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Особливості кровоплину у нирках і пуповині та його корекція в профілактиці пізнього гестозу у вагітних з хронічним пієлонефритом: Автореф. дис… канд

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17

I?i?noa?noai ioi?iie caei?ia?y Oe?a?ie

Iaeanueeee Aea?aeaaiee iaaee/iee oi?aa?neoao

?aaiia Ieaenaiae? Ieeieaeiae/

OAeE
618.3-06:616.61-002.2:612.13

Iniaeeaino? e?iaiieeio o ie?eao ? ioiiaei? oa eiai ei?aeoe?y

a i?io?eaeoeoe? i?ciueiai aanoico o aaa?oieo

c o?ii?/iei i??eiiao?eoii

14.01.01 – aeooa?noai oa a?iaeieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iaeana – 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia ia eaoaae?? aeooa?noaa oa a?iaeieia??

Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo, IIC Oe?a?ie

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

Iaai?ia A?eoi??y
Oaaei??aia,

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

i?ioani? eaoaae?e
aeooa?noaa oa a?iaeieia??

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

Aaeiae/aiei TH??e
Iao?iae/,

Ee?anueea aea?aeaaia
iaaee/ia aeaaeai?y

i?neyaeeieiiii? ina?oe
?i.I.E.Ooieea

caa?aeoaa/ eaoaae?e
aeooa?noaa oa a?iaeieia?? ?1

aeieoi? iaaee/ieo iaoe,
i?ioani?

Cae?inueeee Ieaenaiae?
Ieaen?eiae/,

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

caa?aeoaa/ eaoaae?e
ia?eiaoaeueii? iaaeeoeeie,

aeeoy/i? oa i?aee?oeiai?
a?iaeieia??

I?ia?aeia onoaiiaa: Euea?anueeee aea?aeaaiee iaaee/iee
oi?aa?neoao

?i.Aeaieea
Aaeeoeueeiai, eaoaae?a aeooa?noaa oa

a?iaeieia?? oaeoeueoaoo
i?neyaeeieiiii? ina?oe

e?ea??a oa i?ia?ci??a,
IIC Oe?a?ie, i.Euea?a

Caoeno a?aeaoaeaoueny “25”a?oaeiy 1998 ?ieo i 1300 aiaeei? ia can?aeaii?

niaoe?ae?ciaaii? a/aii? ?aaee Ae.41.600.01 i?e Iaeanueeiio aea?aeaaiiio
iaaee/iiio

oi?aa?neoao? (270100, i. Iaeana, i?ia. Aae?oianueeee, 2)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Iaeanueeiai
aea?aeaaiiai iaaee/iiai

oi?aa?neoaoo (270100, i.Iaeana, i?ia. Aae?oianueeee, 3)

Aaoi?aoa?ao ?ic?neaiee “24”eenoiiaaea 1998 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
?iaeeianueea I.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

A inoaii? ?iee a?aei?/aii i?aeaeuaiiy /anoioe iaoieia?? ie?ie o
aaa?oieo, na?aae yei? i??eiiao?eo caeia? ia?oa i?noea. *anoioa eiai a
inoaii? ?iee ca?eueoeeany c 2.5% aei 11.2% (I.E.Aieneiiaa e niaao.,1987,
I.N.Aa?aeaineee e niaao.,1991, Y.I.Aeeaaa e niaao.,1991, A.A.Aeiaeaoyi e
niaao.,1995). Ni?iaieiaai? noaeeie ie?ie i?e i??eiiao?eo? eaaeaoue a
iniia? aaia?ae?ciaaiiai ia?eoa?e/iiai niacio noaeei, yeee ? iaeiei c
iniiaieo iaoiaaiaoe/ieo iaoai?ci?a iaoiaaiaco i?ciueiai aanoico
(A.E.A?euaiei e niaao.,1988, A.E.Noaiaieianeay e niaao.,1994,
C.I.Ionaaa,1997, C.Longh et al.,1989).

A?I-aanoic ia oiii o?ii?/iiai i??eiiao?eoo ?icaeaa?oueny c 24-26 oeae.
aaa?oiino? (E.A.Ooiaiiaa e niaao.,1994, A.I.Na?ia e niaao.,1997).
Anoaiiaeaii, ui i?aeoe/ii a on?o aaa?oieo ?c oyaeeei ia?aa?aii
o?ii?/iiai i??eiiao?eoo aaa?oi?noue oneeaaeith?oueny A?I-aanoicii
(I.E.Aieneiiaa,1987, O.?.Ia?i?iiaa,1996). A?i ? iae/ano?oei (a?ae 41%
aei 82.5%) oneeaaeiaiiyi aaa?oiino? (A.E.A?euaiei e niaao.,1986,
A.I.Aaeno?oe oa ni?aaao.,1990, A.A.Eaeaaei,1991, a.i.Naaaeueaaa e
niaao.,1992, E.A.Eieiiae/oe oa ni?aaao.,1994, A.A.Eieii?eoeaaa oa
ni?aaao.,1995) ? caeia? ae?oaa i?noea o no?oeoo?? i?e/ei iaoa?einueei?
nia?oiino? (A.I.Aaioeeianeee, 1994, E.A.Oeiioaiei oa ni?aaao.,1994,
A.I.No?eaeaeia e niaao.,1997, A.I.Na?ia e niaao.,1997, A.Creth,1990).

?aii? iiia?aaeaeaiiy niacio noaeei oa ei?aeoe?y ii?ooaiue e?iaiieeio o
ie?eao oa ieaoeaio? aei ee?i?/ii? iai?oanoaoe?? neiae?iio aeiiiiiaea
cae?enieoe i?io?eaeoeeo i?ciueiai aanoico.

Ca?aeii aeaieo no/anii? e?oa?aoo?e, ?io?a/a?aiia eaca?ia aei?ii?ithaaiiy
iecueei? ?ioaineaiino? ni?ey? iie?ioaiith i?e?ioee?eoeyoe?? oa
?aieia?/ieo oa?aeoa?enoee e?ia?, ia? noaeeiii?icoe?thth/o ae?th,
aeoea?co? i?ioeane ?aaaia?aoe?? o oeaieiao (A.E.Ao?eeeia,1989,
A.A.Eeea?eiiia,1992, I.E.Eociaoeiaa, 1994, A.N.A?eneei e niaao.,1996). O
ca?yceo c oeei iiaeia i?eionoeoe, ui aieea ?io?a/a?aiiei eaca?iei
aei?ii?ithaaiiyi iecueei? ?ioaineaiino? ia ae?eyieo ie?ie oa ieaoeaioe ?
iaoiaaiaoe/ii iaa?oioiaaiei ? aoaea aoaeoeaiei o ei?aeoe?? ie?eiaiai oa
ieaoeaioa?iiai e?iaiieeio a i?io?eaeoeoe? i?ciueiai aanoico o aaa?oieo c
o?ii?/iei i??eiiao?eoii.

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

Aeine?aeaeaiiy i?iaeiaaeothoue ? ?icaeaathoue iai?yiie, ui ?ic?iaey?
eaoaae?a aeooa?noaa ? a?iaeieia?? Iaeanueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ca?aeii c aea?aeaaiith iaoeiai-oaoi?/iith i?ia?aiith
“I?iaeaie iaoa?einoaa, aeeoeinoaa ? n?i?? a no/anieo
nioe?aeueii-aeiiii?/ieo oiiaao Oe?a?ie” (iiia? aea?aeaaii? ?a?no?aoe?? –
0196 U 018907, 1995 – 1998 ?.).

Iaoa aeine?aeaeaiiy.

Cieaeaiiy iieaciee?a ia?eiaoaeueii? caoai?thaaiino? oa nia?oiino? oeyoii
?aiiuei? i?io?eaeoeee i?ci?o aanoic?a o aaa?oieo c o?ii?/iei
i??eiiao?eoii iaoiaeii ei?aeoe?? ii?ooaiiai e?iaiieeio o ie?eiaeo
a?oa??yo oa a?oa??? ioiiaeie ieiaea.

Caaea/? aeine?aeaeaiiy.

1. Aea/eoe noai e?iaiieeio o ie?eiaeo a?oa??yo o aaa?oieo c o?ii?/iei
i??eiiao?eoii.

2. Aea/eoe noai e?iaiieeio a a?oa??? ioiiaeie ieiaea o aaa?oieo c
o?ii?/iei i??eiiao?eoii.

3. Aea/eoe noai oaoi-ieaoeaioa?iiai eiieaeno e nenoaie aeanoaca –
2-iae?iaeiaoe?i o aaa?oieo c o?ii?/iei i??eiiao?eoii.

4. ?ic?iaeoe iaoiaeeeo eiiieaenii? ei?aeoe?? ii?ooaiue e?iaiieeio o
noaeeiao ie?ie ? ioiiaeie ieiaea o aaa?oieo c o?ii?/iei i??eiiao?eoii,
ni?yiiaaio ia ?aiith i?io?eaeoeeo A?I-aanoico.

5. Aea/eoe ci?ie iieaciee?a e?iaiieeio o ie?eao ? ieaoeaio?, noai
oaoi-ieaoeaioa?iiai eiiieaeno e nenoaie aeanoaca – 2-iae?iaeiaoe?i i?ney
i?iaaaeaiiai e?eoaaiiy.

6. Ai?iaaaeeoe o i?aeoeeo iaoiaeeeo ?aiiuei? ae?aaiinoeee aanoico e
iaoiaeeeo ei?aeoe?? e?iaiieeio o noaeeiao ie?ie oa ioiiaeie ieiaea o
aaa?oieo c o?ii?/iei i??eiiao?eoii oa aecia/eoe aoaeoeai?noue
?ic?iaeaiiai iaoiaeo o i?io?eaeoeoe? oa e?eoaaii? A?I-aanoico.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

1. Aia?oa aea/aii ia?aiao?e e?iaiieeio a ie?eiaeo a?oa??yo o aaa?oieo c
o?ii?/iei i??eiiao?eoii o ??ci? aanoaoe?ei? oa?i?ie.

2. Aia?oa aea/aii ia?aiao?e e?iaiieeio a a?oa??? ioiiaeie ieiaea o
aaa?oieo c o?ii?/iei i??eiiao?eoii o ??ci? aanoaoe?ei? oa?i?ie.

3. Iiaeaeueoee ?icaeoie iaea?aeaei aea/aiiy ia?aiao??a e?iaiieeio o
ie?eiaeo a?oa??yo o caei?iaeo aaa?oieo o ?ici? aanoaoe?ei? oa?i?ie.

4. Iiaeaeueoee ?icaeoie iaea?aeaei aea/aiiy ia?aiao??a e?iaiieeio a
a?oa??? ioiiaeie ieiaea o caei?iaeo aaa?oieo o ??ci? aanoaoe?ei?
oa?i?ie.

5. Aia?oa aeiaaaeaii, ui ci?ie iieacieea i?i?iaeueii? oaeaeeino?
ae?anoie?/iiai e?iaiieeio (IOAeE) oa nenoiei-ae?anoie?/iiai
ni?aa?aeiioaiiy (NAeN) ? iae?aii?oeie neiioiiaie A?I-aanoico, ui
?icaeaa?oueny o aaa?oieo c o?ii?/iei i??eiiao?eoii.

6. Aia?oa cai?iiiiiaaii iaoiaaiaoe/ii iaa?oioiaaiee iaoiae ?aiiuei?
i?io?eaeoeee e e?eoaaiiy A?I-aanoico oeyoii ei?aeoe?? ie?eiaiai oa
ieaoeaioa?iiai e?iaiieeio o eiiieaeniiio iaaeeeaiaioiciiio aieea? ia
i?aai?ci aaa?oii?.

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

1. Aecia/ai? ia?aiao?e e?iaiieeio o ie?eiaeo a?oa??yo oa a?oa???
ioiiaeie o caei?iaeo aaa?oieo.

2. Aecia/ai? ia?aiao?e e?iaiieeio o ie?eiaeo a?oa??yo oa a?oa???
ioiiaeie o aaa?oieo c o?ii?/iei i??eiiao?eoii.

3. ?ic?iaeaii iaoiae ?aiiuei? ae?aaiinoeee aanoic?a (o 20-24 oeae.
aaa?oiino?), caniiaaiee ia aecia/aii? iieaciee?a IOAeE oa NAeN i?e
aeiiiea?iiao??? ie?eiaeo a?oa??e oa a?oa??? ioiiaeie, ci?ie yeeo ?
iae?aii?oei neiioiiii aaia?ae?ciaaiiai noaeeiiiai niacio, oiaoi
A?I-aanoico. Oe? iieacieee iiaeooue aooe aeei?enoiaai? aeey ae?aaiinoeee
? eiio?ieth aoaeoeaiino? e?eoaaiiy.

4. ?ic?iaeaii iaoiae iaoiaaiaoe/ii? ?aiiuei? i?io?eaeoeee ?
e?eoaaiiy A?I-aanoic?a c aeei?enoaiiyi eaca?iiai ii?ii?ithaaiiy ae?eyiee
ie?ie oa ieaoeaioe o eiiieaeniiio aieea? ia i?aai?ci aaa?oii?.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy i?iaaaeaii o a?aeae?eaiiyo
iaoieia?? aaa?oiino? iieiaiaiai aoaeeieo ?1 (aeo ai?iaaaeaeaiiy a?ae
1.09.97), iieiaiaiai aoaeeieo ?2 (aeo ai?iaaaeaeaiiy a?ae 1.10.97),
iieiaiaiai aoaeeieo ?7 i.Iaeane (aeo ai?iaaaeaeaiiy a?ae 10.09.97), o
a?aeae?eaii? aeno?aaai?oaeueii? iaoieia?? i?nueei? ee?i?/ii? e?ea?i? ?2
(aeo ai?iaaaeaeaiiy a?ae 5.05.97).

Iniaenoee aianie caeiaoaa/a. Naiino?eii i?iaaaeaiee
iaoaioii-?ioi?iaoe?eiee iiooe, aecia/ai? iaoa oa caaea/? aeine?aeaeaiiy.
I?iaaaeaia ee?i?/ia ianoaaeaiiy ae?iie i?ae /an aaa?oiino?,
aaciina?aaei?e ca?? iaoa??aeo aeey aeine?aeaeaiiy, ?ic?iaea iaoiaeeee
e?eoaaiiy. Aaoi? iniaenoi aiae?coaaa a?o/eciyio oa ?iicaiio e?oa?aoo?o c
i?iaeaie, ui aea/aeany, naiino?eii aeeiioaaa noaoenoe/io ia?iaeo
iaoa??aeo, i?ia?a aiae?c iaea?aeaieo iaoeiaeo ?acoeueoao?a, iaa?oiooaaa
iaoeia? aeniiaee ? i?aeoe/i? ?aeiiaiaeaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe?. Iniiai? iieiaeaiiy aeena?oaoe??
aeiiia?aeaeeny ia i?aeia?iaei?e eiioa?aioe?? “Aeei?enoaiiy eaca?a o
a?ieia?? ? iaaeeoeei?” (Ee?a, 1995), V ?anioae?eainuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeei?enoaiiy eaca?a o iaaeeoeei? ?
a?ieia??” (sseoa, 1995), O c??cae? aeooa??a-a?iaeieia?a Oe?a?ie (Iaeana,
1996), can?aeaii? Iaeanueeiai iaeaniiai oiaa?enoaa aeooa??a-a?iaeieia?a
(Iaeana, 1996). Iniiaia /anoeia ?acoeueoao?a aeine?aeaeaiiy aeeeaaeaia
o ioae?eaoe?yo.

Ioae?eaoe??. C oaie aeena?oaoe?? iioae?eiaaii 8 ?ia?o, c ieo – 3 noaoo?
o oaoiaeo aeaeaiiyo, 4 oacenieo aeiiia?aeae oa 1 iaoaio ia aeiao?ae.

No?oeoo?a oa ia??i aeena?oaoe??. Iniiaiee ci?no aeena?oaoe?? aeeeaaeaii
ia 126 noi??ieao iaoeiiieniiai oaenoo, c ieo 39 oaaeeoeue, 23 ?enoiea e
5 i?e?ioioia?ao?e. ?iaioa i?noeoue anooi, iaeyae e?oa?aoo?e, 4 aeaae,
ye? a?aeia?aaeathoue ?acoeueoaoe aeanieo aeine?aeaeaiue, aeniiaee e
i?aeoe/i? ?aeiiaiaeaoe??, nienie e?oa?aoo?e, ui ioiieth? 270 aeaea?ae.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. I?ae niinoa?aaeaiiyi ciaoiaeeeiny
135 aaa?oieo ae?iie. A 115 iaoe??ioie aoa ae?aaiinoiaaiee o?ii?/iee
i??eiiao?eo (eaoaioia oi?ia). C ieo 90 – io?eiaee iaaeeeaiaioicia
e?eoaaiiy o eiiieaen? c eaca?iith oa?ai??th e neeaee iniiaio a?oiio, 25
– io?eiaee caaaeueiiaaeeaaia iaaeeeaiaioicia e?eoaaiiy oa oa?eoee o
a?oiio ii??aiyiiy, a 20 caei?iaeo ae?iie ?c o?c?ieia?/iei ia?aa?aii
aaa?oiino? neeaee eiio?ieueio a?oio. On? aaa?oi? aoee o a?oe? a?ae 17
aei 35 ?ie?a. 50 ae?iie ?icii/aee ianoaaeaiiy e ei?aeoe?th aecia/aieo
ii?ooaiue e?iaiieeio o oa?i?i? 20-24 oeae., 65 – o oa?i?i? 30-32 oeae.,
an? aiie ciaoiaeeeeny i?ae niinoa?aaeaiiyi aei iieia?a oa caaa?oaiiy
i?neyiieiaiaiai ia??iaeo.

O ?iaio? canoiniaai? oae? iaoiaee aeine?aeaeaiiy: caaaeueiiee?i?/i? –
caaaeueiee aiae?c e?ia?, aecia/aiiy na/iaeie o e?ia?, caaaeueiee aiae?c
na/?, aeine?aeaeaiiy na/? ca Ia/?ii?aieii, Ceiieoeueeei, iin?a na/? c
aecia/aiiyi nooiaiy aaeoa??o???, oeueo?acaoeiaa aeine?aeaeaiiy c
aeiiiea?iiao?e/iei aecia/aiiyi iieaciee?a e?iaiieeio o ie?eiaeo a?oa??yo
? a?oa??? ioiiaeie ieiaea; ?aae?i?ioii? – aecia/aiiy ano?aae?ieo (A2),
ieaoeaioa?iiai eaeoiaaio (IE) o ne?iaaooe? e?ia? aaa?oieo; a?io?i?/i? –
aecia/aiiy ??aiy aeanoace (ca iaoiaeeeith J.Visser, E.Blant, 1972),
2-iae?iaeiaoe?io (2-IA) (E.I.Aa?aiaaiei, E.E.Aieoiineay, 1969);
a?noieia?/ia aeine?aeaeaiiy ieaoeaio. Ia?ae?/ai? aeine?aeaeaiiy
i?iaiaeeeeny aei e?eoaaiiy oa ia 8-9 aeiao c ii/aoeo e?eoaaiiy.
Noaoenoe/ia ia?iaea io?eiaieo aeaieo i?iaiaeeeany ca?aeii e?eoa??th
Nouethaeaioa (e?euee?ni? iieacieee), oa e?eoa??th A?ee?iniia-Iaia-O?oi?
(ye?ni? iieacieee).

Iniiao iaaeeeaiaioicii? oa?ai?? neeaee i?o?ioo?aie, aioea?ioeee
iai?oeee?iiaiai ?yaeo i?ioyaii 7 aei?a, aeacaa?aaaioe,
aeac?ioien?eaoe?ei? caniae, niaciie?oeee, iiaiioe?iia e a?oai?i?ciaaia
ae??oa. Oaea e?eoaaiiy iaea?aeaee aaa?oi? a?oie ii??aiyiiy. AE?iee
iniiaii? a?oie, e??i oiai, io?eiaee eaca?io oa?ai?th ca?aeii iaoiaeeoe?,
yea ?ic?iaeaia.

Naaine eaca?ii? oa?ai?? cae?enithaaeeny iaeei ?ac ia aeaiue, eo?nii – 7
i?ioeaaeo?. 40 ae?iie ?icii/aee e?eoaaiiy o ?aii? oa?i?ie (20-24 oeae.),
a 50 ae?iie – o oa?i?i? 30-32 oeae. Aeei?enoiaoaaany eaca?iee aia?ao
ia?ee “Oci?” (aeiaaeeia oaee? 890 ii). ?aaeei ii?ii?ithaaiiy: /anoioa 80
Aoe, aeniiceoe?y 4 oa. ia 1 ciio. Aieea i?iaiaeeany e??cue oe??o ii
/a?c? ia ae?eyieo i?iaeoe?? ie?ie oa ia ae?eyieo i?iaeoe?? ieaoeaioe i?e
?ici?uaii? ?? ia ia?aaei?e no?ioe? iaoee (i???iooaaeeny ia eieae?caoe?th
ieaoeaioe ca aeaieie OCAe). A iaeiiio naain? aoei caae?yii 2-3 ciie ii
ia?aaei?e, na?aaei?e oa caaei?e aeneey?iei e?i?yi oa 4 ciie o ae?eyioe?
i?iaeoe?? ieaoeaioe.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. I?e aea/aii? aiaiiaco
aaa?oieo c o?ii?/iei i??eiiao?eoii a?aei?/aii, ui aiie o aeaa ?ace
/ano?oa oai??ee ia aeeoy/? ?ioaeoe??: iniiaia a?oia – 69(76.7%), a?oia
ii??aiyiiy – 17(68.0%), eiio?ieueia a?oia – 7 (35.0%) oa o o?e c
iieiaeiith ?ace /ano?oa – o?ii?/iei oiicee?oii oa aia?iith: 44(48.9%),
11(44.0%) e 3(15.0%), a?aeiia?aeii. O a?eueoino? aaa?oieo c o?ii?/iei
i??eiiao?eoii aiaiiac aoa iaoyaeaiee a?iaeieia?/ieie caoai?thaaiiyie:
45(50%), 12(48%) oa 0(0%), a?aeiia?aeii, na?aae yeeo ia?aaaaeaee
caiaeuei? i?ioeane oa iia?ycai? c ieie oneeaaeiaiiy.

Ia?aeiii-o?ii?/iee i??eiiao?eo aeyaeaiee a 72(80.0%) ae?iie iniiaii?
a?oie oa a 19 (76.0%) – a?oie ii??aiyiiy, aoi?eiii-o?ii?/iee i??eiiao?eo
– a 18(20.0%) oa 6(24.0%), a?aeiia?aeii. O no?oeoo?? noiooii? iaoieia??
ie?ie a oeeo ae?iie ia?aaaaeaea na/ieai?yia oai?iaa. Aaeoa??o??y
aecia/aeany a 76(84.4%) ae?iie iniiaii? oa o 21(84.0%) – a?oie
ii??aiyiiy; noa?eeueiith na/a aoea a 14(15.6%) oa 4(16.0%).

Ia?aa?a aaa?oiino? iaa aeaye? iniaeeaino?. Oae, caa?ica ia?a?eaaiiy
aaa?oiino? aeieeea o 48(53.3%) aaa?oieo iniiaii? oa o 14(56.0%) – a?oie
ii??aiyiiy. Aiai?y ae?aaiinoiaaia o 68(75.6%) aaa?oieo iniiaii? oa o
20(80.0%) – a?oie ii??aiyiiy. I?aaanoic aeyaeaiee o 82(91.1%) aaa?oieo
iniiaii? oa o 23(92.0%) – a?oie ii??aiyiiy.

I?iaaaeai? aeine?aeaeaiiy iieacaee, ui i?e o?c?ieia?/iiio ia?aa?ao
aaa?oiino? ?c c?inoaiiyi oa?i?io aeiiiea?iiao?e/i? iieacieee e?iaiieeio
o ie?eia?e a?oa??? ci?iththoueny. Oae, o oa?i?i? 30-32 oeae. iieaciee
iaeneiaeueii? oaeaeeino? nenoie?/iiai e?iaiieeio (IONE) ca?eueoo?oueny
oa ?c cia/iei nooiaiai aeinoia??iino? a?ae??ciy?oueny a?ae eiai cia/aiiy
o oa?i?i? 20-24 oeae. (?0.05) ?c ca?eueoaiiyi
oa?i?io aaa?oiino? (oaae.1, 2).

I?e aeine?aeaeaii? e?iaiieeio o ie?eiaeo a?oa??yo o aaa?oieo ?c
o?ii?/iei i??eiiao?eoii o oa?i?i? 20-24 oeae. anoaiiaeaii aeinoia??ia
(?0.05), a
ci?ia NAeN a?aeaoaa?oueny ca ?aooiie ciaioaiiy IOAeE, ui iiaeia iiynieoe
niaciii, yeee ii/eia?oueny oa iia??oaiiyi e?iaiieeio o noaeeiao
i?e?ioee?eoeyoi?iiai ?onea ie?ie. I?e aeiiiea?iiao?e/iiio aeine?aeaeaii?
e?iaiieeio o ie?eiaeo a?oa??yo o aaa?oieo c o?ii?/iei i??eiiao?eoii o
oa?i?i? 30-32 oeae. a?aei?/ai? oae? ci?ie: a?aeaoaa?oueny aeinoia??ia
cieaeaiiy IONE o ii??aiyii? c aiaeia?/iei iieacieeii o eiio?ieuei?e
a?oi? (?0.05) (oaae.3).

A i??o i?ia?anoaaiiy aaa?oiino? a iaoe??ioie c o?ii?/iei i??eiiao?eoii
caa??aa?oueny oaiaeaioe?y aei iia??oaiiy e?iaiieeio o noaeeiao
i?e?ioee?eoeyoi?iiai ?onea. I?i oea na?ae/eoue cia/ia ciaioaiiy o
ii??aiyii? ?c eiio?ieai (?0.05), ui iiaeia iiynieoe c?inoaiiyi aeao?oeeoo
ia??io oee?eoethth/i? e?ia?. Oaeei /eiii, a?aeiioaiiy i?ae nenoie?/iith
oa ae?anoie?/iith oaeaeeinoyie a?oa??aeueiiai e?iaiieeio ci?ith?oueny,
aieiaiei /eiii, ca ?aooiie cieaeaiiy inoaiiuei?, ui ia iao iiaeyae,
iia?ycaia ?c ca?eueoaiiyi noaeeiiiai iii?o ia?eoa?e/ii? /anoeie
noaeeiiiai ?onea, yeei aeey a?oa??? ioiiaeie ? eai?ey?ia n?oea ieiaeiai?
/anoeie ieaoeaioe.

Oaeei /eiii, o ie?eao oa o ieaoeaio? aaa?oieo c o?ii?/iei i??eiiao?eoii
niinoa??aa?oueny ii?ooaiiy i?e?ioee?eoeyoe??, yea aecia/a?oueny aaea o
oa?i?i? 20-24 oeae. oa i?ia?ano? ?c ca?eueoaiiyi inoaiiueiai.

Oaaeeoey 1

Iieacieee e?iaiieeio o ie?eiaeo a?oa??yo o aaa?oieo

c o?ii?/iei i??eiiao?eoii o oa?i?i? 20-24 oeae.

Ee?i?/i? a?oien?

aeey

?IONE

(ni/n)? aeey ?IOAeE

(ni/n)?

aeey

?NAeNEiio?ieueia a?oia25190.01.24443.31.8372.080.11Iniiaia
a?oia25284.42.89534.51.4982.450.05A?oia
ii??aiyiiy25388.91.57633.31.6792.410.08
?1-2 >0.05 ?4-5 0.05
?4-60.05
?5-6 >0.05 ?8-9>0.05

Oaaeeoey 2

Iieacieee e?iaiieeio o ie?eiaeo a?oa??yo o aaa?oieo

c o?ii?/iei i??eiiao?eoii o oa?i?i? 30-32 oeae.

Ee?i?/i? a?oien?

aeey

?IONE

(ni/n)? aeey ?IOAeE

(ni/n)?

aeey

?NAeNEiio?ieueia a?oia251115.533.85457.181.3672.020.10Iniiaia
a?oia252104.143.24544.781.0182.330.08A?oia
ii??aiyiiy253106.01.87644.021.2792.380.05
?1-2 0.05
?5-6 >0.05 ?8-9>0.05

Oaaeeoey 3

Iieacieee e?iaiieeio a a?oa??? ioiiaeie o aaa?oieo

c o?ii?/iei i??eiiao?eoii o oa?i?i? 20-24 oeae.

Ee?i?/i? a?oien?

aeey

?IONE

(ni/n)? aeey ?IOAeE

(ni/n)?

aeey

?NAeNEiio?ieueia a?oia25142.611.32411.890.4673.580.10Iniiaia
a?oia25239.981.28510.180.2783.930.03A?oia
ii??aiyiiy25339.841.49610.220.4293.900.02
?1-2>0.05 ?4-50.05
?4-60.05
?5-6>0.05 ?8-9>0.05

Oaaeeoey 4

Iieacieee e?iaiieeio a a?oa??? ioiiaeie o aaa?oieo

c o?ii?/iei i??eiiao?eoii o oa?i?i? 30-32 oeae.

Ee?i?/i? a?oien?

aeey

?IONE

(ni/n)? aeey ?IOAeE

(ni/n)?

aeey

?NAeNEiio?ieueia a?oia25146.941.01417.920.8672.620.12Iniiaia
a?oia25240.581.94511.960.6783.410.11A?oia
ii??aiyiiy25339.741.15612.040.7893.330.12
?1-20.05
?5-6>0.05 ?8-9>0.05

Ai?no ano?aae?ieo o aaa?oieo c o?ii?/iei i??eiiao?eoii o oa?i?i? 20-24
oeae. (iniiaia a?oia – 41.450.72 iiieue/e, a?oia ii??aiyiiy – 40.901.59
iiieue/e) aeinoia??ii ia a?ae??ciy?oueny a?ae iieaciee?a caei?iaeo
aaa?oieo (44.402.94 iiieue/e) (?>0.05). O oa?i?i? 30-32 oeae. ??aaiue
ano?aae?ieo aeinoia??ii cieaeaiee (iniiaia a?oia – 47.181.03 iiieue/e,
a?oia ii??aiyiiy – 45.631.11 iiieue/e) o ii??aiyii? ?c iieacieeaie
eiio?ieueii? a?oie (59.601.75 iiieue/e) (?0.05).

O aaa?oieo c o?ii?/iei i??eiiao?eoii o oa?i?i? 20-24 oeae. ??aaiue
ieaoeaioa?iiai eaeoiaaio (iniiaia a?oia – 159.091.97 iiieue/e, a?oia
ii??aiyiiy – 156.692.43 iiieue/e) oaeiae aeinoia??ii ia a?ae??ciyany
a?ae iieaciee?a caei?iaeo aaa?oieo (153.275.63 iiieue/e) (?>0.05). O
oa?i?i? 30-32 oeae. ai?no ieaoeaioa?iiai eaeoiaaio o ae?iie iniiaii?
? a?oie ii??aiyiiy (188.622.45 iiieue/e oa 192.562.39 iiieue/e)
aeinoia??ii cieaeo?oueny a?aeiinii iieacieea o eiio?ieuei?e a?oi?
(225.909.53 iiieue/e) (?0.05). Ci?ia NAeN a?aeaoaaeany ca ?aooiie ca?eueoaiiy IOAeE (aei
e?eoaaiiy – 34.51.49 ni/n, i?ney e?eoaaiiy – 40.10.99 ni/n, ?0.05). Iieaciee IONE i?ae aieeaii
e?eoaaiiy ia ci?ithaaany (aei e?eoaaiiy – 84.42.89 ni/n, i?ney e?eoaaiiy
– 84.542.63 ni/n, ?>0.05) (?en.1). Ca?eueoaiiy oaeaeeino? ae?anoie?/iai
e?iaiieeio i?ae aieeaii e?eoaaiiy c aeei?enoaiiyi eaca?iiai ii?ii?iaiiy
? aeieacii iie?ioaiiy noaio noaeei i?e?ioee?eoeyoi?iiai ?onea.
A?aenooi?noue ci?i c aieo nenoie?/iiai eiiiiiaioo e?iaiieeio na?ae/eoue
i?i oa, ui ia??i oee?eoethth/i? e?ia? oa ianinia ooieoe?y na?oey i?ae
aieeaii aeacaiiai eiia?iiaaiiai e?eoaaiiy ia ii?iae?co?oueny.

Aiaeia?/i? ci?ie NAeN oa IOAeE i?ae aieeaii e?eoaaiiy a iaoe??ioie
iniiaii? a?oie a?aeaoeeny a a?oa??? ioiiaeie. NAeN aei e?eoaaiiy –
3.930.03, i?ney e?eoaaiiy – 3.630.06 (?0.05). I?e
aiae?c? NAeN a?aei?/aii, ui IONE i?ae aieeaii e?eoaaiiy ia ci?ieeany
(aei e?eoaaiiy – 39.981.28 ni/n, i?ney e?eoaaiiy – 39.561.22 ni/n,
?>0.05) oa ia a?ae??ciyeany a?ae iieacieea o eiio?ieuei?e a?oi? –
42.611.32 ni/n (?>0.05) (?en.2). IOAeE ca?eueoeeany c 10.180.27 ni/n
aei 10.920.39 ni/n (?0.05).

Iaaeeeaiaioicia oa?ai?y, ui ? o?aaeeoe?eiith oa aaceniith, o a?oi?
ii??aiyiiy o oa?i?i? 20-24 oeae. ia aaea aei ii?iae?caoe?? iieaciee?a
e?iaiieeio a a?oa??yo, ye? aeine?aeaeoaaeenue. O ie?eia?e a?oa??? IONE
aoea aei e?eoaaiiy – 88.91.57 ni/n, i?ney e?eoaaiiy – 89.981.47 ni/n
(?>0.05) e ia a?ae??ciyeany a?ae iieacieea o eiio?ieuei?e a?oi? –
90.01.24 ni/n (?>0.05). IOAeE aei e?eoaaiiy – 33.31.67 ni/n, i?ney
e?eoaaiiy – 32.140.80 ni/n (?>0.05) oa ye ? ?ai?oa caeeoaeany
aeinoia??ii ieae/a iieacieea o eiio?ieuei?e a?oi? – 43.31.83 ni/n
(?0.05), cia/ii
ia?aaeuoth/e iieaciee o eiio?ie? – 2.080.11 (?0.05), IOAeE, a?aeiia?aeii, –
10.220.42 ni/n oa 10.180.45 ni/n (?>0.05), NAeN – 3.900.02 oa 3.910.03
(?>0.05) (?en.2).

O aaa?oieo c o?ii?/iei i??eiiao?eoii iniiaii? a?oie, ye? iaea?aeaee ?
eo?n eiiieaenii? oa?ai??, aeeth/ath/e eaca?io, o oa?i?i? 30-32 oeae.
i?ney cae?i/aiiy e?eoaaiiy ia a?aeaoaaeiny aeinoia??ii? ci?ie
iieaciee?a, ye? aea/aeeny. O ie?eia?e a?oa??? IONE neeaea: aei e?eoaaiiy
– 104.143.24 ni/n, i?ney e?eoaaiiy – 103.32.87 ni/n (?>0.05), IOAeE –
44.781.01 ni/n oa 45.00.96 ni/n (?>0.05), NAeN – 2.330.08 oa 2.290.66,
a?aeiia?aeii (?>0.05) (?en.3). A a?oa??? ioiiaeie oe? iieacieee oaeiae
ia ci?ieeeny i?ae aieeaii eiia?iiaaiiai e?eoaaiiy c aeei?enoaiiyi
eaca?ii? oa?ai??. IONE aei e?eoaaiiy neeaea 40.581.94 ni/n, i?ney
e?eoaaiiy – 40.741.71 ni/n oa a?ae??ciyeany a?ae iieacieea o
eiio?ieuei?e a?oi? – 46.941.01 ni/n (?0.05), cia/ii
a?ae??ciyth/enue a?ae iieacieea o eiio?ieuei?e a?oi? – 17.920.86 ni/n
(?0.05), o ii??aiyii? c eiio?ieueiith a?oiith – 2.620.12 (?0.05),
IOAeE: aei e?eoaaiiy – 44.021.27 ni/n, i?ney – 45.60.73 ni/n (?>0.05),
caeeoath/enue cia/ii ieae/a eiio?ieueiiai iieacieea – 57.181.36 ni/n
(?0.05), aeinoia??ii
ia?aaeuoth/e iieaciee NAeN o eiio?ieuei?e a?oi? – 2.020.10 (?0.05),
eiio?ieueia a?oia – 46.941.01 ni/n (?0.05), eiio?ieueia a?oia – 17.920.86 ni/n (?0.05), eiio?ieueia a?oia – 2.620.12
(?0.05 c eiio?ieai). ??aaiue
ano?aae?ieo aeinoia??ii ia ci?ieany (?>0.05) – 42.350.70 iiieue/e, aea
oaeiae ye ? aei e?eoaaiiy ia a?ae??ciyany a?ae iieaciee?a o eiio?ie?
(?>0.05). Iaaeeeaiaioicia oa?ai?y o a?oi? ii??aiyiiy ia aaea aei
aeinoia??iiai i?aeaeuaiiy ai?noo oeeo ai?iii?a: A2 – 41.191.32 iiieue/e,
IE – 159.672.81 iiieue/e (?>0.05). O oa?i?i? 30-32 oeae i?ney eo?no
eiieaeniiai e?eoaaiiy c eaca?iith oa?ai??th aeinoia??ii i?aeaeueany
??aaiue A2 – 57.450.76 iiieue/e oa IE – 213.943.19 iiieue/e, ui ia
a?ae??ciy?oueny a?ae ??aiy oeeo ai?iii?a o caei?iaeo aaa?oieo (?>0.05).
O?aaeeoe?eia oa?ai?y o oeueiio oa?i?i? aaa?oiino? oaeiae aaea aei
iie?ioaiiy ai?iiiaeueii? ooieoe?? OIE. Oae, ??aaiue A2 oa IE aeinoia??ii
(?0.05). ??aaiue aeanoace o aaa?oieo a?oie ii??aiyiiy i?ae
aieeaii o?aaeeoe?eii? iaaeeeaiaioicii? oa?ai?? i?aeaeueany – 3.700.10
ieeao/e, iaeiae ia aeinya iieacieea eiio?ieueii? a?oie (?0.05). Ai?no 2-IA ia ci?ieany (?>0.05) i?ae
aieeaii e?eoaaiiy e ia aeinya iieacieea eiio?ieueii? a?oie (?0.05). O a?oi?
ii??aiyiiy i?ae aieeaii e?eoaaiiy a??ia?aeieo ci?i iieacieea
ni?aa?aeiioaiiy aeanoaca/2-IA ia a?aeaoaaeiny – 1.270.007 (?>0.05),
caa??aaeanue a??ia?aeia ??cieoey c iieacieeii eiio?ieueii? a?oie
(?

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