OA?EIANUeEEE AeA?AEAAIEE IAAeE*IEE OIIAA?NEOAO

EAUAIEI Ieaenaiae? Aioaeieiae/

OAeE 616.127 — 005.8 — 08 — 037

AIEEA ?ICIIIAIIOIEO AA?IAIOIA OA?AII?

AINO?IAI IIOA?EOO IIIEA?AeA

IA EI?IOEI*ANIEE OA AeIAAI*ANIEE

I?IAIIC CAOAI?THAAIIss

14.01.11 — ea?aeiieiaiy

Aaoi?aoa?ao

aeena?oaoei? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a — 1999

Aeena?oaoei?th ? ?oeiien

?iaioa aeeiiaia a Iinoeoooi oa?aii? AII Oe?a?ie, i.Oa?eia

Iaoeiaee ea?iaiee:

aeaaeaiie IAI, AII Oe?a?ie aeieoi? iaaee/ieo iaoe,

i?ioani? Iaea Ethaia O?ioeiiaia,

Iinoeooo oa?aii? AII Oe?a?ie, i.Oa?eia, aee?aeoi?

Ioioeieii iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Iieiiia Aaaeei Aieiaeeie?iae/,
Oa?eianueea iaaee/ia aeaaeaiiy iineyaeeieiiii? inaioe, caaiaeoaa/
eaoaae?e oaeaeei? oa iaaiaeeeaaeii? aeiiiiiae

aeieoi? iaaee/ieo iaoe, i?ioani? ?a/einueeee Iaai Aeaieeiae/, Noinueeee
aea?aeaaiee oiiaa?neoao, iaaee/iee oaeoeueoao, caaiaeoaa/ eaoaae?e
i?iiaaeaaoeee aioo?ioiio oai?ia

I?iaiaeia onoaiiaa:

Iinoeooo ea?aeiieiai? ii. aeaae. I.Ae.No?aaeanea AII Oe?a?ie, aiaeaeie
aino?iai iioa?eoo iiiea?aea oa aiaeiiaethaaeueiiai eieoaaiiy, i.Ee?a

Caoeno aeena?oaoei? aiaeaoaeaoueny 9 aa?aniy 1999 ?. i 12.30 ia
caniaeaiii niaoeiaeiciaaii? a/aii? ?aaee Ae 64.600.04 i?e Oa?eianueeiio
aea?aeaaiiio iaaee/iiio oiiaa?neoaoi (310022. i.Oa?eia. i?. Eaiiia, 4).

C aeena?oaoei?th iiaeia iciaeiieoenue o aiaeiioaoei Oa?eianueeiai
aea?aeaaiiai iaaee/iiai oiiaa?neoaoo (310022. i.Oa?eia. i?.Eaiiia,4).

Aaoi?aoa?ao ?icineaiee “ 19 ” eeiiy 1999 ?.

A/aiee nae?aoa?

niaoeiaeiciaaii? a/aii? ?aaee,

aeioeaio, e.i.i. Ia/a?aiei E.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueiinoue oaie. Iniaeeaa iinoea na?aae caoai?thaaiue
na?oeaai-noaeeiii? nenoaie iaeaaeeoue aino?iio iioa?eoo iiiea?aea (AII)
(Iaea E.O.,1992). Oea caa?iceeaa aeey aeeooy o?aaeaiiy na?oeaaiai i’yca
cia/iith ii?ith aecia/a? caaaeueio nia?oiinoue aiae na?oeaai-noaeeiieo
caoai?thaaiue (Aiiniaa E.I., 1998). sse naiae/aoue iaoa?iaee ?aaino?o
AII oa ?acoeueoaoe aaaaoueio eeiiiei-aiiaeaiiieiai/ieo aeineiaeaeaiue
(Aaoa?ia A.A., 1988, Eaiaaee ?.A.I., 1997), i?enay/aieo oeie i?iaeaii,
/anoioa ?aioiaeo nia?oae, caaaeueia eaoaeueiinoue ia aeiainiioaeueiiio
oa noaoeiiia?iiio aoaiao eieoaaiiy caeeoathoueny ua aeinoaoiuei
aenieeie.

Inoaiiiie ?ieaie aeinyaiooi inoioiiai i?ia?ano a eieoaaiii oeueiai
caoai?thaaiiy. Ai?iaaaeaeaiiy a eeiii/io i?aeoeeo aeieia ?aaiiiaoei? oa
iioaineaii? oa?aii? aeicaieeei cieceoe ainiioaeueio e?oaeueiinoue oai?eo
ia AII aei 18-20%, ianaiia?aae, caaaeyee iiiioi?iiio iaaeyaeo i
nai?/aniiio aeyaeaiith oa eieoaaiith oeoii/eiaeo a?eoiie aenieeo
a?aaeaoeie.

Oe?iea canoinoaaiiy eieia, yei caaacia/othoue aaiiaeeiaii/ia
?icaaioaaeaiiy iiiea?aea i cieaeaiiy iio?aae na?oeaaiai i’yca o eenii
(iio?aoe, aaoa-aae?aiiaeieaoi?e) (A?aoiaaeueae ?., 1995), a oaeiae
iiia?aaeaeothoue ?aoeeaeeaoth/i oa iiaoi?ii iioa?eoe (anii?ei),
i?ia?anoaaiiy na?oeaai? iaaeinoaoiinoi (iiaiaioi?e
aiaiioaiceiia?aoai?thth/iai oa?iaioo) oaae ni?eyei nooo?aiio ciaioaiith
ainiioaeueii? eaoaeueiinoi, aeicaieeei aeiaanoe ?i/io nia?oiinoue oai?eo
ia aino?ee iioa?eo iiiea?aea aei 15%.

Aaaaoioeaio?iai eeiii/ii aeineiaeaeaiiy (ISIS, 1988, GISSI, 1986, 1990
oa ii.) ia?aeiieeai aeiaaee, ui aieiaiei iai?yieii eieoaaeueii?
no?aoaai? o oai?eo ia AII iiaeiii aooe oe?iea i yeiiiaa oaeaeoa
i?ecia/aiiy i?aia?aoia, yei a iaiaaeeee ?icii?e ciie iae?ico oa
aiaeiiaeee ii?iaeueiee ei?iia?iee e?iaiiaia (o?iiaieioe/ii caniae)
(Aa?oaanueeee N.TH., 1995).

Iacaaaeath/e ia oa, ui aeei?enoaiiy ia?a?aoiaaieo aeua iaaeeeaiaioicieo
caniaia i?ecaaei aei iiaeaeueoiai cieaeaiiy eaoaeueiinoi na?aae oai?eo
ia aino?ee iioa?eo iiiea?aea (Aiiniaa E.I., 1998), ?iaaiue ?? a iaoie
e?a?ii caeeoa?oueny aeinoaoiuei aenieei.

Oiio iiaeaeueoa iiaeaeuaiiy aoaeoeaiinoi iaaeaiiy oa?aiaaoe/ii?
aeiiiiiae oai?ei ia AII ia? ye iaoeiaee, oae i i?aeoe/iee nain. ?ic?iaea
noai iaaeeeaiaioicii? oa?aii?, yei a?aoiaothoue iiaeeaiaeoaeueii
iniaeeainoi ia?aaiao caoai?thaaiiy, ? iaeiei ic oeyoia ae?ioaiiy oei??
i?iaeaie.

Aeei?enoaiiy iiaeaeae i?iaiico caoai?thaaiiy c iaoith ioeiiee noaio
oai?eo oa i?ecia/aiiy aaeaeaaoii? oa?aii? ? nooo?aith aeiiiiiaith o
?ica’ycaiii oeueiai ieoaiiy (Aeia?o Aeae., 1994, Lee K.L., 1995, Arnold
A.E.R., 1997). Aieueoinoue c aeai?eoiia i?iaiicoaaiiy ia?aaiao oa
aeoiaeo aino?iai iioa?eoo iiiea?aea, yei aoei ?ic?iaeaii ?aiioa, iaee
iaaeieiee, ui iaiaaeoaaei iiaeeeainoi ?o eeiii/iiai aeei?enoaiiy (Peel
et al., 1962, Nirris et al., 1969). Oiio iiaeaeueoa oaeineiiaeaiiy
nenoai i?iaiicoaaiiy ia?aaiao oa aeoiaeo aino?iai iioa?eoo iiiea?aea, ui
aeiiiiaaathoue ioeiieoe noai oai?iai, i?ecia/eoe eiio aaeaeaaoio
iiaeeaiaeoaeueio oa?aiith, ia ao?a/a? nai?? aeooaeueiinoi, ui i noaei
i?aaeiaoii aeaiiai aeineiaeaeaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Ia?aiee iai?yiie
aeineiaeaeaiue iia’ycaiee c iaoeiaith aeiyeueiinoth caeeaaeo oa
aoiaeeoue aei oaiaoe/iiai ieaio Iinoeoooo oa?aii? AII Oe?a?ie, ye
o?aaiaio IAe?: “Aea/aiiy iaoiaaiaoe/ieo iaoaiiciia ?aia?ooci? oa
?ic?iaea iiaeo iaoiaeia ?aia?ooc?eii? oa?aii? aino?iai iioa?eoo
iiiea?aea” — ?aa. ?0197U008304. “Iae?iaoii?aeueii aoaeoe iiaiaioi?ia
aiaiioaiceiia?aoai?thth/iai oa?iaioo oa ?o aieea ia ciio iioeiaeaeaiiy o
oai?eo ia aino?ee iioa?eo iiiea?aea” — ?aa. ?0196U001358.

Iaoa i caaea/i aeineiaeaeaiiy. Iaoith ?iaioe ? iiaeaeuaiiy aoaeoeaiinoi
iaaeaiiy oa?aiaaoe/ii? aeiiiiiae oai?ei ia aino?ee iioa?eo iiiea?aea
caaaeyee ?ic?iaoei noai iaaeeeaiaioicii? oa?aii? caoai?thaaiiy, yei
iaeneiaeueii a?aoiaothoue iiaeeaiaeoaeueii iniaeeainoi ia?aaiao AII o
eiie?aoiiai oai?iai, iioe?aiiy aeei?enoaiiy ?acoeueoaoia iaoaiaoe/iiai
i?iaiicoaaiiy aeey ae?ioaiiy ieoaiue eieoaaiiy oa i?ioieaeoeee iioa?eoo
iiiea?aea.

Aeey aeinyaiaiiy oei?? iaoe aoei iinoaaeaii ianooiii caaea/i:

aea/eoe iniaeeainoi ia?aaiao aino?iai iioa?eoo iiiea?aea o 90-oi ?iee a
ii?iaiyiii c 80-ie ia i?eeeaaei iiioeyoei?, yeo aoei ianoaaeaii;

anoaiiaeoe iioi?iaoeaiinoue ?yaeo eeiii/ieo, iino?oiaioaeueieo oa
aeaiia?aoi/ieo iieacieeia o ieaii aecia/aiiy ei?ioei- oa
aeiaaino?ieiaiai i?iaiico aeoiaeo caoai?thaaiiy;

noai?eoe i?iaiinoe/ii iiaeaei, ui aeathoue ciiao ia aaci aeaieo, yei
io?eiaii i?e ia’?eoeaiiio iaeyaei oai?iai oa aeeiiaiii iino?oiaioaeueieo
aeineiaeaeaiue i?ioyaii ia?oi? aeiae caoai?thaaiiy oa a aeeiaiioei
ia?aaoaaiiy iaoei?ioa a noaoeiiia?i, aecia/eoe ei?ioei/aniee oa
aiaeaeaeaiee i?iaiic AII;

?ic?iaeoe noaie iaaeeeaiaioicii? oa?aii? caoai?thaaiiy, ui iaeneiaeueii
a?aoiaothoue iiaeeaiaeoaeueii iniaeeainoi ia?aaiao AII o oai?eo;

noai?eoe i?ia?aiia caaacia/aiiy, yea a aeiiiiaaaei eiea?aai i?e
?ic?iaoei, i?iaaaeaiii oa ei?aeoei? oa?aii? oai?eo ia AII.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoaoia. Aea/aii i?iaiinoe/ia cia/aiiy
eeiiiei-aiaiianoe/ieo oa iino?oiaioaeueieo iieacieeia, yei oe?iei
aecia/athoueny, c o?aooaaiiyi iniaeeainoae ia?aaiao aino?iai iioa?eoo
iiiea?aea, yei c’yaeeeny i?ioyaii inoaiiio ?ieia. Cai?iiiiiaaii
i?iaiinoe/ii eiaoioei?ioe — eiiieaenii iieacieee, yei aeathoue ciiao
noaeeoe i?i iiaeeeaee aeoiae caoai?thaaiiy. ?ic?iaeaii aeai?eoie
i?iaiicoaaiiy ei?ioei- oa aeiaaino?ieiaiai aeoiaeo aino?iai iioa?eoo
iiiea?aea oa ia iiaenoaai io?eiaieo ca ?o aeiiiiiaith ?acoeueoaoia —
noaie iaaeeeaiaioicii? oa?aii? caoai?thaaiiy, yei a?aoiaothoue
iiaeeaiaeoaeueii iniaeeainoi ia?aaiao AII. Iieacaii iiaeeeainoue
cieaeaiiy ainiioaeueii? i aiaeaeaeaii? eaoaeueiinoi oa iieacieea
“oneeaaeiaiee ia?aaia caoai?thaaiiy” caaaeyee aeei?enoaiith
cai?iiiiiaaieo i?iaiinoe/ieo aeai?eoiia oa noai eieoaaiiy

Iieacaii iiaeeeainoi aeei?enoaiiy iaoiaeeee ei?aeyoeieiiai aiaeico c
iaoith ioeiiee aca?iica’yceia yeinieo iieacieeia aiaeiiaiaeii aei
ae?ioaiiy caaea/ eeiii/iiai i?iaiicoaaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoaoia. I?aeoe/ia cia/aiiy ?iaioe
iieyaa? a oiio, ui aoei ?ic?iaeaii noaie iaaeeeaiaioicii? oa?aii?
aino?iai iioa?eoo iiiea?aea, yei iaeneiaeueii a?aoiaothoue
iiaeeaiaeoaeueii iniaeeainoi ia?aaiao caoai?thaaiiy o eiie?aoiiai
oai?iai.

Iieacaii iiaeeeainoue aeei?enoaiiy aeey ae?ioaiiy oei?? caaea/i
aeai?eoiia iaoaiaoe/iiai i?iaiicoaaiiy aeoiaeo caoai?thaaiiy, yei
iiaoaeiaaii ia iieacieeao, ui aecia/athoueny iiae /an i?eaoooy oai?iai
aei eieoaaeueiiai caeeaaeo oa a aeeiaiioei ainiioaeueiiai ia?iiaeo
caoai?thaaiiy.

Ca iaoa?iaeaie aeena?oaoeieii? ?iaioe aoei ?ic?iaeaii i?ia?aiia
caaacia/aiiy, yea aeiiiiaaa? eiea?th ioeiieoe noai oai?iai, ia?aoe
aiaeiiaiaeio aei iueiai noaio iaaeeeaiaioicii? oa?aii?, nai?/anii ??
ei?aaoaaoe.

?acoeueoaoe i?iaaaeaiiai aeineiaeaeaiiy ai?iaaaeaeaii o i?aeoe/io
aeiyeueiinoue eieoaaeueieo oa i?ioieaeoe/ieo caeeaaeia IIC Oe?a?ie.
Aeai?eoie i?iaiicoaaiiy aeoiaeo AII o oi?ii i?ia?aiiiai caaacia/aiiy oa
?aeiiaiaeaoeie uiaei ?ic?iaee noai iaaeeeaiaioiciiai eieoaaiiy i
aoi?eiii? i?ioieaeoeee caoai?thaaiiy — “Cania i?iaiicoaaiiy
ei?ioei/aniiai aeoiaeo iioa?eoo iiiea?aea oa eieoaaiiy o aino?iio
ia?iiaei caoai?thaaiiy” oa “Cania aeiaaino?ieiaiai i?iaiicoaaiiy oa
i?ioieaeoeee aino?iai iioa?eoo iiiea?aea” — aeei?enoiaothoueny o
i?aeoe/iie aeiyeueiinoi eeiiiee Iinoeoooo oa?aii? AII Oe?a?ie,
iaaee/ii-naiioa?ieo /anoei ?2 oa ?7 i. Oa?eiaa, ui aeicaieeei cieceoe
eaoaeueiinoue oa eiaeei-aeaiue a icia/aieo eieoaaeueieo caeeaaeao.
“Cania aeiaaino?ieiaiai i?iaiicoaaiiy oa i?ioieaeoeee aino?iai iioa?eoo
iiiea?aea” — o ?iaioi iinueei? iieieeiiiee ?6 oa iieieeiii/iiai
aiaeaeieaiiy aiaeaeieeiai? eiea?ii caeicie/ii? noaioei? Iniiaa
Iiaaeaiii? caeicieoei, ui aeaei ciiao nei?ioeoe no?iee oei/aniai?
iai?aoeacaeaoiinoi oai?eo ia AII oa ciaioeoe /anoioo ?icaeoeo
oneeaaeiaiue o aiaeaeaeaiiio iineyiioa?eoiiio ia?iiaei.

Iniaenoee aianie caeiaoaa/a. Aeena?oaio naiinoieii caeienithaaa aiaeai?
oaiaoe/ieo oai?eo ia AII, ?o ianoaaeaiiy c aeei?enoaiiyi
eeiiiei-iino?oiaioaeueieo iaoiaeia, iiaeai? aeeoa?aioeieiaaii? oa?aii?
oa eiio?ieue ca aoaeoeaiinoth eieoaaiiy. Caeienithaaa iao?iiaae oai?eo
iiney ?o aeoiaeo c eieoaaeueiiai caeeaaeo. Naiinoieii canoiniaoaaa oaei
iaoiaee aeineiaeaeaiue, ye aeaeo?ia?ao?y oa aoiea?aeiia?aoiy. Aaoi?
iniaenoi aecia/ea iaoo oa ieaioaaa caaea/? aeineiaeaeaiiy, i?iaiaeea
aiaeic oa iaoaiaoe/io ia?iaeo io?eiaieo ?acoeueoaoia c aeei?enoaiiyi
aeaeo?iiii-ia/enethaaeueii? oaoiiee, ioi?iea aeena?oaoeieio ?iaioo.

Ai?iaaoeiy ?iaioe. Iaoa?iaee aeena?oaoei? caneooiaoaaeenue oa
iaaiai?thaaeenue ia iaoeiai-i?aeoe/ieo eiioa?aioeiyo Iinoeoooo oa?aii?
AII Oe?a?ie (1996-1998), ?anioaeieainueeie iaoeiai-i?aeoe/iie
eiioa?aioei? iieiaeeo a/aieo oa oaoiaoeia «No/anii ooiaeaiaioaeueii oa
i?eeeaaeii i?iaeaie a eeiiioei aioo?ioiio oai?ia» (Oa?eia,1997),
caniaeaiiyo Oa?eianueeiai iaaee/iiai oiaa?enoaa. Iieiaeaiiy aeena?oaoei?
aoei i?aaenoaaeaii ia XIV c’?caei oa?aiaaoia Oe?a?ie (Ee?a, 1998).

Ioaeieaoei?. Ca oaiith aeena?oaoeieii? ?iaioe iioaeieiaaii 10
ae?oeiaaieo ?iaio, c ieo 4 — o iaoeiaeo aeo?iaeao, 2 — ca naiino?eiei
aaoi?noaii, 4 — o ca??eao iaoeiaeo i?aoeue, 2 — o iaoa??aeao iaoeiaeo
eiioa?aioe?e oa c’?cae?a .

No?oeoo?a oa ianya aeena?oaoei?. Aeena?oaoeieia ?iaioa aeeeaaeaia ia 239
noi?iieao iaoeiiieniiai oaenoo i neeaaea?oueny ic anooio, 3-o ?icaeieia,
ui iinoyoue iaeyae eioa?aoo?e, aeanii niinoa?aaeaiiy, iaaiai?aiiy
io?eiaieo ?acoeueoaoia, a oaeiae aeniiaeia, i?aeoe/ieo ?aeiiaiaeaoeie,
nieneo aeei?enoaieo aeaea?ae. Aiaeiia?aoi/iee iieaae/ee, ianya yeiai
neeaaea? 37 noi?iiie, iinoeoue 288 aeaea?ae, c ieo 142 — oe?a?inueeith
oa ?inienueeith iiaaie, 146 ca?oaiaeieo aeaea?ae. ?iaioa iethno?iaaia 14
?enoieaie ianyaii 14 noi?iiie oa 32 oaaeeoeyie ianyaii 26 noi?iiie.

CIINO ?IAIOE

Iaoa?iaee i iaoiaee aeineiaeaeaiiy. Aoei i?iaiaeiciaaii inoi?i? oai?iae
653 oai?eo ia aino?ee iioa?eo iiiea?aea (aaciina?aaeiuei ianoaaeaii 132
oai?eo), yei eieoaaeeny o niaoeiaeiciaaieo ea?aeiieiai/ieo aiaeaeieaiiyo
i.Oa?eiaa a 1981-1985 ?ieao oa 1994-1996 ?ieao. Aieiaieie e?eoa?iyie
aeeth/aiiy oai?eo o aeineiaeaeaiiy aoee: iiaeoaa?aeaeaiee aeiaaiic
aino?iai iioa?eoo iiiea?aea oa ainiioaeicaoeiy i?ioyaii ia?oeo 24 aiaeei
aiae ii/aoeo caoai?thaaiiy.

Na?aae oai?eo aoei 515 /ieiaieia (78,9%) i 138 aeiiie (21,1%) o aioei
aiae 36 aei 81 ?ieo. Na?aaeiie aie ianoaaeaieo noaiiaea 60±9,9 ?ieia,
na?aaeiie /an aiae ii/aoeo aieae aei ainiioaeicaoei? o niaoeiaeiciaaiee
iaaee/iee caeeaae 7,6±6,3 a. Aino?ee iioa?eo iiiea?aea ia?aianee 153
oai?eo (23,5%), aiia?oiii/iith oai?iaith no?aaeaeaee 210 iaoei?ioia
(32,2%), noiooiie oeoe?iaee aeiaaao aoei aeyaeaii o 60 oai?eo (9,2%).
Eaoaeueiinoue o noaoeiiia?i neeaea 13,2%, i?ioyaii 1-ai ?ieo 19,2%.

Aiaeiiaiaeii aei iaoe aeineiaeaeaiiy oai?eo aoei iiaeieaii ia a?oie:
iniiaio oa eiio?ieueio. Iniiaio a?oio neeaa 471 oai?ee. Na?aae ieo aoei
373 /ieiaieia (78,2%) i 98 aeiiie (21,9%). Na?aaeiie aie ianoaaeaieo
noaiiaea 59±10,8 ?ieia, na?aaeiie /an aiae ii/aoeo aieae aei
ainiioaeicaoei? o niaoeiaeiciaaiee iaaee/iee caeeaae 7,2±5,7 a. Aino?ee
iioa?eo iiiea?aea ia?aianee 100 oai?eo (21,3%), aiia?oiii/iith oai?iaith
no?aaeaeaee 138 iaoei?ioia (29,4%), noiooiie oeoe?iaee aeiaaao aoei
aeyaeaii o 39 oai?eo (8,3%). Eaoaeueiinoue o noaoeiiia?i neeaea 11,46%,
i?ioyaii 1-ai ?ieo 18,5%.

Eiio?ieueio a?oio neeaei 182 iaoei?ioa. Na?aae ieo aoei 142 /ieiaie?a
(78,0%) i 40 aeiiie (22,0%). Na?aaeiie aie ianoaaeaieo noaiiaea 61±7,2
?iee, na?aaeiie /an aiae ii/aoeo aieae aei ainiioaeicaoei? o
niaoeiaeiciaaiee iaaee/iee caeeaae 8,6±7,4 a. Aino?ee iioa?eo iiiea?aea
ia?aianee 53 oai?eo (29,1%), aiia?oiii/iith oai?iaith no?aaeaeaee 72
iaoei?ioa (40,0%), noiooiie oeoe?iaee aeiaaao aoei aeyaeaii o 21 oai?iai
(11,5%). Eaoaeueiinoue o noaoeiiia?i neeaea 17,03%, i?ioyaii 1-ai ?ieo
21,4%.

Ia?aaia noaoeiiia?iiai ia?iiaeo caoai?thaaiiy aoei oneeaaeiaii ?icaeoeii
?aoeeaeeaia aiaiiiciiai aieth o 202 (42,9%) oa 120 (65,9%), ?aoeeaeeaia
AII 34 (7,2%) oa 30 (16,5%), eeiii/ieo i?iyaia aino?i? eiaioeoii/eiai?
iaaeinoaoiinoi (iaa?ye eaaaiia) 26 (5,5%) oa 21 (11,5%) oai?eo ca
a?oiaie aiaeiiaiaeii.

Ianoaaeaiiy oai?eo ia?aaeaa/aei i?iaaaeaiiy caaaeueiieeiii/iiai
ianoaaeaiiy c aeii?ii ia?aiao?ia aaiiaeeiaiiee (a?oa?iaeueiee oene,
/anoioa na?oeaaeo nei?i/aiue), ?a?no?aoeith AEA ca noaiaea?oiith
iaoiaeeeith. Ioeiieo nei?ioeeai? iiaeeeainoi iiiea?aeo i?iaiaeeee ca
aeiiiiiaith aoiea?aeiia?aoi/iiai aeineiaeaeaiiy, yea aeeiioaaee ia 10
aeiao caoai?thaaiiy ia aia?aoi “Ultrasound scanner” iiaeaei OI 628-A ca
noaiaea?oiith iaoiaeeeith. Aecia/aee oaei iieacieee, ye eiioeaaee
aeianoiei/iee ?icii? (EAe?) oa o?aeoeith aeeeaeo (OA) eiaiai oeoii/ea.

Aiaeiiaiaeii aei iaoe aeineiaeaeaiiy aeaeieyeiny aeaa aa?iaioe oa?aii?
AII: “aaciaa”, ui ia?aaeaa/aea i?ecia/aiiy iio?aoia oa aaia?eio o
oa?aiaaoe/ieo aeicao ca caaaeueiii?eeiyoeie iaoiaeeeaie, oa
“eiiaiiiaaia”, ui ia?aaeaa/aea aeiaeaoeiaa i?ecia/aiiy ia oiii “aaciai?”
oa?aii? o?iiaieioe/ieo i?aia?aoia (i?aia?ao “No?aioaca” o aeici 1,5 iei.
IAe aioo?ioiueiaaiii e?aiaeueii i?ioyaii 1 aiaeeie), anii?eio 125 ia ia
aeiao, aaoa-aae?aiiaeieaoi?ia (aoaiieie 25-50 ia ia aeiao) oa
iiaiaioi?ia aiaiioaiceiia?aoai?thth/iai oa?iaioo (aiai 5-10 ia ia
aeiao). Aeey ioeiiee aoaeoeaiinoi i?iaaaeaii? oa?aii? aecia/aeeny oaei
iieacieee, ye eaoaeueiinoue oa “oneeaaeiaiee ia?aaia caoai?thaaiiy”
(aiaeiiaiaeii aei e?eoa?i?a E.Brounwald et al., 1993), /anoioa
aeieeiaiiy iiaoi?iiai AII oa noaiiea?aei? iai?oaeaiiy.

C iaoith i?iaiicoaaiiy aeoiaeo caoai?thaaiiy aoei aeei?enoaii
ei?aeyoeieiee aiaeic c ia/eneaiiyi oao?aoi?i/iiai eiaoioei?ioa ca’yceo,
ui aeaei ciiao anoaiiaeoe iayaiinoue oa neeo ca’yceo iiae iieacieeaie,
ui aea/aeeny, oa ?aa?anieiee aiaeic, yeee aeaa ciiao aeyaeoe iaeaieueo
iioi?iaoeaii a i?iaiinoe/iiio aiaeiioaiii iieacieee, ui neeaee aeai?eoie
aecia/aiiy ei?ioei- oa aeiaaino?ieiaiai aeoiaeo caoai?thaaiiy. Ani
?acoeueoaoe aeineiaeaeaiiy aoei ia?iaeaii ca aeiiiiiaith iaoiaeo
aa?iaoeieii? noaoenoeee ia ia?niiaeueiiio eiii’thoa?i c ia/eneaiiyi
e?eoa?ith ai?iaiaeiinoi t, cia/aiiy ai?iaiaeiinoi p. Aiaeiiiiinoi iiae
iieacieeaie, ui ii?iaithaaeeny, aeciaaaeenue ai?iaiaeieie, yeui cia/aiiy
iiiai?iinoi aoei aieueoei aai ?iaiei 95% (p<0,05). ?ACOEUeOAOE AeINEIAeAEAIIss Aea/aiiy ia?aaiao aino?iai iioa?eoo iiiea?aea na?aae ianoaaeaieo oai?eo aeaei ciiao aecia/eoe oaei caaaeueii caeiiiii?iinoi ia?aaiao caoai?thaaiiy: /ieiaiee /anoioa oai?ithoue ia aino?ee iioa?eo iiiea?aea iiae aeiiee (78,3% i?ioe 21,7%). Oey caeiiiii?iinoue eeoa?oueny iaciiiiith i?ioyaii inoaiiio ?ieia; i?ioyaii inoaiiueiai aeanyoe?i//y niinoa?iaa?oueny c?inoaiiy /anoee inia aeiii/i? noaoi na?aae oai?eo noa?oi? aieiai? a?oie (noa?oi ca 60 ?ieia) c 23,6% aei 33,6% (p<0,01) ia? iinoea oaiaeaioeiy aei cieaeaiiy na?aaeiueiai aieo oai?eo c 61 aei 59 ?ieia oa c?inoaiiy na?aae ieo /anoee inia, iieiaeoeo 45 ?ieia (1,1% i?ioe 8,9%); nei?ioeany na?aaeiie /an iiae iiyaith ia?oeo iciae caoai?thaaiiy oa ainiioaeicaoei?th oai?eo aei niaoeiaeiciaaieo ea?aeiieiai/ieo noaoeiiia?ia (c 8,6±7,4 aei 7,2±5,7 aiaeei) ia?aaia ainiioaeueiiai ia?iiaeo caoai?thaaiiy i?ioyaii inoaiiueiai aeanyoe?i//y noaa aieueo ni?eyoeeaei, i?i ui naiae/aoue cieaeaiiy ?iaiy noaoeiiia?ii? eaoaeueiinoi (c 17,03% aei 11,46%, p<0,01) oa cieaeaiiy iieacieea “oneeaaeiaiiai ia?aaiao caoai?thaaiiy” (c 70,3% aei 52,8%, p<0,01). Ciiie ia?aaiao AII, ui aoei aeyaeaii iiae /an aeeiiaiiy ?iaioe, iio?aaoaaee iiaeeaeaiiai aea/aiiy iioi?iaoeaiinoi eeiii/ieo, iino?oiaioaeueieo oa aeaiia?aoi/ieo iieacieeia, yei aeei?enoiaothoueny aeey i?iaiicoaaiiy ei?ioei- oa aeiaaino?ieiaiai aeoiaeo caoai?thaaiiy. Aeey iiaeaeueoiai aiaeico aoei aiaeia?aii oaei iieacieee, ye noaoue, aie, iayaiinoue iiia?aaeiueiai AII (AII ai.), noiooiueiai oeoe?iaiai aeiaaaoo (OeAe ai.) oa aiia?oiii/ii? oai?iae, ?iaaiue nenoiei/iiai oa aeianoiei/iiai a?oa?iaeueiiai oeneo (AO neno., AO aeiano.), /anoioe na?oeaaeo nei?i/aiue (*NN), eieaeicaoeiy aiaieua a?aaeaiiy iiiea?aea, oa?aeoa? AEA oa ciiie naaiaioo ST, iayaiinoue oneeaaeiaiue ia?aaiao caoai?thaaiiy: oia?eeyoei? oeoii/eia (OO), ao?ii-aaio?eeoey?ii? aeieaaee (A-V aeie.), iaa?yeo eaaaiia (IE), ?aoeeaeeaia aieueiaiai neiae?iio oa AII (AII ?aoe.), nooiaiy oyaa?y o?iii/ii? iaaeinoaoiinoi e?iaiiaiao (IE). I?iaaaeaiee ei?aeyoeieiee aiaeic aeaa ciiao aeyaeoe iieacieee, iaeaieueo nooo?ai aeey aecia/aiiy ei?ioeino?ieiaiai aeoiaeo caoai?thaaiiy: aie (r=0,72), noaoue (r=0,15), *NN (r=-0,65), AO neno. (r=0,72), AII ai. (r=-0,1), OeAe ai. (r=-0,14), IE (r=-0,13), iiaeeii naaiaioo ST (r=-0,13), ciiie AEA (AEA) (r=-0,1). Aeey aecia/aiiy aeiaaino?ieiaiai aeoiaeo AII iaeaieueo iioi?iaoeaieie aoee oaei iieacieee: noaoue (r=0,13), aie (r=-0,73), *NN (r=-0,64), IE (r=0,3), AII ai. (r=-0,16), OO ia /an ainiioaeicaoei? (OO1) (r=-0,2) OO iiae /an ia?aaoaaiiy o noaoeiiia?i (OO2) (r=-0,26), iayaiinoue ao?iiaaio?eeoey?ii? aeieaaee (r=-0,1), ?aoeeaeeao AII (r=-0,17), eieaeicaoeiy aiaieua a?aaeaiiy iiiea?aea (r=-0,1) ?acoeueoaoe i?iaaaeaiiai ei?aeyoeieiiai aiaeico aoei aeei?enoaii aeey ?ic?iaee ?aa?anieieo iiaeaeae ei?ioeino?ieiaiai oa aiaeaeaeaiiai aeoiaeo caoai?thaaiiy, yei aeathoue ciiao ?ic?aooaaoe cia/aiiy i?iaiinoe/ieo iieacieeia (IE, IE1). Ca /enaeueiei cia/aiiyi i?iaiinoe/ieo eiaoioei?ioia aecia/aany oa?aeoa? i?iaiico caoai?thaaiiy. I?e cia/aiii oeeo iieacieeia iaioiio /e ?iaiiio 20 i?iaiicoaaany ni?eyoeeaee aeoiae AII, aieueoiio, iiae 20 — iani?eyoeeaee. Caaaeoaaii ?aa?anieii iiaeaei i?iaiico aeoiaeo caoai?thaaiiy i?eaaaeaii ieae/a. 1. Iiaeaeue aecia/aiiy ei?ioeino?ieiaiai aeoiaeo AII. IE = 50,48 + 0,48?aie + 0,26**NN ??0,17*AO neno.?10,7?OeAe ai.? 4,3?iiaeeii naai.ST ? - 8,2?AII ai. + 7,1?noaoue ? 5,8?AEA ? 12,9 IE ia iiiaio ainiioaeicaoei? aea 50,48 — aeiaeaoeiaee eiaoioei?io, aie — iiaieo ?ieia ia /an caoai?thaaiiy, *NN — /anoioa na?oeaaeo nei?i/aiue (oaea?ia ca oaeeeio), AO neno. — nenoiei/iee a?oa?iaeueiee oene (a iieiiao?ao ?oooiiai noiaia), OeAe ai. — oeoe?iaee aeiaaao o aiaiiaci, i?aeeii naai. ST — i?aeeii naaiaioo ST AEA iaae ?cie?i??th, AII ai. — ia?aianaiee ?aiioa aino?ee iioa?eo iiiea?aea, noaoue — 1 — /ieiai/a, 2 — aeiii/a, AEA — iayaiinoue ciii ia aeaeo?iea?aeiia?aii (1 — oeiiai aeey AII ciiie, 2 — iaoeiiai ciiie oa iayaiinoue aiaiiaco ii ION, 3 — iioa), IE — iaa?ye eaaaiia. Aeey iieacieeia Oeae ai., AII ai., IE, i?aeeii naai. ST: 1 — iayaiinoue iieacieea, 2 — aiaenooiinoue iieacieea. Ai?iaiaeiinoue i?iaiico 75% 2. Iiaeaeue aecia/aiiy aeiaaino?ieiaiai aeoiaeo AII. IE1 = 128 ? 50,8?OO1 + 10,5?IE + 0,3?*NN ? 10,5?AII ai. ? 13,0??aoeeaeea AII ? ?27,0?OO2 + 8,0?A-V aeieaaea + 6,0?noaoue + 0,2?aie ? 22,0?eieaeicaoeiy AII aea 128 — aeiaeaoeiaee eiaoioei?io, OO1 — oia?eeyoeiy oeoii/eia ia /an ainiioaeicaoei?, IE — iaaeinoaoi?noue e?iaiia?ao, *NN — /anoioa na?oeaaeo nei?i/aiue (oaea?ia ca oaeeeio), OO2 — oia?eeyoeiy oeoii/eia iiae /an eieoaaiiy o oieoaei, AII ai. — ia?aianaiee ?aiioa aino?ee iioa?eo iiiea?aea, A-V aeieaaea — ao?iiaaio?eeoey?ia aeieaaea, noaoue — 1 — /ieiai/a, 2 — aeiii/a; aie — iiaieo ?ieia ia /an caoai?thaaiiy; eieaeicaoeiy AII: — 1 — ia?aaeiy, 2 — caaeiy, 3 — oee?eoey?iee; Aeey iieacieeia OO1, OO2, AII ai., A-V aeieaaea: 1 — iayaiinoue iieacieea, 2 — aiaenooiinoue iieacieea. Ai?iaiaeiinoue i?iaiico 77,5% A oaae. 1 iaaaaeaii ?acoeueoaoe ii?iaiyiiy aieiaieo iia?aoeieieo oa?aeoa?enoee cai?iiiiiaaiiai aeai?eoio aecia/aiiy ei?ioeino?ieiaiai i?iaiico AII oa i?iaiinoe/ieo nenoai Norris et al. (1962), Peel et al. (1969), yei aeinoaoiuei oe?iei aeei?enoiaothoueny o iao /an. Iaaaaeaii o oaaeeoei aeaii naiae/aoue i?i oa, ui ?ic?iaeaiee iaie i?iaiinoe/iee aeai?eoi ia? e?aui iieacieee, ui ?acii c aeinooiiinoth io?eiaiiy aeoiaeii? iioi?iaoei?, oaoii/iith i?inoioith io?eiaiiy eiioeaaiai i?iaiinoe/iiai ?ioaiiy aea? iiaenoaae aeey eiai oe?ieiai i?aeoe/iiai aeei?enoaiiy. Oaaeeoey 1. Aieiaii iia?aoeieii oa?aeoa?enoeee i?iaiinoe/ieo nenoai, ui ii?iaiththoueny. Nenoaie i?iaiico Se (%) Sp (%) d (%) V (%) PVP (%) Peel. 68 63 67,4 31 92 Norris 67 63 67,1 30 91,8 IE 79 59 75 38 92 I?eiioea. Sa - /ooeeainoue, Sp - niaoeeoi/iinoue, d - ai?iaiaeiinoue, V - aaeiaeiinoue, pVP - i?iaiinoe/iinoue iiceoeaiiai ?acoeueoaoo. Ia aaci ia/eneaiiy /enaeueieo cia/aiue iiaeeaiaeoaeueieo i?iaiinoe/ieo eiaoioei?ioia iaoei?ioia aoei iiaeieaii ia a?oie ic ni?eyoeeaei oa iani?eyoeeaei ei?ioeino?ieiaei i aiaeaeaeaiei aeoiaeii caoai?thaaiiy. Naia a oeeo a?oiao ?icaeyiooi eeiii/io aoaeoeaiinoue cai?iiiiiaaieo noai iaaeeeaiaioicii? oa?aii? oa i?ioieaeoeee AII. sse naiae/aoue iaaaaeaii a oaae. 2 oa oaae. 3 aeaii i?e ni?eyoeeaiio i?iaiici caoai?thaaiiy aoaeoeaia i?ecia/aiiy eiiaiiaoei? o?iiaieioeeia, anii?eio oa aaoa-aae?aiiaeieaoi?ia ia oiii “aaciai?” oa?aii?, a i?e iani?eyoeeaiio — o?iiaieioeeia oa iiaiaioi?ia aiaiioaiceiia?aoai?thth/iai oa?iaioo ia oiii “aaciai?” oa?aii?. Oaaeeoey 2. Aieea oa?aii? aino?iai iioa?eoo iiiea?aea ia ei?ioei/aniee i?iaiic caoai?thaaiiy. Iieaciee Ni?eyoeeaee i?iaiic Iani?eyoeeaee i?iaiic I-A n=165 I-A n=120 I-A n=80 I-A n=109 II-A n=80 II-A n=56 II-A n=43 ?aoeeaeea A?I 15,2% 7,5% * 6,25% * 0 * 15,0% 7,1% 11,6% ?aoeeaeea aieae 55% 48,3% 47,5% 42,3% * 56,3% 50% 48,8% Oneeaaeiaiee ia?aa?a A?I 66,6% 46,6% * 48,8% * 40,3% * 71,3% 53,6% * 53,5% * Eaoaeuei?noue 10,3% 8,3% 7,5% 6,4% 28,7% 25,0% 18,6% I?eiioee: * — Ai?iaiaeiinoue aiaeiiiiinoi iieacieeia iiae “aaciaith” oa “eiiaiiiaaiith” oa?aii?th: p<0,01. A?oie oa?ai??: I-A-“aaciaa” oa?aiiy, I-A-“aaciaa” oa?aiiy oa ani??ei, I-A-“aaciaa” oa?aiiy, anii?ei oa aaoa-aae?aiiaeieaoi?e, I-A-“aaciaa” oa?aiiy o?iiaieioeee, anii?ei oa aaoa-aae?aiiaeieaoi?e, II-A-“aaciaa” oa?aiiy, II-A-“aaciaa” oa?aiiy oa o?iiaieioeee, II-A“aaciaa” oa?aiiy, o?iiaieioeee oa iiaiaioi?e aiaiioaiceiia?aoai?thth/iai oa?iaioo. Oaaeeoey 3. Aieea i?ioieaeoe/ii? oa?aii? aino?iai iioa?eoo iiiea?aea ia aeiaaino?ieiaee i?iaiic caoai?thaaiiy. Iieaciee Ni?eyoeeaee I?iaiic Iani?eyoeeaee i?iaiic I-A n=185 I-A n=178 I-A N=101 II-A n=80 II-A n=55 Iiaoi?iee A?I 9,1% 6,7% 4,7% 18,75% 9,0% I?ney?ioa?eoia noaiiea?ae?y 10,3% 7,3% 7,9% 37,0% 25,0% Eaoaeuei?noue i?ioyaii ?ieo 5,9% 5,1% 4,9% 20,0% 12,7% I?eiioea. A?oie oa?ai??: I-A-“aaciaa” oa?aiiy, I-A-“aaciaa” oa?aiiy oa anii?ei, I-A-“aaciaa” oa?aiiy, anii?ei oa aaoa-aae?aiiaeieaoi?e, II-A-“aaciaa” oa?aiiy, II-A-“aaciaa” oa?aiiy oa iiaiaioi?e aiaiioaiceiia?aoai?thth/iai oa?iaioo. AENIIAEE Iniaeeainoi ia?aaiao aino?iai iioa?eoo iiiea?aea i?ioyaii 90-o ?ieia aecia/aeeny iiaeaeueoei c?inoaiiyi na?aae oai?eo /anoee inia iieiaeoeo 60 ?ieia (36,9% i?ioe 50,5%, p<0,01) oa aeiiie o noa?oeo aieiaeo a?oiao (c 23,6% aei 33,6%, p<0,01). Eeiii/iee ia?aaia aino?iai iioa?eoo iiiea?aea i?ioyaii inoaiiueiai aeanyoe?i//y oa?aeoa?ecoaaany aieueo ni?eyoeeaei ia?aaiaii ainiioaeueiiai ia?iiaeo caoai?thaaiiy, i?i ui naiae/aoue oaei oaeoe: cieaeaiiy ?iaiy eaoaeueiinoi o noaoeiiia?i c 17,03% aei 11,46%, iieacieea “oneeaaeiaiiai ia?aaiao caoai?thaaiiy” c 70,3% aei 53,8%, /anoioe aeieeiaiiy iioaioeieii caa?iceeaeo aeey aeeooy oneeaaeiaiue caoai?thaaiiy: ?aoeaaeeaoth/iai ia?aaiao caoai?thaaiiy (c 16,5% aei 8,5%), eeiii/ieo i?iyaia aino?i? eiaioeoii/eiai? iaaeinoaoiinoi (iaa?ye eaaaiia) c 11,5% aei 8,5%. Iieiioaiiy ia?aaiao ainiioaeueiiai ia?iiaeo caoai?thaaiiy ca ?acoeueoaoaie i?iaaaeaiiai iaie aiaeico aoei iia'ycaia ic nei?i/aiiyi /ano iiae aeieeiaiiyi ia?oeo neiioiiia caoai?thaaiiy oa ainiioaeicaoei?th aei niaoeiaeiciaaiiai eieoaaeueiiai caeeaaeo (c 8,6±7,4 aei 7,2±5,7 aiaeei); a oaeiae ic ciiiaie iiaeyaeia ia oa?aiith oai?eo ia aino?ee iioa?eo iiiea?aea (iioe?aiiy ?aiiueiai aeei?enoaiiy o?iiaieioe/ieo i?aia?aoia, aeoeaia i?ecia/aiiy anii?eio, aaoa-aae?aiiaeieaoi?ia, iiaiaioi?ia aiaiioaiceiia?aoai?thth/iai oa?iaioo). Aeey aecia/aiiy ei?ioeino?ieiaiai i?iaiico caoai?thaaiiy ca ?acoeueoaoaie i?iaaaeaiiai ei?aeyoe?eiiai aiae?co ?ioi?iaoeaieie ? oae? iieacieee, ye noaoue (a=0,15), a?e (a=0,72), ??aaiue nenoie?/iiai a?oa??aeueiiai oeneo (a=0,72), iiia?aaei?e A?I (a=-0,1), noiooi?e oeoe?iaee ae?aaao (a=-0,14) oa *NN (a=-0,65). Nooo?aa cia/aiiy aeey aecia/aiiy aeiaaino?ieiaiai i?iaiico caoai?thaaiiy iathoue oae? iieacieee, ye iayai?noue o?ii?/ii? iaaeinoaoiino? e?iaiia?ao (a=-0,3), caa?iceea? aeey aeeooy ii?ooaiiy na?oeaaiai ?eoio oa i?ia?aeiino?: o?a?eeyoe?y oeoii/e?a i?ae /an aini?oae?caoe?? (OO1, a=-0,2) ? ciaoiaeaeaiiy o e?eoaaeueiiio caeeaae? (OO2, a=-0,26) oa ao??i-aaio?eeoaey?ia aeieaaea (A-V aeie, a=-0,1); iieacieee, ui oa?aeoa?ecothoue noai aaiiaeeiai?ee ia /an aeoiaeo oai?iai ?c e?ea?i?: AO neno. (a=-0,70), *NN (a=-0,65), iiia?aaei?e A?I (a=-0,16). Ni?eyoeeaee i?iaiic caoai?thaaiiy ? iieacieeii aeey i?ecia/aiiy o?iiaie?oe/ieo i?aia?ao?a, aaoa-aae?aiiaeieaoi??a oa ani??eio, oiae? ye iani?eyoeeaee — o?iiaie?oe/ieo i?aia?ao?a oa ?ia?a?oi??a aia?ioaiceiia?aoai?thth/iai oa?iaioo, i?e iaeii?, yeiiiaa ?ai?oa. Oaea oa?ai?y iie?ioo? ee?i?/iee ia?aa?a caoai?thaaiiy oa aaaea aei cieaeaiiy eaoaeueiino? ye o e?eoaaeueiiio caeeaae?, oae ? o a?aeaeaeaiee i?ney?ioa?eoiee ia??iae. I?AEOE*II ?AEIIAIAeAOeI? Iiae /an ?ic?iaee noai iaaeeeaiaioiciiai eieoaaiiy oa i?ioieaeoeee aino?iai iioa?eoo iiiea?aea c iaoith aieueoi? ?o iiaeeaiaeoaeicaoei? ia? nain ioeiiea ei?ioeino?ieiaiai oa aiaeaeaeaiiai aeoiaeo caoai?thaaiiy, aeey /iai iiaeia aeei?enoiaoaaoe iaoiaee iaoaiaoe/iiai i?iaiicoaaiiy ia?aaiao oa aeoiaeo caoai?thaaiiy. C iaoith ioeiiee ?acoeueoaoia i?iniaeoeaieo aeineiaeaeaiue oa iiaeaeuaiiy ai?iaiaeiinoi ?icieoei iiae /enaeueii iaeeie a?oiaie iiaeia aeei?enoiaoaaoe iieaciee “oneeaaeiaiee ia?aaia caoai?thaaiiy” oa ?ic?aooiie iieacieea “aeeao/inoue” ca iaoiaeeeith Eaieaia-Iae??a. sseui cia/aiiy i?iaiinoe/ieo eiao?oe??io?a (IE oa IE1) ? iaiueoei aai aei??aith? 20, ui ia?aaeaa/a? ni?eyoeeaee ye ei?ioei/aniee, oae ? a?aeaeaeaiee aeo?ae A?I, ca a?aenooi?noth i?ioeiieac?a aeioe?eueii aeio?eioaaoeny oaeiai aeai?eoio: i?ecia/aiiy eiia?iaoe?? o?iiaie?oe/ieo i?aia?ao?a, ani??eio, aaoa-aae?aiiaeiee?aoi??a ia oe? “aaciai?” oa?ai??. sseui cia/aiiy i?iaiinoe/ieo eiao?oe??io?a (IE oa IE1) ? a?eueoei ca 20, ui ia?aaeaa/a? iani?eyoeeaee ye ei?ioei/aniee, oae ? a?aeaeaeaiee aeo?ae A?I, ca a?aenooi?noth i?ioeiieac?a aeioe?eueii aeio?eioaaoeny oaeiai aeai?eoio: i?ecia/aiiy eiia?iaoe?? o?iiaie?oe/ieo i?aia?ao?a oa ?ia?a?oi??a aia?ioaiceiia?aoai?thth/iai oa?iaioo ia oe? “aaciai?” oa?ai??. NIENIE I?AOeUe, IIOAEIEIAAIEO CA OAIITH AeENA?OAOeI? Eauaiei A.A. Aeeyiea oa?aiee a ino?ii ia?eiaea eioa?eoa ieiea?aea ia e?aoeia?aiaiiue e ioaeaeaiiue i?iaiic caaieaaaiey // Oe?a?inueeee ea?aeiieiai/iee aeo?iae. — 1997. — aei. II, ?6. — C.22-24. Eauaiei A.A., Iia?ei A.E. I i?iaiice?iaaiee e?aoeia?aiaiiiai enoiaea ino?iai eioa?eoa ieiea?aea // Oe?a?inueeee ea?aeiieiai/iee aeo?iae. — 1997. - aei. II, ?6. — C.28-30. Eauaiei A.A. I i?iaiice?iaaiee aeieaia?aiaiiiai enoiaea ino?iai eioa?eoa ieiea?aea // Ainiee i?iaeai aiieiai? i iaaeeoeeie. — 1998. — ?15. — C.50-53. Aecye A.A., Aai?ia E.TH., Aieuiaoe A.ss., Oaaeioeia E.I., Ai?iuoe A.A., O?eoiiiaa I.I., Aaeea? A.O., Aaeeia A.TH., Ieoaeue/aiei I.E., Aia?ia A.A., Ia?oiiaiei A.I., E?eei I.E., ?ooeaiei N.I., Aiiniaa A.I., I?oaeeee E.A., Eoaeeae A.Ae., Naaeei A.A., Iaoyaeaiei A.C., No?eaaiiaa I.A., Ieaiiaa I.I., Eaioei I.A., Aa?aaiiiae/ I.I., Oaeiee A.O., Iaaeee N.N., *a?eaaneee A.A., sseiaeia E.ss., *oao/iay E.E., *oao/iue A.I., Iaeay E.O., Eiieoea I.I., Ca?ea/aoeeay E.O., Eauaiei A.A., Aeueoi ss.A., Eiiiiinia N.I., A?eoeia A.E., N.I., Ia?aue iiuo i?eiaiaiey oeaiaaiai aeoeaaoi?a ieacieiiaaia i?e eioa?eoa ieiea?aea a Oe?aeia: aeaiiua iiiaioeaio?iaiai enneaaeiaaiey // Oe?a?inueeee ea?aeiieiai/iee aeo?iae. — 1997 — ?3. — N. 51-56. Aeueoi ss.A., Eauaiei A.A., Eiiiiaiei E.A. Aeeyiea o?iiaieeoe/aneie oa?aiee ia aeeaeaeoee e ioaeaeaiiue i?iaiic o aieueiuo ino?ui eioa?eoii ieiea?aea // Iaoa?iaee XIV C'?caeo oa?aiaaoia Oe?a?ie. — Ee?a, 1998. — N. 138-139. Eauaiei A.A. Oa?aiey e aeeaeaeoee i?iaiic aieueiuo ino?ui eioa?eoii ieiea?aea // I?iaeaiu e ia?niaeoeau ?acaeoey ea?aeeieiaee. — Na. iao/iuo o?oaeia. — Einoeooo oa?aiee AII Oe?aeiu — Oa?ueeia, 1996. — N. 201-206. Eauaiei A.A. Aeeyiea o?iiaieeoe/aneie oa?aiee ia aeeaeaeoee i?iaiic o aieueiuo ino?ui eioa?eoii ieiea?aea // Iaaeeoeeia naaiaeiy e caao?a. — Ia?eiaee/aneee nai?iee ?aaio iieiaeuo o/aiuo e niaoeeaeenoia. — Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao — Oa?ueeia, 1996. — N.47-49. Eauaiei A.A. I?iaiice?iaaiea enoiaeia ino?iai eioa?eoa ieiea?aea ii aeaiiui ia?aiai aeiy caaieaaaiey // Nia?aiaiiua ooiaeaiaioaeueiua e i?eeeaaeiua i?iaeaiu eeeieee aioo?aiieo aieaciae.Oacenu iao/iuo aeieeaaeia ?anioaeeeaineie iao/ii-i?aeoe/aneie eiioa?aioeee iieiaeuo o/aiuo e niaoeeaeenoia. — Oa?ueeia, 1997. — N.58. Aeueoi ss.A., Eiiiiaiei E.A., Eauaiei A.A., Aieiaiei I.A., Eeiioaiei A.E. Yooaeoeaiinoue e aaciianiinoue o?iiaieeoe/aneie oa?aiee ino?iai eioa?eoa ieiea?aea o aieueiuo ?acee/iuo aic?anoiuo a?oii // Iiaua ai?eciiou eeeieee aioo?aiieo aieaciae. — Na. iao/iuo o?oaeia. — Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao — Oa?ueeia, 1998. — N. 69-73. Eauaiei A.A. I iaoaiaoe/aneii i?iaiice?iaaiee enoiaeia ino?iai eioa?eoa ieiea?aea // Iiaua ai?eciiou eeeieee aioo?aiieo aieaciae. — Na. iao/iuo o?oaeia. — Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao — Oa?ueeia, 1998. — N. 98-100. AIIOAOeIss Eauaiei I.A. “Aieea ?iciiiaiioieo aa?iaioia oa?aii? aino?iai iioa?eoo iiiea?aea ia ei?ioei/aniee oa aeiaai/aniee i?iaiic caoai?thaaiiy”. — ?oeiien. Aeena?oaoeiy ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoeiaeueiinoth 14.01.11 — ea?aeiieiaiy. — Oa?eianueeee aea?aeaaiee iaaee/iee oiiaa?neoao, i. Oa?eia, 1999 ?. ?iaioo i?enay/aii ae?ioaiith eiie?aoii? i?iaeaie no/anii? ea?aeiieiai? — iiaeaeuaiith aoaeoeaiinoi iaaeaiiy oa?aiaaoe/ii? aeiiiiiae oai?ei ia aino?ee iioa?eo iiiea?aea (AII) caaaeyee iiaeaeueoie iiaeeaiaaeoaeicaoei? eieoaaeueieo caniaia oa iioe?aiith eeiii/iiai aeei?enoaiiy ?acoeueoaoia iaoaiaoe/iiai i?iaiicoaaiiy. Aeena?oaio cai?iiiioaaa iiaee iiaeoiae aei ?ic?iaee noai iaaeeeaiaioicii? oa?aii? AII, ui aaco?oueny ia aeei?enoaiii iiaeaeae i?iaiico ei?ioei- oa aeiaaino?ieiaiai aeoiaeo caoai?thaaiiy i aea? ciiao iaeneiaeueii a?aooaaoe iniaeeainoi ia?aaiao AII o eiie?aoiiai iaoei?ioa. Aoei aeyaeaii oa i?iaiaeiciaaii ciiie o ia?aaiao aino?iai iioa?eoo iiiea?aea, yei noaeeny i?ioyaii inoaiiueiai aeanyoe?i//y, aea/aia i?iaiinoe/ia oeiiiinoue ?yaeo eeiii/ieo, iino?oiaioaeueieo oa aeaiia?aoi/ieo iieacieeia, yei oe?iei aecia/athoueny. Cai?iiiiiaaii i?iaiinoe/ii eiaoioei?ioe, yei aeiiiiaaathoue eiea?aai ioeiieoe noai oai?iai, oaeaeei i?ecia/eoe oa nai?/anii ei?aaoaaoe iaaeeeaiaioicio oa?aiith. ?ic?iaeaii noaie iaaeeeaiaioicii? oa?aii? aino?iai iioa?eoo iiiea?aea, yei a?aoiaothoue iniaeeainoi ia?aaiao caoai?thaaiiy o eiie?aoiiai oai?iai. Aea/aii ?o eeiii/io aoaeoeaiinoue. Eeth/iai neiaa: aino?ee iioa?eo iiiea?aea, i?iaiic, iaaeeeaiaioicia oa?aiiy. AIIIOAOeEss Eauaiei A.A. “Aeeyiea ?acee/iuo aa?eaioia oa?aiee ino?iai eioa?eoa ieiea?aea ia e?aoeia?aiaiiue e aeieaia?aiaiiue i?iaiic caaieaaaiey”. — ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.11 — ea?aeeieiaey. — Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, a. Oa?ueeia, 1999 a. ?aaioa iinayuaia aeooaeueiie i?iaeaia nia?aiaiiie ea?aeeieiaee — iiauoaieth yooaeoeaiinoe ieacaiey oa?aiaaoe/aneie iiiiue aieueiui ino?ui eioa?eoii ieiea?aea (IEI). Iaeiei ec aiciiaeiuo iooae ?aoaiey aeaiiie i?iaeaiu yaeyaony eiaeeaeaeoaeueiue iiaeoiae e ?ac?aaioea noai iaaeeeaiaioiciie oa?aiee caaieaaaiey, aeey /aai aiciiaeii eniieueciaaiea iiaeaeae iaoaiaoe/aneiai i?iaiice?iaaiey oa/aiey e enoiaea IEI. Iaeiaei ?ac?aaioaiiua ?aiaa nenoaiu i?iaiica caaieaaaiey iaeaaeatho ?yaeii na?ueaciuo iaaeinoaoeia. A nayce n yoei, aeaeueiaeoaa niaa?oainoaiaaiea i?iaiinoe/aneeo aeai?eoiia, iicaieythueo a iaeneiaeueii ei?ioeea n?iee ?ac?aaioaoue aaeaeaaoioth eiaeeaeaeoaeueioth noaio oa?aiee, ?anniao?eaaaony eae iaeei ec iooae aeaeueiaeoaai iiauoaiey yooaeoeaiinoe ieacaiey oa?aiaaoe/aneie iiiiue aeaiiie eaoaai?ee aieueiuo. Oeaeueth ianoiyuae ?aaiou yaeeanue ?ac?aaioea noai iaaeeeaiaioiciie oa?aiee IEI, o/eouaathueo eiaeeaeaeoaeueiua iniaaiiinoe oa/aiey caaieaaaiey e i?iaiinoe/aneeo aeai?eoiia, iicaieythueo a ieieiaeueii ei?ioeea n?iee ioeaieoue oyaeanoue ninoiyiey iaoeeaioa, noi?ie?iaaoue noaeaeaiea i oa?aeoa?a oa/aiey e aiciiaeiii enoiaea caaieaaaiey o eiie?aoiiai aieueiiai. A oiaea auiieiaiey ?aaiou ?aoaeenue neaaeothuea caaea/e: eco/aiea iniaaiiinoae oa/aiey IEI a 80-90 aiaeu ia i?eia?a ianeaaeiaaiiie iiioeyoeee; onoaiiaeaiea eioi?iaoeaiinoe ?yaea eeeieei-aiaiianoe/aneeo e eino?oiaioaeueiuo iieacaoaeae aeey ii?aaeaeaiey e?aoein?i/iiai e ioaeaeaiiiai i?iaiica caaieaaaiey; nicaeaiea i?iaiinoe/aneeo iiaeaeae, iicaieythueo ia iniiaaiee aeaiiuo, iieo/aaiuo i?e ainieoaeecaoeee aieueiiai e a aeeiaieea noaoeeiia?iiai ia?eiaea caaieaaaiey, ii?aaeaeeoue oa?aeoa? e?aoei- e aeieaia?aiaiiiai enoiaea IEI; ?ac?aaioea iioeiaeueiuo oa?aiaaoe/aneeo e i?ioeeaeoe/aneeo iaoiaeee n o/aoii eiaeeaeaeoaeueiuo iniaaiiinoae oa/aiey IEI; nicaeaiea i?ia?aiiiiai iaania/aiey, iiiiaathuaai a?a/o a ?ac?aaioea e ei??aeoeee i?iaiaeeiie oa?aiee. Aeey ?aoaiey iinoaaeaiiuo caaea/ auee i?iaiaeece?iaaiu enoi?ee aieacie 653 aieueiuo IEI, ea/eaoeony a niaoeeaeece?iaaiiuo ea?aeeieiae/aneeo ioaeaeaieyo a. Oa?ueeiaa a ia?eiae 1981-1985 e 1994-1996 a.a. I?iaaaeaiiue aiaeec iicaieee auyaeoue neaaeothuea eciaiaiey a oa/aiea caaieaaaiey: ioae/eiu /aua, /ai aeaiueiu caaieaaatho IEI (78,3% i?ioea 21,7%). Yoa caeiiiia?iinoue inoaaony iaeciaiiie ia i?ioyaeaiee iineaaeieo eao e ioia/aaony ai anao aic?anoiuo a?oiiao; a oa/aiea iineaaeiaai aeanyoeeaoey ioia/ai ?ino caaieaaaaiinoe IEI n?aaee aeaiuei a aic?anoa noa?oa 60 eao (n 23,6% aei 33,6%); ioia/aia oaiaeaioeey e nieaeaieth n?aaeiaai aic?anoa caaieaaoeo e oaaee/aiea n?aaee ieo aeiee eeoe iieiaea 45 eao (1,1% i?ioea 8,9%); nie?aoeeinue a?aiy io iiiaioa iiyaeaiey ia?auo neiioiiia caaieaaaiey aei ainieoaeecaoeee n 8,6±7,4 / aei 7,9±5,7 /; oa/aiea ainieoaeueiiai ia?eiaea caaieaaaiey ia i?ioyaeaiee iineaaeieo eao noaei aieaa aeaaii?eyoiui, /oi i?iyaeeinue nieaeaieai o?iaiy noaoeeiia?iie eaoaeueiinoe e iieacaoaey “ineiaeiaiiia oa/aiea caaieaaaiey”. Eciaiaiey a oa/aiee IEI iio?aaiaaee oaeoaeaiiiai eco/aiey i?iaiinoe/aneie cia/eiinoe ?yaea eeeieei-aiaiianoe/aneeo e eino?oiaioaeueiuo iieacaoaeae. I?iaaaeaiiue ei??aeyoeeiiiue aiaeec iieacae, /oi iaeaieaa cia/eiuie a i?iaiinoe/aneii ieaia iacaaeneii io aeeeoaeueiinoe ia?eiaea i?iaiice?iaaiey ieacaeenue oaeea iieacaoaee, eae iie, aic?ano, ia?aianaiiue ?aiaa IEI, niioonoaothuee naoa?iue aeeaaao, iieacaoaee, oa?aeoa?ecothuea ninoiyiea nie?aoeoaeueiie ooieoeee ieiea?aea. I?iaaaeaiea iioaaiaiai ?aa?anneiiiiai aiaeeca aeaei aiciiaeiinoue noi?ie?iaaoue aeai?eoiu aeey ii?aaeaeaiey e?aoei- e aeieaia?aiaiiiai i?iaiica IEI, aeinoiaa?iinoue i?iaiice?iaaiey, ii eioi?ui ninoaaeea niioaaonoaaiii 75% e 77,5%. Eniieueciaaiea oiiiyioouo aeai?eoiia iicaieeei auaeaeeoue a?oiiu iaoeeaioia n ?acee/iui oa?aeoa?ii aiciiaeiiai enoiaea caaieaaaiey e i?iaanoe ioeaieo eeeie/aneie yooaeoeaiinoe ?acee/iuo aa?eaioia iaoiaaiaoe/aneie oa?aiee IEI. I?iaaaeaiiia enneaaeiaaiea aeaei aiciiaeiinoue ?aeiiaiaeiaaoue iacia/aiea ia oiia “aaciaie” oa?aiee o?iiaieeoe/aneeo n?aaenoa, anie?eia e aaoa-aae?aiiaeieaoi?ia a ?acee/iuo eiiaeiaoeeyo o iaoeeaioia n i?aaeiieaaaaiui aeaaii?eyoiui enoiaeii caaieaaaiey, o?iiaieeoe/aneeo i?aia?aoia a ni/aoaiee n eiaeaeoi?aie aiaeioaiceii?aa?auathuaai oa?iaioa, aieueiuo n aiciiaeiui iaaeaaii?eyoiui enoiaeii caaieaaaiey. I?eiaiaiea i?aaeeaaaaiuo oa?aiaaoe/aneeo noai i?eaaei e oeo/oaieth eeeie/aneiai oa/aiey caaieaaaiey, nieaeaieth o?iaiy aioo?eaieueie/iie e ioaeaeaiiie eaoaeueiinoe i?e ino?ii eioa?eoa ieiea?aea. Eeth/aaua neiaa: ino?ue eioa?eo ieiea?aea, i?iaiic, eaea?noaaiiay oa?aiey. SUMMARY Leshchenko A.V. “The influence of different strategies of an acute myocardial infarction therapy on a short- and long-term prognosis of the disease”. — Manuscript. Thesis for a candidate's degree of medical sciences with specialty 14.01.11. — cardiology. — Kharkov State Medical University, Kharkov, 1999. This work is devoted to solving a particular problem of modern cardiology, increasing the efficacy of giving medical treatment patients with acute myocardial infarction (AMI) due to further individualization of therapeutic measures and more extensive clinical application of mathematical prognostication results. The candidate for a degree suggested a new approach to working out the schemes of medical therapy of AMI, which is based on using the prognostication models of a short- and long-term result of the disease and which is able to take into account individual peculiarities of the AMI course of a particular patient. The changes in the AMI course which came over the last decade were found and analyzed. Prognostication value of more widely determinable clinical, instrumental and population indices is studied. Prognostication coefficients which help a doctor to estimate a patient's state of health, quickly administer and correct in proper time the medical therapy. New schemes of medical therapy of AMI are worked out taking into account the peculiarities of the AMI course of a particular patient. Their clinical efficacy is studied. Key words: acute myocardial infarction, prognosis, medical therapy. NEI?I*AIIss AO neno. — ?iaaiue nenoiei/iiai a?oa?iaeueiiai oeneo AO aeiano. — ?iaaiue aeianoiei/iiai a?oa?iaeueiiai oeneo AII — aino?ee iioa?eo iiiea?aea AII ?aoe. — ?aoeeaeea aino?iai iioa?eoa iiiea?aeo AII ai. — iiia?aaeiie aino?ee iioa?eo iiiea?aea AEA — aeaeo?iea?aeiia?aia EAe? — eiioeaaee aeianoiei/iee ?icii? IAe? — iaoeiai-aeineiaeia ?iaioa IE — iaaeinoaoiinoue e?iaiiaiao IE — iaa?ye eaaaiia OA — o?aeoeiy aeeeaeo OO1 — oia?eeyoei? oeoii/eia ia iiiaio ainiioaeicaoei? OO2 — oia?eeyoei? oeoii/eia iiae /an ia?aaoaaiiy o noaoeiiia?i OeAe ai. — noiooiie oeoe?iaee aeiaaao *NN — /anoioa na?oeaaeo nei?i/aiue A-V aeie. — ao?ii-aaio?eeoey?ia aeieaaea d — ai?iaiaeiinoue pVP — i?iaiinoe/iinoue iiceoeaiiai ?acoeueoaoo Sa — /ooeeainoue Sp — niaoeeoi/iinoue r — eiao?oe??io ei?aeyoe?? V — aaeiaeiinoue

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