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Вибір способу оперативного втручання при перфоративних виразках шлунка або дванадцятипалої кишки в умовах перитоніту: Автореф. дис… канд. мед. наук

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AeII?IIAO?IANUeEA AeA?AEAAIA IAAeE*IA

AEAAeAIss

AANEEAIEI aaai Ieeieaeiae/

OAeE 616.33-002.44-381-002-089.

AEA? NIINIAO IIA?AOEAIIAI AO?O*AIIss I?E IA?OI?AOEAIEO AE?ACEAO OEOIEA
AAI AeAAIAAeOessOEIAEI EEOEE A OIIAAO IA?EOIIOO

14.01.03 – O?o?ay

AAOI?AOA?AO

aeena?oaoe ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Aeii?iiao?ianuee, 1999.

Aeena?oaoeth ?oeiien.

?iaioa aeeiiaia a Eoaainueeiio aea?aeaaiiio iaaee/iiio oiaa?neoao IIC
Oe?aie .

Iaoeiaee ea?aiee :

aeieoi? iaaee/ieo iaoe, i?ioani? Aaeaioei aaiiae/ AIIAeA?AA, caaaeoth/ee
eaoaae?ith oaeoeueoaonueei o?o?a Eoaainueeiai aea?aeaaiiai iaaee/iiai
oiaa?neoaoo.

Iooeei iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? ssea Nieiiiiiae/ AA?ACIEOeUeEEE,
caaaeoth/ee aaeaeeii o?o?a i?aaia o?aaeaiiy oe?ainueeiai IAe
aano?i-aioa?ieia (i. Aeii?iiao?ianuee)

aeieoi? iaaee/ieo iaoe, i?ioani? Iao?i Aaiiaaeeiae/ EIIAe?AOAIEI,

caaaeoth/ee eaoaae?ith ainioaeueii o?o?a ? 2 Aeiiaoeueeiai aea?aeaaiiai
iaaee/iiai oiaa?neoaoo.

I?iaaeia onoaiiaa:

inoeooo eei/ii oa aenia?eiaioaeueii o?o?a AII Oe?aie, aaeaee o?o?a
oeoieiai-eeoeiaiai o?aeoo, IIC Oe?aie (i. Eea).

Caoeno aaeaoaeaoueny “__13__”___10__1999 ?. i_11_aiae. a aoaeeoi?
?_____ia canaeaii niaoeaeciaaii a/aii ?aaee Ae 08.601.01 o
Aeii?i-iao?ianueee aea?aeaaie iaaee/ie aeaaeai (320044, i.
Aeii?iiao?ianuee, aoe. Aeca?aeeinueeiai, 9).

C aeena?oaoeth iiaeia iciaeiieoenue o aaeioaoe Aeii?iiao?ianueei
aea?aeaaii iaaee/ii aeaaeai (320044, i. Aeii?iiao?ianuee, aoe.
Aeca?aeei-nueeiai, 9).

Aaoi?aoa?ao ?icneaiee “__12__”____09____ 1999 ?.

A/aiee nae?aoa?

niaoeaeciaaii a/aii

?aaee, aeioeaio A.I.Oea/aiei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE.

Aeooaeueinoue i?iaeaie. Iia?aoeaia eeoaaiiy i?i?eaii ae?acee aei oeueiai
/ano iaeith c aeooaeueioeo i?iaeai iaaaeeeaaeii aaaeiiiaeueii o?o?a.
A?naiae o??o?a?/ieo cania?a e?eoaaiiy ia?oi?aoeaii ae?acee oeoiea aai
aeaaiaaeoeyoeiaei? eeoee cia/ii iioe?eany. O iiaeaaeyth/i aeueoino
o?o?aa ?aaeeeaeueia eeoaaiiy oneeaaeiaiue ae?aceiai oai?iae ia aeeeeea
noiiaa. Aeeeth/aiiyi ia?oi?aoey, i?e yee, ye aaaaoi ?iea oiio,
iniiaiei iia?aoeaiei ao?o/aiiyi iia?aoey ooeaaiiy (Aa/a .., 1990;
Aeceeiae/ A.A.,1990; Caieyiee A.A., 1986; Kayabali J., 1986; Boye I. et
al,1987; Hermanson M. et al, 1997), oi/a ?acoeueoaoe aaaaoueiia
aaoi?aie ioeiththoueny e?eoe/ii (Ania?ia A.A., Aaoie Ae..,1987; Aieeia
E.A. oa i., 1995; Raimes S.A., Delvin H.B.,1987; Meisnerowski P.,
Zimnowlodzki J, 1986). Iaeith c iniiaieo i?e/ei oaeeo eiina?aaoeaieo
iiaeyaea aenoaaoueny ia?eoiio, aeao ia?aae yeei o i?aeoe/ieo o?o?aa
aeoiaaiee oae, ui aiie iacia/i caiaeuei ciie a /a?aaie ii?iaeiei
aia?o?ioothoue aei oaeiai nooiaiy, yeee ineoieia/ii iaa?oioiao aaeiiao
aae ?aaeeeaeueiiai ao?o/aiiy. Neae aaecia/eoe, ui ioeiea oyaeeino oa
?iciianthaeaeaiiy ia?eoiioo i?e ia?oi?aoeaieo ae?aceao (IA) o aaeeee i?
oiiaia oiio, ui ca iniiaiee e?eoa?e ia?aii /an c iiiaioo ia?oi?aoe, yeee
nai ii nia ia iiaea aooe iaeoeaiei (Oo?a-iia A.A., Eo?eai A.A.1989).
Aein caeeoaoueny aeeneooaaaeueiei ieoaiiy i?i iaoiaeeeo aaaioii oa
iia?aoe, ui ae?aio oeoiie. Oaeei /eiii, aei inoaiiueiai /ano i?aeoe/ii
aaenooi e?eoa? aeai?o oa?aeoa?a oa iaio iia?aoeaiiai ao?o/aiiy i?e IA.
Oiio ?ic?iaea oaeeo /oeeo eeueenieo e?eoa?a caeiaoaa iniaeeao
aeooaeueinoue.

Caycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoey
o?aaiaioii ieaiiai iaoeiai ?iaioe Eoaainueeiai aea?aeaaiiai iaaee/iiai
oiaa?neoaoo “Iioeicaoeey eeoaaeueii oaeoeee oa o?o?a/ieo ao?o/aiue o
oai?eo c oneeaaeiaiiyie oeoe?iaiai aeaaaoo oa aeayeeie aino?eie
o?o?a/ieie caoai?thaaiiyie”. ? aea?ae?ano?aoe 01950015561.

Iaoa caaea/ ?iaioe. Iie?auoe iaeaeeae/ oa aaeaeaeai ?acoeueoaoe
eeoaaiiy ca aeiiiiiaith ?ic?iaee eeueenieo e?eoa?a aeai?o o?o?a/-iiai
iaoiaeo eeoaaiiy ia iaenoaa eiiieaeniiai aea/aiiy oa?aeoa?enoee
aeaaiinoe/ii oa i?iaiinoe/ii cia/eiino eeiei-ii?oi-aioi/ieo iieacieea o
oai?eo c IA oeoiea AeIE.

Aeey aeinyaiaiiy iaoe aoee iinoaaeai oae caaea/:

1. Aea/eoe ae?aaiinoe/io ? i?iaiinoe/io cia/ounoue aeoeaiino?
eaoaineio-Ae ne?iaaoee e?ia?, ii?oiiao?e/ieo iieacieea ia?oaeueii
i/a?aaeie i?e ia?eoiio, ui aeieea? a ?acoeueoao? ia?oi?aoe ae?acie
oeoiea AeIE.

2. ?ic?iaeoe eeueeni e?eoa??? ioe?iee oyaeeino? caiaeueiiai i?ioeano a
/a?aaie ii?iaeiei? ia iniia? anaa/iiai c?noaaeaiiy aeaieo ee?i/iiai
ia?aaao, aeeiai?ee aeoeaiino? eaoaineio-Ae ne?iaaoee e?ia?,
ii?oiiao?e/-ieo aeine?aeaeaiue ia?oaeueii i/a?aaeie.

3. Anoaiiaeoe e?eoa??? aeai?o niiniao o??o?a?/iiai eeoaaiiy oai?eo c IA
oeoiea aai AeIE.

4. Anaa?/ii ioe?ieoe e?eoaaeueiee aoaeo canoinoaaiiy ia?aaeii na?iii-oii
iaei? e?eaecie, iei?e/iiai ? ooiaeaeueiiai a?aeae?e?a oeoiea a
ii?aeiaii? c caaeiueith noiaao?iaith aaaioiith (INIOCNoA) oa aen/aiiyi
ae?acee i?e ia?oi?aoe iei?iaeoiaeaiaeueieo ae?acie.

5. Aea?aoe iioeiaeueiee niin?a iia?aoe??, ui ae?aio? oeoiie i?e
aeei?enoaii? INIOCNoA.

6. Aeaoe ioe?ieo i?aeoe/iiai aeei?enoaiiy ?acoeueoao?a aeine?aeaeaiiy.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoaoa. Anoaiiaeaii, ui aeoeainoue
eaoaineio-Ae ne?iaaoee e?ia, ii?oiiao?e/i iieacieee ia?oaeueii i/a?aaeie
caeaaeaoue aae oyaeeino ia?aaao ia?eoiioo. Cai?iiiiiaaia nenoaia, ui
iiaeaeueiaaia ia oeaieiiiio ?ai ii?oiooieoeiiaeueieo oa aio-i/ieo
niaaaeiioaiue i?e IA oeoiea oa AeIE, yea aeicaiey aecia/eoe inoea a ie
eiaeiiai eiie?aoiiai eei/iiai niinoa?aaeaiiy, aeaoe caeeth/aiiy i?i eiai
i?iaiic oa iai iia?aoeaiiai ao?o/aiiy. Aea/aia ieoaiiy i?i oa?aeoa?
iia?aoeaiiai eeoaaiiy oai?eo c IA oeoiea AeIE a caeaaeiino aae
eeiei-ii?oi-aioi/ieo iieacieea.

I?aeoe/ia cia/aiiy ?iaioe. Iaoiaeeea, ui cai?iiiiiaaia aeey ioeiee
oyaeeino caiaeueiiai i?ioeano a /a?aaie ii?iaeiei aeicaiey
aeeoa?ai-oeeiaaii iaeoiaeeoe aei ieoaiiy aeai?o oa?aeoa?o oa iaio
iia?aoeaiiai ao?o/aiiy o oai?eo i?e ia?oi?aoe ae?acie oeoiea AeIE.
?ic?iaeai e?eoa? aeai?o iaoiaeo o?o?a/iiai eeoaaiiy i?ioothoue o?o?aa ia
aeei?enoaiiy ?aaeeeaeueieo iia?aoee o eiaeie eiie?aoie neooaoe. INIOCNoA
ca oa?aeoa?ii eeoaaeueiiai aieeao ia iniiaiee iaoieia/-iee i?ioean
ii?aiyia c naeaeoeaiith i?ieneiaeueiith aaaioiith, aea ia cia/i
ia?aaaae, ye iieyaathoue a ciaioaii aeaoi?iaoe oeoiea a
iney-iia?aoeeiiio ia?iae, caa?aaeaii cayci/iiai aia?aoo i?aaio oa
aaneoey?ecaoe iaei e?eaecie, ui iiia?aaeaeo oaea aaaeea oneeaaeiaiiy, ye
iae?ic. Aaaiieie ia?aaaaaie, ui aaea?athoue aeoaea aaaeeeao ?ieue a
oiiaao iaaaeeeaaeii o?o?a, ii?aiyii iaea o?aaiaoe/inoue, oaoi/ia
i?inoioa oa iaaaeeea o?eaaenoue ao?o/aiiy.

Cai?iiiiiaai e?eoa? aeai?o iia?aoeaiiai ao?o/aiiy oa iaoiaeeee naiiai
ao?o/aiiy ai?iaaaeaeai o aaeaeaeaiiyo iaaaeeeaaeii o?o?a IE ? 2 i.
Eoaainueea (aeo ai?iaaaeaeaiiy ? 34 aae 25.11.98 ?.) oa IE ? 3 (aeo
ai?-iaaaeaeaiiy ? 22 aae 17.06.98 ?.), aeeth/ai a eaeoeeiee eo?n
iaa/aeuei ieaie nooaeaioa Eoaainueeiai aea?aeaaiiai iaaee/iiai
oiaa?neoaoo (aeo ai?iaaaeaeaiiy aae 18.10. 98).

Iniaenoee aianie caeiaoaa/a. Aaoi? caeeniea eei/ia oa ino?oiai-oaeueia
ianoaaeaiiy oai?eo c IA oeoiea AeIE. Naiinoeii aeeiiaa iia?aoeai
ao?o/aiiy o 70% oai?eo o 30% – i?eeiya o/anoue a iia?aoeyo a yeino
anenoaioa. Caeeniea caa? iia?aoeeiiai iaoa?aeo aeey iiaeaeueoiai
ii?oieia/iiai aeineaeaeaiiy. Aeeiiaa aeeiai/ia niinoa?aaeaiiy ca noaiii
oai?eo, i?iaa ioeieo nooiaiy ?eceeo o oai?eo c IA, ?ic?iaea ai?iaaaeea
o i?aeoeeo e?eoa? aeai?o iaoiaeo o?o?a/iiai eeoaaiiy. Aioi/i
aeineaeaeaiiy aeeiiai ?acii c oaoaoeyie OeIAeE Eoaainueeiai aea?aeaaiiai
iaaee/iiai oiaa?neoaoo. Ie?ineiiy aiioaoa e ii?oiiao?e/i aeineae-aeaiiy
i?iaaaeai ?acii c oaoaoeyie-iaoiii?oieiaaie. O noinieo ioae-eaoeyo aei
70% aeae oa ?ic?iaie iaeaaeaoue aaoi?o. ioa?i?aoaoey iaea?aeaieo
?acoeueoaoa, iaa?oiooaaiiy iaoeiaeo iieiaeaiue aeniiaea i?iaiaeeeenue
?acii c iaoeiaei ea?aieeii oa ioi?ieai o aeaeyae aeena?oaoe.

Ai?iaaoey ?iaioe. Iniiai iieiaeaiiy aeena?oaoeeii ?iaioe iia-aeiieai
ia: Ieaioi i?aaeiiy iaoeiaiai oiaa?enoaa o?o?aa Oe?aie, yeee aaeaoany a
i. Iaeana 15-17 o?aaiy 1996 ?.; nieueiiio canaeaii eaoaae?
oaeoeueoaonueei, ainioaeueii, caaaeueii o?o?a, eaoaae?e o?o?a OOE
Eoaainueeiai aea?aeaaiiai iaaee/iiai oiaa?neoaoo oa inueeiai oiaa?enoaa
o-?o?aa Eoaainueea; iaoeiaiio oaoiaiio naiia? niaoe?aaee Ae 08.601.01 o
Aeii?iiao?ianueee iaaee/ie aeaaeai 23 aa?aciy 1999 ?.

Ioaeeaoe. Iniiai ?acoeueoaoe i?iaaaeaii aeineaeieoeueei ?iaioe
aae-ia?aaeai o 10 noaooyo (3 c ieo o oaoiaeo aeaeaiiyo, iaeia naiinoeia,
inoai-i o ca?eao iaoeiaeo ?iao, 2 naiinoei).

Ianya no?oeoo?a aeena?oaoe. Aeena?oaoey iiaeaia ia 156 noi?ieao
iaoeiiieniiai oaenoo, ethno?iaaia 31 oaaeeoeath 3 iaethieaie, ye
caeiathoue 14 noi?iie. Neeaaeaoueny c anooio, 6 ?icaeea (iaeyaeo
eoa?aoo?e, iaoa?aea iaoiaea aeineaeaeaiy 4 ?icaeea aeanieo
aeineaeaeaiue), aiaeco ocaaaeueiaiiy ?acoeueoaoa, aeniiaea, i?aeoe/ieo
?aeiiaiaeaoee iieaae/eea eoa?aoo?e, yeee iae/o 257 aeaea?ae, c yeeo178
ee?eeeoeath 79 eaoeieoeath.

INIIAIA *ANOEIA.

Iaoa?aee iaoiaee aeineaeaeaiiy. A iniiao oeueiai aeineaeaeaiiy
iieeaaeaii aiaec eiiieaeniiai ianoaaeaiiy eeoaaiiy 229 oai?eo c IA
oeoiea AeIE, ye ciaoiaeeeeny ia eeoaaii o eeioe oaeoeueoaonueei oe?o?a
Eoaainueeiai aea?aeaaiiai iaaee/iiai oiaa?neoaoo c 1987 ii 1997 ?e.
Iaoe-ioe ?iciiaeeai ia aea a?oie. A ia?oo (eiio?ieueio) a?oio (112
oai?eo (1987 -1992 ??.)) oaeoee iniae, o yeeo aea? oa?aeoa?o iia?aoe
(?aaeeeaeueia aai iaeaoeaia) caeenithaaee ia iaenoaa caaaeueiiaaeiieo
e?eoa?a, aieiaiee c yeeo – /an, ui i?ieoia c iiiaioo ia?oi?aoe.
O?aoiaoaaeenue eieaecaoey ae?acee, ae oai?eo, noiooiy iaoieiay,
oiiia?aoiaiaoii/i oiiae a aeeyioe ia?oi?aoe. I?e oeueiio aaaaeaee, ui a
ia?o 6 aiaeei aae iiiaioo i?i?eao a /a?aaie ii?iaeiei aoee aaenooi
iciaee ae?aaeaiiai ia?eoiioo iaoeioai aeeiioaaee ?aaeeeaeuei ao?o/aiiy
– ?ciiiaioi aeaee aaaioiie c ae?aioth/eie iia?aoeyie, ?acaeoe oeoiea.
Iai?ioe, iney oanoeaiaeeiiiai ia?iaeo ia?aaaao aaeaeaaaee ooeaaiith aai
ieanoe/iiio cae?eooth ia?oi?aoeaiiai ioai?o. Aiaeii/an aeeiioaaee
eeiei-ii?oi-aioi/i aeineaeaeaiiy c iaoith ?ic?iaee iiaeo e?eoa?a aeai?o
iaoiaea iia?aoeaiiai ao?o/aiiy.

O ae?oao (iniiaio) a?oio (117 oai?eo (1993-1997??.)) aaeianee ia-oeioa,
o yeeo aea? iaio iia?aoeaiiai ao?o/aiiy aoaeoaaany ia iaenoaa aeaieo,
caeiaooeo o ?acoeueoao oeueiai aeineaeaeaiiy. A?aoiaoaaeenue iaeoeai
e?eoa?, ui aaeia?aaeothoue nooiiue ae?aaeaiino caiaeueiiai i?ioeano a
/a?aaie ii?iaeiei.

*ieiaea aoei 208 (90,8%), aeiie – 21 (9,2 %). A ia?oe a?oi /ieiaea –
101 (89,9%), aeiie -11 (10,1%), a a ae?oae a?oi /ieiaea aoei 109
(93,5%), aeiie – 8 (6,5%). Ae iia?iaaieo oai?eo aae 17 aei 87 ?iea
(oaae. 1).

Oaaeeoey A

?iciiaee oai?eo ca aeii

No?iee c iiiaioo ia?oi?aoe aei ainioaecaoe iaaaaeai o oaaeeoe 2.

Oaaeeoey 2

?iciiaee oai?eo a caeaaeiino aae no?iea c iiiaioo ia?oi?aoe.

A caeaaeiino aae o?eaaeino ae?aceiaiai aiaiiaco oai? ?iciiaeeai
ianooiiei /eiii: aei 1 ?ieo – 34 iaoeioa (14,8%), aae 1 ?ieo aei 5 – 36
(15,8%), aeueoa 5 ?iea – 80 oai?eo (35%). O oie aea /an, o 79 iaoeioa
(34,4%) aeaaiic ae?aceiai oai?iae aei ia?oi?aoe ia aoa anoaiiaeaiee, o
59 c ieo (25,8%) i?i?ea cyaeany ia?oei i?iyaii caoai?thaaiiy, io – 20
(8,7%) eeoaaeenue c i?eaiaeo aano?eoo aai ca iaaee/iith aeiiiiiaith ia
caa?oaeenue. Aiaec aeaieo aeicaiey aaeioeoe ia?aaaao ?icaeyiooiai
oneeaaeiaiiy o ae?aceiaeo oai?eo c ei?ioeei aiaiiacii (70 iaoeioa –
30,6%) aai ciani aac iueiai.

Aaaeeeaei oaeoi?ii, ui aieeaaa ia aaciina?aaei ?acoeueoaoe eeoaai-iy,
cyaeeanue iayainoue o oai?eo aaaeeeo noiooio caoai?thaaiue
na?oeaai-noaeeiii – 24 (10,4%), aeeoaeueii – 32 (13,9%) nenoai,
aiaeie?eiieo -11 (4,8 %) oa ioeo caoai?thaaiue – 10 (4,4 %).

Oni ainioaeciaaiei i?iaiaeeeanue ia?aaeiia?aoeeia iaeaioiaea. Ia-i
caeaaeaa aae noaio oai?iai, eiiiainaoi?ieo iiaeeeainoae, oa?iii-aino
iaaeeeaiaioicii oa o?o?a/ii ei?aeoe.

O yeino aeinooio aeei?enoaia aa?oiueina?aaeeiia eaia?ioiiy. Iney
aaee?eooy /a?aaii ii?iaeieie i?iaiaeeeanue ?aacy, aecia/aany oa?aeoa?
iniiaii iaoieia, oiaoi eieaecaoey ae?acee, ?ici?e, oa?aeoa? ia?oi?aoe,
io oneeaaeiaiiy ae?aceiai oai?iae – oae ye noaiicoaaiiy, iaia-o?aoey,
e?iaioa/a, a oaeiae anoaiiaethaaany nooiiue ?iciianthaeaeaiiy oa
ae-?aaeainoue ia?eoiioo.

Iae /an iia?aoe ia iaenoaa acoaeueieo iciae o 36 (15,7%) oai?eo aecia/ai
iciaee inoeaaiai ia?eoiioo, o 129 (56,4%) – aeeoociiai o 64 (27,9%) –
?iceeoiai. Oa?aeoa?enoeeo ia?eoiioo ca eieaecaoeth oa ?iciianthaeaeaiiyi
iaaeaaaee, ei?enooth/enue eeaneoeaoeth A.N. Iayoa oa A.Ae. Oaaei?iaa. A
yeino ii/aoeiaeo i?eioeeia ?aciiaeeo oai?eo ia?eoiioii ca oyaeenoth
noaio ei?enooaaeenue noaiith E.N. Neiiiyia, yeee aeaeeya ?aaeoeaio,
oiene/io oa oa?iiaeueio noaae, eiaeia c yeeo oa?aeoa?ecooueny
ooieoeiiaeueieie oa iaoiii?oieia/ieie ciiaie ye aaciin?aaeiuei a
i/a?aaei, oae a aeeooai aaaeeeaeo i?aaiao nenoaiao.

Aeoiaeaiaeueia ae?acea niinoa?aaeanue o 215 (93,8%) iaoeioa, oeoieiaa –
o 13 (5,7%) o 1 oai?iai (0,5%) ae?aceiaa o?aaeaiiy aecia/aia a aeeyioe
aano?iaioa?iaianoiiico iney ?acaeoe oeoiea ca Aeue?io II. Aeniea ieoiia
aaaa aeoiaeaiaeueieo ae?acie iiaycaia c oei, ui ae?acee, ye
ei-eaecoaaeeny aaciina?aaeiuei a aeeyioe iei?ona oa i?aiei?e/ie cii, ie
aaeiineee aei aeoiaeaiaeueieo o cayceo c aeinoth o aoieia oa iaoiaaiaco.

Ii?aeiaiiy ia?oi?aoe c ?ioeie oneeaaeiaiiyie ae?aceiai oai?iae aeyaeaia
o 26 (11,4%) iaoe?io?a, c ieo c e?iaioa/ath – o 5 (2,2%), noaiicii – o 9
(3,9%), iaiao?aoeth – o 11 (4,8%), iaeaicaoeth oeoieiai ae?acee – o 1
(0,5%). Ae?aiao? ia?oi?aoeaiiai ioai?o aei 5 ii aoa o 211 (92,1%)
oai?eo, a?ae 5 aei 10 ii – o 16 (6,9%) oai?eo, a?eueo 10 ii – o 2 (1,0%)
oai?eo. ioeue-o?ao ??ciiiai?oiiai nooiaiy ae?aaeaiino a noioe i?aaio
iaaeiei ia?oi-?aoeaiiai ioai?o aecia/aany o 219 (95,6%) iaoe?io?a.

O oaaeeoe? 3 iaaaaeaiee oa?aeoa? o??o?a?/ieo ao?o/aiue o oai?eo, ui
niinoa??aaeeny. C aeaieo oaaeeoe? aeaeii, ui o oai?eo ia?oi? a?oie
caniaii aeai?o ? ooeaaiiy aai ieanoe/ia cae?eooy aeaoaeoo ? eeoa a 45
(40,1%) aeiaaeeao aeeiiai ?aaeeeaeuei? iia?aoe??. Iaaiaee, a ae?oa?e
a?oi? ?aaee-eaeuei? iia?aoeai? ao?o/aiiy aeeiiai? o 108 (92,3%)
iaoe?io?a ? o?eueee a 9 (7,7%) aeiaaeeao – i?inoa ooeaaiiy ae?acee aai
ieanoe/ia cae?eooy ia?-oi?aoeaiiai ioai?o.

Oaaeeoey 3

?iciiae?e oai?eo a caeaaeiino? a?ae aeaeo aeeiiaiiai

iia?aoeaiiai ao?o/aiiy

I?e eieae?caoe?? ae?aceiaiai o?aaeaiiy o oeoieo ?acaeoey eiai a
iiaee-o?eaoe?? Aeue?io- aeeiiaia o 2 (0,87%), a iiaeeo?eaoe??
Aioiaenoa?a – Oi-noa?a?a – o 1 (0,43%), o?oa/aoa ?acaeoey oeoiea – o 4
(1,7%) iaoe?io?a. Iia?aoe??th aeai?o i?e ia?oi?aoeaieo ae?aceao oeoiea
iiaea aooe iei?i-caa?aath/a ?acaeoey ca Iae – Oaeiiaei – 3 (1,3%)
iaoe?ioa. Naeaeoeaio i?ieneiaeueio aaaioiith c aen/aiiyi ae?acee ?
/anoeie iaei? e?eaecie aeeiiaee a 3 (1,3%) aeiaaeeao.

?acaeoeth oeoiea i?e ia?oi?aoeyo aeoiaeaiaeueieo ae?acie aeeiioaaee i?e
iayaiino ?ioeo oneeaaeiaiue ae?aceiai oai?iae. Ia?aaaao a?aeaeaaaee
iaoiaeeoe? Aeue?io-II o iiaeeo?eaoe?? Aioiaenoa?a-Oinoa?a?a – 14 (6,1%)
? Aaeueoo?a – 11 (4,8%).

Iao? niinoa?aaeaiiy iieacaee, ui iia?aoe??th aeai?o i?e ia?oi?aoea-ie
aeoiaeaiaeueie ae?acoe? iiaea aooe aen/aiiy ae?acee c INIOCNoA, ye
aeueoa?iaoeaiee aa??aio i?ieneiaeueii oeoieiai aaaioii. ?icoei oeoieiaeo
a?eie ia?aaeiueiai aeoeath/iai ia?ao a noioe oeoiea o ii?ae-iaii? c
caaeiueith noiaao?iaith aaaioiith aeicaiey? oieeiooe iioeiaeaeai-iy
ia?ao Eaoa?aea, caa?aaoe iaeaooth/ee aia?ao ? e?iaiiinoa/aiiy iaei?
e?eaecie oeoiea, a oaeiae ia ii?oooaaoe aio?iaeoiaeaiaeueio iioi?eeo ?
?eoieo.

O aeiaaeeao ia?oi?aoe ae?acie AeIE, iae?ath/e can?a ao?o/aiiy a iaeano?
aeaoaeoo, ia?aaaao a?aeaeaaaee aen/aiith ae?acee c iaeiei c aeae?a
aeoiaeaiiieanoeee aac iioeiaeaeaiiy iei?ono – 43 (37,4 %) iaoe?ioa. I?e
ei-eae?caoe?? ae?acee iiaeeco a?ae iei?e/iiai aeiio aai aaciina?aaeiuei
a i?iaeoe iei?ono canoiniaoaaee iei?iieanoeee ca Aeaeaaeaeii-Oi?neai –
32 oai?eo (27,8%) oa Aonoii – 14 (12,2%). C ?ioeo iia?aoe?e, ui
ae?aiothoue oeoiie, o 12 (10,4%) iaoe?io?a canoiniaaia iei?iieanoeea ca
Aaeiaea-Ie-eoee/ai, aano?iaeoiaeaiiaianoiiic ca AEaaoea – o 4 (3,5%)
iaoee?io?a ? i-ei?iieanoeea ca Oiiai – o 8 (6,9%). Iaeeaaeaiiy
aano?iaioa?iaianoiiico o 2 (1,7%) iaoe?io?a aoei aeeeeeaia iayai?noth o
ieo cia/iiai ?oaoeueiaiai noaiico aeo?aeiiai a?aeae?eo oeoiea, yeee
iaeneethaaany i?e ooeaaii ia?oi?aoe, a aeeiiaiiy ?acaeoe ia oyaeyeiny
iiaeeeaei c i?e/eie aaaeeiai noaio oai?eo, coiiaeaiiai, ia?aae on?i,
noiooiueith iaoieiath.

Ii?yae c ?aoaeueiith naiaoe??th /a?aaii ii?iaeieie i?ney onoiaiiy
aeaea-?aea ia?eoiioo ie canoiniaoaaee ?? ae?aioaaiiy: o 36 (15,7%)
oai?eo iae-iei ae?aiaaeai aeey aaaaeaiiy aioea?ioee?a, o 193 (84,3%)
oai?eo i?e ?icii-anthaeaeaiiio ia?eoiio aeae?eueeiia ae?aiaaeaie (a
iaeia/ieiaiio, e?aiio iaeaeao?aaiaeueiiio i?inoi?ao ? eeoaiaeo
aeeyieao).

C iaoith aeaeiii?an aeeyiee iei?i- aai aeoiaeaiiieanoeee, a oaeiae
i?noey ooeaaiiy ae?acee a eeoeo, ui a?aeaiaeeoue, aaiaeeee ciiae.
Iaaaaeaia iaiioeyoey aeeiiaia 191 (83,4%) oai?iio. Ciiae a iaoeth, ui
i?eaiaeeoueny, aeey ?icaaioaaeaiiy “oyaeei“ eoeueo AeIE aoa anoaiiaeaiee
a 11 (4,8%) ae-iaaeeao.

On?i oai?ei, ui aini?oae?coaaeeny a ee?ieo c i?eaiaeo IA oeoiea ? AeIE,
i?iaiaeeeeny ee?i/i?, ?aioaaiieia/i ? aiaeineii/i aeine?aeaeaiiy.

Aeoeai?noue eaoaineio-Ae aecia/aee ca Aa??ao. Caa? e?ia? ?
aeine?ae-aeaiiy aeeiioaaee aae?aco i?ney ainioaecaoe oai?eo ?
anoaiiaeaiiy iiia?aaeiueiai ae?aaiico IA, a i?ney oeueiai a 1, 3, 5 ? 7
aeiao i?ney iia?aoe??.

Aeey ii?oiiao?e/iiai aeine?aeaeaiiy aoee ia?ai? ia?eoe, ui ? iniia-iei
ii?oieia?/iei noano?aoii caiaeaiiy: aioo?oiuei- iicanoaeeii
a?eo?ioeeoe, a oaeiae naaiaioiyaea?i eaeeioeeoe. Aea/ai? a?aeiiniee
ieoiiee iai a?eo?ioeeoa (V) ? u?euei?noue ?iciiae?eo naaiaioiyaea?ieo
eaeeioeeoa (N) o aiioaoao i/a?aaeie. Ia?oee iieaciee a?aeaeaa? /anoeio
ia?eoo i/a?aaeie, ui caeiyoa a?eo?ioeeoaie, a ae?oaee iieaco? /enei
eaeeioeeoa ia iaeeieoe? ieiueie c?co.

E?euee?ni? aeine?aeaeaiiy i/a?aaeie aeei?enoai? c oeo i??eoaaiue, ui i?e
aea/aii? a?noieia?/ieo c?ca aiioaoa i/a?aaeie a aeayeeo
niinoa?aaeai-iyo, ui ia c?noaaeythoueny c oyaeenoth ee?ie/iiai ia?aaao
ia?eoiioo, nii-noa??aaeany noiaea ii?oieia?/ia ea?oeia, yea aaaeei
aeeoa?aioe?th?oueny a?coaeueii. O oaeeo aeiaaeeao o?aaeeoe?ei? iienia?
ii?oieia?/i? caniae ia aeicaieythoue iaeoeacoaaoe aeeoa?aioe?aoe?th
iaoieia/iiai i?ioeano, ui aeine?aeaeo?oueny.

A?aoiaoth/e a?aeiinio ?aeenoue iaoiaeeee, coieieiinue ia i?e a?eueo
aei-eeaaeii. I?ae /an iia?aoe??, a?ae?aco i?ney eaia?ioii aeneaee
ae?eueieoe? ia-?oaeueii i/a?aaeie ?ici??aie aei 1 ni2 c 5 iaea?eueo
cia/oueo, ia iao iiaeyae, oiiia?aoiaiaoii?/ieo aeeyiie /a?aaii
ii?iaeieie: i?aai oa e?-ai iae?aaa?ieo, iaciaano?aeueii, i?aai ? e?ai?
eeoaiaeo. I?e oeueiio iaiaaaeeny ia o?aaioaaoe ae?eueieoe?, ui
i?aeeyaaee aeine?aeaeaiith. Aeaoaeoe ia?oaeueii i/a?aaeie, ui ooai?eeeny
i?ney aen/aiiy, aai ooeaaee, aai /a?ac ieo, ca iaiao?aeinoth, i?iaiaeeee
ae?aiaae. Io?eiai? aeiioaoe o?e-noaaee a 10% ?ic/ei? oi?iaeio, a i?ney
oeueiai ca ocae/a?ieie iaoiaeeea-ie ae?iaeyee a?noieia?/i? i?aia?aoe.
C?ce ae?iaeyee oiaueiith 5 iei ii ieiuei? i/a?aaeie ? oa?aoaaee ?o
aaiaoieneeei-yiceiii. V aei??thaaee caniaii iie?a Aeaaieaaa ca
aeiiiiiaith eiio?ieueii? n?oee ieoey?o i?e?ineiio, aea a yeino? e?aiie
aeei?enoiaoaaee aa?oaee iaeeo eaaae?ao?a. N aecia/aee eiio?ieueiith
nenoaiith ca caniaii aeiaaeeiaeo eaaae?ao?a N.A. Naeoeeiaa. Ia i?aenoaa?
io?eiaieo eei/ieo, ii?oiiao?e/ieo (V ? N) ? a?io?i?/ieo (aeoeai?noue
eaoaineio-Ae e?ia?) iieaciee?a ioe?ithaaee ae?aaeainoue caiaeueiiai
i?ioeano a /a?aaie ii?iaeiei.

Iioi?io ? aaaeoaoi?io ooieoe?? oeoiea a ineyiia?aoeeiiio ia??iae?
aeine?aeaeoaaee ca aeiiiiiaith ?aioaaiieia/iiai, aeaeo?iaano?ia?ao/iiai
(AAA) oa ?aae?ieia?/iiai cania?a.

Nae?aoi?ia ooieoe?y oeoiea aeine?aeaeoaaeany o?aeoe?eii c canoinoaai-iyi
o yeino? iiae?acithaa/a nae?aoe inoeio oa anoaiio ca iaoiaeeeith, ui
iienaia E.?. Ieoeiei ? I.A. Eaaoiii.

Aeey ioe?iee a?aeaeaeaieo ?acoeueoao?a aeei?enoiaoaaee eeaneo?eaoe?th
?a-coeueoao?a iia?aoeaiiai e?eoaaiiy TH.I. Iaioee?aaa, A.A. A?iaa?aa.

?acoeueoaoe aeanieo aeineaeaeaiue.

O iaoeioa ia?oi a?oie c canoinoaaiiyi iaaaaeaieo iaoiaeee aea/ai
aeeiaiea aeoeaiino eaoaineio-Ae ne?iaaoee e?ia oa ii?oiiao?e/ieo
ii-eacieea ia?oaeueii i/a?aaeie a ?aaeoeaio, oiene/io oa oa?iiaeueio
noaae ia?eoiioo.

Io?eiai ?acoeueoaoe naae/aoue, ui a ?aaeoeaio noaaeth ia?eoiioo
niinoa?aaoueny caeueoaiiy V a 17,6 ?aca, N a 253 ?ace o ii?aiyii c
eiio?ieai. Ua aaaiio ciie iaaaaeaieo iieacieea aaeaoaaeeny a oiene/io
noa-aeth ia?eoiioo iaeaeueo – a oa?ieiaeueio (V caeueooaaany a 475
?aca, N – a 415 ?aca).

Ia ?enoieo 1 iaaaaeaia aeeiaiea aeoeaiino eaoaineio-Ae ne?iaaoee e?ia.

Ioe?ithth/e ?acoeueoaoe ianoaaeaiiy ? e?eoaaiiy iaoe?io?a ia?oi? a?oie
ia i?aenoaa? aiae?co cia/ii eeueeino /eiiee?a ?eceeo iani?eyoeeaiai
ia?aaao caoai?thaaiiy, iaie aeae?eai? 12 ee?ie/ieo neiioiia, 9
eeieei-a?io?i?/ieo iieaciee?a ? aeaa ii?oiiao?e/ieo, ui iathoue
iaea?eueoa cia-/aiiy a ioe?ioe? oyaeeino? noaio oai?eo ? i?iaiicoaaii?
?acoeueoaoa ?oiueiai e?eoaaiiy.

Aeae? iaie canoiniaaiee can?a e?euee?nii? ioe?iee cia/ouino
aeaieo iciae, iienaiee a ?iaioao I.I. Iioea?a ? niaaao. O
a?aeiia?aeiino? c iei ia/enethaaany t*- e?eoa??e, aeecueeee ca cia/aiiyi
e?eoa??th Nouethaeaioa. I?ney i?iaaaeaiiy noaoenoe/ieo aeine?aeaeaiue
eiaeia ie?aii acyoa iciaea io?eiaea iaaio e?euee?noue aae?a.

I?iaaaeaiee iaoaiaoe/iee aiae?c i?aeoaa?aeea aeniiaie i?i aaaeeea?noue
iieacieea aeoeaiino? eaoaineio-Ae ne?iaaoee e?ia? a ioe?ioe? oyaeeino?
noaio oai?eo. Aiaeia?/iee aeniiaie iiaeeeai c?iaeoe o aae-iioaii
i?iaiinoe/ii cia/ouino oaeeo iieaciee?a, ye V i N o ia?oaeueie i/a?aaei.

?en. 1.

Io?eiai? aeai? i?i i?iaiinoe/io oe?ii?noue ee?ie/ieo ? ii?oiai-oi/ieo
iieaciee?a noaee iniiaith aeey noai?aiiy ea?oe ?eceeo (oaae. 4), ui
aeicaiey aecia/eoe ?iia??i?noue iani?eyoeeaiai ?acoeueoaoo
caoai?th-aaiiy ? ia i?aenoaa? oeueiai ia?aoe ianya iia?aoeaiiai
ao?o/aiiy a eiaeiiio eiie?aoiiio aeiaaeeo. Caiiaiaiiy ea?oe aeey
eiaeiiai oai?iai aeeiiooueny oeyoii iaee?aneaiiy cia/aiue aeyaeaieo
/eiiee?a.

Oaaeeoey 4

Ea?oa ?eceeo i?e ia?oi?aoeaieo ae?aceao

oeoiea aai aeaaiaaeoeyoeiaei? eeoee.

Aeey i?aeoe/ii? aeaiaee aeai?o ianyao iia?aoeaiiai ao?o/aiiy ?
ia?aaeaa/aiiy ?acoeueoaoo caoai?thaaiiy iaie oiiaii aoei aeae?eaii o?e
noaae?? ia?eoiioo, ui ?icaeaa?oueny aiane?aeie ia?oi?aoe ae?acie oeoiea
aai AeIE: noaae?y eiiiainaoe?? – noia aei 50 aae?a; noaae?y
noaeiiiainaoe – a?ae 51 aei 100 aae?a ? noaae?y aeaeiiiainaoe?? iiiaae
100 aae?a. Aeai? i?i ?iciiae?e iaaaaeai? a oaaeeoe? 6. Aiae?c oaaeeoe?
na?ae/eoue i?i oa, ui ii i??? ca?eue-oaiiy noie aae?a niinoa??aa?oueny
c?inoaiiy eiia??iino? iani?eyoeeaiai ?acoeueoaoo.

Oaaeeoey 6

Caeaaei?noue i?ae nooiaiai ?eceeo ? eiia??i?noth eaoaeueiiai

?acoeueoaoo (ia?oa a?oia oai?eo).

I?eeiyaoe aeaia iieiaeaiiy ca a?aei?aaiee iiiaio, aeeiiaiiy
?aaee-eaeueieo iia?aoe?e aaaaeaee i?aaineeueiei o aeiaaeeao, yeui noia
aae?a ?e-ceeo ia ia?aaeuoaaea 50, oiaoi a noaae?th eiiiainaoe ia?eoiioo.
O neooa-oe??, eiee noia aae?a eieeaaeanue a iaaeao a?ae 51 aei 100,
?aaeeeaeuei? ao?o/ai-iy aaaaeaee iieacaieie iaoe?ioai o a?oe aei 60
?ie?a aac oyaeeeo noiooi?o caoai?thaaiue. A ?ioeo aeiaaeeao iia?aoe??th
aeai?o aaaaeaee i?inoa ooeaaiiy aai ieanoe/ia cae?eooy aeaoaeoo.

sse iieacaee aeine?aeaeaiiy, iieacaiiy aei aeeiiaiiy oiai aai ?ioiai
ao?o/aiiy o iaoe?io?a ia?oi? a?oie anoaiiaethaaeenue c o?aooaaiiyi
aea-ieo aiaiiaco oa io?aiia?aoeeieo ciao?aeie. I?e oeueiio, iniiaiei
e?eoa-???i, ui aieeaaa ia aea?? ianyao iia?aoeaii? aeiiiiiae, aoa
/aniaee ?i-oa?aae, ui iaaeeoia a?ae iiiaioo i?i?eao. E??i oiai,
a?aoiaoaaany a?e oai?eo, o?eaae?noue ae?aceiaiai aiaiiaco, noai
iaoe?io?a i?e iaaeoiae-aeaii?, iayai?noue aai a?aenooi?noue noiooiuei?
iaoieia, ?iciianthaeaeainoue ia-?eoiioo, ii?oieia?/i? ci?ie a cii?
ia?oi?aoe. I?e aeei?enoaii? aeaieo e?eoa???a /anoioa aeeiiaiiy
?aaeeeaeueieo iia?aoe?e ciaiooaaeany ii i??? c?inoaiiy oa?i?io c iiiaioo
ia?oi?aoe. Aei 6 aiaeei ?aaeeeaeuei? iia?aoe?? aeeiioaaeeny a 1,2 ?ace
/ano?oa, o ii??aiyii? c iaeaoeaieie. O oa?i?ie a?ae 6 aei 24 aiaeei
iaeaea a o?e ?ace /ano?oa aeeiiai? ooeaaiiy ? o oai?eo, ui iaaeoiaeeee
i?ci?oa aeiae, aeei?enoaee o?eueee ooeaaiiy. O iaoe?io?a ia?oi? a?oie o
aoe aeueoa 60 ?ie?a canoiniaoaaee o?eueee ooeaaiiy. Oea ae ao?o/aiiy
caeaa?eueoiai aeeiioaaeiny ? o oai?eo o a?oe aei 30 ?ie?a. O a?eia?e
a?oi? a?ae 31 aei 60 ?ie?a ?aaeeeaeuei? ? iaeaoeai ao?o/aiiy aeei?enoai?
i?eaeecii c iaeiaeiaith /anoioith. Ca a?aenooiino? ae?aceiaiai aiaiiaco
aai o?eaaeino? eiai aei ?ieo ia?aaaao a?aeaeaaaee ooeaaiith. O iaoe?io?a
c o?eaae?noth aiaiiaco a?ae 3 aei 7 ?ie?a ? iiiaae 10 ?ie?a
ni?aa?aeiioaiiy iia-?aoe?e i?eaeecii iaeiaeiai, a a?ae 7 aei 10 ?ie?a
caeaa?eueoiai aeeiiai? ?aaee-eaeuei? ao?o/aiiy. I?e caaeia?eueiiio ?
na?aaeiueioyaeeiio noai? iaeaea a 2 ?ace /ano?oa aeei?enoaia ooeaaiiy. O
iaoeioa o oyaeeiio noai? ooeaai-iy aeei?enoaia a 58%, ?acaeoey oeoiea –
a 16% ? aaaioiiy c iia?aoe??th, ui ae?aio? – a 26% aeiaaee?a. I?e
i?noeaaiio iaiaiaaeaiiio ia?eoiio ?aaee-eaeuei? iia?aoe?? aeeiiai? o
41%, a iaeaoeai – o 59% oai?eo. I?e aeeoocii-io ia?eoiio caeaa?eueoiai
noaaeee iieacaiiy aei ooeaaiiy, a i?e ?iceeoi-io, ye i?aaeei, aeeiioaaee
ooeaaiiy. Aeiyoie neeaee 18,7% oai?eo, yeei aeeiiai? ?aaeeeaeuei?
ao?o/aiiy. Ne?ae a?aecia/eoe, ui on? iaoe?ioe aoee iieiaeiai a?eo, aac
noiooi?o caoai?thaaiue, c o?eaaeei ae?aceiaei aiai-iacii,
aini?oae?ciaai? a ?aii? (aei 6 aiaeei) oa?i?ie a?ae iiiaioo
caoai-?thaaiiy. Ooo aea a?aecia/ai? cia/i ii?oieia?/i? ci?ie a cii?
ia?oi?aoe ? ii?aeiaiiy i?i?eao c ?ioeie oneeaaeiaiiyie ae?aceiai
oai?iae.

Oaeei /eiii, o ia?o?e a?oi? ?aaeeeaeuei? iia?aoe?? aeeiiai? o 40,2%
ia-oe?io?a, iaeaoeai- o 59,8%.

Ia i?aenoaa? io?eiaieo eeieei-ii?oi-a?io?i?/ieo iieaciee?a, oyaey-oueny
a?eueo ?aoe?iiaeueiei aeei?enoiaoaaoe ianooii? ianyae iia?aoeaieo
ao?o/aiue. O oai?eo c IA AeIE, oneeaaeiaiith ia?eoiioii a noaae??
eiiiai-naoe?? (I nooi?iue ?eceeo – noia aae?a aei 50, aeoeai?noue
eaoaineio – Ae ne?i-aaoee e?ia? – 7,9 0,3
iae.aeo.(oaee.ia),V-0,01590,0073 oi.iae., N-2,130,06 oi.iae.) ?
noaeiiiainaoe (II nooi?iue ?eceeo – noia aae?a a?ae 51 aei 100,
aeoeai?noue eaoaineio-Ae ne?iaaoee e?ia? – 14,1 0,3 iae.aeo.(oaee.ia),
V-0,010,0108 oi. iae., N-2,390,09 oi.iae.) iieacaia aen/aiiy ae?acee c
??c-iiiai?oieie aeaeaie iei?i- aai aeoiaeaiiieanoee caeaa?eueoiai a
ii?aeiaii? c INIOCNoA. I?e niieo/aii i?i?eao c ?ioeie oneeaaeiaiiyie
ae?ac-eiai oai?iae ? oeoieiae eieae?caoe?? ae?acee aeioe?eueii
canoiniaoaaoe ?acaeoeth oeoiea.

Iae?ath/e niinia aaaioii, a?aoiaoaaee ianooii? e?eoa???. O aoe
ia-oe?io?a aei 20 ?ie?a caeaa?eueoiai canoiniaoaaeany INIOCNoA, o
oai?eo, ui iaee ae aeueoa 60 ?ie?a – NoA. A ?ioeo a?oiao eieeaaiiy a
/anoio? aeei-iaieo aaaioiie iaaaeee. O?eaae?noue ae?aceiaiai aiaiiaco,
ia aaeiio a?ae iaoe?io?a ia?oi? a?oie, ia aea?? niiniao aaaioii ia
aieeaaea. A?ae-cia/aia aeayea ia?aaaaa aeeiiaieo INIOCNoA o oai?eo aac
ae?aceiaiai aiaiiaco ? c oa?i?iii eiai aei ?ieo. I?e caaeia?eueiiio
noai? ? noai? na?aae-iuei? oyaeeino? aeeiioaaeany INIOCNoA, a i?e
oyaeeiio – NoA, oie ? aeaiee noai ia yaeyany i?ioeiieacii aei
?aaeeeaeueii? iia?aoe??.

Oaeiae ye ? oyaeeee noai, noiooiy iaoieiay ia ? i?ioeiieacii aei
aeeiiaiiy ?aaeeeaeueiiai ao?o/aiiy. Ooo iaea?eueo /anoi
aeei?enoiaoaa-eany NoA.

Aeei?enoaiiy INIOCNoA a yeino? iia?aoe?? aeai?o coiiaeaia oei, ui aeaia
iaoiaeeea aeicaiey? caa?aaoe iaeaooth/ee aia?ao ? aaneoey?ecaoeth iaei?
e?eaecie oeoiea. Aeai? iniaeeaino? ao?o/aiiy ni?eythoue ciaioaiith
aeaoi?iaoe?? oeoiea a ineyeiia?aoeeiiio ia??iae?, a?aeiaaea?
iaiao?aei?noue a ia?eoiicaoe neaeaoeciaaii iaei? e?eaecie. A?aeiinia
oaoi?/ia i?inoioa ao?o/aiiy aeicaiey? aeo?a/aoe iaio /ano ia eiai
aeeiiaiiy ? ?iaeoue aei-nooiiei oe?ieiio eieo o??o?a?a.

Aen/aiiy IA c iiaeaeueoith iei?i- aai aeoiaeaiiieanoeeith ? a?eueo
ia-ae?eiei niiniaii o ieai? i?io?eaeoeee iaaeinoaoiino oaa o ii??aiyii?
c i?inoei ooeaaiiyi. Ieanoe/ia ao?o/aiiy ia eeooe? aeeiio?oueny i?ney
aeeo/aiiy caiaeueiiai ioeueo?aoa ia iaci?iaieo aai iaeiciiaieo
oea-ieiao. Aeeo/aiiy ae?aceiaiai aeaoaeoo, ye aeaea?aea aioeaaiii
aa?an??, a?ae-aa?oa? i?ia?anoaaiiy i?ioeano ooai?aiiy ae?acee a
ineyiia?aoeeiiio ia??iae?.

Iieacaiiyie aei iei?iieanoee ca Aeaeaaeaeii oa Aonoii cyaeeeny IA aei 2
ni a ae?aiao??, c eieae?caoe??th a aaciina?aaei?e aeecueeino? a?ae
iei?ona, ia aeae? 1 ni a?ae iueiai, aac yaeu ?oaoeueiai aeaoi?iaoe??
oeeaoeeie AeIE. Aeey aen/aiiy c iei?iieanoeeith ca Aaeiaea-Ieeoee/ai
iae?aeeny ae?acee aei 3 ni a ae?aiao??, c eieae?caoe??th a iaeano?
iei?ono ? ia aeae? 2 ni aae iueiai. Iei?iieanoeea ca Oeiiai canoiniaaia
i?e iayaiino? aaeeeiai, a?oaiai ioeueo?aoo, cia/ii aeaoi?iaoe?? eeoee ?
noaiicoaaii ?? i?ina?oo. Aano?i-aeoiaeaiiaianoiiic ca AEaaoea
canoiniaaiee a iaeeie/ieo aeiaaeeao i?e aaeeeiio ia?oi?aoeaiiio ioai??,
ui caeiaa i?aeoe/ii anth ia?aaeith noi-eo AeIE, c cia/iei ia?oieaeueiei
ioeueo?aoii, eiee ooeoe eiai, a oei a?eueoa aeneoe ia oyaeyeiny
iiaeeeaei. Aeoiaeaiiieanoeea canoiniaoaaeany o oai?eo c ?ici??aie
ae?aceiaiai ioeueo?aoo aei 2 ni, ui ?icoaoiaoaaany ieae/a iei?ona ia 2
ni.

*enei ?aaeeeaeueieo ao?o/aiue o iaoe?io?a ae?oai a?oie neeaei 108
(92,3%). Oaeei /eiii, ?ic?iaeai? ia?eoeai? e?eoa??? ioe?iee nooiaiy
oyae-eino? caiaeueiiai i?ioeano a /a?aaie ii?iaeiei aeicaieeee a?eueo
aeeoa?ai-oe?eiaaii i?ae?eoe aei i?ioeano aeai?o ianyao iia?aoeaiiai
ao?o/aiiy o oai-?eo c i?i?eaieie ae?aceaie oeoiea aai AeIE ? iaeaea a
1,5 ?ace ca?eue-oeoe eeueenoue ?aaeeeaeueieo iia?aoe?e.

Caaaeueia /enei oneeaaeiaiue o iaoe?io?a ia?oi? a?oie neeaei 16 (14,3%),
o oai?eo ae?oai? – 14 (16,6%).

Aeine?aeaeaiiy aaaeoaoi?ii ooieoe?? oeoiea iieacaei, ui cia/iith i-?ith
aiia no?aaeaea? i?ney ?acaeoe oeoiea. Oae, i?ney aeaiiai ao?o/aiiy
o?eueee o 36% oai?eo aiia aeciaia ii?iaeueiith, o ?ioeo – i?enei?aiith.
Cia/i ii?ooaiiy aaaeoaoi?ii ooieoe?? a a?aeaeaeaiiio ia??iae?
a?aecia/ai? ? o oai?eo, ye ia?aianee ooeaaiiy. Oiia?eueiaiiy aaaeoaoe??
o ieo a?aecia/aia a 38,7% aeiaaee?a. O 4,1%, ui ianoaaeeeeny, aeyaeai?
iciaee noaeiiiainiaa-iiai, a o 2% – aeaeiiiainiaaiiai iei?inoaiico.
Aaaeoaoe?y aeciaia caaei-a?eueiith o 73% oai?eo i?ney INIOCNoA, ? o 60%
i?ney NIA. *anoioa aeieeiaiiy ia?aco oeoiea a ?aiiueiio ineyiia?aoeeiiio
ia??iae? i?ney ??ciiiai?oieo aaaioiie neeaea 5,7%.

Io?eiai? aeai? i?i eeneioiooai?thth/o ooieoe?th oeoiea o a?aeaeaeaiiio
ia??iae? iieacaee, ui i?ney INIOCNoA aiia cieaeo?oueny a aeinoaoiueiio
nooiai?, oi/a ? aeae?eueea iaioa, i?ae i?ney NIA ? NoA.

Aea/aiiy aiaeaeo?e/ii aeoeaiino? oeoiea iieacaei, ui i?ney INIOCNoA
aiie?ooaea ? /anoioa oeoieiai ia?enoaeueoeee ?noioii ia a?ae-??ciyeenue
a?ae ii?iaeueieo iieaciee?a, a i?ney NoA – cia/ii cieaeoaaeany.

Ioe?iea a?aeaeaeaieo ?acoeueoao?a na?ae/eea, ui o oai?eo ia?oi? a?oie
a?aei?ii? ? aeia? ?acoeueoaoe io?eiai? a iniiaiiio i?ney ?acaeoee oeoiea
? aaaioiie c iia?aoe?yie, ui ae?aiothoue. Iaeaea o iieiaeie c oeo, ui
ia?a-ianee ooeaaiiy a?aecia/aiee ?aoeeaeea ae?aceiai oai?iae. Oaeei
/eiii, c 49 oai?eo iney ooeaaiiy o 32 (63,5%) ia ianoaei iaeoaeaiiy.

O iaoe?io?a ae?oai a?oie, yeei aeeiiaia INIOCNoA, a?aei?ii? ? aeia?
?acoeueoaoe io?eiai? o 75,4%, caaeia?euei? – o 17,5, iacaaeia?euei? – o
7,1%.

O ia?o?e a?oi? eaoaeueinoue neeaea 5,4%, o ae?oae – 4,3%.

I?aeaiaey/e i?aenoiie, ne?ae a?aecia/eoe, ui cai?iiiiiaaia nenoaia
ioe?i-ee oyaeeino? caiaeueieo ci?i a /a?aaie ii?iaeiei aeicaiey?
aeeoa?aioe?ei-aaii i?aeoiaeeoe aei i?iaeaie aeai?o ianyao iia?aoeaiiai
ao?o/aiiy, caa-aeyee oeueiio iioe?thth/e iieacaiiy aeey ?aaeeeaeueieo
iia?aoe?e. INIOC-NoA c aen/aiiyi ae?acee ? iia?aoe??th, ui ae?aio?
oeoiie, iiaea aooe ae-ei?enoaia a yeino? iia?aoe?? aeai?o i?e
ia?oi?aoeyo aeoiaeaiaeueieo ae?a-cie, oneeaaeiaieo ia?eoiioii o noaae?yo
eiiiainaoe?? ? noaeiiiainaoe. Aeaia ao?o/aiiy noi?iaiaeaeo?oueny
iecueeith eaoaeueinoth, a?aeiinii iaioei /en-eii oneeaaeiaiue ye a
?aiiueiio, oae ? a?aeaeaeaiiio ineyiia?aoeeieo ia?-iaeao.

AENIIAEE.

1. Iieacieee aeoeaiino? eaoaineio-Ae e?ia?, ieoiiiai ianyao a?eo?i-oeeoa
? u?eueiino? ?iciiae?eo naaiaioiyaea?ieo eaeeioeeoa o aiioaoao
ia?-oaeueii i/a?aaeie iiaeooue neoaeeoe ?aii?ie iciaeaie a ioe?ioe?
oyaeeino? noaio oai?eo c ia?oi?aoeyie aano?iaeoiaeaiaeueieo ae?acie.
?aaiue aeoea-iino? eaoaineio-Ae iiiaae 16,40,9 iae.aeo.(oaee.ia), V
a?eueo 0,40,05 oi.iae., N a?eueo 4,20,6 oi.iae. na?ae/aoue i?i iacai?ioi
ci?ie a i/a?aaei oa aeeo-oai aaaeeeaeo i?aaiao ? nenoaiao.

2. E?euee?nia ioe?iea oyaeeino? noaio oai?eo ca aeiiiiiaith
cai?iiiiiaa-ii? ea?oe ?eceeo, ui aaco?oueny ia iniia? anaa?/iiai
c?noaaeaiey aeaieo ee?-i/iiai ia?aaao, aeeiai?ee aeoeaiino? eaoaineio-Ae
ne?iaaoee e?ia?, ii?-oiiao?e/ieo aeine?aeaeaiue ia?oaeueii i/a?aaeie,
aeicaieeea aeae?eeoe o?e noaae?? ia?eoiioo: eiiiainaoe?? (noia aae?a
?eceeo aei 50, aeoeai?noue eaoai-neio-Ae ne?iaaoee e?ia? – 7,90,3
iae.aeo.(oaee.ia), V – 0,01590,0073 oi.iae., N-2,130,06 oi.iae.),
noaeiiiainaoe (noia aae?a ?eceeo a?ae 51 aei 100, aeoea-i?noue
eaoaineio-Ae ne?iaaoee e?ia? – 14,10,3 iae.aeo.(oaee.ia), V-0,01 0,0108
oi.iae., N-2,390,09 oi.iae.) ? aeaeiiiainaoe?? (noia aae?a ?eceeo iiiaae
100, aeoeai?noue eaoaineio-Ae iiiaae 16,40,9 iae.aeo.(oaee.ia), V a?eueo
0,40,05 oi.iae., N a?eueo 4,2 0,6 oi.iae.).

3. ?aaeeeaeuei? iia?aoeai? ao?o/aiiy i?e IA oeoiea aai AeIE iieacai? oni
oai?ei i?e ia?eoiio a noaae? eiiiainaoe??. O noaae noa-eiiiainaoe
aeeiiaiiy ?aaeeeaeueieo iia?aoeaieo ao?o/aiue iieacaia oai-?ei ia noa?oa
60 ?iea aac noiooiuei iaoieia. O noaae?? aeaeiiiainaoe?? ii-eacai?
o?eueee iaeaoeai ao?o/aiiy.

4. INIOCNoA o ii?aeiaii? c aen/aiiyi ae?acee ? iei?iieanoeeith iiaea
aooe iia?aoe??th aeai?o i?e ia?oi?aoe aeoiaeaiaeueieo ae?acie. I?e
aeei?enoaii aeaii iaoiaeeee niinoa?aaoueny aaeaeaaoia cieaeaiiy
eenei-oii?iaeoeoe, aaenooinoue a?oai? aeaoi?iaoe?? oeoiea a
ineyiia?aoeeiiio ia-??iae?. Ao?o/aiiy iiia?aaeaea oaea a??cia
oneeaaeiaiiy, ye iae?ic iaei? e?e-aecie, ia aeeeeea? cia/ieo ii?ooaiue
iioi?ii-yaaeoaoi?ii ooieoe??, ine?eueee caa??aa? aaeaeaaoio ia?aaoeth
aio?aeueiiai a?aeae?eo a?eeaie ia?aae-iueiai ia?ao Eaoa?aea.

5. Aaeaeaaoia ae?aioaaiiy oeoiea i?e iaaaeeeeo ci?iao o aeeyioe
ia?-oi?aoe aeinyaa?oueny canoinoaaiiyi iei?iieanoee ca Aeaeaaeaeii oa
Aonoii. I?e a?eueo cia/ieo ci?iao – ca caniaii Oiiay, i?e ??ceeo ciiao,
ui no-i?iaiaeaeothoueny noaiicoaaiiyi – aano?iaeoiaeaiiaianoiiicii ca
AEaaoea.

6. Canoinoaaiiy nenoaie aaeueiiai i?iaiicoaaiiy aeey aeai?o oa?ae-oa?o ?
ianyao iia?aoeaiiai ao?o/aiiy o oai?eo c IA oeoiea aai AeIE, aeicaiey?
i?aeaeueoe a?aenioie ?aaeeeaeueieo iia?aoe?e aei 92,3%, ciaioeoe
eaoaeueinoue a 1,3 ?ace, ca?eueoeoe a 2,5 ?ace /enei a?aei?iieo ?
aeia?eo ?a-coeueoao?a.

I?AEOE*I? ?AEIIAIAeAOe??

1. Aeey noaeaeaiiy i?i ae?aaeainoue caiaeueieo cii o /a?aaie ii?iaeiei?
aeei?enoiaoaaoe iieacieee aeoeaiino? eaoaineio-Ae ne?iaaoee e?ia? ?
ii?oi-iao?e/i iieacieee ia?oaeueii i/a?aaeie (a?aeiiniee ieoiiee ianya
a?eo?ioeeo?a (V) ? u?euei?noue ?iciiae?eo naaiaioiyaea?ieo eaeeioeeo?a
(N)). I?e oeueiio aaaaeaoe, ui aaee/eia aeoeaiino? eaoaineio-Ae iiiaae
16,40,9 iae.aeo.(oaee.ia), V a?eueo 0,40,05 oi.iae., N a?eueo 4,20,6
oi.iae. na?ae/aoue i?i iacai?ioi ciie a i/a?aaei.

2. A oiiaao iaaaeeeaaeii o?o?a i?e aeieeiaii? o?oaeiiu?a o i?iaa-aeaii?
neeaaeieo a?io?i?/ieo ? ii?oiiao?e/ieo oanoa aeey ?ic?aooieo aeoea-iino?
eaoaineio – Ae, V ? N aeei?enoiaoaaoe ??aiyiiy ?aa?an, ui aeicai-eythoue
io?eiaoe aeecuee? cia/aiiy aeaieo iieaciee?a aeoiaey/e c ciaiiy i?inoeo
? aeinooiieo iciae.

3. Aeey aecia/aiiy ?iia??iino? iani?eyoeeaiai ?acoeueoaoo caoai?th-aaiiy
? aeai?o oa?aeoa?o iia?aoeaiiai ao?o/aiiy caiiaithaaoe ea?oo ?e-ceeo i?e
ia?oi?aoeaieo aano?iaeoiaeaiaeueieo ae?aceao.

4. Ia iniia? io?eiaieo ?acoeueoao?a, o caeaaeiino? a?ae aecia/aii noie
aae?a ?eceeo aeae?eyoe o?e noaae?? ia?eoiioo, ui ?icaeaaoueny aianeaeie
IA: eiiiainaoe?? (aei 50 aae?a), noaeiiiainaoe (a?ae 51 aei 100 aae?a) ?
aeaeiiiainaoe?? (iiiaae 100 aae?a).

5. Aeeiiaiiy ?aaeeeaeueieo iia?aoeaieo ao?o/aiue aeioeeueii o an?o
oai-?eo i?e ia?eoiio a noaae?? eiiiainaoe??, a oaeiae i?e
noaeiiiainiaaiiio ia?eoiio o iaoee?io?a ia noa?oa 60 ?ie?a aac ae?aaeaii
noiooiuei? iaoi-eia. A noaae?? aeaeiiiainaoe?? iieacai? o?eueee iaeaoeai
iia?aoe??.

6. I?e eieae?caoe?? IA o iei?iaeoiaeaiaeueie cii? aeioe?eueii
aeei?e-noiaoaaoe INIOCNoA c aen/aiiyi ae?acee ? iia?aoe??th, ui ae?aio?
oeo-iie. ?acaeoth/ iaoiaeeee neae aeei?enoiaoaaoe i?e oeoieiae
eieae?caoe?? ae?acee ? ii?aeiaii? ia?oi?aoe aeoiaeaiaeueii ae?acee c
aeaeiiiainiaaiei iei?inoaiicii.

7. I?e eieae?caoe?? ia?oi?aoe ia aeae? 2 ni a?ae ai?ioa?a ? iiaeeeaino
iiaiiai aen/aiiy ioeueo?aoa neae aeei?enoiaoaaoe iei?iieanoeee ca
Aeaeaaeaeii- Oi?neai ? Aonoii. I?e ?icoaooaaii? ae?acee c ?ici??aie aei
2 ni, aeenoaeueioa ai?ioa?a a?eueo 2 ni iieacaia aeoiaeaiiieanoeea.
Iei-?iieanoeeo ca Oiiai aeioe?eueii aeeiioaaoe i?e ioeueo?ao? a?eueoeo
?ic-i???a, aeaoi?iaoe?? AeIE.

NIENIE IIOAEEIAAIEO I?AOeUe

1. Aiiaea?a A.., Aaeoeia I.I., Iiii I.A.,Aiiaea?a ?.A., Aaneeaiei .I.,
Aeeoa?aioeeiaaiee iaeoae aei iiaoi?iiai caeeniaiiy naiaoe /a?aaii
ii?iaeieie o oai?iai c aino?ei ?iceeoei ia?eoiioii // Eei. o?o?-ay.-
1995.- ? 4 C.16-17.

2. Aiiaea?a A.., Aaeoeia I.I., Aacye A.I, Aaneeaiei .I., Aeena I.A.
Eaeci TH.I., Aeoaaeoai A. Aea? iaoiaeo o?o?a/iiai eeoaaiiy oai?eo c
ia?oi?aoeaiith aano?iaeoiaeaiaeueiith ae?aceith c o?aooaaiiyi aaaeeino
caiaeueiiai i?ioeano a /a?aaie ii?iaeiei // Eei. o?o?ay.- 1996.- ? 2-3.-
C.11.

3. Aaneeaiei .I. I?iaiicoaaiiy ia?aaao ia?eoiioo oa aea? iaio
iia?aoeaiiai ao?o/aiiy o oai?eo c ia?oi?aoeaieie ae?aceaie oeoiea /e
aeaaiaaeoeyoeiaei eeoee. // Aniee i?iaeai aieia iaaeeoeeie.- 1998.-?
19.-N.124-130.

4. Aiiaea?a A.., Aaeoeia I.I., Aacye A.I., Aaneeaiei .I., Iiii I.A.,
Aeena I.A. Iiaoi?i iia?aoeai ao?o/aiiy i?e ae?aceiae oai?ia oeoiea /e
aeaaiaaeoeyoeiaei eeoee // Iaoa?aee ?ani. iao/.-i?aeo. eiio. ca
i?iaeaiith “O?o?a/ia eeoaaiiy ?aoeeaeeaoth/eo aano?iaeoiaeaiaeueieo
ae?acie oa o oneeaaeiaiue”.- Eea.- Caei?iay.- 1995.- C.88-89.

5. Aiiaea?a A.., Aaeoeia I.I., Aaneeaiei .I., Iiii I.A., Aiiaea?a ?.A.
Iiaoi?i naiaoe o oai?eo c aino?ei ?iceeoei ia?eoiioii // Aieii-naioe/i
oneeaaeiaiiy a iaaaeeeaaeie o?o?a. Oace aeii. iao/.- i?aeo. eiio. o?o?aa
Oe?aie.- Oa?ea.-1995.- C. 90-91.

6. Aiiaea?a A.., Aaeoeia I.I., Aacye A.I., Aaneeaiei .I., Aeena I.A.,
Aiiaea?a ?.A. ?acoeueoaoe oa iaa?oiooaaiiy oaeoeee o?o?a/iiai eeoaaiiy
oai?eo c i?iaiaeiith aano?iaeoiaeaiaeueiith ae?aceith // I?aoe
iaeia?iaeii iaoeiai-i?aeoe/ii eiioa?aioe o?ieiaa, iao?ieiaa oa
aiae?ieiaa. Eea-1996.- C.159-161.

7. Aiiaea?a A.., Aaeoeia I.I., Aacye A.I, Iiii I.A., Aaneeaiei .I.,
Iaaeueii A.E. Aea? caniao iia?aoe i?e oai?iaao iia?iaaiiai oeoiea //
Iaoeia o?oaee nia?iaoieea iaaee/iiai oiaa?neoaoo oa eea?a i?aeoe/ii
ioi?iie caei?iay.- Eoaainuee.- 1997.-C.-50.

8. Iiii I.A., Aiiaea?a A.., Aaeoeia I.I., Aaneeaiei .I. Caeaaeinoue
oyaeeino ia?aaao ia?eoiioo aae iieacieea eeoeiiiai ioioaoo // Iaoeia
o?oaee nia?iaoieea iaaee/iiai oiaa?neoaoo oa eea?a i?aeoe/ii ioi?iie
caei?iay.- Eoaainuee.- 1997.-C.77-78.

9. Aaneeaiei .I. Aeeoa?aioeeiaaiee iaeoae aei aeai?o iaoiaeo
iia?aoeaiiai ao?o/aiiy i?e ia?oi?aoeaieo ae?aceao oeoiea aai
aeaaiaaeoeyoeiaei eeoee.// Aeooaeuei ieoaiiy iaaaeeeaaeii o?o?a i?aaia
/a?aaii ii?iaeieie. Oac. aeiee. iaoe.-i?aeo. eiio.-Oa?ea.-
1998.-C.83-85.

10. Aaneeaiei .I. Aeei?enoaiiy ia?aaeiuei na?iiioii iaei e?eaecie,
iei?e/iiai oa ooiaeaeueiiai aaeaeea oeoiea a niieo/aii c caaeiueith
noiaao?iaith aaaioiith i?e ia?oi?aoeaieo ae?aceao oeoiea aai
aeaaiaaeoeyoeiaei eeoee.// Iaoa?aee II thaeaeii iaa/aeueii-iaoiaee/ii oa
iaoeiai-i?aeoe/ii eiioa?aioe caaaeoaa/a eaoaae? o?o?a/ieo oai?ia
noiiaoieia/ieo oaeoeueoaoa iaaee/ieo AOCa Oe?aie.-Iieoaaa.-1998.-
C.-88-89.

AIIOAOess.

Aaneeaiei .I. Aea? niiniao iia?aoeaiiai ao?o/aiiy i?e ia?oi-?aoeaieo
ae?aceao oeoiea aai aeaaiaaeoeyoeiaei? eeoee a oiiaao ia?e-oiioo –
?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeueinoth 14.01.03.- o?o?ay.- Aeii?iiao?ianueea aea?aeaaia
iaaee/ia aeaaeaiy, i. Aeii?iiao?ianuee, 1999 ?.

O aeena?oaoe?eie ?iaio cai?iiiiiaai? ? iaoeiai iaa?oioiaai? e?e-oa??
aeai?o niiniao iia?aoeaiiai e?eoaaiiy i?e ia?oi?aoeaieo ae?aceao oeoiea
aai aeaaiaaeoeyoeiaei? eeoee a oiiaao ia?eoiioo. Aea/aiee aca?-iica’ycie
i?ae eei/ieie i?iyaaie, ciiaiiyie aeoeaiino? eaoaineia-Ae ne?iaaoee
e?ia? ? ii?oiiao?e/ieie iieacieeaie ia?oaeueii i/a?aaeie (a?aeiiniee
ieoiiee iai a?eo?ioeeoa ? u?euei?noue ?iciiae?eo naaiaioiyaea?-ieo
eaeeioeeoa). Ia i?aenoaa? iaoaiaoe/iiai aiae?co ?acoeueoao?a
aeine?ae-aeaiiy ?ic?iaeai? ia’?eoeai? e?eoa??? i?iaiico caoai?thaaiiy ?
aeai?o ianyao ? oa?aeoa?o iia?aoeaiiai e?eoaaiiy. Aeei?enoaiiy aeaieo
e?eoa???a aeicaieeei ca?eueoeoe e?euee?noue ?aaeeeaeueieo iia?aoeaieo
ao?o/aiue, aeiae-eny a?eueoiai /enea a?aei?iieo ? aa?ieo a?aeaeaeaieo
?acoeueoao?a i?e iecueeeo iieacieeao eaoaeueiino.

Aea/aiiy ee?i/ii? aoaeoeaiino? ?ic?iaeaiiai i?aeoiaeo ia 117 oai?eo c
ia?oi?aoeaieie ae?aceaie, iieacaei eiai aenieo aoaeoeai?noue,
iaa?oi-oiaaio iaiao?aei?noue canoinoaaiiy.

Eeth/ia? neiaa: iei?iaeoiaeaiaeueia ae?acea, ia?oi?aoey, ia?eoiio,
o??o?a/ia e?eoaaiiy.

AIIIOAOeEss.

Aaneeaiei A.I. Auai? niiniaa iia?aoeaiiai ea/aiey i?e ia?oi?aoeaiuo
ycaao aeaeoaeea e aeaaiaaeoeaoeia?noiie eeoee a oneiaeyo ia?eoiieoa-
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.03.-oe?o?aey.- Aeiai?iiao?ianeay
ainoaea?noaaiiay iaaeeoeeineay aeaaeaiey, a. Aeiai?iiao?iane, 1999 a.

A ?aaioa i?aaenoaaeai iiuo ea/aiey ia?oi?aoeaiuo yca aeaeoaeea e
aeaaiaaeoeaoeia?noiie eeoee a aeaoo iaeii?iaeiuo a?oiiao aieueiuo ii
112 e 117 /aeiaae. Ana aieueiua iia?e?iaaiu. Auai? iia?aoeaiiai
aiaoaoaeuenoaa caaenee io noaiaie au?aaeaiiinoe e ?ani?ino?aiaiiinoe
ia?eoiieoa, aic?anoa, iaee/ey niioonoaothueo caaieaaaiee, eieaeecaoeee
ycau, iae?ineiie/aneie ea?oeiu a ciia ia?oi?aoeee, aeeeoaeueiinoe
ycaaiiiai aiaiiaca.

Iniiaiui e?eoa?eai ioeaiee oyaeanoe ia?eoiieoa o aieueiuo ia?aie a?oiiu
aue eca?ai a?aiaiiie eioa?aae io iiiaioa ia?oi?aoeee. I?e yoii
n/eoaee, /oi a ia?aua 6 /ania io iiiaioa i?iaiaeaiey ionoonoaiaaee
i?eciaee ia?eoiieoa e iaoeeaioai, i?e i?i/eo aeaaii?eyoiuo oneiaeyo,
auiieiyeenue ?aaeeeaeueiua iia?aoeee. Iinea enoa/aiey oanoe/aniaiai
i?i-iaaeooea auiieiyee ooeaaiea ia?oi?aoeaiiai ioaa?noey. Ioeaiea
oyaeanoe ia?eoiieoa o aieueiuo aoi?ie a?oiiu iniiauaaeanue ia
?ac?aaioaiiuo iaie iauaeoeaiuo e?eoa?eyo.

N?aaee iaoeeaioia ia?aie a?oiiu a n?iee aei 6 /ania io iiiaioa
ia?oi?aoeee ainieoaeece?iaaii 55 /aeiaae (49%). Auiieiaiu neaaeothuea
iia?aoeaiua aiaoaoaeuenoaa: ?acaeoeee aeaeoaeea- 14 (13%), enna/aiea
ycau n ieei?iieanoeeie e aaaioiieae- 24 (21%), ooeaaiea – 17 (15 %).
Iicaeiaa 6 /ania aeinoaaeaii 57 aieueiuo (51%). Iia?aoeee
?ani?aaeaeeeenue neaaeothuei ia?acii: ?acaeoeee – 3 (3%), aaaioiiee – 4
(4%), ooeaaiey- 50 (45%). Aoeaeii, i?ioeaio ?aaeeeaeueiuo iia?aoeee a
ia?aie a?oiia ninoaaee 40%. Ioee/iua e oi?ioea ?acoeueoaou a n?iee io 1
aei 5 eao o iaoeeaioia iinea ooeaaiey iieo/aiu o 15 aieueiuo (32%),
oaeiaeaoai?eoaeueiua- o 11 (23%) e iaoaeiaeaoai?eoaeueiua – o 21 (45%).
Neaaeiaaoaeueii, ii/oe iieiaeia aieueiuo, ia?aianoeo ooeaaiea,
i?iaeieaeaao no?aaeaoue ycaaiiie aieaciueth. Iaoaeiaeaoai?aiiinoue
iiaeiaiuie ?acoeueoaoaie ii?aaeaeeea iaiaoiaeeiinoue iienea iiaiai
iiaeoiaea e auai?o iauaia e oa?aeoa?a iia?aoeaiiai aiaoaoaeuenoaa.

Ioeaieaay ?acoeueoaou ianeaaeiaaiey e ea/aiey iaoeeaioia ia?aie a?oiiu,
auaeaeaiu 12 eeeie/aneeo neiioiiia, 9 eeeieei-aeioeie/aneeo iieacaoaeae
e aeaa ii?oiiao?e/aneeo, eiaaoeo iaeaieueoaa cia/aiea a ioeaiea oyaeanoe
ninoiyiey aieueiuo e i?iaiice?iaaiee enoiaeia eo ea/aiey.

Eeeieei-aeioeie/aneea enneaaeiaaiey auiieiyeenue n eniieueciaaieai
iauai?eiyouo iaoiaeee. Aeoeaiinoue eaoaineia-Ae ii?aaeaeyee ii Aa??ao.
Aeey ii?oiiao?e/aneiai enneaaeiaaiey eca?aee aioo?e- e aianinoaeenoua
y?eo?ioeeou, a oaeaea naaiaioiyaea?iua eaeeioeeou. Eco/aiu
ioiineoaeueiue oaeaeueiue iauai y?eo?ioeeoia (V) e ieioiinoue
?ani?aaeaeaiey naaiaioiyaea?iuo eaeeioeeoia (N) a aeiioaoao a?thoeiu. V
ecia?yee iaoiaeii iieae Aeaaieaaa. N ii?aaeaeyee eiio?ieueiie nenoaiie
ii iaoiaeo neo/aeiuo eaaae?aoia Naeoueiaa.

Aeaeaa i?eiaiai iaoiae eiee/anoaaiiie ioeaiee cia/eiinoe aeaiiuo
i?eciaeia, iienaiiue a ?aaioao I.I. Ieioea?a e niaao. Au/eceyeny t*-
e?eoa?ee, aeeceee ii cia/aieth e?eoa?eth Nouethaeaioa. Iieo/aiiua
oeeo?iaua aeaiiua i i?iaiinoe/aneie oeaiiinoe eeeie/aneeo e
ii?oiaeioeie/aneeo iieacaoaeae iineoaeeee iniiaie aeey nicaeaiey ea?ou
?enea, iicaieythuae ii?aaeaeeoue aa?iyoiinoue iaaeaaii?eyoiiai enoiaea
caaieaaaiey e aua?aoue iauai iia?aoeee. N iiiiuueth ?anniio?aiiie
nenoaiu eco/aii ?ani?aaeaeaiea noiiu aaeeia ?enea o 112 iaoeeaioia
ia?aie a?oiiu. Aeey i?aeoe/aneiai oaeianoaa auai?a iauaia iia?aoeee e
i?aaeaeaeaiey enoiaea caaieaaaiey oneiaii auei auaeaeaii o?e noaaeee
ia?eoiieoa: noaaeey eiiiainaoeee- noiia aei 50 aaeeia; noaaeey
noaeiiiainaoeee – io 51 aei 100 e noaaeey aeaeiiiainaoeee – nauoa 100
aaeeia. Ioia/aii, /oi ii ia?a oaaee/aiey noiiu aaeeia iaaethaeaaony
ia?anoaiea aa?iyoiinoe iaaeaaii?eyoiiai enoiaea.

I?eiya aeaiiia iieiaeaiea ca ioi?aaioth oi/eo, auiieiaiea ?aaeeeaeueiuo
iia?aoeee n/eoaee i?aaiii/iui a neo/ayo, anee noiia aaeeia ?enea ia
i?aauoaea 50, o.a. a eiiiaine?iaaiioth noaaeeth ia?eoiieoa. A neooaoeee,
eiaaea noiia aaeeia eieaaaeanue a i?aaeaeao io 51 aei 100, ?aaeeeaeueiua
aiaoaoaeuenoaa n/eoaee iieacaiiuie iaoeeaioai a aic?anoa aei 60 eao aac
au?aaeaiiuo niioonoaothueo caaieaaaiee. A inoaeueiuo neo/ayo
iia?aoeeae auai?a n/eoaee i?inoia ooeaaiea.

A n?iee aei 6 /ania n?aaee iaoeeaioia aoi?ie a?oiiu a noaoeeiia?
aeinoaaeaii 66 aieueiuo (56%), nauoa 6 /ania- 51 (44%). Noaaeey
eiiiainaoeee ia?eoiieoa onoaiiaeaia o 79 aieueiuo (67%),
noaeiiiainaoeee- o 32 (27%) e aeaeiiiainaoeee – o 6 (5%) N
eniieueciaaieai ?ac?aaioaiiuo iaie e?eoa?eaa, ?aaeeeaeueiua iia?aoeee
auiieiaiu o 108 (92%) aieueiuo e eeoue a 9 (8%) neo/ayo i?eoeinue
i?eaaaiooue e ooeaaieth.

?anniao?eaay aa?eaiou ?aaeeeaeueiuo iia?aoeee, neaaeoao ioiaoeoue
i?aiaeaaeaiea ia?aaeiae na?iieioiiee iaeie e?eaeciu ieei?e/aneiai e
ooiaeaeueiiai ioaeaeia aeaeoaeea a ni/aoaiee n caaeiae noaieiaie
aaaioiieae (INIOCNoA). Iieacaieyie aeey ?acaeoeee aeaeoaeea n/eoaee
aeaeoaei/ioth eieaeecaoeeth ycau, ni/aoaiea ia?oi?aoeee ycau AeIE n
au?aaeaiiui noaiicii auoiaeiiai ioaeaea aeaeoaeea eee e?iaioa/aieai.

Iauaa /enei ineiaeiaiee o iaoeeaioia ia?aie a?oiiu ninoaaeei 16 (14,3%),
o aieueiuo aoi?ie – 14 (16,6%).

A ia?aie a?oiia eaoaeueiinoue ninoaaeea 5,4%, ai aoi?ie- 4,3%.

O aieueiuo ia?aie a?oiiu ioee/iua e oi?ioea ?acoeueoaou iieo/aiu a
iniiaiii iinea ?acaeoeee aeaeoaeea e aaaioiiee n ae?aie?othueie
iia?aoeeyie. Ii/oe o iieiaeiu aieueiuo iinea ooeaaiey ioia/ai ?aoeeaeea
ycaaiiie aieacie.

O iaoeeaioia aoi?ie a?oiiu iinea INIOCNoA ioee/iua e oi?ioea ?acoeueoaou
iieo/aiu o 75,4%, oaeiaeaoai?eoaeueiua – o 17,5, iaoaeiaeaoai?eoaeueiua
– o 7,1%.

I?aaeeiaeaiiay nenoaia ioeaiee oyaeanoe ia?eoiieoa iicaieyao
aeeooa?aioee?iaaiii iiaeoiaeeoue e i?iaeaia auai?a iauaia iia?aoeaiiai
aiaoaoaeuenoaa, oai naiui ?anoe?yy iieacaiey aeey ?aaeeeaeueiuo
iia?aoeee. INIOCNoA n enna/aieai ycau e ae?aie?othuae iia?aoeeae iiaeao
auoue eniieueciaaia a ea/anoaa iia?aoeee auai?a i?e ia?oi?aoeeyo
aeoiaeaiaeueiuo yca. Aeaiiia aiaoaoaeuenoai nii?iaiaeaeaaony ieceie
eaoaeueiinoueth, ioiineoaeueii iaiueoei /eneii ineiaeiaiee.

Eeth/aaua neiaa: Ieei?iaeoiaeaiaeueiay ycaa, ia?oi?aoeey, ia?eoiieo,
oe?o?ae/aneia ea/aiea.

ANNOTATION.

Vasilenko Y.N. Choice of method of operative treatment at perforated
ulcers of stomach or duodenum in conditions of peritonitys. –
Manuscript.

Thesis for candidates degree obtaining on the speciality 14.01.03.-
surgery. Dniepropetrovsk State Medical Academy, Dniepropetrovsk , 1999.

The work is protected, in which are offered and is scientific the
criteria of a choice of a method of operative treatment are reasonable
at perforated ulcers of a stomach or duodenum in conditions of
peritonitys. The interrelation between by clinical displays, changes of
activity katepsyn-D of whey of blood and morfometrical by parameters of
parietal peritoneum (relative specific volume of red blood cells and
density of distribution ofwhite blood cells) is investigated. On the
basis of the mathematical analysis of results of research the objective
criteria of the forecast of disease both choice of volume and character
of operative treatment are developed. Use of the given criteria has
allowed to increase quantity radical operative interferences, to achieve
the greater number of the excellent and good remote results at low
parameters of mortalety.

The study of clinical efficiency of the developed approach on 117
patients by perforated ulcers, has shown its high efficiency reasonable
necessity of application.

Key words. Pyloroduodenal ulcer, punching, peritonitys, surgical
treatment.

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