Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao

?iae?i TH??e Aieiaeeie?iae/

OAeE 616.137.83/.87-007.272-089.168

Oeyoe iie?ioaiiy ?acoeueoao?a o??o?a?/iiai

e?eoaaiiy oai?eo c ieethc??th a?oa??e coaaiiai-

i?aeeie?iii — aii?eeiai? ciie

14.01.03.- o??o?a?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia ia eaoaae?? aini?oaeueii? o??o?a?? ? 1 Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo I?i?noa?noaa ioi?iie caei?ia’y
Oe?a?ie

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani? Aonae Aieiaeeie?
Ei?i?eiae/, caa?aeoaa/ eaoaae?e aini?oaeueii? o??o?a?? ? 1 Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo IIC Oe?a?ie.

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani? Ae?the
Ieeiea Oaaei?iae/, caa?aeoaa/ a?aeae?eo i?e?io??o?a?? oa ieanoe/ii?
o??o?a?? ?inoeoooo ee?i?/ii? oa aenia?eiaioaeueii? o??o?a?? AII
Oe?a?ie, i.Ee?a.

Aeieoi? iaaee/ieo iaoe, i?ioani?
Eoiaeueoeaa Aieiaeeie? ?aaiiae/, caa?aeoaa/ eaoaae?e o??o?a?/ieo oai?ia
Oa?e?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo IIC Oe?a?ie.

I?ia?aeia onoaiiaa: Aei?i?iiao?ianueea aea?aeaaia iaaee/ia
aeaaeai?y IIC Oe?a?ie., eaoaae?a aini?oaeueii? o??o?a??.

Caoeno a?aeaoaeaoueny “_9__” __na?iiy 1999 ?. i__12___aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 64.600.01 i?e Oa?e?anueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? ca aae?anith: 310022, Oe?a?ia, i.
Oa?e?a, i?. Eai?ia, 4.

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ca aae?anith: 310022, Oe?a?ia, i.
Oa?e?a, i?. Eai?ia, 4.

Aaoi?aoa?ao ?ic?neaii “__2_” 08___ 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? ?aaee

eaiaeeaeao iaaee/ieo iaoe , aeioeaio
Oaiueei I.I.

Caaaeueia oa?aeoa?enoeea ?iaioe.

Aeooaeuei?noue i?iaeaie. E?eoaaiiy oai?eo c ieethc??th a?oa??e,
?icoaoiaaieo ieae/a iaoiai? neeaaeee, ? iaei??th c aeooaeueieo i?iaeai
noaeeiii? o??o?a??.Oea iaea?eueo iioe?aia ?c caoai?thaaiue ia?eoa?e/ieo
noaeei, ye? aeyaeythoue o iaoe??io?a i?aoeacaeaoiiai a?eo. Iiooe
aoaeoeaieo iaoiae?a e?eoaaiiy oeeo oi?i caoai?thaaiiy — iaeia c
iaeaaaeeea?oeo caaea/ i?aeoe/ii? ioi?iie caei?ia’y. Ieethc?y noaeei ia
e?eueeio ??aiyo, ?oai?/ia o?aaeaiiy i’yc?a oa?i?iaeueii? noaae??,
ni?e/eiaia oe??th iaoieia??th, aeie i?e?ioee?eoeyoe?? ciooothoue o??o?aa
iia?oaaoe oai?eo c iiaeeeaith onoaiiaeith ia aiiooaoe?th e?ioe?aee.
Iaea?eueo oyaeeith ? ieethc?y noaeei aii?eeiai-noiiiiai naaiaioa,i?e
ye?e iaiiaeeeai canoinoaaoe oeiia? iia?aoeai? ao?o/aiiy. Caaaeueii
i?eeiyo? niiniae e?eoaaiiy – cae?eniaiiy iiia?aeiai? neiiaoaeoii??,
o?eaae? aioo??oiueia?oa??aeuei? ?iooc?? — ia caaacia/othoue iiceoeaiee
aoaeo i?e ?oai?? III — IV noaae??. sseui aeeiiaiiy ?aaaneoey?ecoth/i?
iia?aoe?? iaiiaeeeaa, a ee?-i?/iee ia?aa?a caoai?thaaiiy
oa?aeoa?eco?oueny oaeaeeei i?ia?anoaaiiyi iaoieia?/iiai i?ioeano c
aeieeiaiiyi aeano?oeoeaieo ci?i oeaiei noiie ca iaaeinoaoiuei?
aoaeoeaiino? iaaeeeaiaioicii? oa?ai??, /anoioa aeeiiaiiy ia?aeiii?
aiiooaoe?? e?ioe?aee ??cei ca?eueoo?oueny ? noaiiaeoue, ca aeaieie
aeayeeo aaoi??a, a?ae 50 aei 65 %. I?ioa o aeayeeo oai?eo c e?eoe/iith
?oai??th caeeoa?oueny oain ia caa?aaeaiiy e?ioe?aee i?e canoinoaaii?
??ciiiai?oieo iaoiae?a i?e?io??o?a?/iiai ao?o/aiiy ia a?oa??yo aii?eee ?
noiie, iai?yieo iaoiaeee ?aaaneoey?ecaoe??. Ne?ae cacia/eoe, ui
iioeiaeueiiai e?eoaaeueiiai aoaeoo iiaeeeai aeinyaoe i?e aeei?enoaii? ia
o?eueee i?e?io??o?a?/ii? oaoi?ee, a e i?e eiiieaeniiio aieea? ia an?
eaiee iaoiaaiaco caoai?thaaiiy, aeai?? iioeiaeueiiai iaoiaeo
?aeiino?oeoeaiiai ao?o/aiiy, aaeaeaaoieo noaeeiieo o?ainieaioao?a, a
oaeiae canoinoaaii? ianoaiaea?oieo iaoiae?a iia?aoeaiiai e?eoaaiiy.

Aeey e?eoaaiiy iae?oa?oth/eo caoai?thaaiue cai?iiiiiaai? e?eueea iiaeo
o??o?a?/ieo cania?a. Oae a inoaii? ?iee aeei?enoiaothoue iaoiaeeeo
?iaa?n?? aaiiciiai e?iaiia?ao oeyoii oi?ioaaiiy ooo/ii? a?oa??i-aaiicii?
ii?eoe?. Ca aeaieie A.A Aao?aeiaa ? ni?aaaoi??a (1988), I.E. Aieiaeiny ?
ni?aaaoi??a(1986) ?? canoinoaaiiy aeicaiey? o 52% oai?eo caa?aaoe
e?ioe?aeo. I?ioa ?acoeueoao iia?aoe?e ia iiaeia aaaaeaoe iaeiicia/iei, a
?yae oyaeeeo oneeaaeiaiue, ni?e/eiaieo aaiiciith a?ia?oaic??th oa
a?oa??aeueiei neeaeaiiyi e?ia?, iaiaaeothoue eiai canoinoaaiiy.
Cai?iiiiiaaii ? oe?iei ae-ei?enoiao?oueny iaoiae e?eoaaiiy — ii?ooaiiy
e?iaiia?ao a e?ioe?aeao oeyoii caaaeueiia?ieia?/ii? noeioeyoe??
?aaaia?aoe??, a oiio /ene? e?iaiiinieo noaeei, ca aeiiiiiaith
aeeno?aeoe?eii-eiii?an?eiiai aia?aoa. A.E. ?e?ca?ia (1988) a?aecia/ea
no?eeee e?eoaaeueiee aoaeo iaoiaeo i?ioyaii 3 ?ie?a o oa?i?iaeuei?e
noaae?? o?iiaaia??oo. Oie?i ? ni?aaao. (1988), aiae?coth/e iiaeeeaino?
iaoiaeo, cacia/eee, ui eiai ae?y aeyaey?oueny o?eueee iai?ee?ioe? 3-4
-ai oeaeiy e?eoaaiiy, i?ney ciyooy aeeno?aeoe?eii-eiii?an?eiiai aia?aoa.
Oe?iea ai?iaaaeaeaiiy i?e?io??o?a?? a ee?i?/io i?aeoeeo cia/ii ?icoe?eei
iiaeeeaino? o??o?a?/iiai e?eoaaiiy o?aaeaiiy ieethciaaieo a?oa??e
aeenoaeueieo a?aeae?e?a ieaei?o e?ioe?aie oeyoii iai?yii?
?aaaneoey?ecaoe??. Aoaeoeai?noue iia?aoe?? caeaaeeoue a?ae nooiaiy
aeiiia?aoe?eii? ?oai??, ine?eueee aoaeo ?aaaneoey?ecaoe??
niinoa??aathoue ia ?ai?oa 6-7-ai oeaeiy. Ioaea, a?aenooi?noue /?oei
iaa?oioiaaieo iieacaiue aei iia?aoe?? iai?yii? ?aaaneoey?ecaoe??
e?ioe?aee c i?eaiaeo ieethceaii — noaiioe/iiai o?aaeaiiy a?oa??e aii?eee
? noiie, iacaaeia?eueiee ?acoeueoao caaaeueiii?eeiyoeo iaoiae?a
e?eoaaiiy, cia/ia /anoioa oneeaaeiaiue i?ney ?aaaneoey?ecaoe?? oeaiei
aii?eee c canoinoaaiiyi eeaioy aaeeeiai naeueieea ?, ye iane?aeie,
aeniea /anoioa oyaeei? ?iaae?aeecaoe?? oai?eo iio?aaoaaee ?ic?iaee
iiaeo, a?eueo aoaeoeaieo iaoiae?a o??o?a?/iiai e?eoaaiiy, a oaeiae
?aoaeueiiai aeine?aeaeaiiy caaaeueii? oa ?aa?iia?ii? aaiiaeeiai?ee ye
o?aaeaii? e?ioe?aee, oae ? i?aai?cio a oe?eiio. Iniiao iaoieia?/ieo ci?i
i?e ieethceaiiio o?aaeaii? a?oa??e aeenoaeueieo a?aeae?e?a e?ioe?aie
neeaaeathoue ?iceaaee aaiiaeeiai?ee ia ?aa?iia?iiio oa
i?e?ioee?eoeyoi?iiio ??aiyo, ? ye caeiiii??iee iane?aeie oeueiai,
a?iien?y oa ii?ooaiiy iaoaaie?cio a oeaieiao, a?ae oa?aeoa?o ? nooiaiy
ae?aaeaiino? yeeo caeaaeaoue i?iaiic ? aoaeo o??o?a?/iiai e?eoaaiiy.
Aeei?enoaiiy iao?aaeeoe?eieo iaoiae?a e?eoaaiiy ieethceaieo
caoai?thaaiue a?oa??e ieaei?o e?ioe?aie iio?aao? canoinoaaiiy
aeniei?ioi?iaoeaieo iaoiae?a aeine?aeaeaiiy, ye? aeicaieythoue aecia/eoe
oa?aeoa? ieethc??, nooi?iue ? oyaee?noue ?oai?/iiai o?aaeaiiy oeaiei .

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Oaia
aeena?oaoe?? iia’ycaia c ieaiiaith iaoeiaith ?iaioith Aeiiaoeueeiai
?inoeoooo iaa?aeeeaaeii? ? a?aeiiaii? o??o?a?? Aeaaeai?? iaaee/ieo iaoe
Oe?a?ie 0199U000521 ”Aea/aiiy iaoai?ci?a oa ?ic?iaea iaoiae?a ei?aeoe??
aaiiaeeiai?/ieo oa i?e?ioee?eoeyoi?ieo ii?ooaiue i?e e?eoe/i?e ?oai??
e?ioe?aie”.

Iaoa oa caaea/? ?iaioe. ?ic?iaeoe ? iaa?oiooaaoe aoaeoeai?
oaeoeeo oa iaoiaee o??o?a?/iiai e?eoaaiiy iaoe??io?a c ieethc??th
a?oa??e noaaiiai- i?aeeie?iii — aii?eeiai? ciie oeyoii oaeineiiaeaiiy ?
?aoe?iiaeueiiai ii?aeiaiiy aaiiaeeiai?/ii iaa?oioiaaii? oaoi?ee
?aeiino?oeoeaieo ao?o/aiue, ?ic?iaee ? ai?iaaaeaeaiiy i?e?io??o?a?/ieo
iaoiaeee iai?yii? ?aaaneoey?ecaoe?? ?oai?ciaaieo oeaiei, ?ioeo
?aeiino?oeoeaieo iia?aoe?e aeey iie?ioaiiy aiaoiii-ooieoe?iiaeueieo
?acoeueoao?a.

Iniiai? caaaeaiiy aeine?aeaeaiiy.

1.Aea/eoe o?aaeaiiy a?oa??e noiie i?e aoa?ineea?ioe/ieo oa aooi?ioiieo
caoai?thaaiiyo, i?eaeaoi?noue ?o aeey ianooiii? i?yii? oa iai?yii?
?aaaneoey?ecaoe??.

2. Aea/eoe iiaeeea?noue noai?aiiy o?ii?/ii? ?oai?? e?ioe?aee o a?eeo
uo??a.

3. Ia i?aenoaa? aiae?co ee?i?/iiai iaoa??aeo: aecia/eoe iaoiaee
aeine?aeaeaiiy, ye? caaacia/othoue aeinoia??io ioe?ieo noaio
a?oa??aeueiiai ?onea ieaei?o e?ioe?aie ? iacai?ioi?noue ?oai?/iiai
ooeiaeaeaiiy oeaiei aii?eee ? noiie.

4. ?ic?iaeoe iieacaiiy aei aeeiiaiiy ?aaaneoey?ecoth/eo iia?aoe?e c
i?eaiaeo ieethcoth/iai o?aaeaiiy a?oa??e aii?eee ? noiie.

5.Oaeineiiaeeoe oaoi?eo iia?aoe?e i?aeaaaeaiiy e?ia? aei noaeei c
aeei?enoaiiyi aeenoaeueii ? oeaio?aeueii ni?yiiaaieo a?oa??iaaiicieo
oeyo?a ?icaaioaaeaiiy.

6. Oaeineiiaeeoe oaoi?eo i?e?inoaeeiii? aooio?ainieaioaoe?? eeaioy
aaeeeiai naeueieea ? iaeoe?oiai i’yca nieie aeey ?aaaneoey?ecaoe??
e?ioe?aie.

7. Ioe?ieoe ?acoeueoaoe ?aaaneoey?ecaoe?? ?oai?ciaaieo oeaiei e?ioe?aie
oa aoaeoeai?noue ??cieo iaoiaeee.

Iaoeiaa iiaecia ?iaioe. Noai?aii iiaeaeue ?oai?? e?ioe?aee ia a?eeo
uo?ao, cai?iiiiiaaii niin?a ?? eoi??oaaiiy ca aeiiiiiaith aeenoaeueii?
?aaaneoey?ecaoe??. Aea/aii ?aaeoe?? i?e?inoaeei e?ioe?aee oaa?ei ia
a?oa??ae?caoe?th aaiicii? nenoaie. Aea/aii o?ceei-iaoai?/i? aeanoeaino?
ii/aoe?a aaeeei? i?aeoe??ii? aaie ? caaeiueiaaeeeiaii?eeiai? aaie iiae
ye noano?aoo aeey a?oa??ae?caoe??. Aea/ai? iniaeea?noue ? nooi?iue
o?aaeaiiy a?oa??aeueii? nenoaie noiie aoa?ineea?ioe/iei i?ioeanii .

Ia iniia? eiiieaenii? ioe?iee ?aa?iia?ii? aaiiaeeiai?ee cai?iiiiiaaia
?iaeea?aeoaeueia o??o?a?/ia oaeoeea o oai?eo c oyaeeith ?oai??th
ieaei?o e?ioe?aie caeaaeii a?ae oa?aeoa?o aaiiaeeiai?/ieo ?iceaae?a.

Aecia/ai? iieacaiiy aei aeeiiaiiy aeiaeaoeiaeo o??o?a?/ieo ao?o/aiue,
ni?yiiaaieo ia ei?aeoe?th oeyo?a «a?aeoieo» a?ae ciie ?aeiino?oeoe??.

?ic?iaeaii e?eoa??? ioe?iee i’yc?a oa noaeei e?ioe?aee uiaei iiaeeeaino?
i?iaaaeaiiy ?? ?aaaneoey?ecaoe??.

Iniaenoee aianie caeiaoaa/a. Iniaenoei aeeaaeii aaoi?a ? aecia/aiiy
caaaeaiue aeine?aeaeaiiy, aea?? iaoiaee/ieo i?aeoiae?a, i?iaaaeaiiy
ee?i?/ieo aeine?aeaeaiue, o?aeoiaea e aiae?c ?acoeueoao?a, ?ic?iaea
i?eioeei?a ? iaoiae?a o??o?a?/iiai e?eoaaiiy iaoe??io?a c ieethc?eiei
o?aaeaiiyi a?oa??e. Aaoi?ii ?ic?iaeai? iieacaiiy aei aeei?enoaiiy ??cieo
aeae?a ?aaaneoey?ecaoe?? caeaaeii a?ae eieae?caoe??, aeeaeie o?aaeaiiy
oeaiei e?ioe?aee. ?ic?iaeaii aenia?eiaioaeueio iiaeaeue ?oai??
e?ioe?aee, aecia/aii ae?aaiinoe/iee eiiieaen ioe?iee ?aa?iia?ii?
aaiiaeeiai?ee, i?e?ioee?eoeyoe?? ia ??ai? aii?eee ? noiie, aea/aii
a?o?oaeoii?eo a?oa??aeueii? ? aaiicii? nenoai noiie.

Aeey oai?aoe/iiai iaa?oiooaaiiy iaoiae?a iioei?caoe?? iia?aoeaieo
ao?o/aiue aaoi?ii aeine?aeaeaii aaiicio nenoaio noiie ? aii?eee ye
aaeeeiai eiiiainaoi?ii — ?aaoethth/iai iaoai?cio aeinoaaee eenith aei
?oai?ciaaieo oeaiei.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Ia i?aenoaa? io?eiaieo
?acoeueoao?a aeine?aeaeaiiy ?ic?iaeaii ae?aaiinoe/iee eiiieaen
ia?iaaceaieo oa ?iaaceaieo iaoiae?a ioe?iee ?aa?iia?ii? aaiiaeeiai?ee,
yeee aeicaiey? ?aeaioeo?eoaaoe a?oie oai?eo c aaaeeith ?oai??th ieaei?o
e?ioe?aie, ? ia i?aenoaa? ioe?iee ?aa?iia?ii? aaiiaeeiai?ee,
i?e?ioee?eoeyoe?? oa ooieoe?iiaeueiiai noaio oeaiei ?oai?ciaaii?
e?ioe?aee iaa?oioiaai? iieacaiiy aei ??cieo oei?a iia?aoeaieo ao?o/aiue.

?ic?iaeai? ? ai?iaaaeaeai? o i?aeoeeo iia? niiniae ?aaaneoey?ecaoe?? c
aeei?enoaiiyi i?e?inoaeeiii? o?ainieaioaoe?? neeaaeieo eeaio?a oa
a?oa??ae?caoe?? aaiicii? nenoaie. Ai?iaaaeaeaiiy oeeo iaoiae?a o
i?aeoeeo ni?eyei cia/iiio i?aeaeuaiith aoaeoeaiino? e?eoaaiiy,
aeinyaiaiith a 68% niinoa?aaeaiue iiceoeaieo aiaoiii-ooieoe?iiaeueieo
?acoeueoao?a. Iaoiaeeee aeine?aeaeaiiy ai?iaaaeaeai? o a?aeae?e?
noaeeiii? o??o?a?? ?inoeoooo ee?ie/ii? oa aenia?eiaioaeueii? o??o?a??
AII Oe?a?ie i.Ee?aa, o??o?a?/iiio a?aeae?eaii? i?nueei? e?ea?i? ? 6 i.
Aeiiaoeueea, a?aeae?e? iaa?aeeeaaeii? ? a?aeiiaii? o??o?a?? noaeei,
?inoeoooo iaa?aeeeaaeii? ? a?aeiiaii? o??o?a?? AII Oe?a?ie i.
Aeiiaoeueea, a?aeae?eaii? noaeeiii? o??o?a?? Oa?e?anueeiai IAe?
caaaeueii? oa iaa?aeeeaaeii? o??o?a??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeeeaaeai? ia ?? eiia?an? o??o?a?a Oe?a?ie (Aeiiaoeuee, 6-9 aeiaoiy 1998
?.), can?aeaiiyo Aeiiaoeueeiai iaeaniiai iaoeiaiai oiaa?enoaa o??o?a?a
(1992,1994, 1995,1997, 1998??.), c’?cae? o??o?a?a O?N? (Iaeana 1988
?.)., Ana?in?enueeiio c’?cae? na?oeaai-noaeeiieo o??o?a?a ( Iineaa 8-11
a?oaeiy 1998 ?.)

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 13 ?ia?o, iaea?aeaia
iiceoeaia ??oaiiy ca cayaeith ?98052608 IIE6 A 61 A 17/00 a?ae 19.05.98

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y aeeth/a? anooi, iaeyae
e?oa?aoo?e, /ioe?e ?icae?ee aeanieo aeine?aeaeaiue, aeniiaee, nienie
aeei?en-oaii? e?oa?aoo?e. ?iaioa aeeeaaeaia ia 156 noi??ieao iaoeiiieno,
?ethno?iaaia 22 iaethieaie ? 21 oaaeeoeath. Nienie e?oa?aoo?e i?noeoue
303 ?iaioe, o oiio /ene? 122 — ?in?enueeith oa oe?a?inueeith iiaaie, 181
— ?iicaiieo aaoi??a.

Iniiaiee ci?no aeena?oaoe?eii? ?iaioe .

Iaoa??ae oa iaoiaee aeine?aeaeaiiy. A iniiao ?iaioe iieeaaeaii aeai?
ianoaaeaiiy ? e?eoaaiiy 306 oai?eo a oaeiae aenia?eiaioaeueiiai
aeine?aeaeaiiy, i?iaaaeaiiai ia 136 a?eeo uo?ao.E?eoaaiiy oai?eo
i?iaaaeaii a noaeeiiiio a?aeae?eaii? ee?i?ee aini?oaeueii? o??o?a?? ?1
?iai? A.I. Aiaineaanueeiai Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo a 1988-1998 ??. Iia?iaaii 276 oai?eo,o yeeo aeeiiaii 319
??ciiiai?oieo ao?o/aiue. Aeey ae?aaiinoeee oa?aeoa?o o?aaeaiiy
a?oa??aeueiiai ?onea ? aea/aiiy ii?ooaiue ?aa?iia?ii? aaiiaeeiai?ee o
oai?eo c oyaeeith ?oai??th ieaei?o e?ioe?aie aeei?enoiaoaaee
?aioaaiieiio?anoio aia?ia?ao?th, oeueo?acaoeiao
aeiiea?ino?aiiiaiiiao??th, aeine?aeaeaiiy eeniaaiai ?aaeeio oeaiei
oeyoii /a?acoe??iiai iii?oi?oaaiiy ia?oe?aeueiiai iai?oaeaiiy eenith
(On?I2 ) o oe??? noiie oa aecia/aiiy iai?oaeaiiy eenith a e?ia?, ui
a?aeo?ea? a?ae oiiaii? ciie, i?ia?ao?/ia aeine?aeaeaiiy ciie ?oai??.
Aeey aecia/aiiy ci?i ae?aiao?a i?e?inoaeei a ii?i? i?ney ooai?aiiy
o?ii?/ii? ?oai?? oa a?oa??ae?caoe?? aaiicii? nenoaie canoiniaoaaee
a?ii?e?ineii?th i’yca o i?io?aeiiio na?oe? i?e caaaeueiiio ca?eueoaii?
164.

Aenia?eiaioaeueia /anoeia.Aeey aea/aiiy iaoai?ci?a ?aaaneoey?ecaoe??
e?ioe?aee i?e a?oa??ae?caoe?? aaiicii? nenoaie aeine?aeaeaii noai
eeaiaiiiai aia?aoo aai noiie.

Aeine?aeaeaiiy i?iaaaeaia ia 64 aiiooiaaieo e?ioe?aeao oa o?eniaaieo
o?oiao.( oaae.1).

Oaaeeoey 1.

E?euee?noue eeaiai?a o aen?/aieo ae?eyieao aai noiie.

E?euee?noue aen?/aieo eeaiai?a

1 2 3-5 Iiiaae 5

Aaia *enei niinoa?aaeaiue

Caaeiy aaeeeiaii?eeiaa aaia 17 25 12 10

Aeenoaeueia ae?eyiea aaeeei? i?aeoe??ii? aaie 32 23 7 2

I?ney ?oeioaaiiy eeaiai?a aeine?aeaeoaaee i?iioneio ni?iiiaei?noue
aen?/aieo naaiaio?a ? i?iaiaeeee ?o aeaa?oiiao??th caeaaeii a?ae
?oeioaaiiy aeaio oeaio?aeueieo eeaiai?a (c iaeyaeo ia ia-iiaeeea?noue
?oeioaaiiy a?eueoi? e?eueeino? eeaiai?a i?ae /an iia?aoe??). ?acoeueoaoe
iaaaaeai? a oaae. 2.

Oaaeeoey 2.

I?iioneia ni?iiiaei?noue aen?/aieo aaiicieo naaiaio?a .

I?iioneia ni?iiiaei?noue ie/oa (M ( m)

Aaia Aei ?oeioaaiiy eeaiai?a. I?ney ?oeioaaiiy

1 eeaiaia. I?ney ?oeioaaiiy

2 eeaiai?a.

Caaeiueaaeeeiaii?eeiaa aaia 79 SYMBOL 177 \f «Symbol» \s 14 ± 3.12 103
SYMBOL 177 \f «Symbol» \s 14 ± 6.1 105 SYMBOL 177 \f «Symbol» \s 14 ±
7,9

Aeenoaeueia ae?eyiea aaeeei? i?aeoe??ii? aaie 67 SYMBOL 177 \f «Symbol»
\s 14 ± 5,44 88 SYMBOL 177 \f «Symbol» \s 14 ± 2,12 90 SYMBOL 177 \f
«Symbol» \s 14 ± 6,13

I?ei?oea.Oene o nenoai? 100 ii ?o. no., a?aeoie /a?ac a?eee aaie
a?eueiee, i?noea aoieo — ae?eyiea iaae?aeueii? e?noi/ee.

Aeey noai?aiiy iiaeae? o?ii?/ii? ?oai?? iia?iaaii 136 a?eeo aacii?iaeieo
uo??a, ?icae?eaieo ia 3 a?oie ca 3 ??ciiiai?oieie iaoiaeeeaie.

1-oa a?oia: aeeiioaaeanue ia?aa’ycea aeeaiei? a?oa??? noaaia ia i?ioyc?
oa iiaa?oiaai? noaaiiai? a?oa??? o ieaei?e o?aoei? noaaia.

2-aa a?oia: aeeiioaaeanue ia?aa’ycea aeeaiei? a?oa??? noaaia ia i?ioyc?
? ia?aa’ycea iiaa?oiaai? noaaiiai? a?oa??? o ieaei?e o?aoei? noaaia oa
i?aeeie?iii? a?oa???.

3-oy a?oia: aeeiioaaeanue ia?aa’ycea aeeaiei? a?oa??? noaaia ia i?ioyc?
? ia?aa’ycea iiaa?oiaai? noaaiiai? a?oa??? o ieaei?e o?aoei? noaaia oa
/a?ac 7 ae?a i?aeeie?iii? a?oa??? .

Iniiai? ?acoeueoaoe aeine?aeaeaiue. I?ney noai?aiiy iiaeae? o?ii?/ii?
i?ia?anoth/i? ?oai?? e?ioe?aee i?iaaaeaia aenia?eiaioaeueia ia?aa??ea
a?oa??ae?caoe?? aaiicii? nenoaie. Aeey ia’?eoea?caoe?? nooiaiy
aenia?eiaioaeueii? ?oai?? aecia/aee oae? iieacieee: oene eenith a oe???
e?ioe?aee (ON?I2), ??cieoey a ian? iia?iaaii? oa iaooeiaeaeaii?
e?ioe?aee (O1-O2), ??cieoey oaiia?aoo? iia?iaaii? oa iaooeiaeaeaii?
e?ioe?aee (( t).( oaae.3).

Oaaeeoey 3.

Iieacieee,ui oa?aeoa?ecothoue nooi?iue aenia?eiaioaeueii? ?oai??
e?ioe?aee.

A?oia Oa?i?ie

ciinoa?aaeaiiy E?euee?noue oaa?ei ON ?I2 ( t O1-O2

1 72 aiaeeie 10 24,2(0,26 2,5(0,06 0

30 ae?a. 10 25,66(0,54 0,51(0,08 0,23(0,2

90ae?a. 10 27,04(0,89 0,16(0,03 0,10(0,01

2 72 aiaeeie 7 Iae?ic

3 72aiaeeie 14 5,88(0,48 5,71(0,28 0

30ae?a 11 3,84(0,31 7,25( 0,1 2,8(0,16

90ae?a 19 1,94(0,21 9,09(0,13 4,52(0,17

Aaee/eia ia?ooc?? i’yciai? oeaieie caeaaeeoue a?ae oeneo a
i?e?inoaeeiao oa a?ae ?o ae?aiao?a. Aeey ia’?eoea?caoe?? aenia?eiaioo
aea/aii ?aaeoe?th i?e?ioee?eoeyoi?iiai ?onea neaeaoiiai i’yca uo?a (o.
extensor hallucis proprius). Aeai? iaaaaeai? o oaae. 4.

Oaaeeoey 4.

Ci?ie ciai?oiueiai ae?aiao?a ? i?ina?oo a?oa??ie i’yc?a (I±o)

Oiiae

aeine?aeaeaiue *enei

niinoa?aaeaiue Ciai?oi?e ae?aiao?

a?oa??iee, iei Ae?aiao? i?ina?oo a?oa??iee, iei

Ii?ia 25 28,6,0±0,7 21,2+0,8

O?ii?/ia ?oai?y e?ioe?aee 15 —3,3±0,5(11,5) (*) —4,3 ±0,9 (**)

A?oa??ae?caoe?y 15 +7,0±1,3 (*) +6,5±l,2 (**)

I?ei?oea.??cieoey iieaciee?a a ii??aiyii? c oaeeie a ii?i? aeinoia??ia

(*) — ?(0,01 ,(**) ?(0,001

O oiae? aenia?eiaioo ia’?eoii aeine?aeaeaiiy aoee a?oa??iee i’yca c
aeo?aeiei ae?aiao?ii (28,6±1,4) iei, ae?aiao? i?ina?oo (21±1,4) iei, ui
caeiathoue i?ii?aeia iieiaeaiiy i?ae a?oa??ieaie ae?oaiai ? o?aoueiai
ii?yaeeo. E?iaio?e o ?icoaoiaaiiio ieae/a i?e?inoaeeiiiio ?one? oa
eai?ey?ao iinooiiai oiia?eueithaaany i?ae /an iiae?aciaiiy, i?e/iio
a?aei?/aii ia??aiii??i?noue oeueiai i?ioeano a ??cieo eai?ey?ao i’yca.
?iiae? aacieiino?eeoe?y o i’yc? aoea o?aaiaioa?iith, o aeayeeo ae?eyieao
ae?aiao? ia ci?ithaaany.

Io?eiai? aeai? i?aeoaa?aeaeothoue ?acoeueoaoe aenia?eiaio?a in vitro, ui
na?ae/aoue i?i aieea a?oa??ae?caoe?? aaiiciiai ?onea ia ca?eueoaiiy
i?eoieo e?ia? aei i’yca. Oea naiai ?iaeo i?ioaeoeaiee aieea i?aeaeuaiiy
aioo??oiueinoaeeiiiai oeneo a a?oa??ieao i?e?inoaeeiiiai ?onea.

Ee?i?/ia /anoeia. I?ae /an ianoaaeaiiy oai?eo c ieethc??th a?oa??e
noaaiiai-i?aeeie?iii-aii?eeiai? ciie iniiaiei caaaeaiiyi aoei
anoaiiaeaiiy iiaeeeaino? oeyoii aaeaeaaoiiai iie?ioaiiy e?iaioieo
ciaioeoe nooi?iue ?oai?? e?ioe?aee oa caaacia/eoe aeeoo?caeaoi?noue ??,
iiaeeeaino? iie?ioeoe e?iaiia?a ca aeiiiiiaith o??o?a?/iiai ao?o/aiiy,
a?aeiia?aei?noue noaio nenoai i?aai?cio oai?iai caieaiiaaiiio
ao?o/aiith. Ia i?aenoaa? aiae?co ?acoeueoao?a ?ao?iniaeoeaiiai
aeine?aeaeaiiy iaie aeiaaaeaii iaaeioe?euei?noue aeeiiaiiy ao?o/aiiy o
oai?eo c e?eoe/iith ?oai??th ca oiiaaie, eiee o?aeoe?y aeeeaeo ia
ia?aaeuoaaea 50%, na?oeaaee ?iaeaen 1,9e/(oa/i2).

I?e ni?anoaaeaii? aeaieo ?io?a — oa i?neyiia?aoe?eiiai
aeine?aeaeaiiy i’yc?a ?oai?ciaaieo e?ioe?aie aeyaeaia a?oia iciae, ui
ei?aeththoue i?ae niaith, i?e yeeo a?aeiiaeaiiy e?iaioieo
iaaeioe?eueia.(oaae. 5).

Oaaeeoey 5.

Iieacieee aeiiia?aoe?eiiai ianoaaeaiiy, i?e yeeo a?aeiiaeaiiy
e?iaiia?ao iaaeioe?eueia.

??NO Iaioa 0,3

( ?I2 Iiiaae 20 ii ?o no

SYMBOL 68 \f «Symbol» \s 12 D Pa-Pa Ieae/a 12 ii ?o no

Aeaeo?ii?ia?ao?/iee ?iaeaen Iaioa 190

TnPO2 iaeneiaeueiee iieaciee ia noii? Iaioa 6 ii ?o no

I?ei?oea.?iaeaen ?aa?iia?iiai nenoie?/iiai oeneo ( ??NO )
iea/a/noiia—iaeneiaeueiee ii 3 a?oa??yo.??cieoey ( ?I2 (?I2 aaeeea
i?aeoe??ia aaia (AIA)-?I2 i?aeoe??ia aaia iea/a). (Pa-Pa ??cieoey i?ae
iaeneiaeueiei a?oa??aeueiei oeneii o noaeeiao eeoee oa oeneii o caaei?e
aaeeeiaii?eeia?e aai?.

C iaeyaeo ia iniiai? aa??aioe ee?i?/iiai ia?aa?ao, aia?ia?ao?/i? iciaee,
aeai? aeiiia?aoe?eiiai ianoaaeaiiy iaie aeae?eai? 5 oei?a o?aaeaiiy
a?oa??e noaaiiai-i?aeeie?iii-aii?eeiai? ciie ? aecia/ai? iiaeeea? aeaee
iia?aoeaieo ao?o/aiue, ni?yiiaaieo ia cieaeaiiy nooiaiy ?oai??.

Ieethc?y noaaiiai? a?oa??? ia aoaeue-yeiio ??ai?, caa?aaeaiiy
i?io?aeiino? oi/a a iaei??? a?oa??? aii?eee aai i?aeeie?iii? a?oa??? —
i?yia ooiooaaiiy.

Ieethc?y noaaiiai? a?oa??? ia aoaeue-yeiio ??ai? c iayai?noth naaiaioa
noaaiiai? aai i?aeeie?iii? a?oa??? c ae?aaeaieie eieaoa?aeyie aii?eee —
ooiooaaiiy aei naaiaioa a?oa??? c iaia’yceiaei a?oa??iaaiiciei
?icaaioaaeaiiyi.

Ieethc?y noaaiiai? a?oa??? a ieaei?e o?aoei? noaaia aai i?aeeie?iii?
a?oa??? ca a?aenooiino? ia?eoa?e/iiai ?onea — o?ainieaioaoe?y aaeeeiai
naeueieea aai a?oa??ae?caoe?y aaiicii? nenoaie aii?eee oa noiie.

Ae?aeueiee oei o?aaeaiiy i?e caa?aaeaii? iaa?no?aeueiiai e?iaioieo oi/a
a ii iaei?e a?oa??? aii?eee.

a) aac ae?aaeaieo o?io?/ieo ?iceaae?a — ia?anaaeea aaeeeiai naeueieea,
eeaioy iaeoe?oiai i’yca nieie aai a?oa??ae?caoe?y aaiicii? nenoaie
noiie;

a) c ae?aaeaieie o?io?/ieie ?iceaaeaie a aeenoaeuei?e ae?eyioe? noiie —
ia?anaaeea eeaioy iaeoe?oiai i’yca nieie.

?aae?caoe?y oeyo?a iie?ioaiiy o??o?a?/iiai e?eoaaiiy oai?eo c
ieethc?yie a?oa??e noaaiiai-i?aeeie?iii-aii?eeiai? ciie aeeth/aea i?yio
? iai?yio ?aaaneoey?ecaoe?th e?ioe?aee.

I?yia ?aaaneoey?ecaoe?y. Iioeiaeueieie oiiaaie aeey aeeiiaiiy
?aeiino?oeoeaii? iia?aoe?? ia noaeeiao aii?eee ? i?io?aei?noue
aeenoaeueiiai a?aeae?eo i?aeeie?iii? a?oa??? aai a?oa??e aii?eee ?
iayai?noue aaeaeaaoieo oeyo?a a?aeoieo — caa?aaeaiiy a?oa??e noiie.
Ai?iaaaeaeaiiy i?e?io??o?a?/ieo iaoiaeee aeicaieeei cia/ii ?icoe?eoe
iieacaiiy aeey i?yii? ?aaaneoey?ecaoe?? e?ioe?aee. Iaeeaaeaiee ooio
iiaeiai i?eiineoe iaaeeeoeiao e?euee?noue e?ia? aei ?oai?ciaaii? ciie,
ooieoe?iioaaoe i?ioyaii iaeneiaeueii aeiaaiai /ano, caaacia/oaaoe
ni?eyoeeao ia?aaoaeiao e?iaioieo a ?oai?ciaai?e cii?. I?e aenieiio
ia?eoa?e/iiio iii?? aeey iie?ioaiiy ?acoeueoao?a ?aeiino?oeoeaieo
iia?aoe?e cae?enithaaee a?oa??i-aaiicia ?icaaioaaeaiiy o ii?aeiaii? c
iaeii/aniith a?oa??ae?caoe??th aaiiciiai ?onea ieae/a aianoiiico.

Aiane?aeie iiaaiiai noaio aeenoaeueiiai a?oa??aeueiiai ?onea, i?ney
aeeiiiaiy oeiiaeo ?aeiino?oeoeaieo iia?aoe?e a ?aii? no?iee /anoi
aeieea? o?iiaic. C iaoith i?io?eaeoeee o?iiaico o 32 oai?eo
canoiniaoaaee niin?a “eiaciiai” ooioa. Nii/aoeo iaeeaaeaee aianoiiic
aooiaaiiciiai ooioa c a?oa???th, a?e o a?e, iio?i oi?ioaaee ii?eoeth
oeyoii aianoiiicoaaiiy aeenoaeueiiai e?ioey ooioa c ?icoaoiaaiith ii?o/
i?aeeie?iiith aai aii?eeiaith aaiith. Aeenoaeueiee aianoiiic
aooiaaiiciiai ooioa i?e oeueiio noai?thaaee e?iaoeue o a?e c a?oa???th,
a c iae?aiaaiei i?eoieii ooioa a cii? aeenoaeueiiai aianoiiico oi?ioaaee
a?oa??iaaiicio ii?eoeth. Aeenoaeuei? aianoiiice iaeeaaeaee c
i?aeeie?iiith, c caaeiueith oa c ia?aaeiueith aaeeeiaii?eeiaeie
a?oa??yie. Aianoiiice c i?aeeie?iiith a?oa???th a on?o niinoa?aaeaiiyo
oi?ioaaee ieae/a eie?iiiai noaeiaa. Ca aeaieie ?io?aiia?aoe?eii?
aeaeo?iiaai?oii? oeioiao??? ia’?iia oaeaee?noue e?iaioieo ii ooioo
aeinoia??ii ia ?ic??ciyeanue (p>0,05) ? noaiiaeea (83,0± 4,0) oa (82,8±
4,2) ie/oa (i?e ia?aoeneaii? a?oa??iaaiicii? o?nooee). I?ioa i?e
a?aee?eoo? o?nooee oeae iieaciee ca?eueooaaany ia 75-400 % ? noaiiaea
130-360 ie/oa. Aaee/eia i?e?inoo e?iaioieo ii ooioo caeaaeaea a?ae
?ici??o ii?eoe?, ae?aiao?a iaa?no?aeueii? aaie, aei yei?
cae?enithaaeinue neeaeaiiy /anoeie e?ia? c ooioa. Caaaeueiee e?iaioie ii
ooioo iiaeiai aooe ia iaioa 150 ie/oa aeey an??? nenoaie aii?eee. I?e
ia?aoeneaii? i?ieneiaeueii? /anoeie iaa?no?aeueii? aaie, c yeith
oi?ioaaee o?nooeo, a?aei?/aee cia/ia ciaioaiiy ia’?iiiai e?iaioieo aei
(85±4,8) ie/oa, a?i noaaaa i?aeoe/ii ??aiei oaeiio (?>0,05) i?e
ia?aoeneaii? o?nooee. Oea na?ae/eei i?i a?aenooi?noue ?aaa?niaaiiai
e?iaioieo ii iaa?no?aeuei?e aai?, yeiio ia?aoeiaeaeaee ? eeaiaie.

Ioaea, ?ieue oi?ioaaiiy a?oa??iaaiicii? o?nooee ye aeiaeaoeiaiai
ao?o/aiiy ii?yae c ?aeiino?oeoe??th noaaiiai-i?aeeie?iii-aii?eeiaiai
naaiaioa iieyaa? o ?icaaioaaeaii? ooioa oa ca?eueoaii? oaeaeeino?
e?iaioieo ii iueiio.

A on?o niinoa?aaeaiiyo i?ae /an ?io?aiia?aoe?eii? aeaeo?iiaai?oii?
oeioiao??? ?a?no?oaaee ia’?iio oaeaee?noue e?iaioieo ii ooioo oa
a?oa???, ui ia iaioa 50-65 ie/oa.

Ee?i?/i? aeine?aeaeaiiy ?aa?iia?ii? aaiiaeeiai?ee na?ae/aoue i?i
iiceoeaiee aieea a?oa??iaaiicii? o?nooee ia ooieoe?iioaaiiy ooio?a.
Aecia/aii aca?iica’ycie i?ae o?eaae?noth ooieoe?iioaaiiy o?nooee ?
ooioa. C 18 oai?eo, o yeeo o?nooea cae?eeany a iaeaeeae/iio aai
a?aeaeaeaiiio i?neyiia?aoe?eiiio ia??iae?, o?iiaic ooioa aeiee o 16. O
iaeaeeae/iio i?neyiia?aoe?eiiio ia??iae? a on?o iaoe??io?a ooioe aoee
i?io?aei?, o a?aeaeaeaiiio o?iiaic aeiee eeoa o 3.

?acoeueoaoe aeei?enoaiiy a?oa??iaaiicii? o?nooee i?e ?aeiino?oeoe??
noaaiiai-i?aeeie?iii-aii?eeiaiai naaiaioa na?ae/aoue i?i ?? iiceoeaiee
aieea ia ?aa?iia?io aaiiaeeiai?eo. Aeey i?aeaeuaiiy iia?aaaeueiino?
oai?eo i?e ia-caaeia?eueiiio noai? aeenoaeueiiai ?onea canoiniaoaaee
??ci? aeaee a?oa??ae?caoe?? e?ioe?aee. Iniiaieie iieacaiiyie aei
cae?eniaiiy oe??? iia?aoe?? ia aii?eoe? aoee ieethc?y noaaiiai? a?oa???,
iayai?noue naaiaioa i?aeeie?iii? aai aii?eeiai? a?oa??? oa ieethc??
noaaiiai-i?aeeie?iii-aii?eeiai? ciie i?e a?aenooiino? iaa?oue naaiaioa
i?aeeie?iii? aai aii?eeiaeo a?oa??e. Aei aeeiiaiiy iia?aoe?? aec-ia/aee:
/e aeinoaoi?i aoaea a?aeiiaeaiee e?iaio?e aeey e?ea?aeaoe?? ?oai??
oeueiai ianeao oeaiei, /e iiaeeeai aeinyaoe ?aia?ooc?? a caeaaeiino?
a?ae noaio i’yciaiai ianeao ? ni?aa?aeiioaiiy i?iioneii? ni?iiiaeiino?
noaeeiiiai ?onea oa ooioa. Ca aeaieie iaoaiaoe/iiai oa
aenia?eiaioaeueiiai aeine?aeaeaiiy anoaiiaeaii, ui caaaeueiee e?iaio?e
ia ??ai? i?aeeie?iii? a?oa??? iiaeiai aooe ia iaioa 200 ie/oa, ia ??ai?
ieaeiuei? o?aoeie aii?eee -120 ie/oa, ciie eeoee — 95 ie/oa, noiie — ia
iaioa 65 ie/oa.

Aieea a?oa??iaaiicii? ii?eoe? i?e aeei?enoaii? i?yieo iaoiaeee
?aaaneoey?ecaoe?? iieacaii o oaae 7.

Oaaeeoey 7.

I?yia ?aaaneoey?ecaoe?y e?ioe?aee ?c canoinoaaiiyi

a?oa??iaaiicii? ii?eoe?.

Aeae ooiooaaiiy E?euee?noue

oai?eo ?aii?e o?iiaic Caa?aaeaiiy ?oai?? Onoiaiiy ?oai??

O-ai 1 2 1 2 1 2 1 2

I?ieneiaeueii i?aeeie?iia 92 16 76 2 9 4 16 11 54

Aeenoaeueii-i?aeeie?iia 82 13 68 3 6 5 9 7 62

Ia?iiaaeueia 15 4 11 2 3 2 3 2 7

Caaeiueiaii?eeiaa 46 12 34 3 7 2 4 10 31

Ia?aaeiueiaii?eeiaa 19 1 18 — 2 — 16 1 11

Iaeiaii?eeiaa 22

22 — 4 — 8 — 16

Aeaiaii?eeiaa 9

9 — 1 — 3 — 6

O?eaii?eeiaa 7

7 — 2 — 2 — 4

?acii 292 46 246 10 34 13 61 62 19

% 15 84 3 11 3 20 21 6

I?ei?oea .Oeaio?aeueiee aianoiiic iaeeaaeaany c noaaiiaith a?oa???th

c a?oa??i – aaiiciith ii?eoeath; 2- aac ii?eoe?.

A ie?aieo aeiaaeeao oaeiae oi?ioaaee aianoiiic c ?cieueiaaiei naaiaioii
i?aeeie?iii? a?oa??? («eiaciee ooio») – 4 (2%). A on?o aeiaaeeao
aeenoaeuei? aianoiiice oi?ioaaee «e?iaoeue o a?e» aeiaaeeiith 15-20 ii.

Ioe?ithaaee ?acoeueoaoe ca ee?i?/ieie e?eoa??yie c iaeyaeo aeaieo
ooieoe?iiaeueieo iaoiae?a aeine?aeaeaiiy.

O ?aiiueiio i?neyiia?aoe?eiiio ia??iae? ?acoeueoao aaaaeaee aeia?ei,
yeui aecia/aee ioeuen ia ooio? oa a?oa??? aeenoaeuei?oa aianoiiico,
cieeaa a?eue i?e iii??iiio o?ce/iiio iaaaioaaeaii?, ooai?thaaeany
aeaia?eaoe?eia e?i?y i?e aaia?ai?; caaeia?eueiei i?e caa?aaeaii?
aeeoo?caeaoiino? e?ioe?aee ? e?ea?aeaoe?? aie? a niie?eiiio noai?,
iacaaeia?eueiei i?e aiiooaoe?? e?ioe?aee.

O iaoeo niinoa?aaeaiiyo (aei 1-ai ?ieo) aeia?ee ?acoeueoao a?aecia/aiee
o 45 (52,9%) iaoe??io?a, caaeia?eueiee o 29 (34%), iacaaeia?eueiee a 11
(13%) oai?eo ? coiiaeaiee a iniiaiiio o?iiaicii ooioa. I?ioa o?iiaic
aii?eeiaiai ooioa ia a on?o oai?eo iio?aao? aiiooaoe?? e?ioe?aee,
iniaeeai, yeui a?i aeieea? o a?aeaeaeaiiio i?neyiia?aoe?eiiio ia??iae?.
Oae o no?iee niinoa?aaeaiiy aei 1 ?ieo o?iiaic ooioa aeyaeaiee o 16
(18,8%) oai?eo, aiiooaoe?y e?ioe?aee aeeiiaia a 11 (13%).O a?aeaeaeai?
no?iee o?iiaic ooioa aeyaeaiee ua o 19 (27,5%) ?c 69 oai?eo, ? o?eueee a
12 c ieo aeeiiaia aiiooaoe?y e?ioe?aee,ia?aaaaeaii i?e aeieeiaii?
o?iiaico o no?iee 1,5 ?ieo. Iae/ano?oa i?e/eiaie i?neyiia?aoe?eiiai
o?iiaico aoee:

a) oaoi?/i? iiieeee, iia’ycai? c aeeiiaiiyi aianoiiico; a) oaeoe/i?
iiieeee, iia’ycai? c iaeeaaeaiiyi aianoiiico, iai?aaeeueiei aeai?ii
??aiy oi?ioaaiiy aeenoaeueiiai aianoiiico oa ioe?ieith aaiiaeeiai?/ieo
oiia, cie?aia iaaeinoaoiueith ?ii?noth «noaeei a?aeoieo»; a)
iacai?ioieie ci?iaie aaeeeiai ianeao i’yciaeo aieieii ? iaiiaeeea?noue
ni?eeiyoe e?iaio?e.

Ii?yae c ooiooth/eie iia?aoe?yie, ii?aeiaieie c ??cieie iaoiaeaie
?icaaioaaeaiiy, iaie canoiniaoaaeenue iai?yi? iaoiaee ?aaaneoey?ecaoe??
o oai?eo c ?oai??th IV noaae??, ye aeueoa?iaoeaa aiiooaoe?? e?ioe?aee.
Aeey aiae?co ie a?ae?a?aee iaea?eueo oeiiao a?oio c 69 oai?eo,
?acoeueoaoe aiae?coaaee a ?aiiueiio i?neyiia?aoe?eiiio ia??iae?, a?ae
2-o i?nyoe?a aei 1 ?ieo i?ney iia?aoe?? oa o a?aeaeaeaiiio — a?ae 1 aei
4 ?ie?a. Aoaeo iia?aoe?? aoa cia/ii aeuei ca iayaiino? iii??ieo
o?io?/ieo ?iceaae?a.

O ?aiiueiio i?neyiia?aoe?eiiio ia??iae? o an?o oai?eo aac iae?ico oeaiei
noiie aaeaeiny caa?aaoe e?ioe?aeo, o i?ci? no?iee aoaeoeai?noue
iia?aoe?? o ieo noaiiaeea 71,4 %, i?e oeueiio aiia ei?aethaaea c
oyaee?noth o?aaeaiiy ? nooiaiai eiiiainaoe?? e?iaioieo a ae?eyioe?
noiie. Oae i?e aeaeiiiainaoe?? e?iaiia?ao a ae?eyioe? noiie ?
aeinoaoiuei ?icaeiaiiio eieaoa?aeueiiio e?iaioieo a aii?eoe?,
ia?anaaeea eeaioy aaeeeiai naeueieea ia aii?eeo aoea iaaeinoaoiueith
aeey ?aaaneoey?ecaoe?? noiie.

Iioeiaeueiee aoaeo niinoa??aaee i?e noa- ? aeaeiiiainiaaiiio e?iaiia?ao
aii?eee c caa??aaiiyi ieaioa?ii? aeoae. I?e ?oai?? III noaae??
aoaeoeai?noue iia?aoe?? o a?aeaeaeai? no?iee noaiiaeea 70,6 %, ?c
caa?aaeaiiyi caeiiii??iino? uiaei ??aiy eiiiainaoe?? ? aeaeiiiainaoe??
e?iaioieo aii?eee ? noiie..

?acoeueoaoe e?eoaaiiy c aeei?enoaiiyi iai?yieo iaoiae?a iaaaaeai? a
oaae. 8.

Oaaeeoey 8

?acoeueoaoe e?eoaaiiy c canoinoaaiiyi iai?yieo iaoiaeee
?aaaneoey?ecaoe??.

Iia?aoe?y E?euee?noue oai?eo ?aii?e o?iiaic Caa?aaeaiiy ?oai?? Onoiaiiy
?oai??

O?ainiiceoe?y eeaioy iaeoe?oiai i’yca nieie ia noiio 5 — 1 3

Ia?anaaeea eeaioy naeueieea 6 1 2 3

A?oa??ae?caoe?y

Caaeiueiaii?eeiai? aaie o i?aeeie?ii?e ae?eyioe? 16 2 4 10

Iiaa?oiaai? aaiicii?

nenoaie noiie 1 — 1 —

Aeeaiei? aaiicii?nenoaie noiie 8 1 1 7

?acii 36 4 9 23

Aoaeoeai?noue iia?aoe?? ?aaaneoey?ecaoe?? e?ioe?aee i?e oeueiio oei?
o?aaeaiiy ioe?iaia o 13 oai?eo o no?iee niinoa?aaeaiiy aei 4 ?ie?a; o 2
c ieo ao?o/aiiy aeeiiaii ia iaio e?ioe?aeao. Iae?ic o?ainieaioaoa
niinoa??aaee o 2 oai?eo, ui ni?e/eiaii o?iiaicii noaeei o ia?oo aeiao
i?ney iia?aoe??. A iaeiiio niinoa?aaeaii? i?e/eiith a?oa??aeueiiai
o?iiaico aoei ii?ooaiiy caaaeueii? aaiiaeeiai?ee c ae?aaeaiei noaeeiiei
niaciii, a ae?oaiio-iaaeiioe?iaia ia?aeiia o?aaeaiiy ?aoeei??ioieo
a?oa??e.

Ne?ae cacia/eoe, ui, iacaaaeath/e ia aeei?enoaiiy o?aaeaieo a?oa??e ye
?aoeei??ioieo, /ano?oa niinoa??aaee ooieoe?iiaeueio iaaeinoaoi?noue
aaiicii? nenoaie. sseui a ia?o? 6-10 aiae. i?ney iia?oe?? aaiicia
a?ia?oaic?y ia ei?eaoaaeanue, aeieeaa aaiiciee o?iiaic i?aeee eeaioy.

Oae? oneeaaeiaiiy, ye e?aeiaee iae?ic oeaiei noiie, /anoeiaa iaaii?iiy ?
?icoiaeaeaiiy e?a?a ?aie, aoee ni?e/eiai? iaaeinoaoi?i ianyaii ia?aeiii?
?acaeoe?? ?oai?ciaaieo oeaiei, i?ioa aiie nooo?ai ia aieeaaee ia
iiceoeaiee ?acoeueoao iia?aoe??. O no?iee niinoa?aaeaiiy a?ae 3 i?n. aei
4 ?ie?a o?iiaic ciie ?aeiino?oeoe?? ia aeyaeyee.

*a?ac 2 — 2.5 ?ieo o 3 oai?eo aeiee o?iiaic naaiaioa iaa?no?aeueii?
a?oa???, ?icoaoiaaiiai aeua ae?eyiee aianoiiico, o 1 ?c ieo e?ioe?aeo
aaeaeiny caa?aaoe. Ae?aaeai?noue aieueiaiai neiae?iio o ?aiiueiio
i?neyiia?aoe?eiiio ia??iae? a?aeiia?aeaea oyaeeino? iia?aoe??, a?i
cieeaa, aai nooo?ai ciaiooaaany /a?ac 4-5 ae?a i?ney iia?aoe??.

?aii? onoiaiiy neiioii?a ?oai?? a?aecia/aii a on?o iaoe??io?a i?e
iaoneeaaeaiiio ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo, i?e iayaiino?
i?noeaaeo oneeaaeiaiue aieueiaee neiae?ii aoa oei/aniaei. O ?aiiueiio
i?neyiia?aoe?eiiio ia??iae? aiiooaoe?y e?ioe?aee ia ??ai? aii?eee
aeeiiaia o 4 oai?eo, ia ??ai? noiie — o 2. O a?aeaeaeaiiio ia??iae?
(/a?ac 1 ??e) — o 2 oai?eo: a iaeiiai /a?ac o?iiaic
noaaiiai-i?aeeie?iiiai naaiaioa, ui aeiee aiane?aeie i?ia?anoaaiiy
caoai?thaaiiy,o ae?oaiai i?ney a?oa??ia?ao??, aeeiiaii? aeey
ianoaaeaiiy eiio?aeaoa?aeueii? e?ioe?aee.

Iaeiei c iaoeo caaaeaiue aoei aeyaeoe ? i?aeoaa?aeeoe aoaeo iai?yii?
?aaaneoey?ecaoe?? ?oai?ciaaieo oeaiei, aeey /iai aeei?enoiaoaaee
ee?i?/i? oa ?ino?oiaioaeuei? iaoiaee aeine?aeaeaiiy. Aoaeo
?aaaneoey?ecaoe?? ioe?ithaaee a aeeiai?oe?, aeine?aeaeaiiy i?iaiaeeee
aaciina?aaeiuei aei, o iaeaeeae/? no?iee i?ney iia?aoe?? oa o
a?aeaeaeaiiio ia??iae?. Ee?i?/ieie e?eoa??yie aoaeoeaiino?
?aaaneoey?ecaoe?? aaaaeaee:

a iaeaeeae/ee i?ney iia?aoe?? ia??iae — onoiaiiy neiioii?a ?oai??,
iaiaaeaiiy ? oaiaeaioe?y aei caai?iiy o?io?/ii? (ae?acee, iae?ico); a
ia??iae oi?ioaaiiy iiaiai noaeeiiiai ?onea (a?ae 1 aei 2 ?ie?a)-
noaa?e?caoe?y ? ?aa?an neiioii?a ?oai??, caai?iiy o?io?/ieo ae?acie,
ii?iae?caoe?y oaiia?aoo?e e?ioe?aee, ca?eueoaiiy aeenoaioe?? oiaeueae
aei 1 ei;

ia??iae no?eeiai aoaeoo ?aaaneoey?ecaoe?? (2 ?iee ?
a?eueoa)-a?aenooi?noue neiioiio ia?ai?aeii? eoeueaaaino?, a?aenooi?noue
a?ae/oooy iioieiaeaiiy e?ioe?aee, ci?ie eieuei?o oe??e, iayai?noue
ooieoe?iiaeueii? iii?icaeaoiino? noiie, iaiaiaaeaia iia?eueia oiaeueaa.

Neiioii ia?ai?aeii? eoeueaaaino? (/a?ac 1 ??e) aeyaeyee o 20%
iia?iaaieo, o ?aooe aeenoaioe?y iia?eueii? oiaeueae aoea iaiaiaaeaiith.
O 40 oai?eo c 45 caa?aaeaia iii?icaeaoia e?ioe?aea, iiaeeea?noue
aeei?enoaiiy yei? aecia/aeany oa?aeoa?ii ? ianyaii ?acaeoe?? no?oeoo?
noiie a oaeiae aaeaeaaoiei aeiai?ii acoooy.O no?iee aei 8-12 i?n. a on?o
iaoe??io?a o?io?/i? ae?acee ? iia?aoe?ei? ?aie caai?eeny,
ii?iae?coaaeanue oaiia?aoo?a iia?iaaii? e?ioe?aee. O iaoe??io?a
a?aei?/aee iacia/iee iaa?ye, ui ia aieeaaa ia noai e?iaiia?ao a
e?ioe?aoe?.

No?eeee aoaeo ?aaaneoey?ecaoe?? aecia/aany nooiaiai ooieoe?iioaaiiy
a?oa??aeueii? nenoaie noiie. Oae o?iiaic ciie ?aeiino?oeoe?? aai
?icoaoiaaieo aeua naaiaio?a (o 3 niinoa?aaeaiiyo) iaieio/a ni?e/eiya
?aoeeaeea ?oai??, ui ia??aeei eiiiainoaaeiny ?icaeoeii eieaoa?aeueiiai
e?iaioieo.

Aeinoia??ii i?aeaeuoaaany ??aaiue a?eueiiai eenith a oe???.Iaea?eueoith
aoea oaeaee?noue eiai niiaeeaaiiy oeaieiaie e?ioe?aee, yea
i?aeaeuoaaeany a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? c (28,2 SYMBOL
177 \f «Symbol» \s 14 ± 7,7) aei (41,1 SYMBOL 177 \f «Symbol» \s 14 ±
7,6) ii ?o. no.oa i?aeo?eioaaeanue o iiaeaeueoiio ia aenieiio ??ai?.

Io?eiai? ?acoeueoaoe i?aeoaa?aeeee iiaeeea?noue aeei?enoaiiy iai?yieo
iaoiae?a ?aaaneoey?ecaoe?? ?oai?ciaaieo oeaiei aeey caa?aaeaiiy
e?ioe?aee. C iaeyaeo ia iaoeiiaee i?aeo?ae aei o??o?a?/iiai e?eoaaiiy
oai?eo c ?oai?/ieie aeaoaeoaie oeaiei ?ic?iaeaiee iaoiae ie
canoiniaoaaee a iniiaiiio ye aeueoa?iaoeaa aiiooaoe?? e?ioe?aee.

Aeinyaiaiiy noaa?eueiiai ? o?eaaeiai aoaeoo ?aaaneoey?ecaoe?? aeicaiey?
?icoe?eoe iieacaiiy aei eiai canoinoaaiiy o oai?eo aac ae?aaeaieo
aeano?oeoeaieo ci?i oeaiei e?ioe?aee c ia?niaeoeaith caa?aaeaiiy
iiaiioe?iii? noiie.

AENIIAEE

1. Canoinoaaiiy iaoiae?a i?e?io??o?a?? a e?eoaaii? ieethc?e
iaa?no?aeueieo a?oa??e noaaiiai-i?aeeie?iii-aii?eeiai? ciie aeicaiey?
iie?ioeoe ?acoeueoaoe ?aaaneoey?ecoth/eo iia?aoe?e, cai?aaaaeeoe
i?eioeeiiai iia? iaoiaee ei?aeoe?? ?oai?? oeyoii a?oa??ae?caoe??
aaiiciiai ?onea aii?eee ? noiie, ooiooaaiiy a ?cieueiaaiee naaiaio
iaa?no?aeueii? a?oa???, i?e?io??o?a?/ii? ia?anaaeee neeaaeieo eiiieaen?a
oeaiei.

2. A?oa??ae?caoe?y aaiiciiai ?onea a aenia?eiaio? ia uo?ao ni?eyea
onoiaiith ?oai?? e?ioe?aee.

3. Cai?iiiiiaaiee eiiieaen ae?aaiinoeee aeicaieea iaea?aeaoe aeinoaoith
?ioi?iaoe?th i?i noai e?iaiia?ao ? i?e?ioee?eoeyoe?? oeaiei aii?eee ?
noiie, iiaeeeaino? a?aeiiaeaiiy e?iaioieo, a oaeiae aea?aoe iioeiaeueiee
niin?a ?aaaneoey?ecaoe?? e?ioe?aee c iaeyaeo ia oa?aeoa? ieethceaiiai
i?ioeano ? oyaeeinoe ?oai?/iiai ooeiaeaeaiiy oeaiei.

4. I?e aeeiiaii? iia?aoe?e, ni?yiiaaieo ia i?yio ?aaaneoey?ecaoe?th
aeenoaeueieo ae?eyiie aii?eee, iaea?eueo aaiiaeeiai?/ii cia/ouei ?
niin?a ?c caa?aaeaiiyi aeniei? oaeaeeino? iioieo ii ooioo oeyoii
iaeii/aniiai ?icaaioaaeaiiy oa a?oa??ae?caoe?? aeenoaeueiiai aaiiciiai
?onea.

5. Canoinoaaiiy ?ic?iaeaieo ? aaeineiiaeaieo iaoiae?a iioei?caoe??
ooiooth/eo iia?aoe?e aeicaieeee i?aeaeueoe aoaeoeai?noue ? iie?ioeoe
iaeaeeae/? ?acoeueoaoe i?yieo ?aeiino?oeoeaieo ao?o/aiue ia noaeeiao
aii?eee. ?aii?e i?neyiia?aoe?eiee o?iiaic ia aeyaeyee o a?oi? oai?eo,
iia?iaaieo c aeei?enoaiiyi i?e?io??o?a?/ii? oaoi?ee.

6. I?e ieethc?? a?oa??e aii?eee ia anueiio i?ioyc? aeioe?eueia
ia?anaaeea eeaioy aaeeeiai naeueieea aai a?oa??ae?caoe?y aai aii?eee c
?io?aiia?aoe?eiith ioe?ieith aaeaeaaoiino? ?? aeeth/aiiy o e?iaio?e, ye?
aeicaieythoue caa?aaoe e?ioe?aeo o 53% oai?eo.

7. Ieethc?? a?oa??e aii?eee o oai?eo c ?oai??th 1Y noaae?? c
ina?aaeeaie aeano?oeoe?? a ae?eyioe? noiie aoaeoeaia aooio?ainieaioaoe?y
oe??ii-i’yciaiai eeaioy, ui caaacia/o? ?aii?e ? iiaiee aoaeo
?aaaneoey?ecaoe??.

8. I?e ieethceaiiio o?aaeaii? a?oa??e noiie a noaae?? aeano?oeoe??
iieacaia o?ainieaioaoe?y oe??ii-i’yciaiai eeaioy c iaeiiiiiaioiith
iuaaeeeaith aiiooaoe??th e?ioe?aee aai ooiooaaiiyi a ?cieueiaaiee
naaiaio a?oa??aeueii? aeoae noiie c iaeii/aniith ?aaaneoey?ecaoe??th.

IA?AE?E ?IA?O,IIOAE?EIAAIEO CA OAIITH AeENA?OAOe??

Aonae A.E, Oenoaeue Y.ss, ?iaeei TH.A, Eeaoeoe A.I., Ai?iiaaa
A.A.Naiaiaeiay ia?anaaeea eineooa oe?i/aeoae iuooeu nieiu a ciiu n
aeaeiiiaine?iaaiiui e?iaioieii // Eeeie/aneay oe?o?aey. -1992. -?3. – N
. 7-9.

Aonae A.E., Eenae/oe TH.N.,?iaeei TH.A.,Oenoaeue Y.ss., Aecthaaiue N.A.
Naiaiaeiay ia?anaaeea eiaeiiiuoa/iiai eineooa i?e yeaeo?e/aneeo iaeiaao
// Eeei. oe?o?aey. -1986. -?3.-N. 70-71.

Aonae A. E., Eaaiaiei A. A., ?iaeei TH.A., Ioaie/iee A.I, Eiaaeue/oe I.
I., Eeaoeoe A.I. Iiuo ea/aiey aieueiuo n ieeethceyie a?oa?ee
aaae?aiii-iiaeeieaiii-aa?oeiaie ciiu a noaaeee e?eoe/aneie eoaiee //
Eeei.oe?o?aey.- 1992.- N7.-N. 74-75. .

Aonae A.E., sseiaaoeeee Ae.I., Eaaiaiei A.A., Ioaie/iee A.I., Oa?aiai
N.A., Eiaaeue/oe I.I., ?iaeei TH.A. Eeaoeoe A.I. Oe?o?ae/aneia ea/aiea
ni/aoaiiie ieeethcee a?oa?ee ai?oi-aaae?aiiiai e aaae?aiii-iiaeeieaiiiai
naaiaioa o aieueiuo n oyaeaeie eoaieae ieaeieo eiia/iinoae // Eeei.
oe?o?aey.. –1991.-.?.-7.-N. 10-12.

Aonae A.E., Eaaiaiei A.A., Ieieiioaeee I.E., Ioaie/iue A.I., ?iaeei
TH.A. Oe?o?ae/aneay oaeoeea i?e e?eoe/aneie eoaiee ieaeieo eiia/iinoae o
aieueiuo n iaeeoa?e?othueie caaieaaaieyie ninoaeia // Aiaeieiaey e
ninoaeenoay oe?o?aey.-1998.- ?2.- C. 64.

Oenoaeue ?.ss., Eenae/oe TH.N., Iaaeth/aiei E.I., ?iaeei TH.A.,
Nieioaiei A.A. Niinia ia?anaaeee eiaeii-iuoa/iiai eineooa // ??oaiiy i?i
aeaea/o iaoaioo ia aeiao?ae ca cayaeith ?98052608 IIE6 A 61 A 17/00
a?ae 19.05.98.

Aonae A. E, sseiaaoeueeee Ae. I., Eaaiaiei A. A.,. Ioaie/iee A. I,.
Oa?aiai N. A, Iocaiia A.I., Eiaaeue/oe I.I., ?iaeei TH.A. Oe?o?ae/aneay
oaeoeea a i?ioeeaeoeea ?aiieo o?iiaioe/aneeo ineaaeiaiee o
aiaeioe?o?ae/aneeo aieueiuo // Oac.
Ananithci.iaoe.eiioa?.”Iineaiia?aoeeiiiua ineiaeiaiey o ninoaeenouo
aieueiuo”. — Iineaa-Aeiiaoee.- 1993. -C. 41-42

Ioaie/iee A. I., ?iaeei TH.A., Iocaiia A.I., Aaaaie A.E., Ai?iiaaa
A.A., Eeuethuaiei N.A., Oa?aiai N.A., Eeaoeoe A.I. Oe?o?ae/aneia ea/aiea
aeaeiiiaine?iaaiiie eoaiee ieaeieo eiia/iinoae // Ca.iaoe.?ia?o II
Eiia?.o??o?a?a Oe?a?ie.–Ee?a- Aeiiaoee.- Ee?i. o??o?a?y.-1998.-
C.341-342.

Ioaie/iue A.I., ?iaeei TH.A. Iiaoi?iua ?aeiino?oeoeaiua iia?aoeee o
aieueiuo n ieeethceyie a?oa?ee aaae?aiii-iiaeeieaiii-aa?oeiaie ciiu a
noaaeee e?eoe/aneie eoaiee i?e ianinoiyoaeueiiio aeenoaeueiii
a?oa?eaeueiii ?onea// Oac.Ananithc. eiio.c iaaeaeoia?.o/anoeai .-Iineaa
.—1990.-N.163-164

?iaeei TH.A. Nicaeaiea iiaeaee o?iie/aneie eoaiee eiia/iinoae e
a?oa?eaeecaoeee aaiiciiai ?onea.// A ei. Iiaua oaoiieiaee a
oe?o?aee.–Eeaa.- 1997 . – N.112 -113. .

?iae?i TH.A. Aenia?eiaioaeueia iaa?oiooaaiiy noeioeyoe??
i?e?ioee?eoeyoi?iiai ?onea ia iiaeae? o?ii?/ii? a?oa??aeueii? ?oai?? //
Ca.iaoe.i?aoeue II Eiia?an o??o?a?a Oe?a?ie . – Ee?a- Aeiiaoeuee.- Ee?i.
o??o?a?y.-1998. –N.342-344. .

Oenoaeue A. ss., ?iaeei TH.A., Ai?iia?a A. A., Naiieeaiei A.A Eocueiaiei
A.A., Ianoooia A. Ae. Ianoooia Ae..Ae. I?ioeeaeoeea o?iiaicia ninoaeia
oi?aeiaei?caeueiiai eineooa, ia?anaaeaiiiai a ciiu n aeaeiiiaine?iaaiiui
a?oa?eaeueiui e?iaiioieii // Oac. Ananithci.iao/.eiioa?. —
Iineaa-Aeiiaoee.-1993. -N. 117-118 .

sseiaaoeeee Ae.I., Eaaiaiei A.A., Ioaie/iee A.I., ?iaeei TH.A., Eeaoeoe
A.I., Oa?aiai N.A., Iocaiia A.I.I?ioeeaeoeea o?iiaioe/aneeo ineiaeiaiee
a oe?o?ae/aneii ea/aiee eoaiee ieaeieo eiia/iinoae.//Oac. Ananithci.
Iao/ . eiioa?. Yeno?aiiay ?aeii-no?oeoeaiay oe?o?aey ninoaeia. —
Iineaa-Caii?iaeuea.- 1991. -N. 144-145.

sseiaaoeueeee Ae.I.,.?iaeei TH.A., Eiaaeue/oe I.I., Iocaiia A.I.,
Oa?aiai N.A. Oe?o?ae/aneia ea/aiea aieueiuo n ieeethceyie a?oa?ee
aaae?aii-iiaeeieaiii-aa?oeiaie ciiu a noaaeee e?eoe/aneie eoaiee //
Oacenu OVI nueacaea oe?o?aia Oe?aeineie NN?. — Iaeanna –1988.-
C.322-323.

Aiioaoe?y

?iae?i TH.A.Oeyoe iie?ioaiiy ?acoeueoao?a o??o?a?/iiai e?eoaaiiy oai?eo
c ieethc??th a?oa??e coaaiiai- i?aeeie?iii- aii?eeiai? ciie.- ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca oaoii 14.01.03- O??o?a?y. Oa?e?anueeee aea?aeaaiee iaaee/iee
oi?aa?neoao, Oa?e?a,1999.

Aeena?oaoe?y i?enay/aia i?iaeai? e?eoaaiiy oai?eo c ieethc??th a?oa??e
ieaei?o e?ioe?aie c aeei?enoaiiyi iaoiae?a i?yii? ? iai?yii?
?aaaneoey?ecaoe??.

Ia i?aenoaa? aiae?co ?acoeueoao?a aiaoii?/ieo ? aenia?eiaioaeueieo
aeine?aeaeaiue ?ic?iaeaiee aeeoa?aioe?eiee i?aeo?ae aei iaoiaeo
?aaaneoey?ecaoe?? oa aecia/ai? iiaeeeaino? a?aeiiaeaiiy e?iaioieo a
eiaeiiai oai?iai.

?acoeueoaoe o??o?a?/iiai e?eoaaiy 306 iaoe??io?a , iia?iaaieo c
aeei?enoaiiyi ??ciiiai?oieo iaoiae?a na?ae/aoue i?i aeioe?euei?noue
canoinoaaiiy iai?yii? ?aaaneoey?ecaoe?? ?, cie?aia, a?oa??ae?caoe??
aaiicii? nenoaie c iaoith caa?aaeaiiy e?ioe?aee o oaeeo oai?eo.

Eeth/ia? neiaa: ?oai?y e?ioe?aee, iai?yia ?aaaneoey?ecaoe?y,
a?oa??ae?caoe?y aaiicii? nenoaie,iiaeaeue ?oai?? e?ioe?aee.

Summary.

Rodin Y.V.The ways to improve outcomes of surgical treatment of
patients with occlusions of femoro – popliteo-tibial arterial segment. –
Manuscript.

A thesis for candidate of medical sciences degree on a speciality
14.01.03 — Surgery. The Kharkov state medical university, Kharkov,
1999.

The thesis is dedicated to the problem of treatment of the patients
with lower limb arterial occlusions by means of direct and indirect
revascularisation

On the basis of anatomic and experimental studies,a differential
approach to the method of revascularisation, determination of
possibility to restore the blood flow in every case was developed.

Outcomes of treatment of 306 patients, who underwent surgery after
different methods advocates the indirect to revascularisation, in part
venous system arterialisation for the limb salvage in this category
of patients.

Key words. Ischemia of limbs, indirect revascularization,
arterialisation of a venous system, model of limbs ischemia .

Aiiioaoeey.

?iaeei TH.A.Iooe oeo/oaiey ?acoeueoaoia oe?o?ae/aneiai ea/aiey aieueiuo
n ieeethceae a?oa?ee aaae?aiii-iiaeeieaiii-aa?oeiaie ciiu — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.03. –Oe?o?aey. Oa?ueeianeee
ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, Oa?ueeia,1999.

Aeenna?oaoeey iinayuaia i?iaeaia ea/aiey aieueiuo n ieeethceae a?oa?ee
ieaeieo eiia/iinoae n eniieueciaaieai iaoiaeia i?yiie e iai?yiie
?aaaneoey?ecaoeee. Aeooaeueiaeoae i?iaeaiie oe?o?aee inoaaony i?iaeaia
ea/aiey aieueiuo n ieeethceae a?oa?ee, ?aniieiaeaiiuo ieaea iaoiaie
neeaaeee.Iiene yooaeoeaiuo iaoiaeia ea/aiey caaieaaaiey iaeia ec aaaeiuo
caaea/ i?aeoe/aneiai cae?aaiio?aiaiey.

Iiiaiyoaaeiua ieeethcee, eoaie/aneia ii?aaeaiea iuooe a oa?ieiaeueiie
noaaeee, aeie iee?ioee?eoeyoeee iaoneaaeeaatho iaiaoiaeeiinoue
iia?e?iaaoue aieueiuo n aiciiaeiie onoaiiaeie ia aiiooaoeeth eiia/iinoe.
Anee auiieiaiea ?aaaneoey?ece?othuae iia?aoeee iaaiciiaeii, oa/aiea
caaieaaaiey oa?aeoa?ecoaony auno?ui i?ia?anne?iaaieai iaoieiae/aneiai
i?ioeanna n aicieeiiaaieai aeano?oeoeaiuo eciaiaiee oeaiae noiiu,
iaaeinoaoi/ii yooaeoeaia iaaeeeaiaioiciay oa?aiey, /anoioa ia?ae/iie
aiiooaoeee eiia/iinoe cia/eoaeueii aic?anoaao e ninoaaeyao ii aeaiiui
?yaea aaoi?ia io 50 aei 65 %. Oai ia iaiaa, o iaeioi?uo aieueiuo n
e?eoe/aneie eoaieae aiciiaeii nianaiea eiia/iinoe iooai i?eiaiaiey
?acee/iuo iaoiaeia iee?ioe?o?ae/aneeo aiaoaoaeuenoa ia a?oa?eyo aieaie e
noiiu, iai?yiie ?aaaneoey?ecaoeee.

Aeey aieaa iieiiai iiieiaiey iaoiii?oieiae/aneeo i?ioeannia,
i?ienoiaeyueo i?e iai?yiie ?aaaneoey?ecaoeee i?iaaaeai yenia?eiaio ia
123 aaeuo e?unao. Iainiiaaiu iiaeaee?iaaiea o?iie/iie eoaiee a
yenia?eiaioa e, eae iaeei ec iaoiaeia aa ei??aeoeee, a?oa?eaeecaoeey
aaiiciie nenoaie eiia/iinoe. Eeeie/aneay /anoue ?aaiou iniiaaia ia
aiaeeca ?acoeueoaoia ea/aiey 306 aieueiuo. O anao aieueiuo a
niioaaonoaee n oneiaiui oeiii ia?ooaiey e?iaiia?auaiey auiieiaiu
iia?aoeaiua aiaoaoaeuenoaa , /oi iicaieeei ainnoaiiaeoue aeoeaiinoue
aeecie 56% aieueiuo. ?acoeueoaou eniieueciaaiey a?oa?ei-aaiiciie oenooeu
i?e ?aeiino?oeoeee aaae?aiii- iiaeeieaii- aa?oeiaie ciiu
naeaeaoaeuenoaotho i aa iieiaeeoaeueiii aeeyiee ia ?aaeiia?ioth
aaiiaeeiaieeo.

Aeey iiauoaiey iia?aaaeueiinoe aieueiuo n iaoaeiaeaoai?eoaeueiui
aeenoaeueiei ?oneii aaoi? i?eiaiee ?acee/iua aeaeu a?oa?eaeecaoeee
eiia/iinoae. Iniiaiia iieacaiea e i?eiaiaieth yoie iia?aoeee ia aieaie —
ieeethcey aaae?aiiie a?oa?ee o aa enoiea e iaee/ea naaiaioa iiaeeieaiiie
eee aa?oeiaie a?oa?ee, eee ii?aaeaiea i?e ieethcee aaae?aiiie a?oa?ee e
ionoonoaee ia?eoa?e/aneiai ?onea.

Aei iia?aoeee onoaiaaeeaaee: aeinoaoi/iui ee aoaeao ainnoaiiaeaiiue
e?iaioie aeey eeeaeaeaoeee eoaiee ianneaa oeaiae, aiciiaeii ee aeinoe/ue
?aia?oocee a caaeneiinoe io ninoiyiey iuoa/iiai ianneaa,ii?aaeaeyee
niioiioaiea i?iioneiie niiniaiinoe ninoaeenoiai ?onea e ninoiyoaeueiinoe
ooioa. A aeiiieiaiea e ooioe?othoei iia?aoeeyi e ?acee/iui iaoiaeai
?aca?ocee i?e IV noaaeee eoaiee, i?eiaiyeenue iai?yiua iaoiaeu
?aaaneoey?ecaoeee, eae aeueoa?iaoeao aiiooaoeee. Aeey aiaeeca ioia?aia
iaeaieaa oeie/iay a?oiia ec 69 aieueiuo, aiaeec ?acoeueoaoia ea/aiey
i?iaiaeeee a n?iee io 2 ian. aei 1 aiaea e io 1 aei 4 eao. Yooaeo
iia?aoeee aue cia/eoaeueii auoa i?e iacia/eoaeueii au?aaeaiiuo
o?ioe/aneeo ia?ooaieyo. A ?aiiai iineaiia?aoeeiiiii ia?eiaea o anao
aieueiuo aac iae?ica oeaiae noiiu oaeaeinue nio?aieoue eiia/iinoue, a
iicaeiea n?iee yooaeoeaiinoue iia?aoeee ninoaaeea 71,4 %, i?e yoii iia
ei??aee?iaaea n oa?aeoa?ii ii?aaeaiey e o?iaiai eiiiainaoeee e?iaioiea a
iaeanoe noiiu. I?e aeaeiiiainaoeee e?iaiia?auaiey a iaeanoe noiiu e
aeinoaoi/ii ?acaeoii eieeaoa?aeueiii e?iaiia?auaiee aieaie, ia?anaaeea
eineooa aieueoiai naeueieea ia noiio auea iaaeinoaoi/iie aeey
?aaaneoey?ecaoeee. Iioeiaeueiue yooaeo, iaaethaeaee i?e noa- e
aeaeiiiaine?iaaiii e?iaiia?auaiee a aieaie n nio?aiaieai ieaioa?iie
aeoae. I?e eoaiee III noaaeee yooaeoeaiinoue iia?aoeee a ioaeaeaiiii
ia?eiaea ninoaaeea 70,6 %..

Ia iniiaaiee ?acoeueoaoia aiaoiie/aneeo e yenia?eiaioaeueiuo
enneaaeiaaiee ?ac?aaioai aeeooa?aioee?iaaiiue iiaeoiae e i?eiaiaieth
iaoiaea ?aaaneoey?ecaoeee, ii?aaeaeaiu aiciiaeiinoe ainnoaiiaeaiey
e?iaioiea o eaaeaeiai aieueiiai.

Aiaeec ?acoeueoaoia oe?o?ae/aneiai ea/aiey 306 iaoeeaioia n i?eiaiaieai
?acee/iuo iaoiaeia naeaeaoaeuenoaoao i oeaeaniia?aciinoe inouanoaeaiey
iai?yiie ?aaaneoey?ecaoeee, e, a /anoiinoe, a?oa?eaeecaoeee aaiiciie
nenoaiu a oeaeyo nianaiey eiia/iinoe o oaeeo aieueiuo.

Eeth/aaua neiaa: eoaiey eiia/iinoe, iai?yiay ?aaaneoey?ecaoeey,
a?oa?eaeecaoeey aaiiciie nenoaiu, iiaeaeue eoaiee eiia/iinoe.

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