo, o i?aeoeeo
iaoeiai-aeine?aeii? ?iaioe Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo
aano?iaioa?ieia?? (i. Aei?i?iiao?ianuee).

Iniaenoee aianie caeiaoaa/a. Aianie aaoi?a a iaea?aeaiiy ?acoeueoao?a
aeine?aeaeaiue iieyaa? o cai?? ee?i?/iiai iaoa??aeo, ianoaaeaii? oai?eo
ia O?I, ?io? caoai?thaaiiy i?aai?a o?aaeaiiy oa a?oie caei?iaeo. Aiia
?ioa?i?aooaaea ?acoeueoaoe eaai?aoi?ieo oa ?ino?oiaioaeueieo
aeine?aeaeaiue, i?iaaea ii??aiyeueio ioe?ieo o?aaeeoe?eieo ? iiaeo
ae?aaiinoe/ieo oano?a, ?ic?iaeea aano?iaeoiaeaiaeueiee ciiae, a?aea
o/anoue o ai?iaaaeaeaii? eiai a i?aeoeeo, a iioei?caoe?? eaai?aoi?ii? oa
oeueo?acaoeiai? ae?aaiinoeee O?I. Iaa?oiooaaea iiaeeea?noue oa
aeioe?euei?noue aeei?enoaiiy aoo?e?io oa aetheiiaoo eaeueoe?th aeey
noeioethaaiiy ciai?oiuei? nae?aoe?? IC c ae?aaiinoe/iith iaoith o oai?eo
ia O?I, iniaenoi ?ic?iaeea iaoiaeeeo i?iaaaeaiiy aoo?e?i-eaeueoe??aiai
oanoo ? o?aeooaaiiy eiai ?acoeueoao?a, aeai?eoie e?eoaaiiy O?I, ye?
aacothoueny ia ?acoeueoaoao iioei?ciaaieo iaoiae?a ae?aaiinoeee
caoai?thaaiiy. Naiino?eii i?iaaea noaoenoe/io ia?iaeo iaea?aeaieo
aeaieo, ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiue, oi?ioaaiiy aeniiae?a
oa i?aeoe/ieo ?aeiiaiaeaoe?e.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe?? aeeeaaeai?,
iaaiai?ai? ? noaaeai? ia ?anioae?eainueeeo iaoeiai-i?aeoe/ieo
eiioa?aioe?yo aano?iaioa?ieia?a (Oa?e?a, 1998; Aei?i?iiao?ianuee, 1999),
4-oiio ?in?enueeiio aano?iaioa?ieia?/iiio oeaei? (Iineaa, 1998), OOVI
iaoeia?e nan?? OeIAe? aano?iaioa?ieia?? (Iineaa, 1999), 31-?e cono??/?
?a?iiaenueeiai eeoao iaie?aaoieia?a (Ethiaaa?a, I?ia//eia, 1999), ?
eiia?an? aaiaoieia?a Oe?a?ie (Ee?a, 1999). Ca aeeiiai? aeine?aeaeaiiy o
1999 ?ioe? i?enoaeaeaia i?ai?y ?a?iiaenueeiai eeoao iaie?aaoieia?a.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 12 ?ia?o, c ieo 7
o oaoiaeo aeaeaiiyo, aeciaaa?ieo AAE Oe?a?ie (2 — aac ni?aaaoi??a), o
oiio /ene?: 1 — ni?aaaoi?noai o ?icae?e? iiiia?ao??, 6 noaoae, 5 oac.
Iaea?aeaii 2 iaoaioe oa 1 ??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae, 3
iina?ae/aiiy ia ?aoe?iiae?caoi?nuee? i?iiiceoe??.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?th aeeeaaeaii ia 168
noi??ieao ae?oeiaaiiai oaenoo. Aiia neeaaea?oueny ?c anooio, 7 ?icae?e?a
(iaeyaeo e?oa?aoo?e, iieno iaoa??ae?a ? iaoiae?a, 5 ?icae?e?a aeanieo
aeine?aeaeaiue), caeeth/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e,
nieneo aeei?enoaieo aeaea?ae. A?i i?noeoue 324 aeaea?aea, o oiio /ene?
242 ca?oa?aeieo. ?iaioo ?ethno?iaaii 7 oaaeeoeyie, 29 ?enoieaie oa 4
aeoyaaie c ?noi??e oai?ia.

INIIAIEE CI?NO

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. I?ae iaaeyaeii ciaoiaeeeenue 130
oai?eo ia O?I a?eii a?ae 18 aei 66 ?ie?a. O?eaae?noue caoai?thaaiiy
neeaaeaea a?ae 1 aei 22 ?ie?a. Na?aae ianoaaeaieo oai?eo aoei 94 ae?iee
oa 36 /ieia?e?a. O 24 oai?eo ae?aaiinoiaaii ia?aeiiee O?I (18,5%
aeiaaee?a), yeee o 18 oai?eo aoa aeeiaieueiei, o iaeiiai oai?iai —
o?aaiaoe/iei, o 4 — ?ae?iiaoe/iei. O ?aooe 106 oai?eo (81,5% aeiaaee?a)
O?I aoa aoi?eiiei ? ?icaeioany aiane?aeie ?ioeo caoai?thaaiue i?aai?a
o?aaiiai o?aeoo: o 46 oai?eo ia oii? iaoieia?? aaiaoia?e?a?ii? nenoaie,
o 56 oai?eo i?e/eiith O?I aoea iaoieia?y aano?iaeoiaeaiaeueii? ciie
(o?ii?/iee aano?iaeoiaeai?o, ae?aceiaa oai?iaa oeoieo,
aeaaiaaeoeyoeiaei? eeoee, noai i?ney ?acaeoe?? oeoieo); ??aeoa i?e/eiith
O?I aoee o?ii?/i? eie?oe — o 4 oai?eo.

Ee?i?ea O?I neeaaeaeanue ?c aieueiaiai neiae?iio, yeee iaa i?noea a on?o
oai?eo, aeeniaine/iiai neiae?iio — o 118 oai?eo (90,7% aeiaaee?a),
i?iya?a ciai?oiueinae?aoi?ii? iaaeinoaoiino? IC — o 42 oai?eo (32,3%),
cieaeaiiy ?? aiaeie?eiii? ooieoe?? — o 5 oai?eo (3,8%), iciae
caeaaethaaiiy non?aei?o i?aai?a, oiaoi ii?ooaiiy a?aeoieo aeia/? — o 6
oai?eo (4,6%), i?iya?a ?ioieneeaoe?? — o 23 oai?eo (17,7%), aea?a?? — o
39 oai?eo (30,0%). I?e iaeueiaoe?? i?aai?a /a?aaii? ii?iaeieie a on?o
oai?eo ia O?I aecia/aeanue oai?iaeea?noue o i?iaeoe?? IC, o 8 oai?eo
iaeueioaaeanue IC o aeaeyae? iiia?aeiai ?icoaoiaaiiai oyaea, o 23 oai?eo
aoea oai?iaeea?noue o cii? Oiooa?a, o 18 oai?eo — oai?iaeea?noue o cii?
I.Aoaa?a?eoey-Neoeuenueeiai. Ae?aci?noue ee?i?/ieo i?iya?a
ioe?ithaaeanue ca /ioe?ueioaaeueiueith oeaeith.

Ianoaaeai? oaeiae 32 oai?eo ia ?io? caoai?thaaiiy, ia iath/eo ee?i?/ieo,
eaai?aoi?ieo oa ?ino?oiaioaeueieo iciae iaoieia?? IC (a?oia ii??aiyiiy):
5 c ieo no?aaeaeaee ia aeia/ii-eai’yio oai?iao, 4 — ia aaceai’yiee
oieaoeenoeo, 3 — ia o?ii?/iee aaiaoeo, 2 — ia oee?ic ia/?iee, 1 — ia ?ae
oianoi? eeoee, 3 — ia o?ii?/iee aano?iaeoiaeai?o, 4 — ia ae?aceiao
oai?iao aeaaiaaeoeyoeiaei? eeoee, 3 — ia ae?aceiao oai?iao oeoieo, 3 —
ia o?ii?/iee eie?o, 4 — ia o?ii?/io ie?eiao iaaeinoaoi?noue II-III
nooiaiy aiane?aeie aeiia?oeiiao?eoo. Aei aeine?aeaeaiiy aoee aeeth/ai?
33 caei?iaeo (eiio?ieueia a?oia). Ioaea, anueiai aoei ianoaaeaii 195
in?a.

On?i ianoaaeaiei i?iaaaeaii aeoiaeaiaeueia ciiaeoaaiiy aeey aea/aiiy
ciai?oiueinae?aoi?ii? ooieoe?? IC. Aeey oeueiai aeei?enoiaoaaee
aeaieaiaeueiee aano?iaeoiaeaiaeueiee ciiae i?ea?iaeueii? eiino?oeoe??, a
ye noeioeyoi? ooieoe?? IC — aoo?e?i oa aetheiiao eaeueoe?th
(aoo?e?i-eaeueoe??aee oano — AEO). 10 oai?ei ia O?I oa 10 caei?iaei,
ie??i AEO, i?iaaaeaii oaeiae nae?aoei-iaie?aicei?iiaee oano (NICO). I?e
ciiaeiaiio ianoaaeaii? a?aoiaoaaee ia’?i iaea?aeoaaiiai aeoiaeaiaeueiiai
ai?noo (aacaeueia ? 4 ii?oe?? i?ney noeioethaaiiy), aecia/aee aeaa?oe
a?ea?aiiao?a (iaoiae cai?ioiiai oeo?oaaiiy), e?iace (iaoiae O?ooea),
ai?eace (iaoiae Ea?aaay), o?eineio (iaoiae A?ina) (I.I.Aiaa?, 1982).

Aeey aea/aiiy ia’?io oa aeaa?o-aiaeeie a?ea?aiiao?a, oa?iaio?a IC, aeey
ae?aaiinoeee ?? caoai?thaaiue iaiao?aeia aeei?enoaiiy aeaieaiaeueieo
ciiae?a, ye? aeicaieythoue iiae?eyoe oeoieiaee oa aeoiaeaiaeueiee ai?no
(P.G.Lankisch, 1997). Oea iia’ycaii c oei, ui aeania oei?enoi-aiaeiaaa
eeneioa, aoaeo/e noeioeyoi?ii nae?aoe?? IC, niioai?th? ?acoeueoaoe
aeine?aeaeaiiy. O ca’yceo c oeei ?? ne?ae ani??oaaoe. A?aeiii
aano?iaeoiaeaiaeuei? ciiaee Eaaa?eaoa, Aiaa?a, Ia?aia, Neo? oa ?io?.
Aiie iathoue ?yae iaaeie?e?a: aaeeeo oiaueio, iaaeinoaoith aio/e?noue,
??ciee ae?aiao? ai?iaeiaae ciiaeo, aaeeeo ciiooaai?noue iaoa??aeo, ui
?iaeoue aeei?enoaiiy oeeo ciiae?a aeey i?aeoeee oo?oaeiaiei.

?ic?iaeaiee iaie ciiae (iaoaio Oe?a?ie ?24080) ia? ?yae ia?aaaa ia?aae
aeuaia?a?aoiaaieie. Eiai eiino?oeoe?y iieacaia ia ?enoieo 1.

Aeoiaeaiaeueia /anoeia ciiaeo yaey? niaith iaeiieaiaeueio ae?eyieo (2)
aeiaaeeiith 0,2 i, aei aeenoaeueiiai e?ioey yeiai i?ee??ieaia ieeaa (1).
Oey ae?eyiea ia? i’youe ioai??a (7) ?ici??ii 5o4 ii. I?ieneiaeuei?oa
aeoiaeaiaeueii? /anoeie ciaoiaeeoueny aeaieaiaeueia (oeoieiaa) ae?eyiea
ciiaeo, aeiaaeeiith 0,6 i. Ona?aaeei? ia? i?ioiaeeoue iicaeiaaeiy
ia?aoeiea (6), yea ae?eeoue i?ina?o ciiaeo (caaaeueiee ae?aiao? — 6 ii)
ia aea? ??ai? /anoeie. I?ina?o (4) oe??? /anoeie ciiaeo i?ecia/a?oueny
aeey aaaeoaoe?? oeoieiaiai ai?noo, a?i cae?eoee, oiaoi oeoieiaee ai?no
ia ci?oo?oueny c aeoiaeaiaeueiei. Oeae i?ina?o ciiaeo (4) oaeiae ia?
i’youe ioai??a (3) oiai ae ?ici??o. Ae?oaee i?ina?o (8) aeaieaiaeueii?
ae?eyiee a?eueii c’?aeio?oueny c aeoiaeaiaeueiith iaeiieaiaeueiith
/anoeiith ciiaeo. Ii iueiio i?ioiaeeoue aeoiaeaiaeueiee ai?no aeey
aeine?aeaeaiiy. Ia i?ieneiaeueiiio e?ioe? iaio eaiae?a iaeyaiooee
ia?ao?aeiee (5). Oaea eiino?oeoe?y caaacia/o? ?icae?eueia io?eiaiiy
oeoieiaiai oa aeoiaeaiaeueiiai ai?noo. Ciiae aeaioiaeaii c iaaee/iiai
a?aioeueiaaiiai ieanoeeaoo, iaoe?aeeeaiai aeey ethaeeie oa a?eueo
ciinino?eeiai, i?ae aoia. Iao ciiae ia? oae? ia?aaaae: iaaaeeeee
ae?aiao?, aio/e?noue, aeiiii?/i?noue, i?inoioa aeaioiaeaiiy (iiaea aooe
ia?a?iaeaiee c aeaieaiaeueiiai eeoeiaiai eaoaoa?a, yeee aeionea?oueny
i?iieneia?noth Oe?a?ie). Ia?aaaae iaoiai ciiaeo aeiaaaeai? ia i?aeoe-

oe?. Ie aeei?enoiaoaaee eiai aeey ciiaeoaaiiy 130 oai?eo ia O?I, 32
oai?eo a?oie ii??aiyiiy oa 33 caei?iaeo. I?e oeueiio oaoi?/i? o?oaeiiu?
(iaoo?aoe?y i?ina?oo ciiaeo, ne?o/oaaiiy eiai a a?e oeoieo ? oaea ?ioa)
iaee i?noea eeoa o i’yoe in?a (2,6%).

Aiaeie?eiia ooieoe?y IC ioe?ithaaeanue aecia/aiiyi ??ai?a aetheice oa
?ioii?aaeoeaiiai ?inoe?io e?ia? iaouana?oea (iaai?e ae?iaieoeoaa
A?ei?on??).

?ino?oiaioaeueia ianoaaeaiiy aeeth/aei
o?a?iacioaaiaano?iaeoiaeaii-neii?th, niiia?ao?th i?aai?a /a?aaii?
ii?iaeieie ? cai/a?aaeiiiai i?inoi?o c a?aooaaiiyi iieaciee?a
oeueo?acaoeiai? a?noia?aie (aia?ao ALOKA SSD 630). A?aoiaoaaee iieacieee
a?noia?aie L, I, O, ye? ae?aoiaothoueny aaoiiaoe/ii ia ae?ai? ii?yae c
a?noia?aiith. I?e iaiao?aeiino? i?iaiaeeee ?aioaai-aeine?aeaeaiiy oeoieo
c ianaaeai aa???ai? caaen? ii oiie?e eeooe?, eiii’thoa?io oiiia?ao?th,
oieaoeenoi- aai oieaia?ia?ao?th, aiaeineii?/io ?ao?ia?aaeio
iaie?aaoia?ao?th, oiui.

E?eoaaiiy O?I neeaaeaeinue c aacenii? oa?ai?? (ae??oa, oa?ai?y
caoai?thaaiiy, yea ni?iaieoaaei ?icaeoie O?I, ei?aeoe?y oiiono no?ieoa?a
Iaeae? – niaciie?oeee, iai?eino?ieoa?ioii?y /e i?ie?iaoeee) oa
i?eai?/aiiy i?ioaacii-?ia?a?oi?iiai aeenaaeaino (I?Ae). Oea i?eai?/aiiy
i?iaiaeeeinue “nooi?i/aoei” iaoiaeii (I.A.Aoaa?a?eoe, 1998): I nooi?iue
– aacen + aano?ioeai?i (aoneiiai) per os /e I2-aeieaoi? + oa?iaioiee
i?aia?ao; II nooi?iue — aacen + aano?ioeai?i (aoneiiai) ia?aiaoa?aeueii
/e iiai?acie + ai?iieai?iiiaa eeneioa aioo??oiueiaaiii eaiaeueii +
oa?iaioiee i?aia?ao; III nooi?iue – aacen + ao?ii?i ia?aioa?aeueii oa
(/e) iaioii?acie + i?e?iaeiee ?ia?a?oi? i?ioaac (eiioeeae oa ?io?) /e
?ia?a?oi? oinoie?iace A (oaoaoeei-eaeueoe?th) aioo??oiueiaaiii eaiaeueii
+ oa?iaioiee i?aia?ao; IV nooi?iue – III nooi?iue + 5-ooi?o?aoeee /e
naiaeinoao?i, /e aoa?aioi? iaoiaee, /e ?o eiia?iaoe?y. Aeice i?aia?ao?a
aoee caaaeueiiaeciaiaie.

Ca?aeii c oa?aiaaoe/iith oaeoeeith oai?eo ia O?I iiae?eeee ia aea?
i?aea?oie. O ia?oo i?aea?oio aa?eoee 72 oai?eo, o yeeo i?ecia/aee
e?eoaaiiy (aa??aioe aaciai? oa?ai??, nooiai? ei?aeoe?? I?Ae) ?c
a?aooaaiiyi ?acoeueoao?a iioei?c??iaaieo eaai?aoi?ii-?ino?oiaioaeueieo
iaoiae?a ae?aaiinoeee O?I. O ae?oao i?aea?oio a?aeianee 58 oai?eo ia
O?I, e?eoaaiiy yeeo aeae?aeiny aac a?aooaaiiy ?acoeueoao?a aeacaieo
iaoiae?a aeine?aeaeaiue.

I?ney e?eoaaiiy ioe?ithaaee ae?aci?noue ee?i?/ieo i?iya?a, i?iaiaeeee
AEO, aecia/aee D1, D3, K1, K2, ?iaeaene “ooeeaiiy” oa?iaio?a o e?ia,
iieacieee oeueo?acaoeiai? a?noia?aie IC.

Io?eiai? aeai? ia?iaeai? caaaeueiii?eeiyoeie caniaaie aa??aoe?eii?
noaoenoeee c aecia/aiiyi na?aaei?o aea??eiaeo cia/aiue oa t-e?eoa??th
Nouethaeaioa. Aiae?coaaeanue iayai?noue i?yieo (iieaciee r) oa iai?yieo
(iieaciee () ei?aeyoe?eieo ca’yce?a.

Ae?aaiinoe/ia cia/ou?noue aoo?e?i-eaeueoe??aiai oanoo (AEO) o oai?eo ia
O?I. “Cieioei noaiaea?oii” o ae?aaiinoeoe? caoai?thaaiue IC aaaaeathoue
nae?aoei-iaie?aicei?iiaee oano (NICO) (P.G.Lankisch. 1997). Oeae oano
ia? ?yae iaaeie?e?a. Oae, nae?aoei oa iaie?aicei?i ? neeueieie
noeioeyoi?aie nae?aoe?? IC, ui iiaea aiane?aeie NICO i?ecaanoe aei
caaino?aiiy iaie?aaoeoo. Ie a?aecia/aee ia eeoa iineeaiiy aieueiaiai
neiae?iio, aea e c?inoaiiy a?ia?oa?iaioai??. Ie??i oiai, oe? i?aia?aoe
iathoue aaeeeo aa?o?noue, aeao?oeeoi?, /anoi aeeeeeathoue aea?a?/i?
?aaeoe??. I?iaaaeaiiy NICO caeia? a?eueoa aeaio aiaeei ? iio?aao?
aeaie?aoii? aaiaioieoe??. Ana oea ?iaeoue i?aeoe/ii iaiiaeeeaei
aeei?enoaiiy NICO a ae?aaiinoeoe? O?I o noaae?? caaino?aiiy.

Aeoiaey/e c oai?aoe/ieo ia?aaeoiia uiaei noeioethth/iai aieeao enaioei?a
oa i?aia?ao?a eaeueoe?th ia ciai?oiueinae?aoi?io ooieoe?th IC, ie
i?iiiio?ii AEO aeey ciiaeiaiai aeine?aeaeaiiy aecie?eiii? aeoeaiino? IC.
Oano i?iaiaeeoueny oae. I?ney aaaaeaiiy oai?iio aano?iaeoiaeaiaeueiiai
ciiaeo cae?a?oueny aacaeueia ii?oe?y aeoiaeaiaeueiiai ai?noo i?ioyaii 15
oaeeei. Iio?i aioo??oiueiaaiii iia?eueii oai?iio aaiaeyoue iine?aeiaii
10 ie 10% ?ic/eio aetheiiaoo eaeueoe?th, 10 ie 2,4% ?ic/eio aoo?e?io ia
10 ie o?c?ieia?/iiai ?ic/eio. I?ney aaaaeaiiy noeioeyoi??a cae?athoue
/ioe?e 15-oaeeeii? ii?oe?? aeoiaeaiaeueiiai ai?noo. A aacaeuei?e oa
noeioeueiaaieo ii?oe?yo aecia/athoue ai?no a?ea?aiiao?a, iaie?aaoe/ieo
oa?iaio?a oa a?aoiaothoue ia’?i iaea?aeaiiai ai?noo. I?ney oeueiai
ae?aoiaothoue aeaa?oe a?ea?aiiao?a oa oa?iaio?a. Ie aeiaaee
ae?aaiinoe/io ?ioi?iaoeai?noue AEO, i?iaiaey/e eiai ia?aeaeueii c NICO o
10 oai?eo ia O?I oa 10 caei?iaeo. I?e oeueiio aeyaeeinue, ui iieacieee
aacaeueii? nae?aoe?? o oai?eo ? caei?iaeo ca ?acoeueoaoaie iaio oano?a
nooo?ai ia a?ae??ciyeenue. Aaaeeeai, ui i?ney aaaaeaiiy noeioeyoi??a
a?aeaoaaeinue a??ia?aeia c?inoaiiy aeaa?o-aiaeeie a?ea?aiiao?a oa
oa?iaio?a ii??aiyii c aacaeueiith nae?aoe??th ? i?e NICO, ? i?e AEO. Oea
aeiaiaeeoue, ui AEO ae?enii noeioeth? ciai?oith nae?aoe?th IC. Iieacieee
oai?eo oa caei?iaeo i?ney noeioethaaiiy a??ia?aeii ??cieeenue ca
?acoeueoaoaie iaio oano?a. Oea i?aeoaa?aeaeo?, ui AEO iiaea aeyaeoe
cieaeaiiy ooieoe?iiaeueii? aeoeaiino? IC. Iniaeeai nooo?aei iai
aaaaea?oueny oa, ui noeioeyoe?y i?e AEO aoea ?noioii ieae/ith, i?ae i?e
NICO (ca aeiyoeii iieacieea ia’?io). Oeae oaeo aeaco? ia a?eueoo
aacia/i?noue AEO a?aeiinii i?iaieoaaiiy caaino?aiiy caoai?thaaiiy. Oae,
aeaa?o-aiaeeia e?iace o oai?eo i?ney noeioeyoe?? i?e NICO neeaaeaea
5620 ± 156 iae/aiae., a i?ney noeioethaaiiy i?e AEO — 5015 ±
137 iae/aiae. (p<0,05). Aiaeia?/i? iieacieee o caei?iaeo — a?aeiia?aeii 6610 ± 165 iae/aiae oa 5890±144 iae/aiae. (p<0,05). I?ney aeiaaaeaiiy iiaeeeaino? canoinoaaiiy AEO aeey ae?aaiinoeee O?I ie aeei?enoaee eiai ua o 120 oai?eo ia O?I, o 23 caei?iaeo oa 32 oai?eo a?oie ii??aiyiiy. Oae, /ooeea?noue AEO i?e O?I neeaaeaea 68%, a niaoeeo?/i?noue — 52%. Inoaii?e iieaciee ia iinooia?oueny o niaoeeo?/iino? NICO ca aeaieie e?oa?aoo?e (P.G.Lankisch. 1997). O aeiaeiiai c oai?eo ia O?I, o yeeo canoiniaoaaee AEO, ie ia a?aecia/eee caaino?aiiy caoai?thaaiiy aai iineeaiiy a?ia?oa?iaioai??. Ca aeaieie e?oa?aoo?e, i?e i?iaaaeaii? NICO iia??oaiiy ia?aa?ao O?I a?aeaoaa?oueny o 15% aeiaaee?a (T.Homma. 1998). Iacaaaeath/e ia ia?aaaae AEO i?e O?I ioe?iea iieaciee?a o eiie?aoiiai oai?iai oo?oaeiaia, oiio ui iieacieee ciaiooaaeenue ieae/a ca iaaeo ii?ie ??aeei (aeaa?o-aiaeeia ai?eace o 7,7%, e?iace — o 10,8%, o?eineio — o 9,2% aeiaaee?a). Cia/ii /ano?oa ciaiooaaany ia’?i nae?aoo — o 67,7% ? aeaa?o-aiaeeia a?ea?aiiao?a — o 23% aeiaaee?a. I?aeaeuaiiy ?ioi?iaoeaiino? ?acoeueoao?a ae?aaiinoe/iiai aeoiaeaiaeueiiai ciiaeoaaiiy o oai?eo ia O?I ie aeinyaee i?e a?aooaaii? eiai ?acoeueoao?a o ?iaeaenao “ooeeaiiy” oa?iaio?a o e?ia. Ee?i?ei-iaoiaaiaoe/i? aniaeoe iioei?caoe?? eaai?aoi?ii? ae?aaiinoeee O?I. O?aaeeoe?eia eaai?aoi?ia ae?aaiinoeea O?I iaaeinoaoiuei ?ioi?iaoeaia, oiio ui i?e caiaeaii? IC i?aeaeuaiiy ??aiy oa?iaio?a o e?ia? a?aeaoaa?oueny a?ae ii/aoeiai iecueeiai ??aiy. A ?acoeueoao? i?aeaeuaiee aeey aeaiiai oai?iai iieaciee “oeeaaea?oueny” o iaae? caaaeueiii?eeiyoi? ii?ie. Oae, o iaoeo oai?eo ia O?I aeoeai?noue ai?eace e?ia? aoea i?aeaeuaiith o 4,6% aeiaaee?a, ai?eace na/? — o 10,8%, e?iace e?ia? — o 9,2%. A?eueo /ooeeaei aoa iieaciee ?ioii?aaeoeaiiai o?eineio e?ia?, yeee aoa i?aeaeuaiee o 88,5% ianoaaeaieo oai?eo ia O?I. Aeaa?o-aiaeeia oa?iaio?a i?e ciiaeiaiio ianoaaeaii? oaeiae cieaeoaaeanue ??aeei (aeea. aeua). O ca’yceo c oeei ie ae??oeee i?aeaeueoe ?ioi?iaoeai?noue o?aaeeoe?eieo, oaoi?/ii i?inoeo ? aeaoaaeo iaoiae?a aea/aiiy ai?noo oa?iaio?a IC o e?ia?, na/? oa aeoiaeaiaeueiiio ai?no?. I?e oeueiio ie aeoiaeeee c oiai, ui o oai?eo ia O?I i?e caiaeaii? IC a?aeaoaa?oueny “ooeeaiiy” oa?iaio?a o e?ia, aea ia a?eueo iecueeiio ??ai?, i?ae i?e aino?iio iaie?aaoeo?. Oiio ie iaiaaaeeny ca?a?no?oaaoe oea a?aeoeeaiiy, ii??aithth/e a iaeiiio iieacieeo ai?no oa?iaio?a o e?ia? (na/?) oa a aeoiaeaiaeueiiio ai?no?. I?iaiaey/e eiii’thoa?iee aiae?c oaeeo iieaciee?a, ie a?ae?a?aee iaea?eueo ?ioi?iaoeai? ?iaeaene “ooeeaiiy” oa?iaio?a o e?ia o oai?eo ia O?I (oaae. 1). Eiaeiee ?iaeaen yaey? niaith a?aeiioaiiy, a /enaeueieeo yeiai aeaa?o-aiaeeia ai?eace, o?eineio aai e?iace a aeoiaeaiaeueiiio ai?no?, a a ciaiaiieeo — iieaciee (iieacieee) ??aiy oiai ae oa?iaioo o e?ia? oa (aai) na/?. I?e O?I aeaa?o oa?iaioo a aeaaiaaeoeyoeiae?e eeooe? ciaioo?oueny, a o e?ia? (na/?) — ca?eueoo?oueny aeey aeaiiai eiie?aoiiai oai?iai. Oaeei /eiii, ni?aa?aeiioaiiy cieaeo?oueny iaa?oue o oiio aeiaaeeo, yeui iieacieee, ui aoiaeyoue aei iueiai, ia aeoiaeyoue ca iaaeo caaaeueiii?eeiyoi? ii?ie. I?e ae?aoiaoaaii? ?iaeaen?a “ooeeaiiy” ae?aaiinoe/ia ?ioi?iaoeai?noue i?inoeo aeine?aeaeaiue cia/ii c?inoa? (oaae. 1). Iiaeeea?noue aeei?enoaiiy ?iaeaen?a o ae?aaiinoeoe? O?I i?aeoaa?aeaeo?oueny oei, ui on? a?ae?a?ai? iaie ? iieacai? o oaaeeoe? 1 ?iaeaene a??ia?aeii (p<0.05) a?ae??ciythoueny o oai?eo ia O?I, c iaeiiai aieo, ? o caei?iaeo oa o oai?eo a?oie ii??aiyiiy, c ae?oaiai aieo. Ioaea, aac aeiaeaoeiaeo aeine?aeaeaiue ie aeinyaee iioei?caoe?? eaai?aoi?ii? ae?aaiinoeee O?I. Ee?i?/ia ioe?iea ?ioi?iaoeaiino? oeueo?acaoeiaeo a?noia?ai IC aeey ae?aaiinoeee O?I. Iniiaieie aoia?ao?/ieie iciaeaie O?I aaaaeathoue ca?eueoaiiy ?ici???a IC, ia/?oe?noue oa ia??ai?noue ?? eiioo??a, ia??aiii??i?noue no?oeoo?e, iineeaiiy aoiaaiiino?, ?icoe?aiiy a??noiaiai? i?ioiee, iayai?noue eaeueoeeiao?a oa eeno i?aaio. I?ioa, ioe?iea niiia?ao?? IC iineoue noa’?eoeaiee oa?aeoa?, ui a cia/i?e i??? ca’ycaii c ianiaoeeo?/i?noth oeueo?acaoeiaeo iciae O?I. Ca iaoeie aeaieie /ooeea?noue niiia?ao?? i?e O?I neeaaeaea 72%, a niaoeeo?/i?noue — 68%. Aeey i?aeaeuaiiy ae?aaiinoe/ii? ?ioi?iaoeaiino? oeueo?acaoeiaiai aeine?aeaeaiiy ie a?aoiaoaaee iieaciee L oeueo?acaoeiai? a?noia?aie a iaeano? aie?aee IC (?en. 2). Oeae iieaciee a?aeaeaa? ??aaiue n??iai, yeee /ano?oa cono??/a?oueny a caaeai?e iaeano?. O oai?eo ia O?I L aoa cia/ii aeuee i?ae o caei?iaeo: a?aeiia?aeii 33,8 ± 1,3 oa 17,3 ± 0,5 (?<0,05). Ca?eueoaiiy L iia’ycaia c o?a?icoaaiiyi oeaieie IC ? ? ia’?eoeaiei e?eoa???i iineeaiiy aoiaaiiino? i?aaio. Oaaeeoey 1 ?iaeaene “ooeeaiiy” oa?iaio?a i?aeoeoieiai? caeice o oai?eo ia O?I, o caei?iaeo oa o oai?eo a?oie ii??aiyiiy. ? ?iaeaeno ?iaeaene Oai?? ia O?I n = 130 *ooeea?noue, % Niaoeeo?/i?noue, % A?oia ii??aiyiiy, n = 32 Caei?ia?, I?ei?oea. A /enaeueieeo — aaee/eia ?iaeaeno (M±m), a ciaiaiieeo — eieeaaiiy ?iaeaeno (M±2(). ?en. 2. Noaia oeueo?acaoeiai? a?noia?aie. Ie??i oiai, ie ?ic?iaeee aeaa aeiaeaoeiaeo iieacieee oeueo?acaoeiai? a?noia?aie: iieaciee iaeii??aeiino? (N) oa a?noia?ao?/iee eiao?oe??io (Kgst). , aea N — iieaciee iaeii??aeiino? oeaieie IC; I — /enei aeaiaio?a o?iueiaiai eiiiiiaioo, yeee cono??/a?oueny /ano?oa ca ?io? o caaeai?e iaeano?; O — caaaeueia e?euee?noue aeaiaio?a caaeaii? iaeano?. , aea Kgst — a?noia?ao?/iee eiao?oe??io; N — iieaciee iaeii??aeiino?; ? — iaeneiaeueiee ??aaiue n??ino? o aeai?e a?noia?ai? (?en. 2); L — ??aaiue n??ino?, yeee iae/ano?oa cono??/a?oueny o caaeai?e iaeano?. Iieaciee iaeii??aeiino? i?e O?I cieaeo?oueny ca ?aooiie ciaioaiiy I. O ianoaaeaieo iaie oai?eo ia O?I N neeaaeaa 3,4±0,3, a o caei?iaeo — 5,2 ± 0,5 (?<0,05). A?noia?ao?/iee iieaciee o oai?eo ia O?I oaeiae cieaeo?oueny ca ?aooiie cieaeaiiy N oa ca?eueoaiiy ? oa L. Iai?eeeaae, o iaoeo oai?eo ia O?I Kgst neeaaeaa 30,7±4,3, ui a??ia?aeii ieae/a i?ae o caei?iaeo — 122,4 ± 12,3 (?<0,05). I?e aeei?enoaii? aeuaaeacaieo iieaciee?a a?noia?aie /ooeea?noue OCAe i?e O?I ca?eueoeeanue aei 85%, a niaoeeo?/i?noue — aei 81%. C?noaaeaoe Kgst c aeaa?oaie o?iai?eace, ie iaea?aeaee ua a?eueoo eiai ?ioi?iaoeai?noue. Ni?aa?aeiioaiiy D2/Kgst o oai?eo ia O?I neeaaeaei 23,60 ± 3,60, a o caei?iaeo — 5,75 ± 1,30 (p<0,05). Ni?aa?aeiioaiiy D3/Kgst iaei oae? aaee/eie: a?aeiia?aeii 29,0 ± 3,6 oa 7,1 ± 1,1 (?<0,05). *ooeea?noue ia?oiai ni?aa?aeiioaiiy i?e O?I aeinyaaea 87%, ae?oaiai — 89%; niaoeeo?/i?noue a?aeiia?aeii 86% oa 92%. Oiaoi, e?euee?nia ioe?iea oeueo?acaoeiaiai aeine?aeaeaiiy IC, iniaeeai c a?aooaaiiyi eaai?aoi?ieo iieaciee?a, ? ?ioi?iaoeaiei iaoiaeii ae?aaiinoeee O?I. Ei?aeyoe?ei? ca’ycee i?ae ee?i?/ieie, eaai?aoi?ieie oa a?noia?ao?/ieie iieacieeaie o oai?eo ia O?I. ?acoeueoaoe o?aaeeoe?eieo eaai?aoi?ieo aeine?aeaeaiue aoee neaai iia’ycai? c ae?aci?noth ee?i?ee O?I. O?eueee aeaa?o-aiaeeia oa?iaio?a IC ei?aethaaea ?c nooiaiai ee?i?/ieo i?iya?a ciai?oiueinae?aoi?ii? iaaeinoaoiino? i?aaio. ?acoeueoaoe AEO aoee cai?ioii iia’ycai? c aeaai?noth caoai?thaaiiy, /anoioie ?aoeeaeea?a, Tbl oa iiceoeaii ei?aethaaee c ??aiai ?inoe?io o e?ia?, ?iaeaenaie “ooeeaiiy” iaie?aaoe/ieo oa?iaio?a o e?ia. Inoaii? ?iaeaene aoee iia’ycai? cai?ioiei neeueiei oa na?aaeiueiai nooiaiy ca’yceaie c ae?aci?noueth aieth, aeeniain??, i?iya?a ciai?oiueinae?aoi?ii? iaaeinoaoiino? IC. ?ic?iaeai? iaie iieacieee oeueo?acaoeiai? a?noia?aie N oa Kgst iiceoeaii ei?aethaaee c aeaa?o-aiaeeiith oa?iaio?a IC a aeoiaeaiaeueiiio ai?no?, a cai?ioii c aeaai?noth caoai?thaaiiy, /anoioie ?aoeeaeea?a, ee?i?/ieie i?iyaaie iaie?aaoe/ii? aecie?eiii? iaaeinoaoiino?. Oea i?aeoaa?aeaeo? ciaioaiiy ?ic?iaeaieo iaie iieaciee?a a?noia?aie ii i??? o?a?icoaaiiy IC ? cieaeaiiy ?? ciai?oiueinae?aoi?ii? ooieoe??. E??i oiai, oe? iieacieee, iniaeeai N, aoee iia’ycai? c ?iaeaenaie “ooeeaiiy” ? ae?aci?noth aieueiaiai neiae?iio, oae ye iaiaeii??aei?noue oeaieie i?aaio c?inoa? i?e iaa?yeo, ?io?eueo?aoe?? ia?aioeie ia oii? ?? o?a?ico. Oaeei /eiii, ?acoeueoaoe ei?aeyoe?eiiai aiae?co i?aeoaa?aeaeothoue, ui iioei?ciaai? iaoiaee ae?aaiinoeee O?I iaoiaaiaoe/ii iaa?oioiaai?, ?o aeai? iia’ycai? i?ae niaith oa c ee?i?eith caoai?thaaiiy. Ee?i?/i? i?aeoiaee aei a?aooaaiiy ?acoeueoao?a iioei?ciaaieo iaoiae?a ae?aaiinoeee O?I o aecia/aii? eiai e?eoaaeueii? oaeoeee. O oai?eo 1-i? i?aea?oie aea?? aa??aioo aaciai? oa?ai?? caniiaoaaany ia ae?aciino? ee?i?/ieo i?iya?a O?I, ni?aa?aeiioaiiyo E1 ? E2, D2 ? D3, oei? nae?aoe?? IC, ca aeaieie AEO, aeaieo niiia?ao?? oa aiaeineii?/ii? ?ao?ia?aaeii? oieaia?iiaie?aaoia?ao?? i?i ae?aiao? a??noiaiai? i?ioiee oa iayai?noue iaoai?/ii? ia?aoeiaee a?aeoieo nae?aoo IC. Aea?? nooiaiy ei?aeoe?? I?Ae o oai?eo 1-i? i?aea?oie caniiaoaaany ia nooiai? cieaeaiiy ?iaeaen?a “ooeeaiiy”, iieacieea iaeii??aeiino? N oeueo?acaoeiai? a?noia?aie, oei? nae?aoe?? IC, ca aeaieie AEO, ae?aciino? aieueiaiai neiae?iio. Oa?iaioiee i?aia?ao o oai?eo 1-i? i?aea?oie i?aeae?aany ia iniia? ai?noo o iueiio e?iace a caeaaeiino? a?ae aeaa?o-aiaeeie oa oeio nae?aoe?? IC, aecia/aieo ca aeiiiiiaith AEO, nooiaiy ee?i?/ieo i?iya?a aecie?eiii? iaaeinoaoiino? IC, ae?aciino? cieaeaiiy Kgst. O oai?eo 2-i? i?aea?oie oa?ai?y i?ecia/aeany ca?aeii o?eueee c ae?aci?noth ee?i?ee. O oai?eo 1-i? i?aea?oie a??ia?aeii e?au? ?acoeueoaoe, i?ae o oai?eo 2-i? i?aea?oie aeinyaiai? a?aeiinii aieueiaiai neiae?iio oa i?iya?a aecie?eiii? iaaeinoaoiino? IC. I?e a?aooaaii? aeaieo iioei?ciaaieo iaoiae?a ae?aaiinoeee O?I nooo?ai cieaeoaaany Tbl, D3, K2, c?inoaa ia’?i nae?aoo IC, aeaa?o-aiaeeia o?eineio oa e?iace, c?inoaee ?iaeaene “ooeeaiiy” ? iieaciee iaeii??aeiino? N. A ?acoeueoao? nei?i/oaaeenue no?iee eoi??oaaiiy caaino?aiiy O?I ia 1.9 aei?. Ia aac? iaea?aeaieo ?acoeueoao?a ?ic?iaeai? aeai?eoie oa?ai?? oai?eo O?I ?c a?aooaaiiyi aeaieo iioei?ciaaieo iaoiae?a eiai ae?aaiinoeee. AENIIAEE 1. Ae?aci?noue oa iniaeeaino? ee?i?/ieo i?iya?a o?ii?/iiai ?aoeeaeeaoth-/iai iaie?aaoeoo (aieueiaiai, aeeniaine/iiai neiae?ii?a, neiioii?a ooieoe?iiaeueii? iaaeinoaoiino? i?aeoeoieiai? caeice) neaai iia’ycai? c nooiaiai ci?ie ?acoeueoao?a o?aaeeoe?eieo ae?aaiinoe/ieo oano?a. Oe? aeine?aeaeaiiy iaaeinoaoiuei ?ioi?iaoeai? i?e o?ii?/iiio ?aoeeaeeaoth/iio iaie?aaoeo?: a?ia?ai?eacai?y aecia/a?oueny a 4,6%, a?ia?ai?eaco??y — a 10,8%, a?ia?e?iacai?y — a 9,2%, ci?ia iieaciee?a ciiaeiaiai aeine?aeaeaiiy i?aeoeoieiai? caeice — a 68% aeiaaee?a; /ooeea?noue niiia?ao?? neeaaeaea 72%. 2. Aano?iaeoiaeaiaeueiee ciiae i?ea?iaeueii? eiino?oeoe?? ? i?inoei aeey aeaioiaeaiiy, ye?nii ooieoe?iioth/ei, oaoi?/ii oaeineiiaeaiei, aeiiii?/iei ii??aiyii c ?ic?iaeaieie ?ioeie aaoi?aie aano?iaeoiaeaiaeueieie ciiaeaie, caniaii io?eiaiiy aeoiaeaiaeueiiai ai?noo c iaoith ioe?iee ciai?oiueinae?aoi?ii? ooieoe?? i?aeoeoieiai? caeice, ui aeicaiey? io?eiaoe ?ioi?iaoeai? ?acoeueoaoe aeine?aeaeaiiy. 3. Aoo?e?i-eaeueoe??aee oano ? o?c?ieia?/ii iaa?oioiaaiei, ?ioi?iaoeaiei ? aacia/iei aeine?aeaeaiiyi aeey i?yii? ioe?iee ciai?oiueinae?aoi?ii? ooieoe?? i?aeoeoieiai? caeice o oai?eo ia o?ii?/iee ?aoeeaeeaoth/ee iaie?aaoeo. Eiai ae?aaiinoe/ia cia/ou?noue ni?anoaaey?oueny c ?ioi?iaoeai?noth nae?aoei-iaie?aicei?iiaiai oanoo. 4. Aecia/aiiy ?iaeaen?a “ooeeaiiy” oa?iaio?a o e?ia ia i?aenoaa? o?aaeeoe?eieo eaai?aoi?ieo iieaciee?a ?noioii i?aeaeuo? ?o ae?aaiinoe/io ?ioi?iaoeai?noue i?e o?ii?/iiio ?aoeeaeeaoth/iio iaie?aaoeo?. 5. A?aooaaiiy ?ic?iaeaieo iieaciee?a oeueo?acaoeiaeo a?noia?ai i?ae-oeoieiai? caeice (iieacieea iaeii??aeiino?, a?noia?ao?/iiai ei?o?oe?aioo) i?aeaeuo? ye?noue niiia?ao?/ii? ae?aaiinoeee o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo. 6. Iioei?ciaai? eaai?aoi?i? oa ?ino?oiaioaeuei? (OCAe, aeoiaeaiaeueia ciiaeoaaiiy) iaoiaee aeine?aeaeaiiy aeicaieythoue i?aeaeueoe ?ioi?iaoeai?noue o?aaeeoe?eieo niinia?a ae?aaiinoeee o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo aac ca?eueoaiiy ?o aa?oino? oa neeaaeiino?. ?acoeueoaoe oaeineiiaeaieo iaoiae?a iia'ycai? i?ae niaith ? c ee?i?/ieie i?iyaaie caoai?thaaiiy. 7. A?aooaaiiy ?acoeueoao?a oaeineiiaeaieo iaoiae?a ae?aaiinoeee o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo i?e aeai?? oaeoeee e?eoaaiiy aeicaiey? i?aeaeueoe eiai aoaeoeai?noue, ui aaaea aei nei?i/aiiy no?ieo eoi??oaaiiy caaino?aiiy. NIENIE I?AOeUe, IAAe?OEIAAIEO CA OAIITH AeENA?OAOe?? Aoaa?a?eoe I.A., Eoeaoaae/ A.I., Aaeyaa A.A., Eeiaaneay E.TH. Eeeie/aneea i?iyaeaiey e aeeaaiinoeea iaie?aaoeoia//Aoaa?a?eoe I.A. Iaie?aaoeou: Iiiia?aoey. — Aeiiaoee: III “Eaaaaeue”, 1998. — N. 23-54. Eeiaaneay E.TH. Iioeiecaoeey ciiaeiaiai enneaaeiaaiey aiaoianae?aoi?iie ooieoeee iiaeaeaeoaei/iie aeaeacu aeey aeeaaiinoeee o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa//A?o. ee?i. aeni. iaae. — 1999. — O. 8, Aei. 1. - N. 73-79. Eeiaaneay E.TH. Iiauoaiea eioi?iaoeaiinoe o?aaeeoeeiiiuo eaai?aoi?iuo oanoia a aeeaaiinoeea o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa//A?o. ee?i. aeni. iaae.— 1999. — O. 8, Aei. 2. N. 38-42. Aoaa?a?eoe I.A., Ooiaea E.A., Eeiaaneay E.TH., *a?aaaoneay A.TH., Eoeaoaae/ A.I., Caai?aiei TH.A., Eo?uoei I.A., Ino?iooiaa E.I., I?ieiiaiei I.E., Oeuaiei O.A., Eeeiiaa E.A., ?iiaieiaa A.A., Noaieneaaneay Y.I., Aa?ei A.I., Eiaeaiyeei N.A. Aeioeie/aneay aeeaaiinoeea o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa // Eeei. eaa. aeeaai. – 1999. - ? 8. – N. 3-10. Eeiaaneay E.TH., Aoaa?a?eoe I.A., Eeiaaneee TH.A., *a?aaaoneay A.TH., Eoeaoaae/ A.I., Caai?aiei TH.A. Aano?iaeoiaeaiaeueiue ciiae i?eaeiaeueiie eiino?oeoeee aeey enneaaeiaaiey aiaoianae?aoi?iie ooieoeee iiaeaeaeoaei/iie aeaeacu//Iaoe. a?ni. Oaeai?. oi-oo. Na?. iaae. – 1999. – Aei. 10. – N. 113-114. Aoaa?a?eoe I.A., Eoeaoaae/ A.I., Eeiaaneay E.TH., Caai?aiei TH.A., Aaeyaa A.A., Eiaeaiyeei N.A. Eeeie/aneay ioeaiea iiauo aiciiaeiinoae oeueo?acaoeiaie aeeaaiinoeee iaino?aiee o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa//A?ni. A?iieoe. aea?ae. iaae. oi-oo.— 1998.— O.2, ?1.— N. 80-81. Eeiaaneay E.TH., Aoaa?a?eoe I.A., Eeiaaneee TH.A., *a?aaaoneay A.TH., Eoeaoaae/ A.I., Caai?aiei TH.A. Iiaue niinia noeioeyoeee aiaoiae nae?aoeee iiaeaeaeoaei/iie aeaeacu aeey aeeaaiinoe/aneiai aeoiaeaiaeueiiai ciiaee?iaaiey o aieueiuo o?iie/aneei ?aoeeaeeae?othuei iaie?aaoeoii//Aano?iaioa?ieia?y: I?aea?ae. ca. — Aei?i?iiao?ianuee, 1999.— Aei. 29.— N. 144-146. Aoaa?a?eoe I.A., Aa?eiiaa I.A., Eeiaaneay E.TH., Eoeaoaae/ A.I., Caai?aiei TH.A., Aoaa?a?eoe A.A. Iiaua aiciiaeiinoe oeueo?acaoeiaie aeeaaiinoeee o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa//Iaoa??aee iaoe. i?aoeue ?ani. iaoe.-i?ae. eiio. “Aeinyaiaiiy oa iaae??oaii? ieoaiiy aano?iaioa?ieia??”.— Oa?e?a, 1998.— N. 54. Eeiaaneee TH.A., Aoaa?a?eoe I.A., Eiaeaiyeei N.A., Eeiaaneay E.TH., Eoeaoaae/ A.I., Caai?aiei TH.A. Iioeiecaoeey o?aaeeoeeiiiuo aeioeie/aneeo oanoia a aeeaaiinoeea o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa//Iaoa??aee iaoe. i?aoeue ?ani. iaoe.-i?ae. eiio. “Aeinyaiaiiy oa iaae??oaii? ieoaiiy aano?iaioa?ieia??”.— Oa?e?a, 1998.— N. 112. Aoaa?a?eoe I.A., Iiiiaa?iaa I.A., Eeiaaneay E.TH., Eoeaoaae/ A.I., Caai?aiei TH.A., Eiaeaiyeei N.A. Yooeeeeii-eaeueoeeaaue oano a aeeaaiinoeea o?iie/ane?iai ?aoeeaeeae?othuaai iaie?aaoeoa//?in. aeo?i. aano?iyioa?ie., aaiaoie., eieii?ieoie. — 1998.— O.8, ?5.— N. 145-146. Aoaa?a?eoe I.A., Eeiaaneee TH.A., *a?aaaoneay A.TH., Eoeaoaae/ A.I., Eeiaaneay E.TH., Caai?aiei TH.A. Iioeiecaoeey aeeaaiinoeee o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa//?in. aano?iyioa?ie. aeo?i.— 1998.— ?4.— N. 91. Linevskaya K.Y., Gubergrits N.B., Zagorenko Y.A., Lukashevich G.M. The possibilities of sonographic histography in the diagnosis of chronic pancreatitis (CP) // Digestion. – 1999. – Vol. 60, ?4. – P. 387. Iao. 24080 Oe?a?ia, IIE6 A 61 M 25/00, Aano?iaeoiaeaiaeueiee ciiae/I.A.Aoaa?a??oe, N.A.Eiaeai’ye?i, ?.N.Naiio?i, E.TH.E?iaanueea (Oe?a?ia). ?94010077; Cayaeaii 13.04.93; Iioae. 31.08.98, Athe. ?4. – 2 n. Iao. 2139542 ?O, IIE6 G 01 ? 33/68. Niinia aeeaaiinoeee iaino?aiey o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa / I.A.Aoaa?a?eoe (UA), A.TH.*a?aaaoneay (UA), A.I.Eoeaoaae/ (UA), TH.A.Eeiaaneee (UA), E.TH.Eeiaaneay (UA), N.A.Eiaeaiyeei (UA), TH.A.Caai?aiei (UA), A.A.?iiaieiaa (UA), A.A.Aaeaeo (UA), Y.I.Noaieneaaneay (UA). - ? 98105347/14; Cayaeaii 30.03.98; Iioae. 10.10.99, Athe. ? 28. – 9 n. AIIOAOe?ss E?iaanueea E.TH. Iioei?caoe?y eaai?aoi?ii-?ino?oiaioaeueii? ae?aaiinoeee o?ii?/iiai ?aoeeaeeaoth/iai iaie?aaoeoo.— ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca oaoii 14.01.02 — aioo??oi? oai?iae.— Eoaainueeee aea?aeaaiee iaaee/iee oi?aa?neoao.— Eoaainuee, 1999. Aeena?oaoe?y aeeth/a? ?acoeueoaoe eiiieaeniiai ee?i?/iiai, eaai?aoi?iiai oa ?ino?oiaioaeueiiai ianoaaeaiiy 130 oai?eo ia o?ii?/iee ?aoeeaeeaoth/ee iaie?aaoeo (O?I), 32 oai?eo ia ?io? caoai?thaaiiy i?aai?a o?aaeaiiy, 33 caei?iaeo. Anoaiiaeaii, ui o?aaeeoe?ei? eaai?aoi?i? (ai?eaca e?ia?, na/?, e?iaca e?ia?) oa ?ino?oiaioaeuei? (OCAe, ciiaeiaa aeine?aeaeaiiy ciai?oiueinae?aoi?ii? ooieoe?? i?aeoeoieiai? caeice) ianoaaeaiiy ? iaaeinoaoiuei ?ioi?iaoeaieie aeey ae?aaiinoeee caoai?thaaiiy. Aeey iioei?caoe?? ae?aaiinoeee O?I ?ic?iaeai? aano?iaeoiaeaiaeueiee ciiae i?ea?iaeueii? eiino?oeoe??, aoo?e?i-eaeueoe??aee oano, ?iaeaene “ooeeaiiy” oa?iaio?a o e?ia, iia? iieacieee oeueo?acaoeiai? a?noia?aie IC. Iioei?ciaai? iaoiaee aeicaieythoue cia/ii i?aeaeueoe ?ioi?iaoeai?noue o?aaeeoe?eieo aeine?aeaeaiue, a?aecia/athoueny aeinooii?noth aeey i?aeoeee, i?inoioith, aacia/i?noth aeey oai?iai. ?ic?iaeai? iaoiaee ia iio?aaothoue i?aeaeuaiiy aa?oino? o?aaeeoe?eieo oano?a, oneeaaeiaiiy a?aeiieo eaai?aoi?ieo oa ?ino?oiaioaeueieo niinia?a, ?o ?acoeueoaoe iia’ycai? i?ae niaith oa c ee?i?eith O?I. Iaa?oioiaaia aeioe?euei?noue a?aooaaiiy ?acoeueoao?a iioei?ciaaieo iaoiae?a ae?aaiinoeee O?I o aeai?? e?eoaaeueii? oaeoeee, neeaaeai? aeai?eoie eiai oa?ai??. Eeth/ia? neiaa: iaie?aaoeo, ae?aaiinoe/i? ?iaeaene, aano?iaeoiaeaiaeueiee ciiae, aoo?e?i-eaeueoe??aee oano, oeueo?acaoeiaa a?noia?aia. AIIIOAOeEss Eeiaaneay E.TH. Iioeiecaoeey eaai?aoi?ii-eino?oiaioaeueiie aeeaaiinoeee o?iie/aneiai ?aoeeaeeae?othuaai iaie?aaoeoa.— ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.02 — aioo?aiiea aieacie. Eoaaineee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao.— Eoaaine, 1999. Aeenna?oaoeey aeeth/aao ?acoeueoaou eiiieaeniiai, eeeie/aneiai, eaai?aoi?iiai e eino?oiaioaeueiiai ianeaaeiaaiey 130 aieueiuo o?iie/aneei ?aoeeaeeae?othuei iaie?aaoeoii (O?I), 32 aieueiuo ae?oaeie caaieaaaieyie i?aaiia ieuaaa?aiey, 33 caei?iauo. Aieueiui i?iaiaeeeenue o?aaeeoeeiiiua eaai?aoi?iua e eino?oiaioaeueiua enneaaeiaaiey: eco/aeenue o?iaie aieeacu e?iae e ii/e, eeiacu e?iae, i?iaiaeeeinue ciiaeiaia enneaaeiaaiea aiaoianae?aoi?iie ooieoeee iiaeaeaeoaei/iie aeaeacu (IAE), OCE, ii?aaeaeyeenue aeaaeou o?iaieeacu, eiyooeoeeaiou eiaeoeoeee yiaeiaaiiiai iaie?aiceieia, eco/aeinue niaea?aeaiea eiioii?aaeoeaiuo einoeeia e o?eineia e?iae. Yoe enneaaeiaaiey ieacaeenue iaaeinoaoi/ii eioi?iaoeaiuie a aeeaaiinoeea O?I. Eneeth/aieai yaeeny o?einei e?iae, iaeiaei aai enneaaeiaaiea eiaao aunieoth noieiinoue. Aeey iioeiecaoeee aeeaaiinoeee O?I ?ac?aaioai aano?iaeoiaeaiaeueiue ciiae i?eaeiaeueiie eiino?oeoeee. Ciiae i?aaenoaaeyao niaie o?oaeo aeeeiie 0,8 ni, ?acaeaeaiioth iiia?a/iie ia?aai?iaeeie, i?ioiaeyuae aioo?e o?oaee, ia aeaa ?aaiuo i?inaaoa. Iauee aeeaiao? o?oaee — 6 ii. Iaeei ec i?inaaoia caaeooai ia ?annoiyiee 0,6 i io i?ieneiaeueiiai eiioea o?oaee. Eaaeaeue ec i?inaaoia eiaao ii iyoue ioaa?noee aeey iinooieaiey a ciiae aeaeoaei/iiai e aeoiaeaiaeueiiai niaea?aeeiiai. Ia i?ieneiaeueiue eiiaoe ciiaea iaaeao ia?aoiaeiee, iicaieythuee iieo/aoue aeey enneaaeiaaiey ?acaeaeueii yoi niaea?aeeiia. I?aeiouanoaaie i?aaeeaaaaiiai ciiaea, ii n?aaiaieth n ciiaeaie, ?ac?aaioaiiuie ae?oaeie aaoi?aie, yaeythony oeceieiae/iinoue iaoa?eaea (iaaeeoeeineee a?aioee?iaaiiue ieanoeeao), iaeue aeeaiao?, ?aaiiia?iue ia anai i?ioyaeaiee ciiaea, aeaeinoue, eciinionoie/eainoue, iaia?aiaieoaeueiinoue ciiaee?iaaiey aeey aieueiiai. Ciiae iicaieyao ?acaeaeueii iieo/aoue aeaeoaei/iia e aeoiaeaiaeueiia niaea?aeeiia n oeaeueth eco/aiey a iineaaeiai aeaaeo-/ana aeea?aiiaoia e oa?iaioia IAE. Aeieacaia aeeaaiinoe/aneay eioi?iaoeaiinoue yooeeeei-eaeueoeeaaiai oanoa (YEO), i?e eioi?ii aeey noeioeyoeee yecie?eiiie ooieoeee IAE i?e aa ciiaeiaii enneaaeiaaiee aianoi nae?aoeia e iaie?aiceieia aioo?eaaiii aaiaeyo yooeeeei e aetheiiao eaeueoeey. YEO aucuaae aeinoiaa?iia oaaee/aiea i?iaeoeoeee aeea?aiiaoia e oa?iaioia IAE ii n?aaiaieth n aacaeueiie ii?oeeae, aai ?acoeueoaou o aieueiuo O?I auee aeinoiaa?ii ieaea, /ai o caei?iauo, a oaeaea io?aaeaee oa aea caeiiiia?iinoe, /oi e i?iaiaeeiue o oao aea ianeaaeoaiuo nae?aoei-iaie?aiceieiiaue oano. YEO ieacaeny /oanoaeoaeueiui e niaoeeoe/iui enneaaeiaaieai i?e O?I. O/eouaay, /oi i?e O?I ec-ca oea?ica IAE “oeeiiaiea” oa?iaioia a e?iaue i?ienoiaeeo ia ieceii o?iaia, ?acoeueoaou o?aaeeoeeiiiuo eaai?aoi?iuo oanoia ieacuaathony a ?aieao ii?iu. Aeey eo iioeiecaoeee ?ac?aaioaiu eiaeaenu “oeeiiaiey” oa?iaioia a e?iaue. A /eneeoaea eiaeaena aeaaeo-/an oa?iaioa a aeoiaeaiaeueiii niaea?aeeiii, a ciaiaiaoaea — niaea?aeaiea oiai aea oa?iaioa a e?iae, ii/a eee eo i?iecaiaeiua (aeaaeou o?iaieeacu). I?e O?I /eneeoaeue eiaeaena oiaiueoaaony, a ciaiaiaoaeue — oaaee/eaaaony, a ?acoeueoaoa eiaeaen nieaeaaony aeaaea i?e enoiaeiuo eiaeii-ii?iaeueiuo iieacaoaeyo. ?an/aou eiaeaenia, iaeaieaa eioi?iaoeaiua ec eioi?uo auee ioia?aiu n iiiiuueth eiiiuethoa?iiai aiaeeca, nouanoaaiii iiauneee aeeaaiinoe/aneoth eioi?iaoeaiinoue ?ooeiiuo eaai?aoi?iuo oanoia i?e O?I. Iai?eia?, eiaeaen ?1 i?aaenoaaeyao niaie ioiioaiea aeaaeo-/ana aieeacu a aeoiaeaiaeueiii niaea?aeeiii e o?iaith aieeacu ii/e. O aieueiuo O?I ii ninoaaee 862,0±22,8 (io 342,0 aei 1382,0). O caei?iauo aaee/eia eiaeaena 1602,0±36,0 (io 1188,0 aei 2016,0; ii n?aaiaieth n aieueiuie ?<0,05). Oi anoue, i?aeoe/aneee a?a/ eaaei iiaeao ?ann/eoaoue yoio e ae?oaea eiaeaenu “oeeiiaiey” e ioeaieoue eo o eiie?aoiiai aieueiiai n o/?oii eieaaaiee o caei?iauo. I?e/?i ?ac?aaioaiu eiaeaenu “oeeiiaiey” aieeacu, eeiacu, o?eineia. OCE IAE ioeaieaaaony noauaeoeaii, aai i?iaaaeaiea cao?oaeiaii caa?thoeiiui ?aniieiaeaieai IAE. Yoi i?eaiaeeo e nieaeaieth eioi?iaoeaiinoe enneaaeiaaiey. ?ac?aaioaia iaoiaeeea iauaeoeaiiai o/aoa iieacaoaeae oeueo?acaoeiaie aenoia?aiiu IAE. Iieacaoaeue iaeii?iaeiinoe oeaie IAE i?aaenoaaeyao niaie ioiioaiea iieacaoaey I (/enei yeaiaioia oaiaaiai eiiiiiaioa, eioi?ue ano?a/aaony /aua anaai a caaeaiiie iaeanoe) e iieacaoaeth O (iauaa /enei yeaiaioia a caaeaiiie iaeanoe). Niioiioaiea oiiiaeaaony ia noi i?ioeaioia. Iieacaoaee I e O ii?aaeaeythony aaoiiaoe/anee. I?e O?I iieacaoaeue iaeii?iaeiinoe nieaeaaony aei 3,4±0,3 (o caei?iauo — 5,2 ± 0,5; ? < 0,05). Aenoia?aoe/aneee eiyooeoeeaio i?aaenoaaeyao niaie ioiioaiea iieacaoaey iaeii?iaeiinoe, oaaee/aiiiai aeey oaeianoaa ?an/aoia a 10000 ?ac, e i?iecaaaeaieth iieacaoaey L aenoia?aiiu a iaeanoe aieiaee IAE (aun/eouaaaony aaoiiaoe/anee) e iaeneiaeueiiai o?iaiy na?inoe a aeaiiie aenoia?aiia. Aenoia?aoe/aneee eiyooeoeeaio o aieueiuo O?I ninoaaee 3,7±4,3, /oi nouanoaaiii ieaea, /ai o caei?iauo — 122,4±12,3. E?iia oiai, auaaaeaiu niioiioaiey, aeeth/athuea iieacaoaee aenoia?aiiu IAE e aeaaeou o?iaieeacu. Yoe iooe iioeiecaoeee niiia?aoee IAE iiauneee ea/anoai oeueo?acaoeiaie aeeaaiinoeee O?I. Iioeiece?iaaiiua iaoiaeu eaai?aoi?iie e eino?oiaioaeueiie aeeaaiinoeee O?I auniei eioi?iaoeaiu, ia o?aaotho iiauoaiey noieiinoe o?aaeeoeeiiiuo oanoia, oneiaeiaiey ecaanoiuo eaai?aoi?iuo e eino?oiaioaeueiuo niiniaia. Ei??aeyoeeiiiue aiaeec auyaee iaee/ea naycae iaaeaeo aeaiiuie ?ac?aaioaiiuo iaoiaeia e eeeieeie O?I. Aeieacaia yooaeoeaiinoue ea/aiey O?I niaeanii ?ac?aaioaiiui aaoi?ii aeai?eoiia, a eioi?uo auai? aa?eaioa oa?aiee iniiaai ia ?acoeueoaoao iioeiece?iaaiiuo aeeaaiinoe/aneeo oanoia. Eeth/aaua neiaa: iaie?aaoeo, aeeaaiinoe/aneea eiaeaenu, aano?iaeoiaeaiaeueiue ciiae, yooeeeei-eaeueoeeaaue oano, oeueo?acaoeiaay aenoia?aiia. SUMMARY Linevskaya K.Y. Optimization of Laboratory and Instrumental Diagnosis in Chronic Relapsing Pancreatitis.— A manuscript. The dissertation submitted for the Candidate of Sciences (Medicine) Degree in speciality 14.01.02 — internal diseases. - Lugansk State Medical University, Lugansk, 1999. The dissertation includes results of a complex clinical, laboratory and instrumental examination of 130 patients with chronic relapsing pancreatitis (CRP), 32 patients with other digestive tract diseases and 33 non-patients. The conventional laboratory (blood and urine amylase, blood lipase) and instrumental (USI, probe examination of the exocrine function of the pancreas) investigations have been found to be insufficiently informative for diagnosing these diseases. The gastroduodenal probe of an original design, the euphylline-calcium test, indices of enzyme “deviation” to the blood, new indices of ultrasound pancreatic histograms have been developed to improve the diagnosis of CRP. The optimized methods considerably improve informativeness of the conventional investigations, being remarkable for their practical availability, simplicity and safety for patients. The developed methods neither increase the cost of the conventional methods nor require sophistication of the known laboratory and instrumental techniques, their results are connected with each other as well as with the clinic of CRP. There has been substantiated the expediency of registration of results of optimized CRP diagnostics methods in choosing medical tactics, the algorithms of its therapy having been also made up. Key words: pancreatitis, diagnostic indices, gastroduodenal probe, euphylline-calcium test, ultrasound histogram. IA?ae?e oiiaieo nei?i/aiue IC – i?aeoeoieiaa caeica O?I – o?ii?/iee ?aoeeaeeaoth/ee iaie?aaoeo NICO – nae?aoei-iaie?aicei?iiaee oano AEO – aoo?e?i-eaeueoe??aee oano I?Ae – i?ioaacii-?ia?a?oi?iee aeenaaeain OCAe – oeueo?acaoeiaa aeine?aeaeaiiy D1 – aeaa?o o?iai?eace iaouana?oea D2 – aeaa?o o?iai?eace /a?ac 30 oaeeei i?ney noaiaea?oiiai ni?aeaieo D3 – aeaa?o o?iai?eace /a?ac 60 oaeeei i?ney noaiaea?oiiai ni?aeaieo K1 – eiao?oe??io ?iaeoeoe?? aiaeiaaiiiai iaie?aicei?io /a?ac 30 oaeeei i?ney noaiaea?oiiai ni?aeaieo K2 - eiao?oe??io ?iaeoeoe?? aiaeiaaiiiai iaie?aicei?io /a?ac 60 oaeeei i?ney noaiaea?oiiai ni?aeaieo Tbl – ?ioii?aaeoeaiee o?einei e?ia? Lbl – e?iaca e?ia? Abl – ai?eaca e?ia? Aur – ai?eaca na/? PAGE 11 PAGE 20 + T L M 100% L P +T L M P

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