7

?INOEOOO NA?OeAAI-NOAeEIII? O??O?A?? AII OE?A?IE

E?EEOIIA Ieaen?e Aioiiiae/

OAeE 616.132.2-004.8-. 127-005.8./. 126.423-089

II?AeIAIIss ?OAI?*II? OAI?IAE NA?Oess C IAOIEIA??TH I?O?AEUeIIAI
EEAIAIA:

EE?I?EA, Ae?AAIINOEEA, O??O?A?*IA E?EOAAIIss

14.01.04. — na?oeaai-noaeeiia o??o?a?y

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?inoeooo? na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie

Iaoeiaee ea??aiee:

eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, aeieoi? iaaee/ieo iaoe, noa?oee
iaoeiaee ni?a?ia?oiee, O?noeaiei Aaneeue ?aaiiae/ (?inoeooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie, a?aeae?e o??o?a?/ieo iaoiae?a
e?eoaaiiy ei?iia?ii? iaaeinoaoiino?, aieiaiee iaoeiaee ni?a?ia?oiee)

Io?oe?ei? iiiiaioe:

caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani?, I?eiiaiei Ieaenaiae? Naiaiiae/ (Caii??cueeee aea?aeaaiee
iaaee/iee oi?aa?neoao, caa?aeoaa/ eaoaae?e aini?oaeueii? o??o?a??,
eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, aeieoi? iaaee/ieo iaoe, i?ioani?)

Neoa? Eaii?ae Eoee/, ?inoeooo na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie,
caa?aeoaa/ a?aeae?eii o??o?a?/ieo iaoiae?a e?eoaaiiy iaaooeo aaae na?oey

I?ia?aeia onoaiiaa:

?inoeooo ee?i?/ii? oa aenia?eiaioaeueii? o??o?a??, a?aeae?e o??o?a??
noaeei, AII Oe?a?ie, i. Ee?a.

Caoeno a?aeaoaeaoueny “28” aa?aniy 1999 ?. i 14.00 aiaeei? ia

can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae.26.555.01 ?inoeoooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie (252110, i. Ee?a, oca?c I?ioan?a
ss?, 11)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie (252110, i. Ee?a, oca?c I?ioan?a
ss?, 11)

Aaoi?aoa?ao ?ic?neaiee “ 27 ” /a?aiy 1999 ?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe ?oaeaiei A.A.

Aeooaeuei?noue i?iaeaie. Ia no/aniiio aoai? aca?iica’ycie ?oai?/ii?
oai?iae na?oey (?ON) oa iaaooi? iaoieia?? i?o?aeueiiai eeaiaio (IE) ?
iaei??th c iaeneeaaei?oeo i?iaeai na?oeaai-noaeeiii? o??o?a?? o
aei?ineeo. Oe?iea ?iciianthaeaeaiiy a iiioeyoe?? oaeoi??a ?eceeo ?ON
coiiaeee ca?eueoaiiy e?eueeino? oai?eo, ye? iathoue ye ii?aeiaiiy
noaiicoth/iai aoa?ineea?ico a?ioeaaeo a?oa??e (AA) c iaaooeie
i?o?aeueieie aaaeaie (IA), oae ? aaaee? iaoai?/i? oneeaaeiaiiy
ceiye?niiai i?io?eaiiy ?ON o aeaeyae? iino?ioa?eoii? i?o?aeueii?
iaaeinoaoiino? (A?II), aiaa?ecie e?aiai oeoii/ea (EO). I?ioa aeai? i?i
/anoioo aeyaeaiiy aeaii? iaoieia?? o a?o/eciyi?e e?oa?aoo?? a?aenooi?.
Ii?aeiaiiy aeaio oai?ia — ?ON oa iaaooeo IA, eiaeia c yeeo ?
naiino?eiith iicieia?/iith iaeeieoeath, iaoiiaeei o?oaeiiu? a
nenoaiaoecaoe?? ee?i?/ieo oi?i aeyaeaiiy aeine?aeaeoaaii? iaoieia??.
Aaaeeea?noue aea/aiiy aeaiiai ieoaiiy iaa?ae’?iii ii?aeiaia c
iaa?oiooaaiiyi iieacaiue, no?ie?a oa ianyao o??o?a?/ieo ao?o/aiue.

A ?cieueiaai?e o??o?a?? IA iayai?noue noiooiuei? ?ON, iaiao?aei?noue
aeeiiaiiy ?aaaneoey??caoe?? i?iea?aea aai ei?aeoe?y III ei?aeth? c
aenieei iia?aoe?eiei ?eceeii. Aeeiiaiiy eeoa /anoeiai? ei?aeoe?? (aai
a?ioeaai?, aai i?o?aeueii? iaoieia??) iia’ycaii c iia??oaiiyi
aaciina?aaei?o oa a?aeaeaeaieo ?acoeueoao?a iia?aoe?e. ?acii c oei
ii?aeiaiiy ?aaaneoey??caoe?? i?iea?aea c o??o?a??th IA, ye o iao?e
e?a?i?, oae ? ca ei?aeiiii, noi?iaiaeaeo?oueny cia/iith aini?oaeueii?
eaoaeuei?noth, ui neeaaea? 10,0-48,0%. Iaae??oaieie caeeoathoueny
ieoaiiy iaoiaeeee iia?aoe??, ?io?aiia?aoe?eiiai caoenoo i?iea?aea,
ianyao oa aa??aio?a o??o?a?/ii? ei?aeoe??, i?iaiicoaaiiy ?acoeueoaoo
o??o?a?/iiai ao?o/aiiy.

Iaaaaeaiee ia?ae?e ieoaiue ie?aneea iaoo aeine?aeaeaiiy, yea iieyaaea o
?ic?iaoe? iioeiaeueii? iaoiaeeee iaeiiiiiaioii? ei?aeoe?? aaae
i?o?aeueiiai eeaiaia oa o?aaeaiue a?ioeaaeo a?oa??e.

O a?aeiia?aeiino? c iaoith aoee aecia/ai? ianooii? caaaeaiiy:

1. Aea/eoe /anoioo aeyaeaiiy ii?aeiaiue iaoieia?? i?o?aeueiiai eeaiaia
oa o?aaeaiue a?ioeaaeo a?oa??e.

2. I?iaanoe aiae?c aca?iica’yceo ?oai?/ii? oai?iae na?oey oa iaoieia??
i?o?aeueiiai eeaiaia c aecia/aiiyi iniiaieo oi?i ee?i?/iiai aeyaeaiiy
oaeiai ii?aeiaiiy.

3. Iaa?oiooaaoe iieacaiiy aei o??o?a?/iiai ao?o/aiiy aeey aeae?eaieo
ee?i?/ieo oi?i aeine?aeaeoaaii? iaoieia??.

4. ?ic?iaeoe iine?aeiai?noue o??o?a?/ieo ao?o/aiue ia i?o?aeueiiio
eeaiai? oa a?ioeaaeo a?oa??yo i?e iaeiiiiiaioi?e ei?aeoe?? ?o iaoieia??.

5. ?ic?iaeoe iaoaiaoe/i? iiaeae? i?iaiicoaaiiy ?acoeueoao?a o??o?a?/iiai
e?eoaaiiy ia i?aenoaa? aiae?co ia?aaeiia?aoe?eieo ee?i?/ieo
oa?aeoa?enoee.

6. Aecia/eoe ?io?aiia?aoe?ei? oaeoi?e ?eceeo iaeiiiiiaioii? ei?aeoe??
iaoieia?? i?o?aeueiiai eeaiaia oa o?aaeaiue a?ioeaaeo a?oa??e.

7. Aecia/eoe iioeiaeueiee aa??aio ?io?aiia?aoe?eiiai caoenoo i?iea?aea
oa oaeineiiaeeoe iaoiaeeeo ea?ae?iieaa??.

8. Aea/eoe aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe iia?aoe?e oa
?ic?iaeoe ?aeiiaiaeaoe?? ii ?o iie?ioaiith.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie. Oaia aeena?oaoe?? aoea
caoaa?aeaeaia a/aiith ?aaeith ?inoeoooo na?oeaai-noaeeiii? o??o?a?? AII
Oe?a?ie 02.10.1995?., i?ioieie ? 12 oa ? o?aaiaioii eiiieaenii? oaie:
“Oaeineiiaeaiiy o??o?a?/iiai e?eoaaiiy oneeaaeiaieo oi?i iino?ioa?eoieo
aiaa?eci o oai?eo c ?oai?/iith oai?iaith na?oey” AE 96.01.073, ?
Aea?aeaaiiai ?a?no?o 0196.O001521.

Iaoeiaa iiaecia. Aecia/aia /anoioa aeyaeaiiy ii?aeiaiue ?ON oa iaoieia??
IE ia i?aenoaa? eiiieaeniiai ee?i?/iiai (1041 niinoa?aaeaiiy) oa
iaoieiaiaiaoii?/iiai (246 aooiin?e) aeine?aeaeaiiy. Aea/aiee
eaocaeueii-iaoiaaiaoe/iee aca?iica’ycie ?ON oa iaoieia?? IE. Aia?oa
aecia/ai? oa nenoaiaoeciaai? oi?ie ee?i?/ieo i?iya?a ii?aeiaiue ?ON oa
iaaooeo IA. Aia?oa a?aee?eoee oa aeieacaiee iaoiii?oic o?aaeaiue AA a
ee?i?oe? iaaooeo IA oa aia?oa cai?iiiiiaaia noaia iaoio?c?ieia?/iiai
iiyniaiiy oeueiai yaeua. Aea/aii iniiai? iaoiaaiaoe/i? iaoai?cie
iino?ioa?eoii? i?o?aeueii? iaaeinoaoiino?.

?ic?iaeaii iieacaiiy aei iaeiiiiiaioii? o??o?a?/ii? ei?aeoe?? aeae?eaieo
oi?i ee?i?/iiai ia?aa?ao aeine?aeaeoaaii? iaoieia??. Aecia/aiee
iaea?eueo ni?eyoeeaee aa??aio o??o?a?/ii? ei?aeoe?? i?o?aeueii? aaaee o
ii?aeiaii? c ?aaaneoey??caoe??th i?iea?aea.

Oaeineiiaeaia ? ai?iaaaeaeaia iaoiaeeea ?io?aiia?aoe?eiiai caoenoo
i?iea?aea. Aia?oa i?iaaaeaiee aeaoaeueiee aiae?c aoaeoeaiino?
??ciiiai?oieo aeae?a caoenoo i?iea?aea i?e iaeiiiiiaioi?e o??o?a?/i?e
ei?aeoe?? IA ? o?aaeaiue AA. a ?acoeueoao? yeiai cai?iiiiiaaiee
iioeiaeueiee aa??aio oaoi?ee ea?ae?iieaa??.

?ic?iaeai? iaoaiaoe/i? iiaeae? ?iaeea?aeoaeueiiai i?iaiicoaaiiy
?acoeueoaoo o??o?a?/iiai ao?o/aiiy, aecia/ai? i?iaiinoe/i? oaeoi?e
?eceeo aini?oaeueii? eaoaeueiino?. Iaoeiai iaa?oioiaai? caoiaee uiaei
i?aeaeuaiiy aoaeoeaiino? o??o?a?/iiai ao?o/aiiy ii iaeiiiiiaioi?e
ei?aeoe?? iaoieia?? IE ? o?aaeaiue AA.

I?aeoe/ia cia/ei?noue io?eiaieo ?acoeueoao?a. Aecia/ai? aeaiia?ao?/i?
iniaeeaino? a?oi oai?eo, ye? iathoue ii?aeiaiiy ?ON oa iaoieia?? IE.
Aeaia aeaoaeueia oa?aeoa?enoeea oi?i ee?i?/iiai i?iyao aeine?aeaeoaaii?
iaoieia??. Aea/aia ?ioi?iaoeai?noue ??cieo iaoiae?a ae?aaiinoeee
aeine?aeaeoaaii? iaoieia?? ? aecia/ai? iieacaiiy aei ei?iia?ia?ao?? a
ia?aaeiia?aoe?eiiio ia??iae?.

Aecia/ai? e iaa?oioiaai? iieacaiiy aei iaeiiiiiaioii? ei?aeoe??
o?aaeaiue AA ? iaoieia?? IE. ?ic?iaeaia iine?aeiai?noue aoai?a
o??o?a?/iiai ao?o/aiiy. Oaeineiiaeaia iaoiaeeea ?io?aiia?aoe?eiiai
caoenoo i?iea?aea ? aecia/aiee aeey i?aeoe/iiai canoinoaaiiy
iioeiaeueiee aa??aio oaoi?ee caoenoo i?iea?aea. Aecia/aiee iaea?eueo
ni?eyoeeaee aa??aio o??o?a?/ii? ei?aeoe?? aeine?aeaeoaaii? iaoieia??.
?aeaioeo?eiaai? i?iaiinoe/i? /eiieee ?eceeo aini?oaeueii? eaoaeueiino? ?
cai?iiiiiaaia iaoaiaoe/ia iiaeaeue i?iaiicoaaiiy ?acoeueoaoo
o??o?a?/iiai e?eoaaiiy.

?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a i?aeoeeo ?inoeoooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie, Aei?i?iiao?ianueeiai iaeaniiai
ae?aaiinoe/iiai oeaio?o. Io?eiaii iaoaio ia aeiao?ae ? 3769-O?? “Niin?a
iaoai?/ii? aiaea?aa?aeoii??” ? iiceoeaia ??oaiiy ca cayaeith ia aeiao?ae
? 970521 17/2154 “Niin?a o??o?a?/iiai e?eoaaiiy aiaa?eci na?oey” a?ae
07.05.97?. Iaoa??aee ?iaioe aeeth/ai? a iaoiaee/i? ?aeiiaiaeaoe?? IIC
Oe?a?ie “Caniae caoenoo i?iea?aea i?e neeaaeieo o??o?a?/ieo ao?o/aiiyo o
oai?eo c o?aaeaiiyi eeaiai?a oa a?ioeaaeo a?oa??e na?oey” (1994 ?.)

Iniaenoee aianie. Aeena?oaoe?y ? iniaenoith i?aoeath aaoi?a, yeee
aeeiiaa aiae?c ee?i?/iiai iaoa??aeo ia no/aniiio iaoeiaiio ??ai?. Aaoi?
aeine?aeaeoaaa iiaeeeaino? no/anieo iaoiae?a ae?aaiinoeee ? e?eoaaiiy
oai?eo, ye? iathoue ii?aeiaiiy ?ON ? iaoieia?? IE, iaa?oiooaaa, ?ic?iaea
? ai?iaaaeea o i?aeoee iioeiaeuei? aa??aioe ?io?aiia?aoe?eiiai caoenoo
i?iea?aea ? o??o?a?/ii? ei?aeoe?? aeine?aeaeoaaii? iaoieia??.
A?eueo?noue iia?aoe?e aeeiiaii i?e o/ano? aeena?oaioa. Aaoi?ii
i?iaaaeaia noaoenoe/ia ii?aoethaaiiy iaoa??aeo, oaenoiaa ? a?ao?/ia
ioi?ieaiiy ?acoeueoao?a.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe?? aeeeaaeai?
e

iaaiai?ai? ia ? Ananithciiio c’?cae? na?oeaai-noaeeiieo o??o?a?a
(Iineaa. 1990 ?.), IV c’?cae? ea?ae?ieia?a Oe?a?ie (Aei?i?iiao?ianuee,
1993), ? ? III Iaoeiaeo eiioa?aioe?yo anioe?aoe?? na?oeaai-noaeeiieo
o??o?a?a Oe?a?ie (Ee?a, 1993 ? 1995 ?.), III iaoeiai-i?aeoe/i?e
eiioa?aioe?? “Aeooaeuei? i?iaeaie aenia?eiaioaeueii? iaaeeoeeie” (Ee?a,
1999?.). Ca oaiith aeena?oaoe?? iioae?eiaaii 13 ?ia?o. Ioae?eaoe??
iiai?noth a?aeoai?ththoue ci?no aeine?aeaeaiue.

No?oeoo?a oa ianya ?iaioe. Aeena?oaoe?y aeeeaaeaia ia 207 noi??ieao
iaoeiiieniiai oaenoo ? neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e (1
?icae.), aeanieo aeine?aeaeaiue (4 ?icae.), caeeth/ii? /anoeie,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo c 189 aeei?enoaieo aeaea?ae
? aeiaeaoeo. ?iaioa ?ethno?iaaia 55 oaaeeoeyie oa 9 iaethieaie.

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. A iniiao aeine?aeaeaiiy iieeaaeaiee
?ao?iniaeoeaiee aiae?c 1041 ei?iia?ia?ao?/iiai aeine?aeaeaiiy o oai?eo c
iaaooith iaoieia??th IE, aeeiiaieo a ?inoeooo? na?oeaai-noaeeiii?
o??o?a?? AII Oe?a?ie c 1988 ii 1998 ?iee.

E?eoa???i oi?ioaaiiy a?oie aeine?aeaeaiiy aoei ii?aeiaiiy aniiaeeiai?/ii
cia/eieo caoaeaiue AA (ia 50,0% ? a?eueoa i?ina?oo noaeeie) c
iaoieia??th IE, ye? iio?aaothoue o??o?a?/ii? ei?aeoe??. A?aeiia?aeii aei
aeaiiai e?eoa??th aoee nenoaiaoeciaai? aeai? 165 oai?eo. Ioaea caaaeueia
/anoioa aeyaeaiiy aeine?aeaeoaaii? iaoieia?? neeaea 15,9% (165 aeiaaee?a
c 1041 ei?iia?ia?ao?/iiai aeine?aeaeaiiy).

Oai?? iiae?eai? ia aea? a?oie. Ia?oa i?noeoue 137 (83,1%) aeiaaee?a, ye?
iathoue iacaeaaeia ii?aeiaiiy ?ON oa iaaooeo IA. Ae?oaa a?oia i?noeoue
28 (16,9%) aeiaaee?a, ye? iathoue III. Oa?aiaaoe/i? aniaeoe, ui
aeeth/athoue aeaiia?ao?/io oa?aeoa?enoeeo, ?iciianthaeaeai?noue oaeoi??a
?eceeo ?ON, oi?ie ee?i?/iiai i?iyao oa iniaeeaino? ia?aa?ao aea/ai?
ie?aii aeey eiaeii? c aeae?eaieo a?oi.

A eiiieaen ee?i?/iiai ianoaaeaiiy aoiaeeee o?aaeeoe?ei? aeine?aeaeaiiy
(nea?ae, aiaiiac, ?a?no?aoe?y oaeoi??a ?eceeo ?ON, aea/aiiy caaaeueiiai
noaio, AEA, AOIEA, AAI, ?aioaai?anueea ianoaaeaiiy a?oaeii? ii?iaeieie,
eaai?aoi?i? aeine?aeaeaiiy) ? niaoe?aeuei? aeine?aeaeaiiy
(eaoaoa?ecaoe?y ii?iaeiei na?oey ?c naeaeoeaiith ei?iia?ia?ao??th). O
i?ioean? aeine?aeaeaiiy aeeiioaaany aiae?c c aeei?enoaiiyi oaeeo
i?aaeiia?aoe?eieo iieaciee?a: ?EA iciaee a?ia?o?io?? e?aiai (AEO) oa
i?aaiai (AIO) oeoii/e?a na?oey, iayai?noue ieaioeeai? a?eoi?? (IA), a
oaeiae e?ioeaai-ae?anoie?/iee ?iaeaen (EAe?), e?ioeaai-nenoie?/iee
?iaeaen (EN?), oaea?iee ?iaeaen (O?), oaeeeiiee ia’?i na?oey (OIN),
na?oeaaee ?iaeaen (N?), o?aeoe?y aeaiaiiy EO (OA),
e?ioeaai-ae?anoie?/iee oene EO (EAeOeo), nenoie?/iee oene o eaaaiaa?e
a?oa??? (?ea), ea?ae?ioi?aeaeueiee ?iaeaen (EO?). Aeei?enoiaoaaeanue
caaaeueiii?eeiyoa eeaneo?eaoe?y aaiiaeeiai?/ieo aa??aio?a IA na?oey:
i?o?aeueiee noaiic (IN), eiia?iiaaia i?o?aeueia aaaea (EIA), i?o?aeueia
iaaeinoaoi?noue (II). ?acoeueoaoe ei?iia?ia?ao?/ieo aeine?aeaeaiue aoee
aiae?ciaai?, ? ?icoaooaaiiy a?ioeaaeo noaiic?a eean?o?eiaaii
a?aeiia?aeii iniiaiei ai?ea?ae?aeueiei a?oa??yi: ia?aaeiy i?aeoeoii/eiaa
(IIOA), iaeiath/a (0A), i?aaa (IAA) oa iniiaiee noiaao? e?ai? a?ioeaai?
a?oa??? (INEAA).

?ao?iniaeoeaiee aiae?c (1988-1990??.) naeoe?eieo aeaieo iiia?eeo (i^246)
i?ney i?ioacoaaiiy IE (IIE) aeicaieea aecia/eoe /anoioo a?ioeaaeo
o?aaeaiue oa c’ynoaaoe ?o aieea ia ?acoeueoaoe iia?aoe?e. Ii?oieia?/i?
aeine?aeaeaiiy i?iaiaeeeeny ia iae?ineii?/iiio oa i?e?ineii?/iiio ??aiyo
ia iniia? ?io?aiia?aoe?eiiai oa naeoe?eiiai iaoa??aeo.

O??o?a?/ia e?eoaaiiy aoei aeeiiaii a 83 (50,3%) aeiaaeeao.

Iaeiiiiiaioia ei?aeoe?y IA oa o?aaeaiue AA aeeiiaia o 45 (27,3%) oai?eo.
A?aeaeaeai? ?acoeueoaoe iia?aoe?e aea/ai? o 32 (97,0%) oai?eo, ui
aeienaeeny. No?iee a?aeaeaeaieo niinoa?aaeaiue neeaee a?ae 1,5 aei 11
?ie?a, o na?aaeiueiio 6,7 ± 0,4 ?.

*anoeiaa o??o?a?/ia ei?aeoe?y (aai eeoa IA, aai eeoa o?aaeaiue AA) aoea
aeeiiaia 38 (23,0%) oai?ei. ?ao?iniaeoeaiee aiae?c ?acoeueoao?a oeeo
iia?aoe?e a?aoiaoaaany aeey oi?ioaaiiy iieacaiue aei iaeiiiiiaioii?
ei?aeoe?? o?aaeaiue AA oa IA.

Iniiai? ?acoeueoaoe aeine?aeaeaiiy. Nenoaiaoeciaai? ca aeanyoe??/iee
ia??iae 165 niinoa?aaeaiue aoee iiae?eai? ca?aeii
eaocaeueii-iaoiaaiaoe/iiai i?eioeeio: ?ON ye iacaeaaeii ?nioth/a
oai?iaa, yea ii?aeio?oueny c iaaooeie IA — 137 (83,1%) aeiaaee?a c 165
niinoa?aaeaiue; oa ?ON, o aeiaaeeo ?? oneeaaeiaiiai ia?aa?ao, ye ?aeeia
e iniiaia i?e/eia iaaeinoaoiino? IE — 28 (16,9%) aeiaaee?a c 165
niinoa?aaeaiue.

*anoioa aeyao aaiiaeeiai?/ii cia/eieo caoaeaiue AA o oai?eo c iaaooeie
IA ca ?acoeueoaoaie ei?iia?ia?ao?/ieo aeine?aeaeaiue neeaaea? 13,2% (137
aeiaaee?a c 1041 ei?iia?ia?ao??). Ii/aoie ae?aaiinooaaiiy a?ioeaaeo
o?aaeaiue i?eiaaea? ia 35-??/iee a?e o /ieia?e?a oa 46-??/iee o ae?iie.
Iaea?eueoa e?euee?noue oai?eo ia?aaoaa? o noa?oeo a?eiaeo a?oiao.

A ?acoeueoao? iaoieiaiaiaoii?/ieo aeine?aeaeaiue (i = 246, na?aaei?e a?e
-42,0 ± 0,3?.) aoa?ineea?ioe/i? o?aaeaiiy ??ciiai nooiaith ae?aaeaiino?
aoee aeyaeai? o 96 (39,0%) iiia?eeo (na?aaei?e a?e 46,6 ± 1,6?.), i?e
oeueiio aaiiaeeiai?/ii cia/ei? caoaeaiiy (>50,0%) aeyaeai? o 39 (16,0%)
iiia?eeo.

A?oia oai?eo c iacaeaaeiei ii?aeiaiiyi ?ON ? iaaooeo IA (na?aaei?e a?e
52,7 =ue 0,5?.) iaea oae? iniaeeaino?: ia?aaaaeaiiy in?a /ieia?/i? noao?
(73,0%), ni?aa?aeiioaiiy /ieia?ee / ae?iee neeaei 2,7 : 1; cia/ia
?iciianthaeaeai?noue oaeoi??a ?eceeo ?ON, iniaeeai a?oa??aeueii?
a?ia?oaic?? (AA) (33,6%); aeii?ioth/a ?ieue ?aaiaoecio o aaiac? IA
(94,9%), oa ye iane?aeie oeueiai ia?aaaaeaiiy IN (66,4%) na?aae
aaiiaeeiai?/ieo aa??aio?a IA; i?aaaethaaiiy oai?eo c ae?aaeaieie
noaae?yie IA, ye? iathoue cia/io o?eaae?noue ?nioaaiiy naii? aaaee (19,9
± 1,0 ?.); na?aaeiy e?euee?noue o?aaeaieo AA ia iaoe??ioa neeaea 1,65 ±
0,1; o a?eueoino? aeiaaee?a o?aaeaiiy AA iaee eaoaioiee ia?aa?a —
noaiiea?ae?y niinoa??aaeanue a 39,4% aeiaaee?a, aino?ee ?ioa?eo
i?iea?aea (A?I) o 5,1% aeiaaee?a, AEA- iciaee o?ii?/ii? a?ioeaai?
iaaeinoaoiino? (OAI) ?a?no?oaaeeny a 47,4% aeiaaee?a.

Aeey ianooiiiai aiae?co aoee aeae?eai? 2 i?aea?oie oai?eo, ye?
aecia/athoue iniiai? oi?ie ee?i?/iiai i?iyao iacaeaaeiiai ii?aeiaiiy ?ON
oa iaaooeo IA:

1. Oai??, ye? iathoue eeoa ee?i?/i? neiioiie o?aaeaiiy IE, neiioiiaoeea
?ON a?aenooiy — 83 (60,6%) aeiaaeee c 137 niinoa?aaeaiue.

2. Oai??, o yeeo iaeiaeiai iiaeai? neiioiie IA oa ?ON 54 (39,4%)
aeiaaee?a c 137 niinoa?aaeaiue.

Naia oaeee iiae?e oai?eo aoa iieeaaeaiee a iniiao aea/aiiy iniaeeainoae
i?iyao o?aaeaiue AA o oai?eo c IA, ?aeaioeo?eaoe?? oaeoi??a oa oiia, ui
aecia/athoue “i?iee” oa?aeoa? ia?aa?ao a?ioeaaeo noaiic?a. Ii??aiyeueiee
aiae?c ca ye?nieie oa e?euee?nieie ee?i?/ieie oa?aeoa?enoeeaie i?ae
i?aea?oiaie oai?eo aeicaieea c?iaeoe ianooii? aeniiaee:

1. I?aea?oia oai?eo c aacneiioiiiei ia?aa?aii a?ioeaaeo o?aaeaiue
oa?aeoa?eco?oueny a?eueoei nooiaiai ae?aaeaiino? IA, ui
i?aeoaa?aeaeo?oueny a??ia?aeii a?eueoith /anoioith ?a?no?aoe?? IA —
90,4% (? < 0,001), iciae AIO- 54,2% (? = 0,001), iaiiaii? aeieaaee i?aai? i?aeee io/ea A?na - 54,2% (? = 0,031), a oaeiae-a??ia?aeii a?eueoeie cia/aiiyie ?ea - 52,3 ± 2,4 ii ?o. no. (? = 0,036), EO? -56,0 ± 0,7 (? = 0,020), a??ia?aeii iaioeie cia/aiiyie OIN - 6,4 ± 0,7 e/oa. (? = 0,019) oa N? - 3,5 ± 0,2 e/oa/ea.i (? = 0,035) c oaiaeaioe??th aei iaioeo cia/aiue EAe? - 84,7 ± 3,0 ie/ea.i (? = 0,076) oa O? - 46,6 ± 1,6 ie/ea.i (? = 0,092). Oe? aeai? oaeiae aiai?youe i?i ia?aaaaeaiiy o i?aea?oi? oai?eo c IN - 72,3% (? = 0,073). ?iciianthaeaeai?noue a?ioeaaeo o?aaeaiue o i?aea?oi? iaioa, ui i?aeoaa?aeaeo?oueny iaioith /anoioith ?a?no?aoe?? caoaeaiue IIOA - 59,0% (? = 0,025), INEAA - 2,4% (? = 0,036) oa iaioei cia/aiiyi na?aaeiuei? e?eueeino? o?aaeaieo AA-1,45 ±0,07 (?-0,001). 2. I?aea?oia oai?eo c neiioiiaoe/ieie o?aaeaiiyie AA oa?aeoa?eco?oueny a?aeiinii iaioith ae?aaeai?noth aaaee IE, ui i?aeoaa?aeaeo?oueny a??ia?aeii iaioith /anoioith ?a?no?aoe?? IA - 64,8% (? < 0,001), iciae AIO - 25,9% (?< 0,001), iaiiaii? aeieaaee i?aai? i?aeee io/ea A?na - 35,2% (?= 0,031), a oaeiae a??ia?aeii iaioeie cia/aiiyie ?ea - 44,4 ± 2,9 ± 29 ii ?o. no. (? = 0,036), EO? - 53,5 ± 0,8, a??ia?aeii a?eueoeie cia/aiiyie OIN - 7,6 ± 0,5 e/oa. (? = 0,019) oa N? - 4,1 ± 0,3 e/oa./ea.i (? = 0,035) c oaiaeaioe??th aei a?eueoeo cia/aiue EAe? - 93,9 ± 4,4 ie/ea.i (? = 0,076) oa O? - 50,2 ± 2,2 ie/ea.i (? = 0,092). O oe?e i?aea?oi? oaeiae ia?aaaaeathoue oai?? c IN (57,4%), i?ioa /anoea oai?eo c II a?eueoa (11,1%), i?ae o i?aea?oi? c aacneiioiiiei ia?aa?aii a?ioeaaeo o?aaeaiue (4,8%) i?e ? - 0,168. A?eueoa ?iciianthaeaeai?noue a?ioeaaeo o?aaeaiue i?aeoaa?aeaeo?oueny ?o na?aaei?i iieacieeii -2,0 ±0,11 (?= 0,001). 3. Ii??aiyeueiee aiae?c i?ae a?oiaie oai?eo, ye? oa?aeoa?ecothoueny ??ciith aaaee?noth aia?iicieo iaiaae?a iieacaa, ui ca?aeii ii?yaeeo aeine?aeaeoaaieo a?oi:a?aenooi?noue noaiiea?ae?? - noaiiea?ae?y iai?oae - noaiiea?ae?y iai?oae oa niieith a??ia?aeii ca?eueoo?oueny ?iciianthaeaeai?noue a?ioeaaeo o?aaeaiue (1,45 ± 0,07 - 1,92 ± 0,1 - 2,41 ± 0,2, i?e ? < 0,05), yea ii?aeio?oueny c iaioith ae?aaeai?nath IA. Oea i?aeoaa?aeaeo?oueny oaiaeaioe??th aei iaioeo cia/aiue EO? oa ?ea oa a?eueoeo cia/aiue EAe?, OIN, N?. I?e oeueiio iniaeeaeo ci?i c aieo cia/aiue EAeOeo oa OA a?aecia/aii ia aoei. Ii??aiyeueiee aiae?c i?ae i?aea?oiaie oai?eo c aacneiioiiieie oa neiioiiaoe/ieie o?aaeaiiyie AA aecia/ea ?yae ee?i?/ieo oa?aeoa?enoee, a?aei?iiino? yeeo aoee a??ia?aei? aai aeecuee? aei a??ia?aeieo. Aei oaeeo oa?aeoa?enoee a?aeianaii: iioe?ai?noue o?aaeaiue AA, ?eoi na?oey, CEA-iciaee AIO, AEO, iaiiaia aeieaaea i?aai? i?aeee io/ea A?na, ao?ieia?y IA, aaiiaeeiai?/iee aa??aio IA. Eiaeia c ia?a?aoiaaieo oa?aeoa?enoee iaea aca?iica'ycie ?c iiyaith noaiiea?ae?? a ee?i?oe? caoai?thaaiiy. C iaoith aeyaeaiiy ni?yiiaaiino? ae?? oa?aeoa?enoee ? cia/eiino? ?oiueiai aieeao ia aeieeiaiiy ? a?aaeaoe?th aaaeeino? noaiiea?ae?? i?iaaaeaii aiae?c ca oaaeeoeyie ni?yaeaiino?. I?iaaaeaiee aiae?c aeyaea a??ia?aeiee iiceoeaiee aca?iica'ycie aeey oa?aeoa?enoee: e?euee?noue o?aaeaieo AA (? < 0,001), o?aaeaiiy IIOA (? = 0,05), 0A (? = 0,09), IAA (? = 0,01), INEAA (? = 0,02), AEA-iciaee AEO (? = 0,07), ao?ieia?y IA (? < 0,001), aaiiaeeiai?/iee aa??aio IA (? = 0,04). An? oe? oa?aeoa?enoeee aieeaaee ia ca?eueoaiiy /anoioe aeieeiaiiy ? iineeaiiy aaaeeino? ia?aa?ao noaiiea?ae?? ? iiaee aooe oiiaaie, ui ni?eythoue i?iyao o?aaeaiue AA. Aeaoaeueiee aiae?c ii eiaei?e ?c ia?a?aoiaaieo oa?aeoa?enoee aeicaieea c?iaeoe aeniiaee: 1. O oai?eo ?c iaaooeie IA noiooiy ?ON iiaea i?iyaeyoeny noaiiea?ae??th ii/eiath/e c o?aaeaiue aeaio AA. Iiaeaeueoa ca?eueoaiiy e?eueeino? o?aaeaieo AA iiaea aecia/aoe aaaee?noue aia?iicieo iaiaae?a. 2. Ii/aoeia? nooiai? caoaeaiiy i?ina?oo AA, ui iiaeooue i?iyaeyoeny noaiiea?ae??th ??ciiiai?oi?: IIOA - 70,0%, 0A - 50,0%, IAA - 50,0%. C oeueiai aeieeaa?, ui c 56 oai?eo, ye? iathoue caoaeaiiy IIOA ia 70,0% ? a?eueoa, caeeoathoueny aacneiioiiieie 29 (21,9%) oai?eo; ?c 60 oai?eo, ui iathoue caoaeaiiy 0A ia 50% oa a?eueoa, caeeoathoueny aacneiioiiieie 32 (53,3%) oai?eo; ?c 68 oai?eo, ui iathoue caoaeaiiy IAA ia 50,0% ? a?eueoa, aacneiioiiieie caeeoathoueny 37 (54,4%) oai?eo. Ia?a?aoiaai? oaeoe aeacothoue ia ?nioaaiiy oiia, ui ia?aoeiaeaeathoue i?iyao a?ioeaaeo o?aaeaiue noaiiea?ae??th. 3. *anoioa ?a?no?aoe?? noaiiea?ae?? ? iineeaiiy aaaeeino? naieo aia?iicieo iaiaae?a ca?eueoo?oueny ii i??? i?ioiaeaeaiiy ?yaeo aaiiaeeiai?/ieo aa??aio?a aaaee: IN - EIA - II. Aeaiee ?yae iiaoaiii a?aeaeaa? i?ioean aeieeiaiiy ? ca?eueoaiiy ?aao?a?oaoe?? ia IE. A?aeiia?aeii aei oeueiai ae ?yaeo aoaea ca?eueooaaoeny /anoioa ?a?no?aoe?? AEA-iciae AEO, ye? ? ciai?oi?i i?iyaii ca?eueoaiiy iaaaioaaeaiiy ia i?iea?ae. Oaeei /eiii, oiiaith, ui ni?ey? i?iyao a?ioeaaeo o?aaeaiue noaiiea?ae??th ? nooi?iue ?aao?a?oaoe?? ia IE, ui aecia/a? ia'?iia ia?aaaioaaeaiiy EO ? eiai a?ia?o?io?th. I?iaaaeaiee aiae?c oaeiae aeyaea a??ia?aeiee iaaaoeaiee aca?iica'ycie i?ae aeieeiaiiyi ? aaaee?noth ia?aa?ao noaiiea?ae?? ? oaeeo ee?i?/ieo oa?aeoa?enoee, ye ?eoi na?oeaaeo nei?i/aiue (? < 0,001), AEA-iciaee AIO (? < 0,001), iaiiaia aeieaaeai?aai? i?aeee io/ea A?na (? == 0,002). ?aeeia iaeiini?yiiaaia ae?y oeeo oa?aeoa?enoee ae?aaea?oueny o ianooiiiio: 1. Ci?ia ?eoio a?ae neioniaiai aei IA, aeieeiaiiy AEA-iciae AIO ? iaiiaii? aeieaaee i?aai? i?aeee io/ea A?na ii?aeiothoueny c iecueeith neiioiiaoe/i?noth o?aaeaiue AA. 2. Ia?a?aoiaai? oa?aeoa?enoeee ? ciai?oi?ie iieacieeaie i?ia?anoaaiiy IN, ui ia?aaiaeyoue iaoe??io?a c iaei??? a ?ioo, a?eueo ae?aaeaio noaae?th caoai?thaaiiy. 3. Aeai? oa?aeoa?enoeee noi?iaiaeaeothoue “i?i?” o?aaeaiiy AA ? iia'ycai? c i?ioeanii noaiicoaaiiy IE, iaiaaeaiiyi iaaaioaaeaiiy ia EO. Oaeei /eiii, aaciina?aaeiueith oiiaith ?nioaaiiy “i?ieo” o?aaeaiue AA ? iaiaaeaia iaaaioaaeaiiy ia EO, o?eniaaiee OIN, ui /?oei aeyaey?oueny o oai?eo ?c IN. I?iaaaeaiee aiae?c iieacaa, ui a iniia? ee?i?/iiai i?iyao ?ON ia oii? ?nioth/i? IA eaaeeoue iaoiii?oic a?ioeaaeo o?aaeaiue, iia'ycaiee ?c nooiaiai aaiiaeeiai?/iiai iaaaioaaeaiiy EO. *ei a?eueoee nooi?iue noaiicoaaiiy IE, oei iaioa iaaaioaaeaiiy ia EO, ui ia?aaeaa/a? ?nioaaiiy “i?ieo” oi?i a?ioeaaeo o?aaeaiue. ? /ei a?eueoa ae?aaeaia ?aao?a?oaoe?y ia IE, oei a?eueoa iaaaioaaeaiiy ia EO, ui ni?ey? i?iyao o?aaeaiue AA. Aaeaeaaoi?noue aeaii? oai??? i?aeoaa?aeaeothoue ?acoeueoaoe aeene?ei?iaioiiai aiae?co. ?icoiaeaeaiiy i?ae i?aea?oiaie oai?eo, ui iathoue ? ia iathoue noaiiea?ae?th, ca noeoii?noth aeei?enoaieo oa?aeoa?enoee a??ia?aeii (F = 8,966, ? < 0,001). I?e oeueiio, iaea?eueoee aianie iaee ?eoi na?oeaaeo nei?i/aiue (? < 0,001), AEA-iciaee AIO (? = 0,034), ?ea (? = 0,040). Iaio ae?aaeaiee aieea iaee ao?ieia?y IA (? = 0,155) ? OIN (? = 0,168). Ianooiia aiae?ciaaia a?oia i?noeoue oai?eo, ye? iathoue iino?ioa?eoio i?o?aeueio iaaeinoaoi?noue. *anoioa aeyaeaiiy aeaii? iaoieia?? ca ?acoeueoaoaie ei?iia?ia?ao?/ieo aeine?aeaeaiue neeaaea? 2,7% (28 aeiaaee?a ia 1041 ei?iia?ia?ao?th). Aiae?c ee?i?/ieo oa?aeoa?enoee oe??? a?oie oai?eo (na?aaei?e a?e -49,0 ± 1,8?.) aeyaea ianooii? iniaeeaino?: 1. Aeii?ioaaiiy iaoe??io?a /ieia?/i? noao? (96,4%) 2. Cia/ia ?iciianthaeaeai?noue oaeoi??a ?eceeo ?ON" (25,0%) 3. I?e a?aeiinii iieiaeiio neeaae? a?oie a?aei?/a?oueny iniaeeaa aaaee?noue ia?aa?ao ?ON, ui ia? ae?ac o cia/i?e neiioiiaoe/iino? ii noaiiea?ae?? (89,3%) ?, iniaeeai, ii noaiiea?ae?? iai?oae oa niieith (35,7%), aaeee?e /anoio? iiaoi?ii ia?aianaieo A?I (42,9%), ia?aaaaeaii? o?enoaeeiieo o?aaeaiue AA (53,6%) ? cia/ii? /anoioe caoaeaiue INEAA (14,3%). 4. Ia?aaaaeaiiy oai?eo c iino?ioa?eoieie aiaa?eciaie EO (53,6%), ye? o 10,7% aeiaaee?a noi?iaiaeaeoaaeeny i?eno?ieiaei o?iiaicii, ui aecia/a? aaeeeee ianya o??o?a?/ieo ao?o/aiue. 5. Iaiaeii??aei?noue iaoai?ci?a aeieeiaiiy III. Eeoa o 2 (7,1%) aeiaaeeao aoee ?ic?eae aie?aie caaei?-iaae?aeueii? a?oie iai?ey?ieo i'yc?a, o 8 (26,8%) aeiaaeeao aoei ii?aeiaiiy III c aiaa?eciith caaei?-aieiai? no ?iee EO o 7 (25,0%) aeiaaeeao c aiaa?eciith ia?aaei?-aieiai? no?iee EO. A inoaii?o 11 (39,3%) aeiaaeeao III ii?aeioaaeanue c i?ia?anoth/ith i?iea?ae?aeueiith iaaeinoaoienoth. 6. ?acoeueoaoe AEA-aeine?aeaeaiue iieacothoue cia/io /anoioo ?a?no?aoe?? iciae AEO (60,7%) i?e a?aeiinii iae?e /anoio? AIO (10,7%). Iciaee OAI oa iino?ioa?eoieo ci?i i?iea?aea aoee aeyaeai? o 96,0% aeiaaee?a. 7. I?e iaeiio oa?i?i? ?nioaaiiy naii? iaoieia?? IE (2.9 ± 0,6?.) a?aei?/a?oueny /?oea oaiaeaioe?y aei ca?eueoaiiy ianya?a EO: EAe? - 139,1 ± 6,4 ie/ea.i, EN? -78,5 ± 5,4 ie/ea.i, O? 61,0 ± 3,6 ie/ea.i. Cieaeaiiy nei?ioeeaino? i?iea?aea: OA -44,1 ± 2,2% noi?iaiaeaeo?oueny ca?eueoaiiyi cia/aiue EAeOeo - 20,6 ± 1,4 ii ?o.no. oa ?ea - 49,3 ± 2,8 ii ?o.no. Aeai? ci?ie ? iane?aeeii i?aenoioaaiiy aeaio iaaaoeaieo oaeoi??a - iino?ioa?eoieo ci?i i?iea?aea oa ia'?iiiai ia?aaaioaaeaiiy EO aiane?aeie ?aao?a?oaoe?? ia IE. AOIEA aeine?aeaeaiiy aeeoa?aioe?ththoue o?e ooieoe?iiaeuei? oeie A?II: Oei ?. Ii?iaeueiee ?oo nooeie. ?aao?a?oaoe?y ia IE aeieea? a ?acoeueoao? aeeeaoaoe?? o?a?iciiai e?eueoey. O aeine?aeaeoaai?e a?oi? aeaiee oei niinoa??aaany a 18 (64,3%) aeiaaeeao, ui aeeth/aee 7 (25,0%) oai?eo ?c iino?ioa?eoiith aiaa?eciith ia?aaei?-aieiai? no?iee EO ? 11 (39,3%) oai?eo ?c iecueeith nei?ioeea?noth i?iea?aea, ye? aoiaeyoue o iiiyooy ?oai?/ii? ea?ae?ii?iiao??. Oei II. I?ieain nooeie. O aeine?aeaeoaai?e a?oi? aeaiee oei niinoa??aaany a 2 (7,1%) aeiaaeeao, aea ?a?no?oaaany a?ae?ea aie?aie iai?ey?ieo i'yc?a. Oei III. Iaiaaeaiiy ?ooo nooeie o ?acoeueoao? ae?iac?? aai ia?aaeienaeueiiai ?ooo no?iee EO, ui i?aeo?eio? iniiao iai?ey?ieo i'yc?a. O aeine?aeaeoaai?e a?oi? aeaiee oei niinoa??aaany o 8 (28,6%) oai?eo ?c iino?ioa?eoieie aiaa?eciaie caaei?-aieiai? no?iee EO. O??o?a?/ia oaeoeea ii a?aeiioaiith aei eiaeiiai ooieoe?iiaeueiiai oeio ??cia ? a iniiaiiio caeaaeeoue a?ae nooiaiy ?oai?? i?iea?aea, ianyao ?aaaneoey?ecaoe?? oa iaiao?aeiino? ?acaeoe?? aiaa?ecie EO. ?ic?iaea iieacaiue aei aeeiiaiiy iaeiiiiiaioii? o??o?a?/ii? ei?aeoe?? o?aaeaiue AA oa iaoieia?? IE caniiaoaaeanue aeoiaey/e c ianooiiiai: 1. Aeeiiaiiy ei?aeoe?? eeoa IA oa iaoooaaiiy aaiiaeeiai?/ii cia/eieie caoaeaiiyie AA o ?aiiueiio i?neyiia?aoe?eiiio ia??iae? noi?iaiaeaeo?oueny c?inoaiiyi /anoioe a?ioeaaiaaiieo A?I. O a?aeaeaeaiiio ia??iae? niinoa??aa?oueny iia??oaiiy ooieoe?iiaeueieo ?acoeueoao?a iia?aoe?e aiane?aeie ?icaeoeo noaiiea?ae?? aai A?I. 2. Aeeiiaiiy ei?aeoe?? eeoa o?aaeaiue AA oa iaaeiioe?iea cia/eiino? IA oneeaaeith? ?aii?e i?neyiia?aoe?eiee ia??iae ?icaeoeii aaaeei? INI. A?aeaeaeai? ooieoe?iiaeuei? ?acoeueoaoe iia?aoe?e iia??oothoueny aiane?aeie i?ia?anoaaiiy IA oa i?iea?ae?aeueii? iaaeinoaoiino?. 3. O a?aeaeaeaiiio ia??iae? aeeiiaiiy iiaoi?ii? iia?aoe?? c iaoith aeiaeaoeiai? ei?aeoe?? aai IA, aai o?aaeaiue AA noi?iaiaeaeo?oueny iaaecae/aeiei ?eceeii o??o?a?/iiai ao?o/aiiy. 4. I?e?iaeiee ia?aa?a aeine?aeaeoaaii? iaoieia?? noi?iaiaeaeo?oueny iecueeei a?aeaeaeaiei aeaeeaaiyi aiane?aeie ni?eueiiai i?ia?anoth/iai aieeao IA oa ?ON. ?ao?iniaeoeaiee aiae?c iaoieiaiaiaoii?/ieo aeaieo 246 iiia?eeo i?ney ?cieueiaaiiai IIE iieacaa, ui i?e ii?iaeueieo aai iii??ii caoaeaieo AA (< 50,0%) /anoioa iae?ioe/ieo iioeiaeaeaiue i?iea?aea neeaea 20,7% oa 22,8% a?aeiia?aeii, ? A?I aoa iniiaiith i?e/eiith nia?o? o 11,3% - 12,2% iiia?eeo. I?e oeueiio, caoaeaiiy i?ina?oo AA ia 50,0% oa 70,0% noi?iaiaeaeoaaeeny cia/iei ca?eueoaiiyi /anoioe iioeiaeaeaiue i?iea?aea - 62,5% oa 93,3% a?aeiia?aeii, a A?I aoa iniiaiith i?e/eiith nia?o? o 45,8% - 86,7% iiia?eeo. I?iaaaeaiee aiae?c iieaco?, ui a?ioeaa? o?aaeaiiy, ii/eiath/e c caoaeaiue ?o i?ina?oo ia 50,0%, ne?ae ?icaeyaeaoe ye aaiiaeeiai?/ii cia/ei?, ia?aaaneoey?ecaoe?y yeeo noi?iaiaeaeo?oueny o?ee?aoiei ca?eueoaiiyi /anoioe i?neyiia?aoe?eieo iae?ioe/ieo iioeiaeaeaiue i?iea?aea. Oaeei /eiii, aeey oai?eo c iaaooeie IA oa noiooi?ie aoa?ineea?ioe/ieie o?aaeaiiyie AA iieacaiiyie aeey iaeiiiiiaioii? o??o?a?/ii? ei?aeoe?? ?: 1. Iayai?noue aaiiaeeiai?/ii cia/eieo caoaeaiue (> 50,0%) i?ina?oo
iaei?n? ? a?eueoa iniiaieo ai?ea?ae?aeueieo a?oa??e, iacaeaaeii a?ae
iayaiino? neiioiiaoeee ?ON.

2. Iayai?noue noi?iiaaii? IA.

Ne?ae aeacaoe, ui aeieeiaiiy IA, o?iiaico e?aiai ia?aaena?aey (EI),
eaeueoeeiico IE, eaaaiaai? a?ia?oaic??, iiyaa iciae aeaeiiiainaoe??
e?iaiia?ao aai noiooi? ci?ie e?euee?nieo iieaciee?a: EO? > 50,0, EN? >
50,0 ie/ea.i, EAe? > 120-150 ie/ea.i, EAeOeo > 12-15 ii ?o.no., OA < 50,0% iia??oothoue aaciina?aaei? oa a?aeaeaeai? o??o?a?/i? ?acoeueoaoe, ui ciooo? a?aeaeaaaoe ia?aaaao oaeoeoe? a?eueo ?aiiueiai aecia/aiiy iieacaiue aei iia?aoeaiiai e?eoaaiiy. Aeey oai?eo c III iieacaiiy aei iia?aoeaiiai e?eoaaiiy aecia/athoue: 1. Ooieoe?iiaeueiee oei oa nooi?iue ae?aaeaiino? III. 2. Ae?aaeai?noue ?oai?? i?iea?aea 3. Iayai?noue noiooiuei? iaoieia??, yea iio?aao? ei?aeoe?? (aiaa?ecia EO). Na?aaei?e nooi?iue ae?aaeaiino? III (2+) iiaeiai aooe nei?eaiaaiee, yeui ?niothoue iieacaiiy aei ?aaaneoey?ecaoe?? i?iea?aea. Ae?aaeai?noue III (a?eueoa 2+) iiaeiia aooe nei?eaiaaia a aoaeue-yeiio aeiaaeeo. Iieacaiiy aei ?aeiino?oeoe?? IE ?nio? o a?eueoino? aeiaaee?a III. ?nio? eeoa iaeia aeeeth/aiiy: iiaiee ?ic?ea iai?ey?iiai i'yca, ui oneeaaeiea ia?aa?a A?I ia i?ioyc? ia?oeo 16 aei?a, ine?eueee a?aeiiaeaiiy i'yca iaiiaeeeaa /a?ac ?aieea?noue i?iea?aea EO; o an?o oaeeo aeiaaeeao anoaiiaeththoue iieacaiiy aei IIE. Noiooiy aiaa?ecia EO aiineoue aeiaeaoeia? iieacaiiy aei iia?aoeaiiai e?eoaaiiy - nenoaii? o?iiai-aiaie?/i? oneeaaeiaiiy (OAO), a?eoi??, iciaee na?oeaai? iaaeinoaoiino?. Ii?aeiaiiy o??o?a?? IE c ai?oi-ei?iia?iei ooiooaaiiyi (AEO) aoei aeeiiaii 45 oai?ei, na?aaei?e a?e - 51,9± 1,1 (36 - 71??.). A aiaiiac? OAO aoee o 9 (20,0%), A?I o 15 (33,3%i), iiia?aaei? iia?aoe?? ia na?oe? (i?o?aeuei? eii?no?ioii?? ca cae?eoith iaoiaeeeith) o 8 (11,8%) oai?eo. Iaiaaee noaiiea?ae?? ?a?no?oaaeeny o 24 (53,3%) IA o 29 (64,4%) oai?eo. I?e/eiaie IA aoee: ?aaiaoeci o 35 (77,8%), ?ON o 6 (13,5%), ?ioaeoe?eiee aiaeiea?aeeo o 3 (6,7%) oa i?eniiaoicia aeaaaia?aoe?y a 1 (2,2%) aeiaaeeao. O an?o iaoe??io?a IA ii?aeioaaeanue c o?aaeaiiyie AA, /anoioa caoaeaiue yeeo aoea ianooiiith: IIOA - 33 (77,8%), 0A - 19 (42,2%>), IAA
— 19 (42,2%), INEAA — 5 (11,1%) aeiaaeeao. ?iciianthaeaeai?noue
a?ioeaaeo o?aaeaiue ioe?ithaaeanue a?aeiia?aeii caoaeaiiyi 1 AA — 20
(44,4%i), 2 AA — 17 (37,8%), C AA — 8 (17,8%) aeiaaee?a. Iieaciee
na?aaeiuei? e?eueeino? o?aaeaieo AA neeaa 1,8 ± 0,2.

?io?aiia?aoe?ei? aeai? oa o??o?a?/ia oaoi?ea aeeth/aee i?iaaaeaiiy
iiacaeiaaeiuei? noa?iioii??, aaia??i?caoe??, ?icae?eueii? eaitheyoe??
aa?oiuei? oa ieaeiuei? ii?iaeienoeo aai, aeno?aeii? ai?oe c ianooiiei
canoinoaaiiyi noaiaea?oii? oaoi?ee ooo/iiai e?iaiia?ao (OE). No?aoaa?y
caoenoo i?iea?aea aeeth/aea nenoaiio a?iioa?i?th (28 °N), i?noeaaa
ioieiaeaeaiiy i?iea?aea (12 °N) oa canoinoaaiiy 10 e?enoaei?aeiiai aai
e?ia’yiiai (ii Aaeaa?ao) ea?ae?iieaa?/ieo ?ic/ei?a o 28 (62,2%) oa 17
(37,8%) aeiaaeeao a?aeiia?aeii. ?ic/eie aaiaeeeenue eeoa aiona?aaeii o
16 (35,6%) aeiaaeeao, aeiaeaoeiai ?ao?ia?aaeia o 29 (64,4%) aeiaaeeao.

I?ieneiaeuei? aianoiiice c ai?oith aeeiioaaeenue oeyoii ?? e?aeiaiai
a?aeoeneaiiy aei OE; o aeiaaeeao ianoaa?eueii? aaiiaeeiai?ee aanue ianya
o??o?a?/ii? ei?aeoe?? i?iaiaeeany i?ae /an ea?ae?iieaa?/ii? coieiee
na?oey. Ii?yaeie o??o?a?/ieo iai?ioeyoe?e aoa ianooiiei: ?aa?c?y
ii?iaeieie EI ia i?aaeiao o?iia?a, aeeiiaiiy aeenoaeueieo aianoiiic?a c
AA, ei?aeoe?y IA, aa?iaoecaoe?y na?oey. IIE aoei aeeiiaii o 35 (77,8%)
aeiaaeeao. Iecueeii?io?euei? iaoai?/i? i?ioace aeei?enoiaoaaeeny o 33
(94,3% oai?eo, eoeueeia? i?ioace o 2 (5,5%) oai?eo. Eeaiaiicaa??aath/?
iia?aoe?? (ECI) aoee aeeiiai? a 10 (22,2%) aeiaaeeao; c ieo
-eii?no?ioii?? o 8 oai?eo oa oiaia ieanoeea IE o 2 oai?eo. Noiooi? AEO
aoei i?iaaaeaia o an?o aeiaaeeao oa iaei ianooii? aa??aioe: AEO — 1 o 21
(46,7%), AEO-2 o 17 (37,8%), AEO-3-4 o 7 (15,5%) oai?eo. Na?aaeiy
e?euee?noue aeeiiaieo aeenoaeueieo aianoiiic?a ia iaoe??ioa neeaea 1,9 ±
0,25. A yeino? o?ainieaioaio?a aeei?enoiaoaaeenue aooiaaie o 44 (97,8%)
aeiaaeeao oa aioo??oiy a?oaeia a?oa??y a 1 (2,2%) aeiaaeeo. Na?aaeiy
o?eaae?noue OE oa ia?aoeneaiiy ai?oe neeaee 146,8 ± 7,9 oa. oa 88,1 ±
5,6 oa. a?aeiia?aeii.

Aini?oaeueia eaoaeuei?noue neeaea o aeiaaeeao ia?aeiieo o??o?a?/ieo
ao?o/aiue (n = 31), aeeeth/ath/e oai?eo c III — 16,1% (oaae. 1), i?e
iiaoi?ieo ao?o/aiiyo (n = 8) — 50,0%, i?e ei?aeoe?? III (n == 6) —
50,0%. Aeey an??? aeine?aeaeoaaii? a?oie (n = 45) aini?oaeueia
eaoaeuei?noue neeaea 26,6% (12 iiia?eeo). I?e/eiaie nia?o? aoee:
eeaiaiiiacaeaaei? o aeaio aeiaaeeao (o?iiaic i?ioaco, i?ioaciee
aiaeiea?aeeo); na?oeaa? eeaiaiiiacaeaaei? a naie aeiaaeeao — I?I (n =
6), a?eoi?y (n — 1); iana?oeaa? eeaiaiiiacaeaaei? o o?ueio aeiaaeeao —
iiceia? oneeaaeiaiiy (n = 2), aino?a aeeoaeueia iaaeinoaoi?noue, (n =
1).

Oaaeeoey 1

Aini?oaeueia eaoaeuei?noue i?e ia?aeiieo o??o?a?/ieo ao?o/aiiyo

Aa??aio o??o?a?/ii? ei?aeoe??E?euee?noue oai?eoAini?oaeueia
eaoaeuei?nouen%IIE + AEO — 1 — 325520,0ECI + AEO — 1 —
360-Anueiai31516,1

Iiaeaeueoa aeine?aeaeaiiy aoei ni?yiiaaia ia ?aeaioeo?eaoe?th
i?iaiinoe/ieo oaeoi??a ?eceeo aini?oaeueii? eaoaeueiino? oa
iioei?caoe?th i?ioeano o??o?a?/iiai e?eoaaiiy. Ii??aiyeueiee aiae?c ca
e?euee?nieie oa?aeoa?enoeeai i?ae a?oiaie oai?eo, ye? aeaeeee oa ye?
iiia?ee, iieacaa, ui iiia?e? iaoe??ioe iaee a??ia?aeii a?eueoa cia/aiiy
EO? (? = 0,027) oa EN? (? = 0,049), a oaeiae o ieo niinoa??aaeanue
oaiaeaioe?y aei a?eueo aenieeo cia/aiue ?ea (? = 0,055), aeui?
na?aaeiuei? e?eueeino? o?aaeaieo AA (? = 0,058), oa a?eueo iecueeeo
cia/aiue OA (? = 0,064).

Ia i?aenoaa? io?eiaieo aeaieo aeey iaeiioaeoi?iiai aiae?co aoee
aecia/ai? a?aie/i? cia/aiiy aeey ianooiieo iieaciee?a: EO? — 55,0, EN? —
50 ie/ea.i, ?ea — 55 ii ?o.no., e?euee?noue o?aaeaieo AA — 2,0, OA —
53,0%.

A ?acoeueoao? i?iaaaeaiiai iaeiioaeoi?iiai aiae?co aoa aeyaeaiee ?yae
ia?aaeiia?aoe?eieo oa?aeoa?enoee, ui iacaeaaeii aieeaaee ia ?acoeueoao
o??o?a?/iiai e?eoaaiiy: noaae?y OIE (? < 0,001), ooieoe?iiaeueiee eean NOIA (? < 0,001), EN? (? = 0,033), o?aaeaiiy 0A (? - 0,044), ?ea (? = 0,052), o?aaeaiiy IIOA (? = 0,057), e?euee?noue o?aaeaieo AA (? = 0,064), EO? (? - 0,094), iiia?aaei? iia?aoe?? ia na?oe? (? = 0,100). C iaoith ioe?iee i?iaiico o??o?a?/iiai e?eoaaiiy i?e ni?eueiiio ?icaeyae? ?aeaioeo?eiaaieo ia?aaeiia?aoe?eieo oa?aeoa?enoee aoa canoiniaaiee aeene?ei?iaioiee aiae?c (oaae.2). Aiae?c iieacaa, ui ni?eueiee aieea ?aeaioeo?eiaaieo oa?aeoa?enoee ia aini?oaeueio eaoaeuei?noue a?aeiia?aeaa o?aoueiio ??aith cia/eiino? (? = 7,92; ? < 0,001), i?e oeueiio, iaea?eueoee ?iaeea?aeoaeueiee aeeaae aoa o OIE, iiia?aaei?o iia?aoe?yo ia na?oe? oa e?eueeino? o?aaeaieo AA. I?e aeeeth/aii? c aiae?co oaei? oa?aeoa?enoeee, ye noaae?y OIE, ca?eueooaaeany noaoenoe/ia cia/ei?noue iiia?aaei?o iia?aoe?e ia na?oe? oa e?eueeino? o?aaeaieo AA. Ca noeoii?noth ?aeaioeo?eiaaieo oaeoi??a a?aeaoaa?oueny oi?ioaaiiy a?oi oai?eo aenieiai iia?aoe?eiiai ?eceeo. Oaaeeoey 2 ?acoeueoaoe aaaaoioaeoi?iiai aiae?co Iieacieee1-/ano.??Noaae?y OIE0,70316,48< 0,001Iiia?aaei? iia?aoe??0.8944,680,037E?euee?noue o?aaeaieo AA0,9064,020,050?ea0,9512,000,165EN?0,9621,520,224 I?ei?oea: 1-/ano. - 1 eiao?oe??ioe; ?- cia/aiiy e?eoa??y O?oa?a; ? -a??ia?aei?noue ii e?eoa??th O?oa?a. Aeey iiaeeeaino? aecia/aiiy ?iaeea?aeoaeueiiai i?iaiico o??o?a?/iiai ao?o/aiiy aoa canoiniaaiee aaaaoioaeoi?iee ?aa?an?eiee aiae?c. Aeoiaey/e c e?eoa???a iiaiioe oa a??ia?aeiino? iaoaiaoe/iiai iiaeaethaaiiy a yeino? ia?ai?iieo aoee aea?ai? ianooii? ia?aaeiia?aoe?ei? oa?aeoa?enoeee: noaae?y OIE, o.e. NOIA, ?ea, e?euee?noue o?aaeaieo AA, iiia?aaei? iia?aoe?? ia na?oe?. ?aiaeoaaiiy ia?aiao?o (o), ui i?iaiico?oueny, a?aeaoaaeinue ianooiiei /eiii: 1 - iiceoeaiee ?acoeueoao iia?aoe??; 2 - eaoaeueiee ?acoeueoao. I?e cia/aiiyo o aeecueeeo aei 1 - ?acoeueoao iiceoeaiee, i?e cia/aiiyo o aeeceeo aei 2 oa a?eueoa - ?acoeueoao iaaaoeaiee. ??aiyiiy o aeo?aeieo cia/aiiyo iaei aeae: o = - 0,549 + 0,298 O2 + 0,255O1 + 0,004O5 + 0,123O3 + 0,118O4, aea o - ?acoeueoao iia?aoeaiiai e?eoaaiiy, ui i?iaiico?oueny, XI - noaae?y OIE (? - 1; IA - 2; ??A - 3), O2 - iiia?aaei? iia?aoe?? ia na?oe? (iaia? - 1; ? - 2), OC - ooieoe?iiaeueiee eean NOIA (? - 1; II - 2; III - 3; ?O - 4), O4 - e?euee?noue o?aaeaieo AA (1 AA - 1; 2 AA - 2; C AA - 3), O5 - nenoie?/iee oene o eaaaiaa?e a?oa??? (ii ?o.no.) Aiae?c ?io?aiia?aoe?eieo aeaieo aeyaea a??ia?aeiee aieea (?=0,039) aa??aio?a ei?aeoe?? IA, ye? ii?aeioaaeenue c AEO, ia aini?oaeueio eaoaeuei?noue. I?e oeueiio, eeaiaiicaa??aath/ee aa??aio ei?aeoe?? IA aoa iioeiaeueiei aeey ii?aeiaiiy c EEO. Oae, o a?oi? ia?aeiieo iia?aoeaieo ao?o/aiue (i = 31), ca aeeeth/aiiyi aeiaaee?a III, ??cieoey o aini?oaeuei?e eaoaeueiino? a caeaaeiino? a?ae aa??aioa ei?aeoe?? IA aoea ianooiiith: IIE + AEO 1-3 - 20,0% oa ECI + AEO 1-3-0 (oaae.1). Aiaeia?/i?, i?ioa iaioa ae?aaeai? a?aei?iiino?, caa??aathoueny ? i?e aiae?c? an??? a?oie (n = 45). Aini?oaeueia eaoaeuei?noue o aeiaaeeao IIE + AEO 1-4 (n = 35) neeaea 28,6%, ii??aiyii c 20,0% aeey a?oie ECI + AEO 1-3 (n = 10). Ca?eueoaiiy aini?oaeueii? eaoaeueiino? a eiaei?e a?oi? iia'ycaii c aeo?aeiith aaaee?noth oai?eo, ye? iaee III oa iiia?aaei? iia?aoe?? ia na?oe?. Aiae?c ?io?aiia?aoe?eieo aeaieo ca aeiiiiiaith ?aa?an?eiiai aiae?co aeyaea, ui aeo?aei? 60,0%-? caoaeaiiy IIOA (? = 0,049) oa 0A (? = 0,062), iaiiaia ?aaaneoey?ecaoe?y i?iea?aea a ciiao oeeo a?oa??e (? = 0,029), aeeiiaiiy o?ueio ? a?eueoa aeenoaeueieo aianoiiic?a (? = 0,139) cae?eniththoue iaaaoeaiee aieea ia ?acoeueoao o??o?a?/iiai e?eoaaiiy. Aiae?c aa??aio?a oaoi?ee ea?ae?iieaa?? a oiiaao ni?eueii? iaaaoeaii? ae?? a?ia?o?io?? i?iea?aea oa o?aaeaiue AA aecia/ea ianooiia: 1. Iayai?noue i?yii? caeaaeiino? (? = 0,062) i?ae iayai?noth AEA-iciae AEO oa /anoioith ?a?no?aoe?? A?I o ?aiiueiio i?neyiia?aoe?eiiio ia??iae?. 2. Iioeiaeueiei aa??aioii oaoi?ee ea?ae?iieaa?? ca iayaiino? AEA-iciae AEO ? e?ia'yiee ea?ae?iieaa?/iee ?ic/ei c eiia?ioaaiiyi oeyo?a eiai aaaaeaiiy. 3. A??ia?aeiee aieea oeyoo ?iooc?? ea?ae?iieaa?/ieo ?ic/ei?a ia /anoioo A?I aeyaeaii eeoa o aeiaaeeao e?eoe/ieo caoaeaiue (90-100% i?ina?oo) a?eie EAA (? = 0,049), i?e oeueiio, iioeiaeueiei ? eiia?iiaaiee (aioa- ?ao?ia?aaeiee) oeyo aaaaeaiiy. I?e aiae?c? a?aeaeaeaieo ?acoeueoao?a iaeiiiiiaioii? ei?aeoe?? o?aaeaiue AA ? iaoieia?? IE aeyaeaia iiceoeaia aeeiai?ea iciae iaaeinoaoiino? e?iaiia?ao, cieeiaiiy noaiiea?ae??, ca?eueoaiiy i?aoeacaeaoiino?. O 19 (59,3%) oai?eo o a?aeaeaeaiiio ia??iae? a?aei?/aany ia?ao?ae o a?eueo aenieee ooieoe?iiaeueiee eean, i?e oeueiio 17 (56,7%) iane?aeoaaieo a?aeiineeenue aei ? - II o.e. IOIA. Aeooa?ia e?eaa aeaeeaaiiy o a?aeaeaeai? no?iee i?ney o??o?a?/ieo ao?o/aiue (iae.1) na?ae/eoue, ui aeaeeaaiiy aei 5 ?ieo i?ney iia?aoe?? neeaei 62,2%, aei 7 ?ieo -60,0%, aei 10 ?ieo - 57,8%. wmetafile80100090000030b0b00000a002d000000000005000000090200000000050000 000102ffffff000400000004010d000400000002010200050000000c0258015902030000 001e002d000000f700000314000000000080000000008000008080000000008000800080 0000808000c0c0c000c0dcc000a6caf000fffbf000a0a0a40080808000ff00000000ff00 00ffff00000000ff00ff00ff0000ffff00ffffff00040000003402000003000000350004 0000002701ffff050000000b0200000000030000001e00050000000102ffffff00050000 00090200000000040000002701ffff030000001e00050000000102ffffff000500000009 02000000000700000016045801590200000000040000002701ffff030000001e00050000 000102ffffff0005000000090200000000070000001604580159020000000007000000fc 020000ffffff000000040000002d01010009000000fa0205000000000000000000220004 0000002d010200050000000902ffffff00050000000102000000000400000004010d0004 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7a040000002d01070008000000320a1601e601020000003130040000002d010400040000 00f0010700040000002d010200040000002d010100040000002d010500040000002701ff ff030000001e00040000002d010400040000002d010300040000002d0106000500000001 02ffffff0005000000090200000000070000001604580159020000000017000000fb02ed ff0000000000009001000000cc0000001054696d6573204e657720526f6d616e20437972 00cc00040000002d010700040000002d010200040000002d010100040000002d01050004 0000002701ffff030000001e00040000002d010700040000002d010300040000002d0106 00050000000102ffffff00050000000902000000000700000016043c017c011901d90004 00000004010d00040000000201010024000000320a2101dc0013000000d0eeeae820efb3 f1ebff20eeefe5f0e0f6b3bf000b000a0009000a0005000a00040009000900090005000a 000a0008000a0008000a0004000600040000002d010200040000002d010100040000002d 010500040000002701ffff030000001e00040000002d010700040000002d010300040000 002d010600050000000102ffffff00050000000902000000000700000016045801590200 000000040000002d010200040000002d010100040000002d010500040000002701ffff03 0000001e00040000002d010700040000002d010300040000002d010600050000000102ff ffff0005000000090200000000070000001604c2003700400014000400000004010d0004 0000000201010017000000fb02edff0000840384039001000000cc0010001054696d6573 204e657720526f6d616e2043797200cc00040000002d0108000e000000320abf0019000d 000000c2e8e6e8e2e0ededff2028252900040000002d01070004000000f0010800040000 002d010200040000002d010100040000002d010500040000002701ffff030000001e0004 0000002d010700040000002d010300040000002d010600050000000102ffffff00050000 000902000000000700000016045801590200000000040000002d010200040000002d0101 00040000002d010500040000002701ffff030000001e00040000002d010700040000002d 010300040000002d010600050000000102ffffff00050000000902000000000700000016 04580159020000000007000000fc020100000000000000040000002d01080007000000fc 020000000000000000040000002d01090004000000f0010800040000002d010200040000 00f0010600040000002701ffff050000000c0258015902030000001e00050000000102ff ffff0005000000090200000000040000002701ffff050000000b0200000000030000001e 00050000000102ffffff00050000000902000000000400000034020000040000002701ff ff030000000000000000000000000000000000000000000000 Iae. 1. Aeooa?ia e?eaa aeaeeaaiiy o a?aeaeaeai? no?iee i?ney iaeiiiiiaioi? ei?aeoe?? o?aaeaiue AA oa iaoieia?? IE c a?aooaaiiyi aini?oaeueii? eaoaeueiino? (n45). Aiae?c ?aii?o oa a?aeaeaeaieo ?acoeueoao?a iaeiiiiiaioii? ei?aeoe?? o?aaeaiue AA oa iaoieia?? IE iieaco? aeinoaoith ?? aoaeoeai?noue - aaciina?aaei?e iiceoeaiee aoaeo o??o?a?/ieo ao?o/aiue aeyaeaii o 73,3% aeiaaee?a. Aeniiaee 1. *anoioa aeyaeaiiy aaiiaeeiai?/ii cia/eieo caoaeai?, AA i?e ei?iia?ia?ao?/ieo aeine?aeaeaiiyo 1041 oai?eo c iaoieia??th IE neeaaea? 15,9%. I?ioean iacaeaaeiiai ?icaeoeo ?ON oa IA niinoa??aa?oueny a 13,2% aeiaaeeao. I?e oeueiio ii/aoie ae?aaiinooaaiiy o?aaeaiue AA i?eiaaea? a iniiaiiio ia 35-??/iee a?e o /ieia?e?a oa 46-??/iee o ae?iie ?c ca?eueoaiiyi /anoioe o noa?oeo a?eiaeo a?oiao. A 2,7% aeiaaeeao ?ON ? iniiaiith oa ?aeeiith i?e/eiith aeieeiaiiy ?aao?a?oaoe?? ia IE. 2. Aaiiaeeiai?/ii cia/ei? aoa?ineea?ioe/i? ci?ie AA i?e iaoieiaiaiaoii?/ieo aeine?aeaeaiiyo 246 iiia?eeo i?ney IIE niinoa??aaeenue a 16,0% aeiaaeeao. 3. I?e iacaeaaeiiio ?icaeoeo ?ON oa IA ae?oaiai aaiaco aacneiioiiia (“i?ia”) oi?ia ia?aa?ao noaiicoth/iai aoa?ineea?ico AA niinoa??aa?aueny a 60,0% aeiaaee?a. A 39,4%i aeiaaee?a a?aei?/aia ae?aaeai?noue ee?i?/iiai i?iyao ye ?ON, oae ? IA. 4. Noiooi? iii??i? caoaeaiiy AA (<50,0%) ia iio?aaothoue o??o?a?/ii? ei?aeoe??. Noaiicoaaiiy i?ina?oo AA ia 50,0% oa a?eueoa, iacaeaaeii a?ae eiai ee?i?/iiai i?iyao, iio?aao? aeiaeaoeiai? ?aaaneoey?ecaoe?? i?iea?aea. Iia?aoe?yie aeai?o i?e ii?aeiaii? noaiico IE c aaiiaeeiai?/ii cia/eieie caoaeaiiyie AA ? i?iaaaeaiiy ?aioaaiaiaeiaaneoey?ii? aeeeaoaoe?? oa ei?iia?ii? aia?iiieanoeee. Iieacaiiy aei o??o?a?/ii? ei?aeoe?? iino?ioa?eoii? II ? ?aao?a?oaoe?y ia IE 2+ oa a?eueoa. 5. I?e iaeiiiiiaioi?e ei?aeoe?? o?aaeaiue AA oa iaoieia?? IE aeioe?eueia ia?oi/a?aiaa i?iaaaeaiiy ?aaaneoey?ecaoe?? i?iea?aea c ianooiiith ei?aeoe??th IA, aeei?enoiaoth/e, ii iiaeeeaino?, eeaiaiicaa??aath/? iaoiaeeee. 6. ?iaeea?aeoaeueiee i?iaiic ?eceeo iia?aoe?? iiaea aooe aeeiiaiee ca aeiiiiiaith ?ic?iaeaii? iaoaiaoe/ii? iiaeae? i?iaiicoaaiiy ?acoeueoaoo o??o?a?/iiai e?eoaaiiy ia i?aenoaa? aiae?co ia?aaeiia?aoe?eieo ee?i?/ieo oa?aeoa?enoee. Iniiaieie iieacieeaie, ui aieeaathoue ia ?acoeueoaoe iia?aoe?e, ?: ae?aaeaia OIE, ?O O.E. NOIA, iiaoi?i?noue o??o?a?/iiai ao?o/aiiy, aaaaoi/enaeuei? o?aaeaiiy AA, eaaaiaaa a?ia?oaic?y. 7. Iaoaiaoe/iee aiae?c iieacaa, ui iniiaieie ?io?aiia?aoe?eieie iieacieeaie, ui aieeaathoue ia ?acoeueoaoe o??o?a?/iiai e?eoaaiiy ? aa??aio ei?aeoe?? IA, e?euee?noue aeenoaeueieo aianoiiic?a, iiaiioa ?aaaneoey?ecaoe?? i?iea?aea oa oaoi?ea eiai caoenoo. Ii?aeiaiiy eeaiaiicaa??aath/i? ei?aeoe?? IA c iiaiith ?aaaneoey?ecaoe??th i?iea?aea a ciiao e?iaiiinoa/aiiy EAA ?iaeyoue eiia??i?oei iiceoeaiee ?acoeueoao o??o?a?/iiai e?eoaaiiy. 8. Ii??aiyeueiee aiae?c aoaeoeaiino? ??cieo aa??aio?a caoenoo i?iea?aea i?e iaeiiiiiaioi?e ei?aeoe?? o?aaeaiue AA oa iaoieia?? IE aeyaea ia?aaaae e?ia_yiiai ea?ae?iieaa?/iiai ?ic/eio c eiia?ioaaiiyi oeyo?a eiai aaaaeaiiy. sse?noue caoenoo i?iea?aea cieaeo?oueny o aeiaaeeao iayaiino? e?eoe/ieo caoaeaiue a?eie EAA oa a?ia?o?io?? i?iea?aea e?aiai oeoii/ea. 9. Aini?oaeueia eaoaeuei?noue i?e iaeiiiiiaioi?e ei?aeoe?? IA oa o?aaeaiue AA neeaaea? 16,1% oa ca?eueoo?oueny o aeiaaeeao iiaoi?ieo o??o?a?/ieo ao?o/aiue, iino?ioa?eoii? II. Iniiaieie i?e/eiaie i?neyiia?aoe?eieo oneeaaeiaiue aoee A?I (15,1%), iiceia? oneeaaeiaiiy (8,2%). 10. A?aeaeaeai? ?acoeueoaoe iia?aoe?e na?ae/aoue i?i aoaeoeai?noue iaeiiiiiaioii? ei?aeoe?? o?aaeaiue AA oa iaoieia?? IE. Aeaeeaaiiy aei 5 ?ieo i?ney iia?aoe?? neeaei 62,7%, aei 7 ?ieo - 60,0% ? aei 10 ?ieo - 57,8% (c a?aooaaiiyi aini?oaeueii? eaoaeueiino?). O a?eueo aenieee ooieoe?iiaeueiee eean ia?aeoee 59,3% oai?eo. I?aeoe/i? ?aeiiaiaeaoe?? 1. Iacaeaaeia ii?aeiaiiy ?ON c iaaooeie IA iaea?eueo /anoi i?iyaey?oueny aacneiioiiiith (“i?iith”) oi?iith ia?aa?ao o?aaeaiue AA (60,6%). Iaea?eueo oa?aeoa?iei aeey aeaii? oi?ie ?: /ieia?/a noaoue (69,9%), iayai?noue oaeoi??a ?eceeo ?ON (41,0%), iniaeeai a?oa??aeueii? a?ia?oaic?? (37,3%). Oiio an?i oai?ei c iaaooeie IA, iacaeaaeii a?ae iayaiino? neiioii?a ?ON, o eiiieaen ia?aaeiia?aoe?eiiai iaeyaeo iiaeiia aeeth/aoeny naeaeoeaia ei?iia?ia?ao?y, ii/eiath/e c 35-??/iiai a?eo o /ieia?e?a oa 46 ?ie?a o ae?iie. 2. O?ii?/ia iino?ioa?eoia II oa?aeoa?eco?oueny ia?aaaaeaiiyi aiaa?eci EO (53,6%), o?enoaeeiieo o?aaeaiue AA (53,4%), i?e cia/i?e /anoio? caoaeaiue INEAE (14,3%>). Iaea?eueo /anoith i?e/eiith i?o?aeueii?
?aao?a?oaoe?? ? aeeeaoaoe?y o?a?iciiai e?eueoey IE (64,3%). Aecia/aiiy
ooieoe?iiaeueiiai oeio iino?ioa?eoii? II oa ioe?iea ?? ae?aaeaiino?
iiaeii? i?iaiaeeoeny eiiieaenii ia i?aenoaa? aeaieo AOIEA oa
aaio?eeoeia?ao?/ieo aeine?aeaeaiue.

3. Iaeiiiiiaioia ei?aeoe?y iaoieia?? IE oa o?aaeaiue AA iieacaia o
aeiaaeeao ii?aeiaiiy coi?iiaaii? IA oa aaiiaeeiai?/ii cia/eieo caoaeaiue
AA (>50,0% i?ina?oo noaeeie). A aeiiiaiaiiy aei ?aaaneoey?ecaoe??
i?iea?aea ei?aeoe?y III iieacaia i?e ?aao?a?oaoe?? ia IE 2+ oa a?eueoa.

4. Eeaiaiicaa??aath/ee aa??aio ei?aeoe?? IA ? iioeiaeueiei aeey
ii?aeiaiiy c ?aaaneoey?ecaoe??th i?iea?aea. O aeiaaeeao iaiao?aeiino?
i?ioacoaaiiy IE aeioe?eueia caa?aaeaiiy eiai i?aeeeaiaiieo no?oeoo?.

5. Caoeno i?iea?aea iiaeiai i?iaiaeeoeny a oiiaao nenoaiii? a?iioa?i??
(28 °N), i?noeaaiai ioieiaeaeaiiy i?iea?aea (10-12 °N) c canoinoaaiiyi
oieiaeiai? ea?ae?iieaa??. Iacaeaaeii a?ae oeyoo aaaaeaiiy
e?enoaei?aeiiai ea?ae?iieaa?/iiai ?ic/eio aoaeoeai?noue eiai
cieaeo?oueny i?e iayaiino? e?eoe/ieo caoaeaiue a?eie EAA oa a?ia?o?io??
EO .Iioeiaeueiei aa??aioii oaoi?ee ea?ae?iieaa?? ? canoinoaaiiy
e?ia’yiiai ea?ae?iieaa?/iiai ?ic/eio c eiia?ioaaiiyi oeyo?a eiai
aaaaeaiiy.

6. An? oai?? i?ney ei?aeoe?? ii?aeiaiiy o?aaeaiue AA oa iaoieia?? IE
iio?aaothoue aeiaaio?eaaeiai aeeniaina?iiai niinoa?aaeaiiy o
a?aeaeaeaiiio ia??iae?.

Nienie iioae?eiaaiieo i?aoeue ca oaiith aeena?oaoe??

1. Oe?o?ae/aneia ea/aiea eoaie/aneie aieacie na?aeoea, ni/aoathuaeny n
ii?aaeaieai eeaiaiiiai aiia?aoa na?aeoea // A?oaeiay e
na?aea/ii-ninoaeenoay oe?o?aey. — 1991. — ?9. — N. 15-19. (ni?aaaoi?e
O?noeaiei A.E., Eiuoia A .A., Neaa/aiei A.I., Oo?eaei N.I.).

2. Aiaa?eciaoe/aneia ii?aaeaiea noaiea eaaie aaia/iie a?oa?ee //
Oe?a?inueeee ea?ae?ieia?/iee aeo?iae. — 1997. — ? 5-6. — N. 54-57.
(ni?aaaoi?e O?noeaiei A.E., Ieeeiaiei I.I., Aecaoiaaa E.N., Caoa?iaa
A.I., Ianoaiei A.A.).

3. Niaa?oainoaiaaiea oe?o?ae/aneiai ea/aiey iinoeioa?eoiie aiaa?eciu
eaaiai aeaeoaei/ea // Oe?a?inueeee ea?ae?ieia?/iee aeo?iae. — 1999. —
?1. — N. 37-41. (ni?aaaoi?e O?noeaiei A.E., Ieeeiaiei I.I., Aaa?eaeyi
A.A., Ianoaiei A.A., Aaoeyaa A.I., Caoa?iaa A.I., Aea?aeo A.E.).

4. Aiaeec iaiin?aaenoaaiiuo ?acoeueoaoia iaeiiiiiaioiie ei??aeoeee
i?eia?aoaiiuo ii?ieia ieo?aeueiiai eeaiaia e ii?aaeaiee ei?iia?iuo
a?oa?ee // Na?oeaai-noaeeiia o??o?a?y. Ui??/iee iaoeiaeo i?aoeue
anioe?aoe?? na?oeaai-noaeeiieo o??o?a?a Oe?a?ie. — 1999. — Aeione 7. —
N. 146-150.

5. Iao. 21566 Oe?a?ia, IEA A61A17/00. Niin?a iaoai?/ii? aiaea?oa?aeoii??
/ Aea?aeaaia iaoaioia a?aeiinoai Oe?a?ie. — ?97052116; Cayae. 07.05.97;
Iioae. 30.04.98; Athe. ?2 -3 n. (ni?aaaoi?e O?noeaiei A.?., Ieeeiaiei
I.I., Iaeno?aiei Ae.I., Aaa???eyi A.A., Neaa/aiei I.I., Eoi/einueeee
I.A.).

6. Oe?o?ae/aneia ea/aiea eoaie/aneie aieacie na?aeoea, ineiaeiaiiie
niioonoaothuei ii?aaeaieai eeaiaiiiai aiia?aoa na?aeoea // Oacenu
aeieeaaeia ? Ananithciiai nueacaea na?aea/ii-ninoaeenouo oe?o?aia. —
Iineaa. — 1990. — N. 132-133. (ni?aaaoi?e O?noeaiei A.E., Eiuoia A.A.,
Eo/a?ia TH.A., Neaa/aiei A.I., Oo?eaei N.I.).

7. O??o?a?/ia e?eoaaiiy ?aaiaoe/ieo aaae na?oey, ye? ii?aeiothoueny c
iioeiaeaeaiiyi a?ioeaaeo a?oa??e // Oace aeiiia?aeae ? eiia?ano
?aaiaoieia?a Oe?a?ie. — Ee?a. — 1993. — N. 131. (ni?aaaoi?e O?noeaiei
A.?., Neaa/aiei 0.11.).

8. O??o?a?/ia e?eoaaiiy ii?aeiaii? iaoieia?? a?ioeaaeo a?oa??e, eeaiai?a
oa ?ioeo caoai?thaaiue na?oey // Oace aeiiia?aeae ? iaoeiai?
eiioa?aioe?? anioe?aoe?? na?oeaai-noaeeiieo o??o?a?a Oe?a?ie. — Ee?a. —
1993. — N. 100. (ni?aaaoi?e O?noeaiei A.?., Neaa/aiei I.I.).

9. ?aaiaoe/i? aaaee na?oey, ye? ii?aeiothoueny c ?oai?/iith oai?iaith.
*anoioa aeiaaee?a, aeina?ae o??o?a?/iiai e?eoaaiiy // Oace aeiiia?aeae
IV c’?cae ea?ae?ieia?a Oe?a?ie. — Ee?a. — 1993. — N. 100. (ni?aaoi?e
Neaa/aiei I.I., I?oaeeee ?.?.).

10. *anoioa aeaaioneeo e ineiaeiaiiuo oi?i aiaa?eci eaaiai aeaeoaei/ea.
Iaiin?aaenoaaiiua ?acoeueoaou iia?aoeee. I?e/eie eaoaeueiinoe // Oace
aeiiia?aeae III iaoeiai? eiioa?aioe?? anioe?aoe?? na?oeaai-noaeeiieo
o??o?a?a Oe?a?ie. — Ee?a. — 1995. — N.140. (ni?aaaoi?e O?noeaiei A.E.,
Ieeeiaiei I.I.).

11. Iniaaiiinoe caueou ieiea?aea i?e iia?aoeeyo iaeiiiiiaioiie
ei??aeoeee eeaiaiiuo e ei?iia?iuo ii?aaeaiee // Oace aeiiia?aeae III
iaoeiai? eiioa?aioe?? anioe?aoe?? na?oeaai-noaeeiieo o??o?a?a Oe?a?ie. —
Ee?a. — 1995. —N. 139. (ni?aaaoi?e O?noeaiei A.E., Neaa/aiei A.I.,
Iaeno?aiei Ae.I., Ieeeiaiei I.I.).

12. Eiiaeie?iaaiiay eeaiaiiay e ei?iia?iay oe?o?aey // Oacenu aeieeaaeia
III Ana?inneeneiai nueacaea na?aea/ii-ninoaeenouo oe?o?aia. — Iineaa.:
A?oaeiay e na?aea/ii-ninoaeenoay oe?o?aey. — 1996. —?6. — N. 269.
(ni?aaaoi?e Eiuoia A .A., O?noeaiei A.E., Neaa/aiei A.I.).

13. Oe?o?ae/aneia ea/aiea i?eia?aoaiiuo ii?ieia, ineiaeiaiiuo
eoaie/aneie aieaciueth na?aeoea // Aeooaeuei? i?iaeaie
iaie?aaoiaaiaoia?e?a?ii? oa noaeeiii? o??o?a??: Ca??iee ?ia?o iaoeiai?
eiioa?aioe??, i?enay/aii? 80-??//th c aeiy ia?iaeaeaiiy aeaaeai?ea 0.0.
Oae?iiaa. — Ee?a. — 1998. — N. 240. (ni?aaaoi?e Eiuoia A.A., O?noeaiei
A.E., Neaa/aiei A.I.).

14. Niin?a o??o?a?/iiai e?eoaaiiy aiaa?ecie na?oey // Iiceoeaia ??oaiiy
i?i aeaea/o iaoaioo Oe?a?ie ia aeiao?ae. — ? 97052117; Cayae. 07.05.97.
(ni?aaaoi?e Ieeeiaiei I.I., O?noeaiei A.?., Iaeno?aiei Ae.I., Aaa???eyi
A.A., Neaa/aiei I.I., Eoi/einueeee I.A.).

15. Caniae caoenoo i?iea?aea i?e neeaaeieo o??o?a?/ieo ao?o/aiiyo o
oai?eo c o?aaeaiiyi eeaiai?a oa a?ioeaaeo a?oa??e na?oey // Iaoiaee/i?
?aeiiaiaeaoe??; IIC Oe?a?ie, ?OeIIO. — Ee?a. — 1994. — 24 n. (ni?aaaoi?e
O?noeaiei A.?., E?aa/aiei ?.I., I?oaeeee ?.?., Ei?ieue ?.I., Neaa/aiei
I.I.).

Aiioaoe?y

E?eeoiia I.A. Ii?aeiaiiy ?oai?/ii? oai?iae na?oey c iaoieia??th
i?o?aeueeiai eeaiaia: ee?i?ea, ae?aaiinoeea, o??o?a?/ia e?eoaaiiy. —
?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.04 — na?oeaai-noaeeiia o??o?a?y. ?inoeooo
na?oeaai-noaeeiii? o??o?a?? AII Oe?a?ie, i. Ee?a, 1999 ?.

Aeena?oaoe?th i?enay/aii i?iaeaiai ee?i?/iiai i?iyao, ae?aaiinoeoe? oa
o??o?a?/iiai e?eoaaiiy ii?aeiaiiy ?oai?/ii? oai?iae na?oey c iaoieia??th
i?o?aeueiiai eeaiaia.

Naeaeoeaia ei?iia?ia?ao?y aoea aeeiiaia 1041 oai?iio -? iaoieia??th
i?o?aeueiiai eeaiaia. Cia/ei? caoaeaiiy a?ioeaaeo a?oa??e (ia 50,0% ?
a?eueoa i?ina?oo noaeeie) aoee aeyaeai? o 165 (15,9%) oai?eo. Iacaeaaeia
ii?aeiaiiy ?oai?/ii? oai?iae na?oey oa iaaooeo i?o?aeueieo aaae
ae?aaiinoiaaii o 137 (13,2%) oai?eo. Aacneiioiiiee ia?aa?a a?ioeaaeo
o?aaeaiue niinoa??aaany o 83 (60,6%) oai?eo. *anoioa iino?ioa?eoii?
i?o?aeueii? iaaeinoaoiino? noaiiaeea 28 (2,7%) aeiaaee?a. Aea/aii
aca?iica’ycie ?oai?/ii? oai?iae na?oey ? iaoieia?? i?o?aeueiiai eeaiaia,
/anoioo aeyaeaiiy oaeiai ii?aeiaiiy oa iniaeeaino? ee?i?/iiai i?iyao.

A ?iaio? oa iniia? ianoaaeaiiy 83 (50,3%) iia?iaaieo oai?eo, ye? iaee
ii?aeiaiiy ?oai?/ii? oai?iae na?oey c iaoieia??th i?o?aeueiith eeaiaia,
i?iiiio?oueny eiiieaeniee i?aeo?ae aei o??o?a?/iiai e?eoaaiiy oa
i?io?eaeoeee ?io?aiia?aoe?eieo oneeaaeiaiue.

Iaeiiiiiaioia ei?aeoe?y a?ioeaaeo o?aaeaiue oa i?o?aeueieo aaae aeeiiaia
o 45 (27,3%) oai?eo. Aiae?c ?acoeueoao?a iia?aoe?e aeicaieea aecia/eoe
iioeiaeuei? aa??aioe o??o?a?/ii? ei?aeoe?? oa oaoi?ee caoenoo i?iea?aea.
Aea/ai? aaciina?aaei? e a?aeaeaeai? ?acoeueoaoe ii?aeiaiiy o??o?a??
i?o?aeueiiai eeaiaia c ?aaaneoey?ecai??e i?iea?aea.

Eeth/ia? neiaa: ?oai?/ia oai?iaa na?oey, i?o?aeueia aaaea na?oey,
eiia?iiaaia i?o?aeueia oa ei?iia?ia o??o?a?y.

Abstract

Krikunov A.A. The coexistance of ischemic heart desease and mitral
valvulopathy: clinical manifestation, diagnostics, surgical management.-
Manuscript.

The thesis is to obtain a scientific degree of the candidate of medical
sciences on the speciality 14.01.04 – cardiovascular surgery. – The
Institute of Cardiovascular Surgery of the Academy of Medical Sciences
of Ukraine, Kyiv, 1999.

The dissertation is devoted to the problems of clinical manifestations,
diagnostics possibilities and surgical treatment of patients with
coexistence of ischemic heart disease and mitral valvulopathy.

Selective coronary angiography was performed in 1041 patients with
mitral valvulopathy. Significant coronary stenosis (> 50,0%) was found
in 165 (15,9%) cases. Coronary artery disease associated with mitral
valve disease of non-ischemic origin was demonstrated in 137 (13,2%)
cases. Asymptomatic coronary artery disease was present in 83 (60,6%)
cases. The incidence of significant ischemic mitral incompetence was in
28 (2,7%) cases. The relationship between coronary damage and mitral
valvulopathy, the incidence of this association and clinical
presentations were described.

The complex approach to surgical treatment and prophylaxis of
intraoperative complications was developed on the base of operative
management of 83 (50,3%) patients with coexistance of ischemic heart
desease and mitral valvulopathy.

The total of 45 (27,3%) patients underwent mitral valve surgery combined
with coronary artery bypass grafting. The method of combined surgery and
technique of myocardial protection were improved. Early and late results
of the combined mitral valve and coronary surgery were studied.

Key words: ischemic heart disease, mitral valve disease, combined mitral
valve and coronary surgery.

Aiiioaoeey

E?eeoiia A.A. Ni/aoaiea eoaie/aneie aieacie na?aeoea n iaoieiaeae
ieo?aeueiiai eeaiaia: eeeieea, aeeaaiinoeea, oe?o?ae/aneia ea/aiea. —
?oeiienue.

Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.04 — na?aea/ii-ninoaeenoay oe?o?aey.
Einoeooo na?aea/ii-ninoaeenoie oe?o?aee AII Oe?aeiu, a. Eeaa, 1999 a.

A iniiao enneaaeiaaiee iieiaeai ?ao?iniaeoeaiue aiaeec 1041
ei?iia?ia?aoe/aneiai enneaaeiaaiey o aieueiuo n i?eia?aoaiiie iaoieiaeae
ieo?aeueiiai eeaiaia (IE), auiieiaiiuo a ENNO AII Oe?aeiu n 01.01.88 ii
01.01.98 aa. E?eoa?eai oi?ie?iaaiey a?oiiu enneaaeiaaiey yaeeinue
ni/aoaiea aaiiaeeiaie/aneeo cia/eiuo noaeaiee ei?iia?iuo a?oa?ee (EA) ia
50,0% e aieaa i?inaaoa ninoaea iaoieiaeae IE, o?aaothuei oe?o?ae/aneie
ei??aeoeee. Niaeanii yoiio e?eoa?eth auee nenoaiaoece?iaaiu aeaiiua 165
aieueiuo, eioi?ua e yaeeenue iauaeoii i?iaiaeeiiai enneaaeiaaiey.
Neaaeiaaoaeueii, iauay /anoioa auyaeaiey eco/aaiie iaoieiaee ii aeaiiui
ei?iia?ia?aoe/aneeo enneaaeiaaiee ninoaaeea 15,9% (165 neo/aaa ia 1041
ei?iia?ia?aoeth).

I?ioeann iacaaeneiiai ?acaeoey EAN e i?eia?aoaiiuo ieo?aeueiuo ii?ieia
(II) iaaethaeaaony o 137 (13,2%) aieueiuo (n?aaeiee aic?ano 52,70,5 a).
I?e yoii, ia/aei aeeaaiinoe?iaaiey ii?aaeaiee EA i?eoiaeeony ia aic?ano
35 eao o ioae/ei e 46 eao o aeaiuei n oaaee/aieai /anoiou a noa?oeo
aic?anoiuo a?oiiao. ?ao?iniaeoeaiue aiaeec iaoaieiai-aiaoiie/aneeo
enneaaeiaaiee 246 oia?oeo iinea i?ioace?iaaiey ieo?aeueiiai eeaiaia
(IIE) iieacae, /oi aaiiaeeiaie/anee cia/eiua aoa?ineea?ioe/aneea
eciaiaiey EA iaaethaeaeenue a 16,0% neo/aaa (n?aaeiee aic?ano 47,51,6
e).

Iinoeioa?eoiay ieo?aeueiay iaaeinoaoi/iinoue i?e ei?iia?ia?aoe/aneeo
enneaaeiaaieyo auyaeaia o 28 (2,7%) aieueiuo (n?aaeiee aic?ano 49,01,8
e).

Aeey a?oiiu aieueiuo n iacaaeneiui ni/aoaieai EAN e i?eia?aoaiiuo II
ii?aaeaeaiu oi?iu eeeie/aneiai i?iyaeaiey iaoieiaee. Iaeaieaa /anoi
iaaethaeaaony aanneiioiiiay “iaiay” oi?ia oa/aiey ii?aaeaiee EA (60,6%).
Oa?aeoa?iui aeey aeaiiie oi?iu yaeyaony ioaeneie iie (69,9%), iaee/ea
oaeoi?ia ?enea EAN (41,0%), iniaaiii a?oa?eaeueiie aeia?oaicee (37,7%).
O/eouaay cia/eoaeueioth /anoioo aanneiioiiiiai oa/aiey ii?aaeaiey EA,
anai aieueiui n i?eia?aoaiiui II, iacaaeneii io iaee/ey neiioiiia EAN, a
eiiieaen i?aaeiia?aoeeiiiiai ianeaaeiaaiey aeieaeia aeeth/aoueny
naeaeoeaiay ei?iia?ia?aoey, ia/eiay n aic?anoa 35 eao o ioae/ei e 46 eao
o aeaiuei. Aoi?ay oi?ia iaaethaeaaony a 39,4% neo/aaa e oa?aeoa?ecoaony
i?iyaeaieai eeeie/aneeo neiioiiia eae EAN, oae e II.

A i?ioeanna enneaaeiaaiey aeieacaii, /oi i?e/eiie iaoiii?oica ii?aaeaiee
EA ia oiia nouanoaothuaai II yaeyaony noaiaiue aaiiaeeiaie/aneie
iaa?ocee eaaiai aeaeoaei/ea, eioi?ay caaeneo io au?aaeaiiinoe ii?iea IE.

Aieueiua n o?iie/aneie iinoeioa?eoiie ieo?aeueiie iaaeinoaoi/iinoueth
(n?aaeiee aic?ano 49,01,6 a.) oa?aeoa?ecothony i?aiaeaaeaieai aiaa?eci
eaaiai aeaeoaei/ea (53,6%), o?aoninoaeenouo ii?aaeaiee EA (53,4%) i?e
cia/eoaeueiie /anoioa noaeaiee iniiaiiai noaiea EEA (14,3%),
iaiaeii?iaeiinoueth iaoaieciia aicieeiiaaiey ?aao?aeoaoeee ia IE.
Iaeaieaa /anoie i?e/eiie o?iie/aneie iinoeioa?eoiie ieo?aeueiie
iaaeinoaoi/iinoe yaeyaony aeeeaoaoeey oea?iciiai eieueoea IE (64,3%).

I?e iaeii n?iea nouanoaiaaiey naiie iaoieiaee IE (2,9 0,6 a.)
ioia/athony io/aoeeaua i?eciaee i?ia?anne?iaaiey ieiea?aeiie
iaaeinoaoi/iinoe, ia /oi oeacuaatho oaaee/aiea iauaiia e nieaeaiea
nie?aoeiinoe EAE, oaaee/aiea cia/aiee eiia/ii-aeeanoiee/aneiai aeaaeaiey
a aai iieinoe. Aeaiiua eciaiaiey yaeythony neaaenoaeai noiie?iaaiey
aeaoo iaaaoeaiuo oaeoi?ia iinoeioa?eoiuo eciaiaiee ieiea?aea e iauaiiie
ia?aa?ocee EAE aneaaenoaea ?aao?aeoaoeee ia IE.

Oi?ie?iaaiea iieacaiee e iaeiiiiiaioiie oe?o?ae/aneie ei??aeoeee
ii?aaeaiee EA II i?iaiaeeeinue n o/aoii iaoaeiaeaoai?aiiuo ?acoeueoaoia
/anoe/iie ei??aeoeee (eee oieueei eeaiaiiie, eee oieueei ei?iia?iie),
aunieiai ?enea iiaoi?iuo oe?o?ae/aneeo aiaoaoaeuenoa e ieceie
ioaeaeaiiie auaeeaaaiinoe a neo/ayo anoanoaaiiiai oa/aiey eco/aaiie
iaoieiaee. Niioonoaothuea ieo?aeueiui iioieai oia?aiiua noaeaiey EA
(50,0%) ia o?aaotho oe?o?ae/aneie ei??aeoeee. Noaiice?iaaiea i?inaaoa EA
ia 50,0% e aieaa, iacaaeneii io aai eeeie/aneiai i?iyaeaiey, o?aaoao
aeiiieieoaeueiie ?aaaneoeyoeee ieiea?aea. Iia?aoeeyie auai?a i?e
ni/aoaiee noaiica IE n aaiiaeeiaie/anee cia/eiuie noaeaieyie EA
yaeythony i?iaaaeaieai ?aioaaiyiaeiaaneoey?iie aeeeaoaoeee e ei?iia?iie
aiaeiieanoeee. Iieacaieai e oe?o?ae/aneie ei??aeoeee iinoeioa?eoiie
ieo?aeueiie iaaeinoaoi/iinoe neoaeeo ?aao?aeoaoeey ia IE 2+ e aieaa.

Ni/aoaiea oe?o?aee IE n ai?oi-ei?iia?iui ooioe?iaaieai (AEO) auei
auiieiaii 45 aieueiui (n?aaeiee aic?ano 51,9 1,1 a.). IIE auei
auiieiaii a 35 (77,8%) neo/ayo, eeaiaiinio?aiythuea iia?aoeee a 10
(22,2%) neo/ayo. Niioonoaothuay ?aaaneoeyoeey ieiea?aea auea auiieiaia
ai anao neo/ayo e eiaea neaaeothuea aa?eaiou: AEO – 1 o 21 (46,7%), AEO
– 2 o 17 (37,8%), AEO – 3 o 7 (15,5%) aieueiuo. A ea/anoaa
o?ainoeaioaioia i?eiaiyeenue aooiaaiu a 44 (97,8%) neo/ayo e aioo?aiiyy
a?oaeiay a?oa?ey a iaeiii (2,2%) neo/aa. N?aaeiaa eiee/anoai auiieiaiiuo
aeenoaeueiuo aianoiiicia ia iaoeeaioa ninoaaeei 1,9 0,25. N?aaeiyy
aeeeoaeueiinoue ia?aaeaoey ai?ou e eneonoaaiiiai e?iaiia?auaiey auee
88,1 5,6 iei. E 146,8 7,9 iei. Niioaaonoaaiii. Ainieoaeueiay
eaoaeueiinoue a neo/ayo ia?ae/iuo oe?o?ae/aneeo aiaoaoaeuenoa, eneeth/ay
iinoeioa?eoioth yoeieiaeth II, ninoaaeea 16,1%.

Aeey anae a?oiiu iia?e?iaaiiuo aieueiuo ia iniiaaiee aiaeeca
i?aaeiia?aoeeiiiuo eeeie/aneeo oa?aeoa?enoee auee eaeaioeoeoee?iaaiu
neaaeothuea i?iaiinoe/aneea oaeoi?u ?enea ainieoaeueiie eaoaeueiinoe:
noaaeey o?iie/aneie iaaeinoaoi/iinoe e?iaiia?auaiey: iiaoi?iinoue
oe?o?ae/aneiai aiaoaoaeuenoaa, eiee/anoai ii?aaeaiiuo EA, aeia?oaicey a
eaai/iie a?oa?ee.

Aiaeec ieo?aiia?aoeeiiiuo aeaiiuo ii?aaeaeee oeaeaniia?aciinoue
ia?aii/a?aaeiiai i?iaaaeaiey ?aaaneoey?ecaoeee ieiea?aea n iineaaeothuae
ei??aeoeeae II, eniieuecoy ii aiciiaeiinoe eeaiiinio?aiythuea iaoiaeeee.
A neo/ayo iaiaoiaeeiinoe i?ioace?iaaiey IE aeaeaoaeueii nio?aiyoue ai
iiaeeeaiaiiua no?oeoo?u. Ni/aoaiea eeaiaiiinio?aiythuae ei??aeoeee II n
iieiie ?aaaneoey?ecaoeeae ieiea?aea a ciiao e?iainiaaaeaiey eaaie EA
aeaeatho aieaa aa?iyoiui aeaaii?eyoiue enoiae oe?o?ae/aneiai ea/aiey.

N?aaieoaeueiue aiaeec yooaeoeaiinoe ?acee/iuo aa?eaioia caueou ieiea?aea
iieacae, /oi iacaaeneii io iooe aaaaeaiey e?enoaeeieaeiiai
ea?aeeiieaae/aneiai ?anoai?a yooaeoeaiinoue aai nieaeaaony i?e iaee/ee
e?eoe/aneeo noaeaiee aaoaae eaaie EA e aeia?o?ioee ieiea?aea eaaiai
aeaeoaei/ea. Iioeiaeueiui aa?eaioii oaoieee ea?aeeiieaaee yaeyaony
i?eiaiaiea e?iayiiai ea?aeeiieaae/aneiai ?anoai?a n eiiaeie?iaaieai
iooae aai aaaaeaiey.

Ioaeaeaiiua ?acoeueoaou naeaeaoaeuenoaotho ia yooaeoeaiinoe
iaeiiiiiaioiie ei??aeoeee ii?aaeaiee EA e iaoieiaee IE. Auaeeaaaiinoue e
5 aiaeo iinea iia?aoeee ninoaaeea 62,7%, e 7 aiaeo – 60,0% e e 10 –
57,8% (n o/aoii ainieoaeueiie eaoaeueiinoe). A aieaa aunieee
ooieoeeiiaeueiue eeann ia?aoee 59,3% aieueiuo.

Eeth/aaua neiaa: eoaie/aneay aieaciue na?aeoea, ieo?aeueiue ii?ie,
ni/aoaiea oe?o?aee ieo?aeueiiai eeaiaia e ?aaaneoey?ecaoeee ieiea?aea.

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