” ɇɨɜɨɫɬɢ ɯɢɪɭɪɝɢɢ ɁȺ. ȾɍɇȾȺɊɈȼ, ȺȺɇ. ȺɅɖɎɂȾɂ ÊËÈÍÈ×ÅÑÊÈÅ ÏÐÎßÂËÅÍÈß ÎÑÒÐÎÉ ÕÎËÀÍÃÈÎÃÅÍÍÎÉ

” ɇɨɜɨɫɬɢ ɯɢɪɭɪɝɢɢ
ɁȺ. ȾɍɇȾȺɊɈȼ, ȺȺɇ. ȺɅɖɎɂȾɂ
ÊËÈÍÈ×ÅÑÊÈÅ ÏÐÎßÂËÅÍÈß ÎÑÒÐÎÉ ÕÎËÀÍÃÈÎÃÅÍÍÎÉ
ÈÍÔÅÊÖÈÈ
ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ»,
Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ
ɉɨ ɫɨɜɨɤɭɩɧɨɫɬɢ ɤɥɢɧɢɤɨɥɚɛɨɪɚɬɨɪɧɵɯ ɤɪɢɬɟɪɢɟɜ ɢ ɢɫɯɨɞɨɜ ɥɟɱɟɧɢɹ ɜɵɞɟɥɟɧɵ ɬɪɢ ɝɪɭɩɩɵ ɛɨɥɶɧɵɯ. ɉɟɪɜɚɹ ɝɪɭɩɩɚ – 51 (53,1%) ɛɨɥɶɧɨɣ ɫ ɛɥɚɝɨɩɪɢɹɬɧɵɦ ɬɟɱɟɧɢɟɦ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. ɍɪɨɜɟɧɶ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ (ɗɂ) ɛɵɥ ɧɟɜɵɫɨɤ, ɪɟɚɤɰɢɹ ɢɦɦɭɧɧɨɣ ɫɢɫɬɟɦɵ ɧɟ ɜɵɯɨɞɢɥɚ ɡɚ ɪɚɦɤɢ ɡɚɳɢɬɧɨɣ. ɍɫɬɪɚɧɟɧɢɟ ɩɪɢɱɢɧɵ ɨɛɬɭɪɚɰɢɢ ɩɪɢɜɨɞɢɥɨ ɤ ɛɵɫɬɪɨɦɭ
ɢɫɱɟɡɧɨɜɟɧɢɸ ɟɺ ɫɢɦɩɬɨɦɨɜ. Ʌɟɬɚɥɶɧɵɯ ɢɫɯɨɞɨɜ ɧɟ ɛɵɥɨ. ȼɬɨɪɚɹ ɝɪɭɩɩɚ – 27 (28,1%) ɛɨɥɶɧɵɯ ɫ
ɨɫɬɪɨɣ ɝɧɨɣɧɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ. ȼ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɟ ɩɪɟɨɛɥɚɞɚɥ ɫɢɧɞɪɨɦ ɗɂ, ɭɪɨɜɟɧɶ ɤɨɬɨɪɨɣ ɛɵɥ ɨɱɟɧɶ ɜɵɫɨɤ. Ɋɚɡɜɢɜɚɥɫɹ ɜɬɨɪɢɱɧɵɣ ɢɦɦɭɧɨɞɟɮɢɰɢɬ, ɩɪɨɹɜɥɹɸɳɢɣɫɹ ɧɚɪɭɲɟɧɢɹɦɢ ɧɟɫɩɟɰɢɮɢɱɟɫɤɨɣ ɪɟɡɢɫɬɟɧɬɧɨɫɬɢ. ɍɦɟɪɥɨ 4 (14,8%) ɛɨɥɶɧɵɯ. ɉɪɢɱɢɧɚɦɢ ɫɦɟɪɬɢ ɛɵɥɢ
ɨɫɬɪɚɹ ɩɟɱɺɧɨɱɧɨɩɨɱɟɱɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ ɢ ɬɹɠɺɥɚɹ ɗɂ, ɩɪɢɜɨɞɹɳɚɹ ɤ ɞɟɤɨɦɩɟɧɫɚɰɢɢ ɫɨɩɭɬɫɬɜɭɸɳɟɣ ɩɚɬɨɥɨɝɢɢ. Ɍɪɟɬɶɹ ɝɪɭɩɩɚ – 18 (18,8%) ɛɨɥɶɧɵɯ ɫ ɫɟɩɬɢɱɟɫɤɢɦ ɬɟɱɟɧɢɟɦ ɨɫɬɪɨɣ
ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. ɗɬɚ ɮɨɪɦɚ ɡɚɛɨɥɟɜɚɧɢɹ ɫɨɩɪɨɜɨɠɞɚɥɚɫɶ ɜɵɪɚɠɟɧɧɨɣ ɞɟɤɨɦɩɟɧɫɚɰɢɟɣ
ɡɚɳɢɬɧɵɯ ɫɢɥ ɨɪɝɚɧɢɡɦɚ. ɍɫɬɪɚɧɟɧɢɟ ɩɪɢɱɢɧɵ ɯɨɥɟɫɬɚɡɚ ɧɟ ɜɫɟɝɞɚ ɩɪɢɜɨɞɢɥɨ ɤ ɫɬɢɯɚɧɢɸ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. ɍ ɱɚɫɬɢ ɛɨɥɶɧɵɯ ɨɧɚ ɩɪɨɝɪɟɫɫɢɪɨɜɚɥɚ. ɍɦɟɪɥɨ 7 (41,2%) ɛɨɥɶɧɵɯ. ɉɪɢɱɢɧɚɦɢ ɫɦɟɪɬɢ ɛɵɥɢ ɫɟɩɫɢɫ, ɛɚɤɬɟɪɢɚɥɶɧɨɬɨɤɫɢɱɟɫɤɢɣ ɲɨɤ ɢ ɩɨɥɢɨɪɝɚɧɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ. Ɉɰɟɧɤɚ
ɯɨɥɚɧɝɢɬɚ ɫ ɩɨɡɢɰɢɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɨɛɭɫɥɚɜɥɢɜɚɟɬ ɧɟɨɛɯɨɞɢɦɨɫɬɶ ɢɧɞɢɜɢɞɭɚɥɶɧɨɝɨ
ɩɨɞɯɨɞɚ ɤ ɥɟɱɟɛɧɵɦ ɦɟɪɨɩɪɢɹɬɢɹɦ.
According to the clinical-laboratory criteria and treatment outcomes, three groups of patients were
distinguished. The first group included 51 patients (53,1%) with favourable course of acute cholangiogenic
infection. Endogenic intoxication (EI) level was not high; the reaction of the immune system didn’t
exceed the limits of being protective. Elimination of the obturation cause resulted in a fast disappearance
of its symptoms. There were no fatal outcomes. The second group included 27 patients (28,1%) with
acute suppurative cholangiogenic infection. In the clinical picture the syndrome of EI predominated, the
level of which was very high. Secondary immunodeficiency was developing, revealing itself in nonspecific resistance disorders. Four patients (14,8%) died. The causes of death were an acute hepaticrenal deficiency and severe EI leading to decompensation of accompanying pathology. The third group
included 18 patients (18,8%) with a septic course of acute cholangiogenic infection. This form of the
disease was accompanied by marked decompensation of the body protective immunity. Elimination of
the cholestasis cause didn’t always result in weakening the cholangiogenic infection. In some patients it
grew progressively worse. Seven patients (41,2%) died. The causes of death were sepsis, bacterialtoxic shock and polyorganic deficiency. The estimation of cholangitis from the position of the cholangiogenic
infection demands the necessity of individual approach to the medical measures.
Ɉɫɬɪɵɣ ɯɨɥɚɧɝɢɬ, ɹɜɥɹɹɫɶ ɫɩɭɬɧɢɤɨɦ
ɨɛɬɭɪɚɰɢɢ ɠɟɥɱɧɵɯ ɩɪɨɬɨɤɨɜ, ɜ ɧɚɫɬɨɹɳɟɟ
ɜɪɟɦɹ ɩɪɢɨɛɪɟɥ ɫɬɚɬɭɫ ɫɚɦɨɫɬɨɹɬɟɥɶɧɨɣ
2
ɩɪɨɛɥɟɦɵ. ȼ ɩɨɫɥɟɞɧɢɟ ɞɟɫɹɬɢɥɟɬɢɹ ɛɨɥɶɧɵɟ ɫ ɜɨɫɩɚɥɢɬɟɥɶɧɵɦɢ ɢ ɨɛɫɬɪɭɤɬɢɜɧɵɦɢ ɡɚɛɨɥɟɜɚɧɢɹɦɢ ɠɟɥɱɧɵɯ ɩɭɬɟɣ ɩɪɨɱɧɨ
ʋ4x 2006 i ɬɨɦ 14
ɡɚɧɹɥɢ ɨɞɧɨ ɢɡ ɩɟɪɜɵɯ ɦɟɫɬ ɜ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɫɬɚɰɢɨɧɚɪɚɯ ɨɛɳɟɝɨ ɩɪɨɮɢɥɹ. ɇɟɭɤɥɨɧɧɨ ɪɚɫɬɟɬ ɱɢɫɥɨ ɛɨɥɶɧɵɯ ɫ ɨɫɥɨɠɧɟɧɧɵɦɢ
ɮɨɪɦɚɦɢ ɩɨɪɚɠɟɧɢɣ ɛɢɥɢɚɪɧɨɝɨ ɬɪɚɤɬɚ,
ɫɪɟɞɢ ɤɨɬɨɪɵɯ ɜɟɞɭɳɟɟ ɦɟɫɬɨ ɡɚɧɢɦɚɟɬ ɯɨɥɚɧɝɢɬ [1]. əɜɥɹɹɫɶ ɨɞɧɢɦ ɢɡ ɧɚɢɛɨɥɟɟ ɬɹɠɟɥɵɯ ɨɫɥɨɠɧɟɧɢɣ ɡɚɛɨɥɟɜɚɧɢɣ ɠɟɥɱɟɜɵɜɨɞɹɳɢɯ ɩɭɬɟɣ, ɨɛɫɬɪɭɤɬɢɜɧɵɣ ɯɨɥɚɧɝɢɬ, ɜ
ɫɜɨɸ ɨɱɟɪɟɞɶ, ɧɟɪɟɞɤɨ ɩɪɢɜɨɞɢɬ ɤ ɪɚɡɜɢɬɢɸ ɨɩɚɫɧɵɯ ɞɥɹ ɠɢɡɧɢ ɨɫɥɨɠɧɟɧɢɣ: ɜɧɭɬɪɢɩɟɱɟɧɨɱɧɵɯ ɚɛɫɰɟɫɫɨɜ, ɫɟɩɫɢɫɚ, ɛɚɤɬɟɪɢɚɥɶɧɨɬɨɤɫɢɱɟɫɤɨɝɨ ɲɨɤɚ, ɩɟɱɟɧɨɱɧɨɩɨɱɟɱɧɨɣ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢ.
Ⱦɚɠɟ ɩɪɢ ɫɜɨɟɜɪɟɦɟɧɧɨ ɜɵɩɨɥɧɟɧɧɵɯ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɨɩɟɪɚɰɢɹɯ ɢ ɦɚɧɢɩɭɥɹɰɢɹɯ ɫɨɱɟɬɚɧɢɟ ɦɟɯɚɧɢɱɟɫɤɨɣ ɠɟɥɬɭɯɢ
ɢ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɨɤɚɡɵɜɚɟɬɫɹ ɨɫɧɨɜɧɨɣ ɩɪɢɱɢɧɨɣ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɨɣ ɥɟɬɚɥɶɧɨɫɬɢ, ɞɨɫɬɢɝɚɸɳɟɣ 1560% ɜɫɥɟɞɫɬɜɢɟ ɩɨɡɞɧɟɝɨ ɭɫɬɚɧɨɜɥɟɧɢɹ
ɞɢɚɝɧɨɡɚ, ɩɪɟɛɵɜɚɧɢɹ ɩɚɰɢɟɧɬɨɜ ɜ ɧɟɩɪɨɮɢɥɶɧɵɯ ɥɟɱɟɛɧɵɯ ɭɱɪɟɠɞɟɧɢɹɯ, ɧɟɷɮɮɟɤɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ, ɧɚɥɢɱɢɹ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ, ɬɹɠɟɫɬɢ ɫɨɫɬɨɹɧɢɹ ɛɨɥɶɧɵɯ ɩɪɢ ɩɨɫɬɭɩɥɟɧɢɢ ɜ ɯɢɪɭɪɝɢɱɟɫɤɢɣ
ɫɬɚɰɢɨɧɚɪ [1,2,3].
ȼ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɜɵɞɟɥɹɸɬ ɧɟɫɤɨɥɶɤɨ ɫɢɧɞɪɨɦɨɜ, ɮɨɪɦɢɪɭɸɳɢɯ ɤɥɢɧɢɱɟɫɤɭɸ
ɤɚɪɬɢɧɭ ɜ ɪɚɡɥɢɱɧɵɯ ɫɬɚɞɢɹɯ ɨɫɬɪɨɝɨ
ɝɧɨɣɧɨɝɨ ɯɨɥɚɧɝɢɬɚ: ɠɟɥɱɧɭɸ ɝɢɩɟɪɬɟɧɡɢɸ (ɯɨɥɚɧɝɢɨɷɤɬɚɡɢɹ), ɦɟɯɚɧɢɱɟɫɤɭɸ ɠɟɥɬɭɯɭ (ɯɨɥɟɦɢɹ ɢ ɚɯɨɥɢɹ), ɷɧɞɨɬɨɤɫɢɤɨɡ ɢ ɩɨɥɢɨɪɝɚɧɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ [1,3]. ɉɨɞ
ɝɧɨɣɧɵɦ ɯɨɥɚɧɝɢɬɨɦ ɩɨɞɪɚɡɭɦɟɜɚɟɬɫɹ
ɧɚɢɛɨɥɟɟ ɬɹɠɟɥɨɟ ɢ ɩɪɨɝɧɨɫɬɢɱɟɫɤɢ ɧɟɛɥɚɝɨɩɪɢɹɬɧɨɟ ɬɟɱɟɧɢɟ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. Ⱦɢɚɝɧɨɫɬɢɤɚ ɝɧɨɣɧɨɝɨ ɯɨɥɚɧɝɢɬɚ ɨɫɧɨɜɵɜɚɟɬɫɹ ɧɚ ɨɰɟɧɤɟ ɟɝɨ ɤɥɢɧɢɱɟɫɤɢɯ ɢ ɦɟɫɬɧɵɯ ɩɪɨɹɜɥɟɧɢɣ. ȼɦɟɫɬɟ
ɫ ɬɟɦ, ɞɨɫɬɨɜɟɪɧɚɹ ɡɚɜɢɫɢɦɨɫɬɶ ɦɟɠɞɭ
ɫɢɫɬɟɦɧɵɦɢ ɢ ɦɟɫɬɧɵɦɢ ɜɨɫɩɚɥɢɬɟɥɶɧɵɦɢ ɢɡɦɟɧɟɧɢɹɦɢ ɫɨ ɫɬɨɪɨɧɵ ɠɟɥɱɧɵɯ ɩɪɨɬɨɤɨɜ ɨɬɫɭɬɫɬɜɭɟɬ, ɚ ɜɟɪɢɮɢɤɚɰɢɹ ɝɧɨɣɧɨɝɨ ɯɨɥɚɧɝɢɬɚ ɛɟɡ ɭɱɟɬɚ ɤɥɢɧɢɱɟɫɤɢɯ ɩɪɨɹɜɥɟɧɢɣ ɩɪɢɜɨɞɢɬ ɤ ɝɢɩɟɪɞɢɚɝɧɨɫɬɢɤɟ
ɷɬɨɣ ɮɨɪɦɵ ɢ ɧɟ ɨɬɪɚɠɚɟɬ ɬɹɠɟɫɬɶ ɢ ɩɪɨɝɧɨɡ ɡɚɛɨɥɟɜɚɧɢɹ [4].
ɐɟɥɶɸ ɧɚɲɟɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɹɜɢɥɚɫɶ
ɫɢɫɬɟɦɚɬɢɡɚɰɢɹ ɦɧɨɝɨɨɛɪɚɡɢɹ ɤɥɢɧɢɱɟɫɤɢɯ ɩɪɨɹɜɥɟɧɢɣ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ
ɢɧɮɟɤɰɢɢ.
Ɇɚɬɟɪɢɚɥɵ ɢ ɦɟɬɨɞɵ
Ɉɛɴɟɤɬɨɦ ɢɫɫɥɟɞɨɜɚɧɢɹ ɹɜɢɥɢɫɶ 96
ɛɨɥɶɧɵɯ ɨɫɬɪɵɦ ɯɨɥɚɧɝɢɬɨɦ, ɩɪɨɥɟɱɟɧɧɵɯ
ɜ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɨɬɞɟɥɟɧɢɹɯ ȽɈɄȻ ɡɚ ɩɟɪɢɨɞ 1999-2004 ɝɝ. ɀɟɧɳɢɧ ɛɵɥɨ 78
(81,3%), ɦɭɠɱɢɧ – 18 (18,7%). ɋɪɟɞɧɢɣ ɜɨɡɪɚɫɬ ɛɨɥɶɧɵɯ ɫɨɫɬɚɜɢɥ 65±3 ɝɨɞɚ.
Ⱦɢɚɝɧɨɫɬɢɤɚ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɨɫɧɨɜɚɧɢɢ ɠɚɥɨɛ, ɚɧɚɦɧɟɡɚ, ɞɚɧɧɵɯ ɮɢɡɢɤɚɥɶɧɨɝɨ ɨɛɫɥɟɞɨɜɚɧɢɹ, ɤɥɢɧɢɤɨɥɚɛɨɪɚɬɨɪɧɵɯ
ɩɨɤɚɡɚɬɟɥɟɣ, ɤɨɦɩɥɟɤɫɚ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɵɯ ɦɟɬɨɞɨɜ ɢɫɫɥɟɞɨɜɚɧɢɹ, ɤɨɬɨɪɵɟ ɜɤɥɸɱɚɥɢ: ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ (ɍɁɂ)
ɚɩɩɚɪɚɬɚɦɢ “Acuson” 128 ɏɊ/10, ɷɡɨɮɚɝɨɮɢɛɪɨɝɚɫɬɪɨɞɭɨɞɟɧɨ ɫɤɨɩɢɸ (GIF-T
“Olympus”) ɢ ɞɭɨɞɟɧɨɫɤɨɩɢɸ ɚɩɩɚɪɚɬɚɦɢ
TGF-20 “Olympus” ɫ ɛɨɤɨɜɨɣ ɨɩɬɢɤɨɣ ɞɥɹ
ɨɫɦɨɬɪɚ ɛɨɥɶɧɨɝɨ ɞɭɨɞɟɧɚɥɶɧɨɝɨ ɫɨɫɨɱɤɚ
ȻȾɋ) ɩɚɪɚɮɚɬɟɪɚɥɶɧɨɣ ɨɛɥɚɫɬɢ ɢ ɨɩɪɟɞɟɥɟɧɢɹ ɜɨɡɦɨɠɧɨɫɬɢ ɜɵɩɨɥɧɟɧɢɹ ɷɧɞɨɫɤɨɩɢɱɟɫɤɨɣ ɩɚɩɢɥɥɨɫɮɢɧɤɬɟɪɨɬɨɦɢɢ (ɗɉɌ).
Ⱦɨɫɬɨɜɟɪɧɵɟ ɷɯɨɝɪɚɮɢɱɟɫɤɢɟ ɩɪɢɡɧɚɤɢ
ɨɫɬɪɨɝɨ ɯɨɥɚɧɝɢɬɚ ɜ ɥɢɬɟɪɚɬɭɪɟ ɧɟ ɨɩɢɫɚɧɵ. ȼɦɟɫɬɟ ɫ ɬɟɦ, ɦɟɬɨɞ ɍɁɂ ɹɜɥɹɟɬɫɹ ɦɟɬɨɞɨɦ ɫɤɪɢɧɢɧɝɚ ɭ ɛɨɥɶɧɵɯ ɫ ɩɚɬɨɥɨɝɢɟɣ
ɝɟɩɚɬɨɩɚɧɤɪɟɚɬɨɞɭɨɞɟɧɚɥɶɧɨɣ ɡɨɧɵ. Ɉɫɧɨɜɧɵɦɢ ɷɯɨɝɪɚɮɢɱɟɫɤɢɦɢ ɩɪɢɡɧɚɤɚɦɢ,
ɩɨɡɜɨɥɹɸɳɢɦɢ ɩɪɟɞɩɨɥɨɠɢɬɶ ɭ ɛɨɥɶɧɨɝɨ
ɨɫɬɪɵɣ ɯɨɥɚɧɝɢɬ ɹɜɥɹɥɢɫɶ: ɪɚɫɲɢɪɟɧɢɟ
ɜɧɭɬɪɢɩɟɱɟɧɨɱɧɵɯ ɠɟɥɱɧɵɯ ɩɪɨɬɨɤɨɜ ɢ
ɝɟɩɚɬɢɤɨɯɨɥɟɞɨɯɚ (>8 ɦɦ); ɤɨɧɤɪɟɦɟɧɬɵ ɜ
ɩɪɨɫɜɟɬɟ ɠɟɥɱɧɵɯ ɩɪɨɬɨɤɨɜ; ɭɬɨɥɳɟɧɢɟ
ɫɬɟɧɨɤ ɝɟɩɚɬɢɤɨɯɨɥɟɞɨɯɚ. ɉɪɢ ɞɭɨɞɟɧɨɫɤɨɩɢɢ ɢ ɩɪɢɰɟɥɶɧɨɦ ɨɫɦɨɬɪɟ ȻȾɋ ɤ ɤɨɫɜɟɧɧɵɦ ɩɪɢɡɧɚɤɚɦ ɨɫɬɪɨɝɨ ɯɨɥɚɧɝɢɬɚ ɨɬɧɨɫɢɥɢ ɝɢɩɟɪɟɦɢɸ, ɨɬɟɱɧɨɫɬɶ ɢ ɜɵɛɭɯɚɧɢɟ ɩɚɩɢɥɥɵ, ɚ ɬɚɤɠɟ ɜɢɡɭɚɥɢɡɚɰɢɸ ɤɚɦɧɹ ɧɟ3
” ɇɨɜɨɫɬɢ ɯɢɪɭɪɝɢɢ
ɩɨɫɪɟɞɫɬɜɟɧɧɨ ɜ ɭɫɬɶɟ ȻȾɋ. ɉɪɹɦɵɦ ɞɨɤɚɡɚɬɟɥɶɫɬɜɨɦ ɧɚɥɢɱɢɹ ɭ ɛɨɥɶɧɨɝɨ ɨɫɬɪɨɝɨ ɯɨɥɚɧɝɢɬɚ ɫɱɢɬɚɥɢ ɩɨɫɬɭɩɥɟɧɢɟ ɢɡ ɯɨɥɟɞɨɯɚ ɦɭɬɧɨɣ, ɫ ɯɥɨɩɶɹɦɢ ɮɢɛɪɢɧɚ ɢ
ɝɧɨɣɧɨɣ ɠɟɥɱɢ ɩɨɫɥɟ ɷɧɞɨɫɤɨɩɢɱɟɫɤɨɣ ɩɚɩɢɥɥɨɫɮɢɧɤɬɟɪɨɬɨɦɢɢ. Ɉɩɪɟɞɟɥɟɧɢɟ ɥɚɛɨɪɚɬɨɪɧɵɯ ɩɨɤɚɡɚɬɟɥɟɣ (ɝɟɦɨɝɪɚɦɦɵ ɫ
ɜɵɱɢɫɥɟɧɢɟɦ ɥɟɣɤɨɰɢɬɚɪɧɨɝɨ ɢɧɞɟɤɫɚ ɢɧɬɨɤɫɢɤɚɰɢɢ – Ʌɂɂ əə. ɄɚɥɶɮɄɚɥɢɮɚ,
ɪɚɡɜɟɪɧɭɬɨɝɨ ɛɢɨɯɢɦɢɱɟɫɤɨɝɨ ɚɧɚɥɢɡɚ ɤɪɨɜɢ, ɨɫɧɨɜɧɵɯ ɮɚɤɬɨɪɨɜ ɤɥɟɬɨɱɧɨɝɨ ɢ ɝɭɦɨɪɚɥɶɧɨɝɨ ɢɦɦɭɧɢɬɟɬɚ) ɩɪɨɜɨɞɢɥɢ ɩɨ
ɨɛɳɟɩɪɢɧɹɬɵɦ ɭɧɢɮɢɰɢɪɨɜɚɧɧɵɦ ɦɟɬɨɞɢɤɚɦ [5]. Ɉɩɪɟɞɟɥɹɥɢ ɬɚɤɠɟ ɥɟɣɤɨɌɤɥɟɬɨɱɧɵɣ ɢɧɞɟɤɫ (ɅɌɤɥɂ) – ɨɬɧɨɲɟɧɢɟ ɤɨɥɢɱɟɫɬɜɚ ɥɟɣɤɨɰɢɬɨɜ ɤ ɱɢɫɥɭ Ɍɥɢɦɮɨɰɢɬɨɜ ɜ 1 ɦɥ ɤɪɨɜɢ, ɤɨɬɨɪɵɣ ɛɨɥɟɟ ɬɨɱɧɨ ɨɬɪɚɠɚɟɬ ɫɨɞɟɪɠɚɧɢɟ Ɍɥɢɦɮɨɰɢɬɨɜ ɜ ɩɟɪɢɮɟɪɢɱɟɫɤɨɣ ɤɪɨɜɢ, ɧɟɠɟɥɢ ɢɯ ɚɛɫɨɥɸɬɧɨɟ
ɢ ɨɬɧɨɫɢɬɟɥɶɧɨɟ ɤɨɥɢɱɟɫɜɬɨ [6]. Ʉɨɦɩɥɟɤɫɧɵɦ ɩɨɤɚɡɚɬɟɥɟɦ, ɜɤɥɸɱɚɸɳɢɦ ɨɰɟɧɤɭ
ɪɟɚɤɰɢɢ «ɛɟɥɨɣ ɤɪɨɜɢ» ɧɚ ɷɧɞɨɝɟɧɧɭɸ ɢɧɬɨɤɫɢɤɚɰɢɸ ɫ ɭɱɟɬɨɦ ɜɨɡɪɚɫɬɚ ɛɨɥɶɧɨɝɨ
ɹɜɥɹɟɬɫɹ ɢɧɞɟɤɫ ɪɟɡɢɫɬɟɧɬɧɨɫɬɢ ɨɪɝɚɧɢɡɦɚ (ɂɊɈ), ɨɩɪɟɞɟɥɹɟɦɵɣ ɩɨ ɮɨɪɦɭɥɟ:
ɂɊɈ=
Ʌ
,
ȼ ɯɯ Ʌɂ
ɝɞɟ Ʌ – ɤɨɥɢɱɟɫɬɜɨ ɥɟɣɤɨɰɢɬɨɜ, ȼ – ɜɨɡɪɚɫɬ (ɝɨɞɵ), Ʌɂɂ – ɥɟɣɤɨɰɢɬɚɪɧɵɣ ɢɧɞɟɤɫ
ɢɧɬɨɤɫɢɤɚɰɢɢ ɩɨ əəɄɚɥɶɮɄɚɥɢɮɭ [6].
ɑɟɦ ɧɢɠɟ ɷɬɨɬ ɢɧɞɟɤɫ, ɬɟɦ ɬɹɠɟɥɟɟ ɫɬɟɩɟɧɶ ɷɧɞɨɤɫɢɤɨɡɚ. Ɉɩɪɟɞɟɥɹɥɢ ɫɨɞɟɪɠɚɧɢɟ
ɬɪɚɧɫɮɟɪɪɢɧɚ ɜ ɤɪɨɜɢ. ȿɝɨ ɭɪɨɜɟɧɶ ɤɨɪɪɟɥɢɪɭɟɬ ɤɚɤ ɫ ɫɨɞɟɪɠɚɧɢɟɦ ɦɚɪɤɟɪɨɜ ɜɨɫɩɚɥɟɧɢɹ (ɮɚɤɬɨɪ ɧɟɤɪɨɡɚ ɨɩɭɯɨɥɟɣ, ɢɧɬɟɪɥɟɣɤɢɧɨɜ 1 ɢ 8), ɬɚɤ ɢ ɫ ɬɹɠɟɫɬɶɸ ɫɨɫɬɨɹɧɢɹ. ɑɟɦ ɬɹɠɟɥɟɟ ɫɨɫɬɨɹɧɢɟ ɛɨɥɶɧɨɝɨ, ɬɟɦ
ɪɟɡɱɟ ɫɧɢɠɟɧɨ ɫɨɞɟɪɠɚɧɢɟ ɬɪɚɧɫɮɟɪɪɢɧɚ
[7]. Ʉɨɧɰɟɧɬɪɚɰɢɸ ɦɨɥɟɤɭɥ ɫɪɟɞɧɟɣ ɦɚɫɫɵ (ɆɋɆ) ɩɪɨɜɨɞɢɥɢ ɦɟɬɨɞɨɦ ɩɪɹɦɨɣ
ɫɩɟɤɬɪɨɮɨɬɨɦɟɬɪɢɢ ɩɨ ɇɂȽɚɛɪɢɷɥɹɧɭ ɫ
ɫɨɚɜɬ. (1981) ɩɪɢ ɞɥɢɧɟ ɜɨɥɧɵ 254 ɧɦ.
4
Ɋɟɡɭɥɶɬɚɬɵ ɢ ɨɛɫɭɠɞɟɧɢɟ
Ɋɟɬɪɨɫɩɟɤɬɢɜɧɨɟ ɢɡɭɱɟɧɢɟ 96 ɢɫɬɨɪɢɣ
ɛɨɥɟɡɧɢ ɩɚɰɢɟɧɬɨɜ ɫ ɨɫɬɪɵɦ ɯɨɥɚɧɝɢɬɨɦ
ɩɨɡɜɨɥɢɥɨ ɜɵɞɟɥɢɬɶ ɬɪɢ ɝɪɭɩɩɵ ɛɨɥɶɧɵɯ
ɩɨ ɫɨɜɨɤɭɩɧɨɫɬɢ ɤɥɢɧɢɤɨɥɚɛɨɪɚɬɨɪɧɵɯ
ɤɪɢɬɟɪɢɟɜ ɢ ɢɫɯɨɞɨɜ.
ɉɟɪɜɭɸ ɝɪɭɩɩɭ ɫɨɫɬɚɜɢɥɢ 51 (53,1%)
ɛɨɥɶɧɨɣ ɫ ɨɬɧɨɫɢɬɟɥɶɧɨ ɛɥɚɝɨɩɪɢɹɬɧɵɦ
ɬɟɱɟɧɢɟɦ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. Ɂɚɛɨɥɟɜɚɧɢɟ ɭ ɧɢɯ ɜɨɡɧɢɤɚɥɨ ɜɩɟɪɜɵɟ
ɢ ɨɫɬɪɨ. ɋɢɦɩɬɨɦɵ ɨɫɬɪɨɝɨ ɯɨɥɚɧɝɢɬɚ –
ɠɟɥɬɭɯɚ, ɛɨɥɶ, ɩɨɜɵɲɟɧɢɟ ɬɟɦɩɟɪɚɬɭɪɵ
ɬɟɥɚ ɜ ɪɚɡɥɢɱɧɨɣ ɫɬɟɩɟɧɢ ɜɵɪɚɠɟɧɧɨɫɬɢ
ɨɬɦɟɱɟɧɵ ɭ ɜɫɟɯ ɛɨɥɶɧɵɯ. ȼɦɟɫɬɟ ɫ ɬɟɦ,
ɨɩɪɟɞɟɥɟɧɢɟ ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ ɫɢɧɞɪɨɦɚ
ɫɢɫɬɟɦɧɨɝɨ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɨɬɜɟɬɚ
ɋɋȼɈ) ɫɨɝɥɚɫɧɨ ɪɟɲɟɧɢɹɦ ɑɢɤɚɝɫɤɨɣ
Ɇɟɠɞɭɧɚɪɨɞɧɨɣ ɫɨɝɥɚɫɢɬɟɥɶɫɤɨɣ ɤɨɧɮɟɪɟɧɰɢɢ (1991) ɜɵɹɜɢɥɨ ɭɦɟɪɟɧɧɭɸ ɫɬɟɩɟɧɶ
ɬɹɠɟɫɬɢ ɷɬɨɣ ɤɚɬɟɝɨɪɢɢ ɛɨɥɶɧɵɯ.
ȼɬɨɪɭɸ ɝɪɭɩɩɭ ɫɨɫɬɚɜɢɥɢ 27(28,1%)
ɛɨɥɶɧɵɯ ɫ ɨɫɬɪɨɣ ɝɧɨɣɧɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ
ɢɧɮɟɤɰɢɟɣ. ȼ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɟ ɭ ɷɬɢɯ
ɛɨɥɶɧɵɯ ɩɪɟɨɛɥɚɞɚɥ ɫɢɧɞɪɨɦ ɷɧɞɨɝɟɧɧɨɣ
ɢɧɬɨɤɫɢɤɚɰɢɢ (ɗɂ). ɋɬɟɩɟɧɶ ɬɹɠɟɫɬɢ
ɋɋȼɈ ɛɵɥɚ ɧɚ ɭɪɨɜɧɟ ɫɪɟɞɧɟɣ ɬɹɠɟɫɬɢ ɢ
ɬɹɠɟɥɨɣ.
Ɍɪɟɬɶɸ ɝɪɭɩɩɭ ɫɨɫɬɚɜɢɥɢ 18 (18,8%)
ɛɨɥɶɧɵɯ ɫ ɫɟɩɬɢɱɟɫɤɢɦ ɬɟɱɟɧɢɟɦ ɨɫɬɪɨɣ
ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. ɗɬɨ ɛɵɥɚ ɧɚɢɛɨɥɟɟ ɬɹɠɟɥɚɹ ɤɚɬɟɝɨɪɢɹ ɛɨɥɶɧɵɯ ɫ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ, ɭ ɤɨɬɨɪɵɯ ɜ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɟ ɩɪɟɨɛɥɚɞɚɥɚ ɤɚɪɬɢɧɚ ɯɨɥɚɧɝɢɨɝɟɧɧɨɝɨ ɫɟɩɫɢɫɚ, ɞɨɫɬɢɝɚɜɲɚɹ ɭ 5 ɛɨɥɶɧɵɯ ɫɬɟɩɟɧɢ ɛɚɤɬɟɪɢɚɥɶɧɨɬɨɤɫɢɱɟɫɤɨɝɨ
ɲɨɤɚ. Ⱦɚɧɧɵɟ ɩɪɟɞɫɬɚɜɥɟɧɵ ɜ ɬɚɛɥɢɰɟ 1.
Ⱦɥɹ ɨɰɟɧɤɢ ɜɵɪɚɠɟɧɧɨɫɬɢ ɷɧɞɨɝɟɧɧɨɣ
ɢɧɬɨɤɫɢɤɚɰɢɢ ɛɵɥ ɢɡɭɱɟɧ ɪɹɞ ɝɟɦɚɬɨɥɨɝɢɱɟɫɤɢɯ ɩɨɤɚɡɚɬɟɥɟɣ (ɬɚɛɥɢɰɚ 2).
ɂɡ ɬɚɛɥɢɰɵ 2 ɜɢɞɧɨ, ɱɬɨ ɭ ɛɨɥɶɧɵɯ ɩɟɪɜɨɣ ɝɪɭɩɩɵ ɨɬɦɟɱɟɧɵ ɩɪɢɡɧɚɤɢ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ ɥɟɝɤɨɣ ɫɬɟɩɟɧɢ, ɜɵɪɚɠɟɧɧɚɹ ɷɧɞɨɝɟɧɧɚɹ ɢɧɬɨɤɫɢɤɚɰɢɹ ɭ ɛɨɥɶɧɵɯ ɜɬɨɪɨɣ ɝɪɭɩɩɵ ɢ ɬɹɠɟɥɚɹ ɢɧɬɨɤɫɢɤɚ-
ʋ4x 2006 i ɬɨɦ 14
Ɍɚɛɥɢɰɚ 1
Ɋɚɫɩɪɟɞɟɥɟɧɢɟ ɛɨɥɶɧɵɯ ɩɨ ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ ɋɋȼɈ
Ʉɨɥɢɱɟɫɬɜɨ ɩɪɢɡɧɚɤɨɜ ɋɋȼɈ
0-1
2
3
4
Ɍɪɟɬɶɹ
ɝɪɭɩɩɚ
n=18
8(44,4%)
10(55,6%)
ȼɬɨɪɚɹ
ɝɪɭɩɩɚ
n=27
3(11,1%)
16(59,3%)
8(29,6%)
ɉɟɪɜɚɹ
ɝɪɭɩɩɚ
n=51
35 (68,6%)
16(31,5%)
-
Ɍɚɛɥɢɰɚ 2
Ƚɟɦɚɬɨɥɨɝɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɫɢɧɞɪɨɦɚ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ
ɉɨɤɚɡɚɬɟɥɶ
ɇɨɪɦɚ
ɞɨɧɨɪɵ)
ɉɟɪɜɚɹ
ɝɪɭɩɩɚ
ȼɬɨɪɚɹ
ɝɪɭɩɩɚ
Ɍɪɟɬɶɹ
ɝɪɭɩɩɚ
Ʌɟɣɤɨɰɢɬɵ, ɯ109ɥ
Ʌɂɂ, ɟɞ
ɂɊɈ, ɟɞ
ɅɌɤɥɂ, ɟɞ
ɆɋɆ, ɟɞ
6,48±0,53
1,01±0,2
6,17±0,21
0,24±0,03
11,5±0,68 *
2,96±0,18*
102,4±3,7
10,4±0,23*
0,35±0,04*
12,6±1,49*
6,23±1,57*,**
74,3±5,2**
14,2±0,78*,**
0,52±0,07*,**
14,3±1,8*
8,61±2,53*,**
43,6±4,8**,***
17,8±0,63*,**,***
0,73±0,06*,**,***
ɉɪɢɦɟɱɚɧɢɟ: ɡɞɟɫɶ ɢ ɜ ɬɚɛɥ. 3,4: * - ɪɚɡɥɢɱɢɹ ɞɨɫɬɨɜɟɪɧɵ ɩɨ ɫɪɚɜɧɟɧɢɸ ɫ ɧɨɪɦɨɣ
ɩɪɢ Ɋ<0,05; ** - ɪɚɡɥɢɱɢɹ ɞɨɫɬɨɜɟɪɧɵ ɩɨ ɫɪɚɜɧɟɧɢɸ ɫ ɩɟɪɜɨɣ ɝɪɭɩɩɨɣ ɩɪɢ Ɋ<0,05;
*** - ɪɚɡɥɢɱɢɹ ɞɨɫɬɨɜɟɪɧɵ ɦɟɠɞɭ ɬɪɟɬɶɟɣ ɢ ɜɬɨɪɨɣ ɝɪɭɩɩɚɦɢ ɩɪɢ Ɋ<0,05.
Ɍɚɛɥɢɰɚ 3
ɇɟɤɨɬɨɪɵɟ ɛɢɨɯɢɦɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɭ ɛɨɥɶɧɵɯ ɫɪɚɜɧɢɜɚɟɦɵɯ ɝɪɭɩɩ
ɉɨɤɚɡɚɬɟɥɶ
Ȼɢɥɢɪɭɛɢɧ ɨɛɳ.,
ɦɤɦɨɥɶɥ
ȺɅɌ, ɦɦɨɥɶɥ
ȺɋɌȺɅɌ, ɟɞ
Ɉɛɳɢɣ ɛɟɥɨɤ, ɝɥ
Ⱥɥɶɛɭɦɢɧ, ɝɥ
Ɍɪɚɧɫɮɟɪɪɢɧ, ɝɥ
Ɇɨɱɟɜɢɧɚ, ɦɦɨɥɶɥ
ɇɨɪɦɚ
ɞɨɧɨɪɵ)
ɉɟɪɜɚɹ
ɝɪɭɩɩɚ
ȼɬɨɪɚɹ
ɝɪɭɩɩɚ
Ɍɪɟɬɶɹ
ɝɪɭɩɩɚ
16,3±2,1
118,9±16,4*
144,9±21,2*
161,3±23,7*
0,32±0,09
1,35±0,2
68,4±3,7
43,6±2,9
1,79±0,11
4,67±2,11
0,86±0,12*
0,91±0,08*
63,4±2,8
37,4±1,29
1,65±0,07
6,28±2,36
1,25±0,14*,**
0,62±0,1*,**
56,7±3,1*
32,5±1,6*
1,41±0,14*
9,7±3,1*
1,43±0,21*,**
0,45±0,09*,**
51,4±4,2*,**
27,8±2,1*,**
1,26±0,09*,**
14,8±2,9*,**
5
” ɇɨɜɨɫɬɢ ɯɢɪɭɪɝɢɢ
ɰɢɹ ɭ ɛɨɥɶɧɵɯ ɫ ɫɟɩɬɢɱɟɫɤɢɦ ɬɟɱɟɧɢɟɦ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ.
ɂɡɭɱɟɧ ɪɹɞ ɛɢɨɯɢɦɢɱɟɫɤɢɯ ɩɨɤɚɡɚɬɟɥɟɣ, ɞɨɫɬɭɩɧɵɯ ɞɥɹ ɥɟɱɟɛɧɨɝɨ ɭɱɪɟɠɞɟɧɢɹ
ɥɸɛɨɝɨ ɭɪɨɜɧɹ. ɂɡɦɟɧɟɧɢɹ ɷɬɢɯ ɩɨɤɚɡɚɬɟɥɟɣ ɩɪɟɞɫɬɚɜɥɟɧɵ ɜ ɬɚɛɥɢɰɟ 3.
Ⱦɚɧɧɵɟ ɬɚɛɥɢɰɵ 3 ɞɟɦɨɧɫɬɪɢɪɭɸɬ, ɱɬɨ
ɭ ɛɨɥɶɧɵɯ ɫ ɨɬɧɨɫɢɬɟɥɶɧɨ ɛɥɚɝɨɩɪɢɹɬɧɵɦ
ɬɟɱɟɧɢɟɦ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɨɬɦɟɱɚɟɬɫɹ ɥɢɲɶ ɞɨɫɬɨɜɟɪɧɨɟ ɩɨɜɵɲɟɧɢɟ ɭɪɨɜɧɹ ɛɢɥɢɪɭɛɢɧɟɦɢɢ ɢ ɭɦɟɪɟɧɧɨɟ ɩɨɜɵɲɟɧɢɟ ɭɪɨɜɧɹ ɦɚɪɤɟɪɨɜ ɰɢɬɨɥɢɬɢɱɟɫɤɨɝɨ ɫɢɧɞɪɨɦɚ. ȼ ɬɨ ɠɟ ɜɪɟɦɹ, ɭ ɛɨɥɶɧɵɯ ɫ ɨɫɬɪɨɣ
ɝɧɨɣɧɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ ɜɵɹɜɥɹɟɬɫɹ ɜɵɪɚɠɟɧɧɵɣ ɰɢɬɨɥɢɬɢɱɟɫɤɢɣ ɫɢɧɞɪɨɦ, ɱɬɨ ɧɟɫɟɬ ɜ ɫɟɛɟ ɭɝɪɨɡɭ ɪɚɡɜɢɬɢɹ ɨɫɬɪɨɣ ɩɟɱɟɧɨɱɧɨɣ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢ. Ƚɢɩɨɚɥɶɛɭɦɢɧɟɦɢɹ, ɫɧɢɠɟɧɢɟ ɭɪɨɜɧɹ ɬɪɚɧɫɮɟɪɪɢɧɚ, ɪɨɫɬ ɦɨɱɟɜɢɧɵ ɜ ɤɪɨɜɢ ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɬ ɨ ɬɹɠɟɫɬɢ ɫɨɫɬɨɹɧɢɹ ɛɨɥɶɧɵɯ. ɇɚɢ-
ɛɨɥɟɟ ɜɵɪɚɠɟɧɧɵɦɢ ɷɬɢ ɢɡɦɟɧɟɧɢɹ ɛɵɥɢ
ɜ ɝɪɭɩɩɟ ɛɨɥɶɧɵɯ ɫ ɫɟɩɬɢɱɟɫɤɢɦ ɬɟɱɟɧɢɟɦ
ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ.
Ⱦɢɧɚɦɢɤɚ ɢɦɦɭɧɨɥɨɝɢɱɟɫɤɢɯ ɩɨɤɚɡɚɬɟɥɟɣ ɭ ɢɫɫɥɟɞɭɟɦɵɯ ɛɨɥɶɧɵɯ ɩɪɟɞɫɬɚɜɥɟɧɚ
ɜ ɬɚɛɥɢɰɟ 4.
ɂɡ ɬɚɛɥɢɰɵ 4 ɜɢɞɧɨ, ɱɬɨ ɭ ɛɨɥɶɧɵɯ ɩɟɪɜɨɣ ɝɪɭɩɩɵ ɧɚɛɥɸɞɚɟɬɫɹ ɢɦɦɭɧɨɪɟɝɭɥɹɬɨɪɧɵɣ ɞɢɫɛɚɥɚɧɫ ɫ ɬɟɧɞɟɧɰɢɟɣ ɤ ɧɚɪɭɲɟɧɢɸ
ɫɨɨɬɧɨɲɟɧɢɹ ɫɭɛɩɨɩɭɥɹɰɢɣ Ɍɥɢɦɮɨɰɢɬɨɜ
ɭɦɟɪɟɧɧɨɟ ɫɧɢɠɟɧɢɟ ɨɛɳɢɯ Ɍɥɢɦɮɨɰɢɬɨɜ
ɢ Ɍɯɟɥɩɟɪɨɜ, ɩɪɢ ɪɨɫɬɟ ɱɢɫɥɚ Ɍɫɭɩɪɟɫɫɨɪɨɜ) ɢ ɩɨɜɵɲɟɧɢɸ ɚɤɬɢɜɧɨɫɬɢ ɝɭɦɨɪɚɥɶɧɨɝɨ ɡɜɟɧɚ ɢɦɦɭɧɢɬɟɬɚ (ɩɨɜɵɲɟɧɢɟ ɭɪɨɜɧɹ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜ).
ɍ ɛɨɥɶɧɵɯ ɫ ɨɫɬɪɨɣ ɝɧɨɣɧɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ (ɜɬɨɪɚɹ ɝɪɭɩɩɚ) ɨɬɦɟɱɟɧɵ ɩɪɢɡɧɚɤɢ ɜɬɨɪɢɱɧɨɝɨ ɢɦɦɭɧɨɞɟɮɢɰɢɬɚ ɫɪɟɞɧɟɣ ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ, ɩɪɢ ɤɨɬɨɪɨɦ
ɧɚɢɛɨɥɟɟ ɡɧɚɱɢɦɵɦɢ ɢɡɦɟɧɟɧɢɹɦɢ ɫɨ ɫɬɨ-
Ɍɚɛɥɢɰɚ 4
ɂɦɦɭɧɨɥɨɝɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɭ ɛɨɥɶɧɵɯ ɫɪɚɜɧɢɜɚɟɦɵɯ ɝɪɭɩɩ
ɉɨɤɚɡɚɬɟɥɶ
6
ɇɨɪɦɚ
ɞɨɧɨɪɵ)
ɉɟɪɜɚɹ
ɝɪɭɩɩɚ
ȼɬɨɪɚɹ
ɝɪɭɩɩɚ
Ɍɪɟɬɶɹ
ɝɪɭɩɩɚ
Ʌɢɦɮɨɰɢɬɵ, %
Ʌɢɦɮɨɰɢɬɵ ɚɛɫ., ɯ 109ɥ
24,3±1,5
1,54±0,2
21,2±1,36
1,3±0,1
14.3±1,97*,**
0,81±0,18
10,8±0,97*,**
0,65±0,14
Ɍɥɢɦɮ.(ȿɊɈɄ) %
Ɍɥɢɦɮ.(ȿɊɈɄ) ɯ 109ɥ
Ɍɯɟɥɩɟɪɵ,%
Ɍɯɟɥɩɟɪɵ ɚɛɫ., ɯ 109ɥ
Ɍɫɭɩɪɟɫɫɨɪɵ,%
Ɍɫɭɩɪɟɫɫɨɪɵ ɚɛɫ.
Ɍɯɟɥɩ./Ɍɫɭɩɪɟɫ.
ȼɥɢɦɮ.(ȿȺɊɈɄ),%
ȼɥɢɦɮ.(ȿȺɊɈɄɚɛɫ.
ɂɦɦɭɧɨɝɥɨɛɭɥɢɧɵ
G, ɝɥ
Ⱥ, ɝɥ
Ɇ, ɝɥ
Ɏɚɝɨɰɢɬɚɪɧɚɹ ɚɤɬɢɜɧ.
ɧɟɣɬɪɨɮɢɥɨɜ, %
58,5±1,6
1,06±0,03
35,8±1,5
0,64±0,05
21,6±0,8
0,41±0,02
1,56±0,12
24,9±1,2
0,54±0,03
46,5±1,2*
0,85±0,03
30,7±1,24*
0,56±0,07
26,4±0,9*
0,48±0,05
1,16±0,2*
27,8±1,1
0,65±0,08
35,2±1,3*,**
0,64±0,05
21,5±0,92*,**
0,34±0,06
18,3±0,76*,**
0,28±0,04
1,17±0,1*
18,4±0,92*,**
0,39±0,07
29,2±1,27*,**,***
0,47±0,04
16,8±0,73*,**,***
0,20±0,03
19,1±0,69*,**
0,19±0,05
1,06±0,12*
16,7±0,86*,**
0,32±0,05
10,8±0,6
1,87±0,08
1,16±0,05
57,1±1,8
11,4±0,5
1,92±0,07
1,63±0,08*
49,6±1,25*
7,8±0,4*,**
1,24±0,08*,**
0,84±0,06*,**
35,4±1,1*,**
6,2±0,48*,**
1,09±0,06*,**
0,73±0,05*,**
28,6±0,93*,**
ʋ4x 2006 i ɬɨɦ 14
ɪɨɧɵ ɢɦɦɭɧɧɨɣ ɫɢɫɬɟɦɵ ɹɜɥɹɥɢɫɶ ɧɚɪɭɲɟɧɢɹ ɫɨ ɫɬɨɪɨɧɵ Ɍ- ɢ ȼ- ɤɥɟɬɨɱɧɨɝɨ ɢɦɦɭɧɢɬɟɬɚ, ɚ ɬɚɤɠɟ ɮɚɝɨɰɢɬɨɡɚ ɫɨ ɫɧɢɠɟɧɢɟɦ
ɱɢɫɥɚ ɨɛɳɢɯ Ɍɥɢɦɮɨɰɢɬɨɜ ɢ ɢɯ ɫɭɛɩɨɩɭɥɹɰɢɣ, ɫɧɢɠɟɧɢɟɦ ɫɨɞɟɪɠɚɧɢɹ ȼɥɢɦɮɨɰɢɬɨɜ ɢ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜ ɤɥɚɫɫɨɜ G, A,
M, ɫɧɢɠɟɧɢɟɦ ɮɚɝɨɰɢɬɚɪɧɨɣ ɚɤɬɢɜɧɨɫɬɢ
ɢɦɦɭɧɨɰɢɬɨɜ.
ȼ ɝɪɭɩɩɟ ɛɨɥɶɧɵɯ ɫ ɫɟɩɬɢɱɟɫɤɢɦ ɬɟɱɟɧɢɟɦ ɨɫɬɪɨɣ ɯɨɥɚɧɝɟɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɢɡɦɟɧɟɧɢɹ ɫɨ ɫɬɨɪɨɧɵ ɢɦɦɭɧɧɨɣ ɫɢɫɬɟɦɵ
ɛɵɥɢ ɜɵɪɚɠɟɧɵ ɦɚɤɫɢɦɚɥɶɧɨ ɫ ɩɪɢɡɧɚɤɚɦɢ ɬɹɠɺɥɨɝɨ ɜɬɨɪɢɱɧɨɝɨ ɢɦɦɭɧɨɞɟɮɢɰɢɬɚ.
Ɉɬɦɟɱɚɥɢɫɶ ɜɵɪɚɠɟɧɧɵɟ ɧɚɪɭɲɟɧɢɹ ɫɨ
ɫɬɨɪɨɧɵ Ɍ- ɢ ȼ- ɤɥɟɬɨɱɧɨɝɨ ɢɦɦɭɧɢɬɟɬɚ, ɚ
ɬɚɤɠɟ ɮɚɝɨɰɢɬɨɡɚ ɫɨ ɫɧɢɠɟɧɢɟɦ ɱɢɫɥɚ ɨɛɳɢɯ Ɍɥɢɦɮɨɰɢɬɨɜ ɢ ɢɯ ɫɭɛɩɨɩɭɥɹɰɢɣ, ɫɧɢɠɟɧɢɟɦ ɫɨɞɟɪɠɚɧɢɹ ɜɥɢɦɮɨɰɢɬɨɜ ɢ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜ ɤɥɚɫɫɨɜ G, A, M, ɫɭɳɟɫɬɜɟɧɧɵɦ ɫɧɢɠɟɧɢɟɦ ɮɚɝɨɰɢɬɚɪɧɨɣ ɚɤɬɢɜɧɨɫɬɢ ɢɦɦɭɧɨɰɢɬɨɜ.
Ɍɚɤɢɦ ɨɛɪɚɡɨɦ, ɩɪɨɜɟɞɺɧɧɵɟ ɢɫɫɥɟɞɨɜɚɧɢɹ ɩɨɡɜɨɥɢɥɢ ɜɵɹɜɢɬɶ ɫɭɳɟɫɬɜɟɧɧɵɟ
ɪɚɡɥɢɱɢɹ ɜ ɤɥɢɧɢɱɟɫɤɨɦ ɬɟɱɟɧɢɢ ɨɫɬɪɨɣ
ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ. ɍ ɛɨɥɶɧɵɯ ɩɟɪɜɨɣ ɝɪɭɩɩɵ ɡɚɛɨɥɟɜɚɧɢɟ ɩɪɨɬɟɤɚɥɨ ɨɬɧɨɫɢɬɟɥɶɧɨ ɛɥɚɝɨɩɪɢɹɬɧɨ. ɍɪɨɜɟɧɶ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ ɛɵɥ ɧɟɜɵɫɨɤ. Ɋɟɚɤɰɢɹ
ɢɦɦɭɧɧɨɣ ɫɢɫɬɟɦɵ ɧɟ ɜɵɯɨɞɢɥɚ ɡɚ ɪɚɦɤɢ
ɡɚɳɢɬɧɨɣ. ɍɫɬɪɚɧɟɧɢɟ ɩɪɢɱɢɧɵ ɨɛɬɭɪɚɰɢɢ ɠɟɥɱɧɵɯ ɩɪɨɬɨɤɨɜ ɩɪɢɜɨɞɢɥɨ ɤ ɛɵɫɬɪɨɦɭ ɢɫɱɟɡɧɨɜɟɧɢɸ ɫɢɦɩɬɨɦɨɜ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɢ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ. Ʌɟɬɚɥɶɧɵɯ ɢɫɯɨɞɨɜ ɜ ɷɬɨɣ ɝɪɭɩɩɟ
ɛɨɥɶɧɵɯ ɧɟ ɛɵɥɨ.
ɋɥɟɞɭɸɳɚɹ ɮɨɪɦɚ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɫɜɹɡɚɧɚ, ɩɨ ɜɫɟɣ ɜɢɞɢɦɨɫɬɢ, ɫɨ ɫɪɵɜɨɦ ɩɪɢɫɩɨɫɨɛɢɬɟɥɶɧɵɯ ɪɟɚɤɰɢɣ ɨɪɝɚɧɢɡɦɚ. ȼ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɟ
ɛɨɥɶɧɵɯ ɫ ɨɫɬɪɨɣ ɝɧɨɣɧɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ ɩɪɟɨɛɥɚɞɚɥ ɫɢɧɞɪɨɦ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ, ɭɪɨɜɟɧɶ ɤɨɬɨɪɨɣ
ɛɵɥ ɜɵɫɨɤ, ɢ ɩɪɢɡɧɚɤɢ ɩɨɥɢɨɪɝɚɧɧɨɣ ɞɢɫɮɭɧɤɰɢɢ, ɩɪɟɠɞɟ ɜɫɟɝɨ ɩɟɱɺɧɨɱɧɨɩɨɱɟɱɧɨɣ. Ɋɚɡɜɢɜɚɸɳɢɣɫɹ ɜɬɨɪɢɱɧɵɣ ɢɦɦɭɧɨ-
ɞɟɮɢɰɢɬ ɬɚɤɠɟ ɛɵɥ ɫɜɹɡɚɧ ɫ ɜɵɫɨɤɢɦ
ɭɪɨɜɧɟɦ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ. ɍɦɟɪɥɨ 4 (14,8%) ɛɨɥɶɧɵɯ, ɩɪɢɱɢɧɚɦɢ ɫɦɟɪɬɢ
ɤɨɬɨɪɵɯ ɛɵɥɢ ɩɟɱɺɧɨɱɧɨɩɨɱɟɱɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ ɢ ɬɹɠɺɥɚɹ ɢɧɬɨɤɫɢɤɚɰɢɹ, ɨɛɭɫɥɚɜɥɢɜɚɸɳɚɹ ɞɟɤɨɦɩɟɧɫɚɰɢɸ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ, ɝɥɚɜɧɵɦ ɨɛɪɚɡɨɦ ɫɟɪɞɟɱɧɨɫɨɫɭɞɢɫɬɵɯ ɢ ɥɺɝɨɱɧɵɯ.
Ɍɟɱɟɧɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɫ ɫɟɩɬɢɱɟɫɤɢɦ
ɬɟɱɟɧɢɟɦ ɨɫɬɪɨɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ
ɫɨɩɪɨɜɨɠɞɚɥɨɫɶ ɜɵɪɚɠɟɧɧɨɣ ɞɟɤɨɦɩɟɧɫɚɰɢɟɣ ɡɚɳɢɬɧɵɯ ɫɢɥ ɨɪɝɚɧɢɡɦɚ. ɉɪɨɹɜɥɹɥɨɫɶ
ɨɛɪɚɡɨɜɚɧɢɟɦ ɜɧɭɬɪɢɩɟɱɺɧɨɱɧɵɯ ɝɧɨɣɧɢɤɨɜ (4-23,5%), ɝɟɧɟɪɚɥɢɡɚɰɢɟɣ ɢɧɮɟɤɰɢɢ ɫ
ɛɚɤɬɟɪɢɟɦɢɟɣ (11-64,7%), ɨɛɪɚɡɨɜɚɧɢɟɦ
ɜɬɨɪɢɱɧɵɯ ɨɱɚɝɨɜ (6-35,3%). ɍɪɨɜɟɧɶ ɷɧɞɨɝɟɧɧɨɣ ɢɧɬɨɤɫɢɤɚɰɢɢ ɛɵɥ ɤɪɚɣɧɟ ɜɵɫɨɤɢɦ, ɱɬɨ ɨɛɭɫɥɚɜɥɢɜɚɥɨ ɪɚɡɜɢɬɢɟ ɬɹɠɺɥɨɝɨ
ɜɬɨɪɢɱɧɨɝɨ ɢɦɦɭɧɨɞɟɮɢɰɢɬɚ. ɍɫɬɪɚɧɟɧɢɟ
ɩɪɢɱɢɧɵ ɯɨɥɟɫɬɚɡɚ ɞɚɥɟɤɨ ɧɟ ɜɫɟɝɞɚ ɩɪɢɜɨɞɢɥɨ ɤ ɫɬɢɯɚɧɢɸ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ, ɢ ɭ ɱɚɫɬɢ ɛɨɥɶɧɵɯ ɨɧɚ ɩɪɨɝɪɟɫɫɢɪɨɜɚɥɚ. ȼ ɷɬɨɣ ɝɪɭɩɩɟ ɭɦɟɪɥɨ 7 (41,2%) ɛɨɥɶɧɵɯ. ɉɪɢɱɢɧɚɦɢ ɫɦɟɪɬɢ ɷɬɢɯ ɛɨɥɶɧɵɯ
ɛɵɥɢ ɫɟɩɫɢɫ, ɛɚɤɬɟɪɢɚɥɶɧɨɬɨɤɫɢɱɟɫɤɢɣ
ɲɨɤ ɢ ɩɨɥɢɨɪɝɚɧɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ. ȼɫɟɝɨ
ɢɡ ɨɛɳɟɝɨ ɤɨɥɢɱɟɫɬɜɚ ɢɡɭɱɟɧɧɵɯ ɛɨɥɶɧɵɯ
ɫ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ ɭɦɟɪɥɨ 11
(11,5%) ɩɚɰɢɟɧɬɨɜ.
ȼɵɜɨɞɵ
1. ɏɨɥɚɧɝɢɨɝɟɧɧɚɹ ɢɧɮɟɤɰɢɹ, ɹɜɥɹɥɹɫɶ
ɫɥɟɞɫɬɜɢɟɦ ɨɛɫɬɪɭɤɰɢɢ ɠɟɥɱɟɜɵɜɨɞɹɳɢɯ
ɩɭɬɟɣ ɢ ɪɟɡɭɥɶɬɚɬɨɦ ɜɡɚɢɦɨɞɟɣɫɬɜɢɹ ɦɚɤɪɨ- ɢ ɦɢɤɪɨɨɪɝɚɧɢɡɦɨɜ, ɨɩɪɟɞɟɥɹɟɬ ɦɧɨɝɨɨɛɪɚɡɢɟ ɤɥɢɧɢɱɟɫɤɢɯ ɩɪɨɹɜɥɟɧɢɣ ɛɚɤɬɟɪɢɚɥɶɧɨɝɨ ɯɨɥɚɧɝɢɬɚ.
2. Ɉɫɬɪɚɹ ɯɨɥɚɧɝɢɨɝɟɧɧɚɹ ɢɧɮɟɤɰɢɹ
ɦɨɠɟɬ ɢɦɟɬɶ ɨɬɧɨɫɢɬɟɥɶɧɨ ɛɥɚɝɨɩɪɢɹɬɧɨɟ
ɬɟɱɟɧɢɟ ɢɥɢ ɩɪɢɨɛɪɟɬɚɬɶ ɝɧɨɣɧɭɸ ɢ ɫɟɩɬɢɱɟɫɤɭɸ ɮɨɪɦɵ.
3. Ɉɰɟɧɤɚ ɨɫɬɪɨɝɨ ɯɨɥɚɧɝɢɬɚ ɫ ɩɨɡɢɰɢɟɣ ɯɨɥɚɧɝɢɨɝɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɨɛɭɫɥɚɜɥɢɜɚɟɬ ɧɟɨɛɯɨɞɢɦɨɫɬɶ ɢɧɞɢɜɢɞɭɚɥɶɧɨɝɨ ɩɨɞɯɨ7
” ɇɨɜɨɫɬɢ ɯɢɪɭɪɝɢɢ
ɞɚ ɤɚɤ ɜ ɜɵɛɨɪɟ ɫɪɨɱɧɨɣ ɞɪɟɧɢɪɭɸɳɟɣ ɨɩɟɪɚɰɢɢ, ɬɚɤ ɢ ɫɯɟɦ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɣ ɬɟɪɚɩɢɢ, ɫɩɨɫɨɛɨɜ ɞɟɬɨɤɫɢɤɚɰɢɢ, ɢɦɦɭɧɨɤɨɪɪɟɝɢɪɭɸɳɟɣ ɬɟɪɚɩɢɢ.
ɅɂɌȿɊȺɌɍɊȺ
1. Ɇɚɲɚɧɫɤɢɣ, ȺȺ. Ƚɧɨɣɧɵɣ ɯɨɥɚɧɝɢɬ /
ȺȺ. Ɇɚɲɚɧɫɤɢɣ [ɢ ɞɪ.] // ɏɢɪɭɪɝɢɹ. –
2002. - ʋ3 – ɋ.58-65.
2. Ƚɚɥɶɩɟɪɢɧ, ɗɂ. Ȼɢɥɢɚɪɧɵɣ ɫɟɩɫɢɫ: ɧɟɤɨɬɨɪɵɟ ɨɫɨɛɟɧɧɨɫɬɢ ɩɚɬɨɝɟɧɟɡɚ / ɗɂ.
Ƚɚɥɶɧɟɪɢɧ, ȽȽ. Ⱥɯɚɥɚɞɡɟ // ɏɢɪɭɪɝɢɹ. –
1999. - ʋ10 – ɋ.24-28.
3. ɋɚɟɧɤɨ, ȼɎ. Ƚɧɨɣɧɵɣ ɯɨɥɚɧɝɢɬ. ɉɚɬɨɝɟɧɟɡ ɢ ɩɪɢɧɰɢɩɵ ɥɟɱɟɧɢɹ / ȼɎ. ɋɚɟɧɤɨ,
Ɇȿ. ɇɢɱɢɬɚɣɥɨ, ɂɆ. Ɍɨɞɭɪɨɜ // Ɇɚɬɟɪɢɚɥɵ 2-ɝɨ ɤɨɧɝɪɟɫɫɚ Ⱥɫɫɨɰɢɚɰɢɢ ɯɢɪɭɪɝɨɜ
ɢɦ. ɇɂ. ɉɢɪɨɝɨɜɚ, ɋɬ.- ɉɟɬɟɪɛɭɪɝ, 1998. –
ɋ.56-57.
4. Ʌɟɣɲɧɟɪ, ɍ. ɉɪɚɤɬɢɱɟɫɤɨɟ ɪɭɤɨɜɨɞɫɬɜɨ ɩɨ
ɡɚɛɨɥɟɜɚɧɢɹɦ ɠɟɥɱɧɵɯ ɩɭɬɟɣ / ɍ. Ʌɟɣɲɧɟɪ. –
Ɇ.: ȽɗɈɌȺɊ – ɆȿȾ, 2001.- 264 ɫ.
5. Ʉɨɥɛ, ȼȽ. Ʌɚɛɨɪɚɬɨɪɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɡɚɛɨɥɟɜɚɧɢɣ: ɫɩɪɚɜɨɱɧɨɟ ɩɨɫɨɛɢɟ / ȼȽ. Ʉɨɥɛ, ȼɋ. Ʉɚɦɵɲɧɢɤɨɜ. – Ɇɧ.:
ȼɵɲɲɤ., 1993. – 185 ɫ.
6. Ƚɚɢɧ, ɘɆ. Ɉɛɴɟɤɬɢɜɧɚɹ ɨɰɟɧɤɚ ɬɹɠɟɫɬɢ ɫɨɫɬɨɹɧɢɹ ɢ ɩɪɨɝɧɨɡɚ ɜ ɯɢɪɭɪɝɢɢ /
ɘɆ. Ƚɚɢɧ [ɢ ɞɪ.] – Ɇɢɧɫɤ, 2005. – 299 ɫ.
7. ɂɥɸɤɟɜɢɱ, Ƚȼ. Ɏɟɪɪɨɩɪɨɬɟɢɧɵ ɤɚɤ ɦɚɪɤɟɪɵ ɫɢɫɬɟɦɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ ɩɪɢ ɨɫɬɪɨɦ
ɪɚɫɩɪɨɫɬɪɚɧɺɧɧɨɦ ɩɟɪɢɬɨɧɢɬɟ / Ƚȼ. ɂɥɸɤɟɜɢɱ, ɅȺ. ɋɦɢɪɧɨɜɚ // Ɇɚɬɟɪɢɚɥɵ VII ȼɫɟɪɨɫɫɢɣɫɤɨɝɨ ɫɴɟɡɞɚ ɚɧɟɫɬɟɡɢɨɥɨɝɨɜɪɟɚɧɢɦɚɬɨɥɨɝɨɜ. – Ɇ., 2002. – ɋ. 68-69.
ɉɨɫɬɭɩɢɥɚ 15.11.2006 ɝ.
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