ȼɈɁɊȺɋɌɇȺə ɆɈɊɎɈɅɈȽɂə ɉɈɑȿɑɇɕɏ ȺɊɌȿɊɂɃ (ɉɈ ȾȺɇɇɕɆ ɊȿɇɌȽȿɇɈɅɈȽɂɑȿɋɄɈȽɈ ɂ ɉȺɌɈɆɈɊɎɈɅɈȽɂɑȿɋɄɈȽɈ ɂɋɋɅȿȾɈȼȺɇɂə) ɇɚɞɵɪɨɜ ɗɥɶɞɚɪ Ⱥɪɤɚɞɶɟɜɢɱ ȼɜɟɞɟɧɫɤɢɣ Ⱦɚɧɢɢɥ ȼɫɟɜɨɥɨɞɨɜɢɱ Ɇɢɤɭɥɢɱ Ⱥɧɞɪɟɣ Ɉɥɟɝɨɜɢɱ ȼɨɣɫɚɪɨɜ Ɇɚɤɫɢɦ ɋɟɪɝɟɟɜɢɱ Ʌɚɪɢɨɧɨɜɚ ɂɪɢɧɚ Ⱥɥɟɤɫɚɧɞɪɨɜɧɚ

ɆȿȾɂɐɂɇȺ ɂ ɎȺɊɆȺɄɈɅɈȽɂə

ȼɈɁɊȺɋɌɇȺə ɆɈɊɎɈɅɈȽɂə ɉɈɑȿɑɇɕɏ ȺɊɌȿɊɂɃ (ɉɈ ȾȺɇɇɕɆ ɊȿɇɌȽȿɇɈɅɈȽɂɑȿɋɄɈȽɈ ɂ ɉȺɌɈɆɈɊɎɈɅɈȽɂɑȿɋɄɈȽɈ ɂɋɋɅȿȾɈȼȺɇɂə)

ɇɚɞɵɪɨɜ ɗɥɶɞɚɪ Ⱥɪɤɚɞɶɟɜɢɱ

ɤɚɧɞ. ɦɟɞ. ɧɚɭɤ, ɞɨɰɟɧɬ ɤɚɮɟɞɪɵ ɩɚɬɨɥɨɝɢɱɟɫɤɨɣ ɚɧɚɬɨɦɢɢ, ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ», Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ, ɝ. Ƚɨɦɟɥɶ

ȼɜɟɞɟɧɫɤɢɣ Ⱦɚɧɢɢɥ ȼɫɟɜɨɥɨɞɨɜɢɱ

ɤɚɧɞ. ɦɟɞ. ɧɚɭɤ, ɞɨɰ. ɤɚɮɟɞɪɵ ɚɧɚɬɨɦɢɢ ɱɟɥɨɜɟɤɚ ɫ ɤɭɪɫɨɦ ɨɩɟɪɚɬɢɜɧɨɣ ɯɢɪɭɪɝɢɢ ɢ ɬɨɩɨɝɪɚɮɢɱɟɫɤɨɣ ɚɧɚɬɨɦɢɢ, ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ», Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ, ɝ. Ƚɨɦɟɥɶ

Ɇɢɤɭɥɢɱ Ⱥɧɞɪɟɣ Ɉɥɟɝɨɜɢɱ

ɚɫɫɢɫɬɟɧɬ ɤɚɮɟɞɪɵ ɚɧɚɬɨɦɢɢ ɱɟɥɨɜɟɤɚ ɫ ɤɭɪɫɨɦ ɨɩɟɪɚɬɢɜɧɨɣ ɯɢɪɭɪɝɢɢ ɢ ɬɨɩɨɝɪɚɮɢɱɟɫɤɨɣ ɚɧɚɬɨɦɢɢ, ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ», Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ, ɝ. Ƚɨɦɟɥɶ

ȼɨɣɫɚɪɨɜ Ɇɚɤɫɢɦ ɋɟɪɝɟɟɜɢɱ

ɫɬɭɞɟɧɬ ɦɟɞɢɤɨ-ɞɢɚɝɧɨɫɬɢɱɟɫɤɨɝɨ ɮɚɤɭɥɶɬɟɬɚ, ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ», Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ, ɝ. Ƚɨɦɟɥɶ

Ʌɚɪɢɨɧɨɜɚ ɂɪɢɧɚ Ⱥɥɟɤɫɚɧɞɪɨɜɧɚ

ɫɬɭɞɟɧɬ ɦɟɞɢɤɨ-ɞɢɚɝɧɨɫɬɢɱɟɫɤɨɝɨ ɮɚɤɭɥɶɬɟɬɚ ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ», Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ, ɝ. Ƚɨɦɟɥɶ

AGE-RELATED MORPHOLOGY OF THE RENAL ARTERIES (ACCORDING TO X-RAY AND PATHOMORPHOLOGICAL STUDIES)

Eldar Nadyrov PhD, ɚassociate Professor of the Department of Pathological Anatomy, Gomel State Medical University, Republic of Belarus, Gomel

Daniil Vvedensky PhD associate Professor, Department of Human Anatomy with a Course in Operative Surgery and Topographic Anatomy, Gomel State Medical University, Republic of Belarus, Gomel

Andrey Mikulich Assistant of the Department of Human Anatomy with a course of operative surgery and topographic anatomy, Gomel State Medical University, Republic of Belarus, Gomel

Maxim Voysarov Student of the Faculty of Medical Diagnostics, Gomel State Medical University, Republic of Belarus, Gomel

Irina Larionova Student of the Faculty of Medical Diagnostics, Gomel State Medical University, Republic of Belarus, Gomel

ȺɇɇɈɌȺɐɂə

ɉɪɨɜɟɞɟɧ ɚɧɚɥɢɡ ɨɫɨɛɟɧɧɨɫɬɟɣ ɜɨɡɪɚɫɬɧɨɣ ɦɨɪɮɨɥɨɝɢɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɭ 43 ɩɚɰɢɟɧɬɨɜ. ȼɵɹɜɥɟɧɵ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵɟ ɪɚɡɥɢɱɢɹ ɩɨɤɚɡɚɬɟɥɹ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɭ ɦɭɠɱɢɧ ɜ ɜɨɡɪɚɫɬɟ ɞɨ 40

ɢ ɩɨɫɥɟ 40 ɥɟɬ. ɉɪɨɜɟɞɟɧɨ ɝɢɫɬɨɥɨɝɢɱɟɫɤɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɭɦɟɪɲɢɯ ɩɚɰɢɟɧɬɨɜ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɜɨɡɪɚɫɬɚ ɢ ɩɨɥɚ ɞɥɹ ɨɰɟɧɤɢ ɩɨɥɭɱɟɧɧɵɯ ɞɚɧɧɵɯ ɫɪɚɜɧɢɬɟɥɶɧɨɝɨ ɚɧɚɥɢɡɚ. Ɉɩɪɟɞɟɥɟɧɵ ɱɚɫɬɨɬɵ ɜɫɬɪɟɱɚɟɦɨɫɬɢ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɣ ɜ ɫɬɟɧɤɟ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ. Ɋɟɡɭɥɶɬɚɬɵ ɢɫɫɥɟɞɨɜɚɧɢɹ ɦɨɝɭɬ ɩɨɫɥɭɠɢɬɶ ɬɟɨɪɟɬɢɱɟɫɤɨɣ ɨɫɧɨɜɨɣ ɞɥɹ ɨɰɟɧɤɢ ɫɬɟɩɟɧɢ ɩɪɢɝɨɞɧɨɫɬɢ ɩɨɱɟɱɧɨɝɨ ɚɥɥɨɝɪɚɮɬɚ ɞɥɹ ɬɪɚɧɫɩɥɚɧɬɚɰɢɢ. ABSTRACT

An analysis was made of the morphology of the renal arteries and the incidence of additional renal artery in 44 patients. Statistically significant differences were revealed in the diameter of the left artery, the surgical length of the right renal artery, as well as the length of the right and left arteries - the indicators were statistically significantly higher in men, regardless of age group. The frequency of occurrence of atherosclerotic changes in the wall of the renal arteries was determined. The results of the study can serve as a theoretical basis for assessing the degree of suitability of a kidney allograft for transplantation.

Ʉɥɸɱɟɜɵɟ ɫɥɨɜɚ: ɩɨɱɟɱɧɵɟ ɚɪɬɟɪɢɢ, ɚɧɚɬɨɦɢɹ, ɚɬɟɪɨɫɤɥɟɪɨɡ, ɬɪɚɧɫɩɥɚɧɬɚɰɢɹ.

Keywords: renal arteries, anatomy, atherosclerosis, transplantation.

Ⱥɤɬɭɚɥɶɧɨɫɬɶ ɢɫɫɥɟɞɨɜɚɧɢɹ ɜɚɪɢɚɧɬɧɨɣ ɚɧɚɬɨɦɢɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɨɛɭɫɥɨɜɥɟɧɚ ɛɨɥɶɲɢɦ ɢɧɬɟɪɟɫɨɦ ɜ ɩɪɚɤɬɢɱɟɫɤɨɣ ɦɟɞɢɰɢɧɟ, ɬɚɤ ɤɚɤ ɫ ɤɚɠɞɵɦ ɝɨɞɨɦ ɭɜɟɥɢɱɢɜɚɸɬɫɹ ɩɨɤɚɡɚɬɟɥɢ ɩɨ ɞɨɧɨɪɫɬɜɭ ɢ ɩɟɪɟɫɚɞɤɟ ɨɪɝɚɧɨɜ. Ɉɛɳɟɟ ɤɨɥɢɱɟɫɬɜɨ ɬɪɚɧɫɩɥɚɧɬɚɰɢɣ ɧɚ 2018 ɝɨɞ ɫɨɫɬɚɜɢɥɨ ɛɨɥɟɟ 139 ɬɵɫɹɱ, ɢɡ ɧɢɯ 65% –90 306 –ɬɪɚɧɫɩɥɚɧɬɚɰɢɹ ɩɨɱɤɢ. ɉɪɢ ɷɬɨɦ 36,5% ɨɪɝɚɧɨɜ ɩɟɪɟɫɚɞɢɥɢ ɨɬ ɩɪɢɠɢɡɧɟɧɧɨɝɨ ɞɨɧɨɪɚ [1]. ɉɨɱɟɱɧɚɹ ɚɪɬɟɪɢɹ ɧɚɱɢɧɚɟɬɫɹ ɨɬ ɥɚɬɟɪɚɥɶɧɨɣ ɫɬɟɧɤɢ ɚɨɪɬɵ ɧɚ ɭɪɨɜɧɟ II ɩɨɹɫɧɢɱɧɨɝɨ ɩɨɡɜɨɧɤɚ ɧɚ 1–2 ɫɦ ɧɢɠɟ ɨɬɯɨɠɞɟɧɢɹ ɜɟɪɯɧɟɣ ɛɪɵɠɟɟɱɧɨɣ ɚɪɬɟɪɢɢ. ɉɪɚɜɚɹ ɩɨɱɟɱɧɚɹ ɚɪɬɟɪɢɹ ɧɟɫɤɨɥɶɤɨ ɞɥɢɧɧɟɟ ɥɟɜɨɣ, ɬɚɤ ɤɚɤ ɚɨɪɬɚ ɥɟɠɢɬ ɫɥɟɜɚ ɨɬ ɫɪɟɞɢɧɧɨɣ ɥɢɧɢɢ; ɧɚɩɪɚɜɥɹɹɫɶ ɤ ɩɨɱɤɟ, ɨɧɚ ɪɚɫɩɨɥɚɝɚɟɬɫɹ ɫɡɚɞɢ ɧɢɠɧɟɣ ɩɨɥɨɜɨɣ ɜɟɧɵ [2]. ɉɨɱɟɱɧɵɟ ɚɪɬɟɪɢɢ ɜɟɫɶɦɚ ɜɚɪɢɚɛɟɥɶɧɵ ɩɨ ɬɨɩɨɝɪɚɮɢɢ, ɫɩɨɫɨɛɭ ɜɟɬɜɥɟɧɢɹ, ɩɪɨɫɬɪɚɧɫɬɜɟɧɧɵɦ ɜɡɚɢɦɨɨɬɧɨɲɟɧɢɹɦ ɜɟɬɜɟɣ, ɫɢɧɬɨɩɢɢ ɫ ɞɪɭɝɢɦɢ ɚɧɚɬɨɦɢɱɟɫɤɢɦɢ ɫɬɪɭɤɬɭɪɚɦɢ, ɩɨ ɦɨɪɮɨɦɟɬɪɢɱɟɫɤɢɦ ɯɚɪɚɤɬɟɪɢɫɬɢɤɚɦ ɢ ɱɢɫɥɭ. ɇɚɩɪɢɦɟɪ, ɤɪɨɦɟ ɨɫɧɨɜɧɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɜɫɬɪɟɱɚɸɬɫɹ ɞɨɛɚɜɨɱɧɵɟ ɩɨɱɟɱɧɵɟ ɚɪɬɟɪɢɢ. ɑɚɫɬɨɬɚ ɜɵɹɜɥɟɧɢɹ ɞɨɛɚɜɨɱɧɵɯ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɫ ɨɛɟɢɯ ɫɬɨɪɨɧ, ɬɨɥɶɤɨ ɫɥɟɜɚ ɢɥɢ ɬɨɥɶɤɨ ɫɩɪɚɜɚ ɡɚɦɟɬɧɨ ɜɚɪɶɢɪɭɟɬ ɨɬ ɦɢɧɢɦɚɥɶɧɵɯ 3,3 % ɞɨ ɦɚɤɫɢɦɚɥɶɧɵɯ 47 %, ɜ ɫɪɟɞɧɟɦ – 22,4 % [3]. ɉɪɢ ɷɬɨɦ ɨɬɞɟɥɶɧɵɟ ɢɫɫɥɟɞɨɜɚɬɟɥɢ ɭɤɚɡɵɜɚɸɬ ɧɚ ɧɚɥɢɱɢɟ ɜɡɚɢɦɨɫɜɹɡɢ ɦɟɠɞɭ ɜɚɪɢɚɧɬɨɦ ɚɧɚɬɨɦɢɢ ɚɪɬɟɪɢɣ ɨɪɝɚɧɚ ɢ ɧɚɥɢɱɢɟɦ ɪɢɫɤɚ ɪɚɡɜɢɬɢɹ ɧɚɪɭɲɟɧɢɣ ɟɝɨ ɤɪɨɜɨɫɧɚɛɠɟɧɢɹ, ɱɬɨ ɦɨɠɟɬ ɩɪɢɜɟɫɬɢ ɤ ɪɚɡɥɢɱɧɵɦ ɡɚɛɨɥɟɜɚɧɢɹɦ ɢ ɢɯ ɨɫɥɨɠɧɟɧɢɹɦ [4]. Ɉɫɨɛɨɟ ɜɧɢɦɚɧɢɟ ɫɥɟɞɭɟɬ ɭɞɟɥɢɬɶ ɷɤɫɬɪɚɨɪɝɚɧɧɨɦɭ ɨɬɞɟɥɭ, ɬɚɤ ɤɚɤ ɷɬɨ ɜɚɠɧɨ ɞɥɹ ɫɨɜɪɟɦɟɧɧɵɯ ɦɟɬɨɞɨɜ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɨɣ ɞɢɚɝɧɨɫɬɢɤɢ ɢ ɯɢɪɭɪɝɢɱɟɫɤɨɣ ɩɪɚɤɬɢɤɢ. ɐɟɥɶ ɢɫɫɥɟɞɨɜɚɧɢɹ - ɢɡɭɱɢɬɶ ɨɫɨɛɟɧɧɨɫɬɢ ɜɨɡɪɚɫɬɧɨɣ ɦɨɪɮɨɥɨɝɢɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɪɟɧɬɝɟɧɨɥɨɝɢɱɟɫɤɢɯ ɢ ɩɚɬɨɝɢɫɬɨɥɨɝɢɱɟɫɤɢɯ ɦɟɬɨɞɨɜ ɢɫɫɥɟɞɨɜɚɧɢɹ.

Ɇɚɬɟɪɢɚɥɵ ɢ ɦɟɬɨɞɵ. ɂɫɫɥɟɞɨɜɚɧɢɟ ɩɪɨɜɨɞɢɥɨɫɶ ɧɚ ɛɚɡɚɯ Ƚɍ «Ɋɟɫɩɭɛɥɢɤɚɧɫɤɢɣ ɧɚɭɱɧɨɩɪɚɤɬɢɱɟɫɤɢɣ ɰɟɧɬɪ ɪɚɞɢɚɰɢɨɧɧɨɣ ɦɟɞɢɰɢɧɵ ɢ ɷɤɨɥɨɝɢɢ ɱɟɥɨɜɟɤɚ». Ɇɚɬɟɪɢɚɥɨɦ ɞɥɹ ɢɫɫɥɟɞɨɜɚɧɢɹ ɩɨɫɥɭɠɢɥɢ ɞɚɧɧɵɟ ɤɨɦɩɶɸɬɟɪɧɨɣ ɬɨɦɨɝɪɚɮɢɢ ɛɪɸɲɧɨɣ ɱɚɫɬɢ ɚɨɪɬɵ ɢ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ 43 ɩɚɰɢɟɧɬɨɜ ɜ ɜɨɡɪɚɫɬɟ ɨɬ 22 ɞɨ 78 ɥɟɬ. ɉɚɬɨɥɨɝɢɢ ɩɨɱɟɤ ɩɚɰɢɟɧɬɵ ɧɟ ɢɦɟɥɢ. ɉɚɰɢɟɧɬɵ ɛɵɥɢ ɪɚɡɞɟɥɟɧɵ ɧɚ 2 ɝɪɭɩɩɵ: ɩɟɪɜɚɹ –ɦɭɠɱɢɧɵ (18 ɱɟɥɨɜɟɤ), ɜɬɨɪɚɹ –ɠɟɧɳɢɧɵ (25 ɱɟɥɨɜɟɤ). Ɋɟɧɬɝɟɧɨɥɨɝɢɱɟɫɤɢ ɨɰɟɧɢɜɚɥɢɫɶ: ɞɢɚɦɟɬɪ ɭɫɬɶɹ ɩɪɚɜɨɣ ɢ ɥɟɜɨɣ ɚɪɬɟɪɢɢ, ɭɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɨɬ ɚɨɪɬɵ, ɚɧɚɬɨɦɢɱɟɫɤɚɹ ɞɥɢɧɚ, ɯɢɪɭɪɝɢɱɟɫɤɚɹ ɞɥɢɧɚ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ. ɉɪɨɜɨɞɢɥɨɫɶ ɢɡɦɟɪɟɧɢɟ ɞɢɚɦɟɬɪɚ ɚɪɬɟɪɢɢ ɩɪɚɜɨɣ ɢ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ. ȼɫɟ ɦɨɪɮɨɥɨɝɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ, ɡɚ ɢɫɤɥɸɱɟɧɢɟɦ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɚɪɬɟɪɢɢ, ɩɪɢɜɟɞɟɧɵ ɜ ɦɦ.

Ⱦɥɹ ɝɢɫɬɨɥɨɝɢɱɟɫɤɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɛɵɥ ɢɫɩɨɥɶɡɨɜɚɧ ɫɟɤɰɢɨɧɧɵɣ ɦɚɬɟɪɢɚɥ ɩɚɰɢɟɧɬɨɜ, ɭɦɟɪɲɢɯ ɨɬ ɫɨɦɚɬɢɱɟɫɤɢɯ ɡɚɛɨɥɟɜɚɧɢɣ, ɧɟ ɫɜɹɡɚɧɧɵɯ ɫ ɩɚɬɨɥɨɝɢɟɣ ɨɪɝɚɧɨɜ ɦɨɱɟɩɨɥɨɜɨɣ ɫɢɫɬɟɦɵ. Ȼɵɥɚ ɩɪɨɜɟɞɟɧɚ ɪɚɧɞɨɦɢɡɚɰɢɹ ɜɫɟɯ ɭɦɟɪɲɢɯ ɩɚɰɢɟɧɬɨɜ ɩɨ ɩɨɥɭ ɢ ɜɨɡɪɚɫɬɭ. ɍɦɟɪɲɢɟ ɩɚɰɢɟɧɬɵ ɛɵɥɢ ɫɨɩɨɫɬɚɜɢɦɵ ɩɨ ɩɨɥɭ ɢ ɜɨɡɪɚɫɬɭ ɫ ɩɚɰɢɟɧɬɚɦɢ, ɤɨɬɨɪɵɦ ɩɪɨɜɨɞɢɥɚɫɶ ɤɨɦɩɶɸɬɟɪɧɚɹ ɬɨɦɨɝɪɚɮɢɹ ɛɪɸɲɧɨɣ ɱɚɫɬɢ ɚɨɪɬɵ ɢ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ. Ƚɢɫɬɨɥɨɝɢɱɟɫɤɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɩɪɨɜɨɞɢɥɨɫɶ ɩɨ ɬɪɚɞɢɰɢɨɧɧɨɣ ɦɟɬɨɞɢɤɟ ɫ ɩɨɫɥɟɞɭɸɳɟɣ ɡɚɥɢɜɤɨɣ ɜ ɩɚɪɚɮɢɧ ɬɨɥɳɢɧɨɣ 3-4 ɦɤɦ. Ƚɢɫɬɨɥɨɝɢɱɟɫɤɢɟ ɫɪɟɡɵ ɨɤɪɚɲɢɜɚɥɢ ɝɟɦɚɬɨɤɫɢɥɢɧɨɦ ɢ ɷɨɡɢɧɨɦ. ɋɬɚɬɢɫɬɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɩɨɥɭɱɟɧɧɵɯ ɞɚɧɧɵɯ ɩɪɨɜɨɞɢɥɢ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɩɪɨɝɪɚɦɦɵ Statistica 12.0. ɇɨɪɦɚɥɶɧɨɫɬɶ ɪɚɫɩɪɟɞɟɥɟɧɢɹ ɩɪɢɡɧɚɤɨɜ ɩɪɨɜɨɞɢɥɚɫɶ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɤɪɢɬɟɪɢɟɜ Ʉɨɥɦɨɝɨɪɨɜɚɋɦɢɪɧɨɜɚ ɢ ɒɚɩɢɪɨ-ɍɢɥɤɚ. ɉɪɢɧɢɦɚɹ ɜɨ ɜɧɢɦɚɧɢɟ, ɱɬɨ ɜɫɟ ɱɢɫɥɨɜɵɟ ɡɧɚɱɟɧɢɹ ɨɬɥɢɱɚɥɢɫɶ ɨɬ ɡɚɤɨɧɚ ɧɨɪɦɚɥɶɧɨɝɨ ɪɚɫɩɪɟɞɟɥɟɧɢɹ, ɞɚɧɧɵɟ ɛɵɥɢ ɩɪɟɞɫɬɚɜɥɟɧɵ ɜ ɜɢɞɟ ɡɧɚɱɟɧɢɹ ɦɟɞɢɚɧɵ (Ɇɟ), 25- ɢ 75-ɝɨ ɩɟɪɰɟɧɬɢɥɹ: Ɇɟ (25%-75%). Ⱦɥɹ ɫɪɚɜɧɢɬɟɥɶɧɨɝɨ ɚɧɚɥɢɡɚ ɦɟɠɞɭ ɝɪɭɩɩɚɦɢ ɩɪɢɡɧɚɤɨɜ ɢɫɩɨɥɶɡɨɜɚɥɢɫɶ ɧɟɩɚɪɚɦɟɬɪɢɱɟɫɤɢɟ ɦɟɬɨɞɵ: ɫɪɚɜɧɟɧɢɟ ɞɜɭɯ ɧɟɡɚɜɢɫɢɦɵɯ ɜɵɛɨɪɨɤ – U-ɤɪɢɬɟɪɢɣ Ɇɚɧɧɚ-ɍɢɬɧɢ ɢ ɜ ɫɥɭɱɚɟ ɧɨɪɦɚɥɶɧɨɝɨ ɪɚɫɩɪɟɞɟɥɟɧɢɹ ɩɪɢɡɧɚɤɨɜ –ɤɪɢɬɟɪɢɢ ɋɬɶɸɞɟɧɬɚ. ɋɪɚɜɧɟɧɢɟ ɤɚɱɟɫɬɜɟɧɧɵɯ ɩɪɢɡɧɚɤɨɜ ɩɪɨɜɨɞɢɥɨɫɶ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɞɜɭɫɬɨɪɨɧɧɟɝɨ ɤɪɢɬɟɪɢɹ Ɏɢɲɟɪɚ. Ɋɚɡɥɢɱɢɹ ɫɱɢɬɚɥɢ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵɦɢ ɩɪɢ p<0,05. Ʉɨɪɪɟɥɹɰɢɨɧɧɵɣ ɚɧɚɥɢɡ ɩɪɨɜɨɞɢɥɫɹ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɨɰɟɧɤɢ ɜɡɚɢɦɨɫɜɹɡɢ ɩɪɢɡɧɚɤɨɜ ɩɨ ɦɟɬɨɞɭ ɋɩɢɪɦɟɧɚ.

Ɋɟɡɭɥɶɬɚɬɵ ɢ ɢɯ ɨɛɫɭɠɞɟɧɢɟ. Ɇɨɪɮɨɦɟɬɪɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɜɚɪɢɚɧɬɧɨɣ ɚɧɚɬɨɦɢɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɭ ɩɚɰɢɟɧɬɨɜ ɪɚɡɥɢɱɧɵɯ ɜɨɡɪɚɫɬɧɵɯ ɝɪɭɩɩ ɭ ɠɟɧɳɢɧ ɩɪɟɞɫɬɚɜɥɟɧɵ ɜ ɬɚɛɥɢɰɟ 1.

Ɍɚɛɥɢɰɚ 1.

Ɇɨɪɮɨɦɟɬɪɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɭ ɠɟɧɳɢɧ ɪɚɡɥɢɱɧɵɯ ɜɨɡɪɚɫɬɧɵɯ ɝɪɭɩɩ (Ɇȿ[Q 25 ;Q 75 ]

ɉɨɤɚɡɚɬɟɥɶ Ⱦɨ 40 ɥɟɬ ȼɨɡɪɚɫɬ ɉɨɫɥɟ 40 ɥɟɬ Ɋ Ⱦɢɚɦɟɬɪ ɭɫɬɶɹ ɫɩɪɚɜɚ 9,20[8,20;10,00] 8,90[8,30;9,85] 0,547 Ⱦɢɚɦɟɬɪ ɭɫɬɶɹ ɫɥɟɜɚ 9,30[8,40;10,10] 9,40[8,50;10,93] 0,874 Ⱦɢɚɦɟɬɪ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ 5,75[5,20;6,40] 5,50[4,65;6,31] 0,573 Ⱦɢɦɟɬɪ ɚɪɬɟɪɢɢ ɫɥɟɜɚ 5,80[5,40;6,50] 5,20[4,90;6,30] 0,701 ɍɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ 139,0[130,00;142,00] 140,0[131,00;148,50] 0,408 ɍɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɚɪɬɟɪɢɢ ɫɥɟɜɚ 126,0[112,00;128,00]* 124,0[116,50;135,00]** 0,509 Ɋɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɫɩɪɚɜɚ 39,0[36,10;43,40] 35,0[23,85;43,15] 0,217 Ɋɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɫɥɟɜɚ 26,0[24,30;35;30]* 30,0[27,50;36,30]* 0,217 Ⱦɥɢɧɚ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ 66,70[57,00;74,80] 66,20[53,80;72,20] 0,821 Ⱦɥɢɧɚ ɚɪɬɟɪɢɢ ɫɥɟɜɚ 50,80[39,50;58,30]* 54,50[42,20;63,25]* 0,150 ɉɪɢɦɟɱɚɧɢɟ: * –ɪɚɡɥɢɱɢɹ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵ ɩɪɢ ɫɪɚɜɧɟɧɢɢ ɦɟɠɞɭ ɦɨɪɮɨɦɟɬɪɢɱɟɫɤɢɦɢ ɩɨɤɚɡɚɬɟɥɹɦɢ ɩɪɚɜɨɣ ɢ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɜ ɜɨɡɪɚɫɬɟ ɞɨ 40 ɥɟɬ: ** –ɪɚɡɥɢɱɢɹ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵ ɩɪɢ ɫɪɚɜɧɟɧɢɢ ɦɟɠɞɭ ɦɨɪɮɨɦɟɬɪɢɱɟɫɤɢɦɢ ɩɨɤɚɡɚɬɟɥɹɦɢ ɩɪɚɜɨɣ ɢ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɜ ɜɨɡɪɚɫɬɟ ɩɨɫɥɟ 40 ɥɟɬ.

Ʉɚɤ ɜɢɞɧɨ ɢɡ ɬɚɛɥɢɰɵ 1, ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵɯ ɪɚɡɥɢɱɢɣ ɫɪɟɞɢ ɩɚɰɢɟɧɬɨɜ ɠɟɧɫɤɨɝɨ ɩɨɥɚ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɜɨɡɪɚɫɬɚ ɭɫɬɚɧɨɜɥɟɧɨ ɧɟ ɛɵɥɨ (ɪ>0,05). ȼ ɬɨ ɠɟ ɜɪɟɦɹ, ɜ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɞɨ 40 ɥɟɬ ɪɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɫɩɪɚɜɚ ɛɵɥɨ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɜɵɲɟ ɭɤɚɡɚɧɧɨɝɨ ɩɨɤɚɡɚɬɟɥɹ ɫɥɟɜɚ (ɪ=0,02). Ɍɚɤɚɹ ɠɟ ɬɟɧɞɟɧɰɢɹ ɨɩɪɟɞɟɥɹɥɚɫɶ ɩɪɢ ɨɩɪɟɞɟɥɟɧɢɢ ɞɥɢɧɵ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ, ɤɨɬɨ

ɪɚɹ ɛɵɥɚ ɜɵɲɟ ɚɧɚɥɨɝɢɱɧɨɝɨ ɩɨɤɚɡɚɬɟɥɹ ɫɥɟɜɚ (ɪ=0,01). ȼ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɫɬɚɪɲɟ 40 ɥɟɬ ɨɩɪɟɞɟɥɹɥɢɫɶ ɩɨɞɨɛɧɵɟ ɡɚɤɨɧɨɦɟɪɧɨɫɬɢ ɩɪɢ ɨɩɪɟɞɟɥɟɧɢɢ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɚɪɬɟɪɢɣ (ɪ=0,007).

Ɇɨɪɮɨɦɟɬɪɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɜɚɪɢɚɧɬɧɨɣ ɚɧɚɬɨɦɢɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɭ ɩɚɰɢɟɧɬɨɜ ɪɚɡɥɢɱɧɵɯ ɜɨɡɪɚɫɬɧɵɯ ɝɪɭɩɩ ɭ ɦɭɠɱɢɧ ɩɪɟɞɫɬɚɜɥɟɧɵ ɜ ɬɚɛɥɢɰɟ 2.

Ɍɚɛɥɢɰɚ 2.

Ɇɨɪɮɨɦɟɬɪɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɭ ɦɭɠɱɢɧ ɪɚɡɥɢɱɧɵɯ ɜɨɡɪɚɫɬɧɵɯ ɝɪɭɩɩ (Ɇȿ[Q 25 ;Q 75 ]

ɉɨɤɚɡɚɬɟɥɶ Ⱦɨ 40 ɥɟɬ ȼɨɡɪɚɫɬ ɉɨɫɥɟ 40 ɥɟɬ Ɋ Ⱦɢɚɦɟɬɪ ɭɫɬɶɹ ɫɩɪɚɜɚ 10,10[9,00;11,60] 10,50[9,20;10,60] 0,616 Ⱦɢɚɦɟɬɪ ɭɫɬɶɹ ɫɥɟɜɚ 9,0[8,50;10,70] 9,50[8,50;11.30] 0,302 Ⱦɢɚɦɟɬɪ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ 6,10[6,00;6,40] 5,70[5,50;6.10] 0,479 Ⱦɢɦɟɬɪ ɚɪɬɟɪɢɢ ɫɥɟɜɚ 6,50[6,30;6,80] 5,60[5,50;5,80] 0,101 ɍɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ 139,0[133,00;143,00] 139,0[133,00;141,00] 0,803 ɍɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɚɪɬɟɪɢɢ ɫɥɟɜɚ 119,0[113,00;128,00]* 131,0[128,00;135,00] 0,002 Ɋɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɫɩɪɚɜɚ 48,0[42,00;48,00] 42,0[40,00;48,00] 0,561 Ɋɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɫɥɟɜɚ 31,0[29,30;38,90]* 30,0[26,50;48,10] 0,817 Ⱦɥɢɧɚ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ 74,20[67,10;76,90] 75,20[69,00;80,60] 0,702 Ⱦɥɢɧɚ ɚɪɬɟɪɢɢ ɫɥɟɜɚ 58,30[54,90;61,70]* 66,90[59,60;71,00] 0,526 ɉɪɢɦɟɱɚɧɢɟ: * –ɪɚɡɥɢɱɢɹ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵ ɩɪɢ ɫɪɚɜɧɟɧɢɢ ɦɟɠɞɭ ɦɨɪɮɨɦɟɬɪɢɱɟɫɤɢɦɢ ɩɨɤɚɡɚɬɟɥɹɦɢ ɩɪɚɜɨɣ ɢ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɜ ɜɨɡɪɚɫɬɟ ɞɨ 40 ɥɟɬ.

Ʉɚɤ ɜɢɞɧɨ ɢɡ ɬɚɛɥɢɰɵ 1, ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵɯ ɪɚɡɥɢɱɢɣ ɫɪɟɞɢ ɩɚɰɢɟɧɬɨɜ ɦɭɠɫɤɨɝɨ ɩɨɥɚ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɜɨɡɪɚɫɬɚ ɭɫɬɚɧɨɜɥɟɧɨ ɧɟ ɛɵɥɨ (ɪ>0,05), ɡɚ ɢɫɤɥɸɱɟɧɢɟɦ ɩɨɤɚɡɚɬɟɥɹ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ. ȼ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɞɨ 40 ɥɟɬ ɭɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɛɵɥ ɦɟɧɶɲɟ (ɪ=0,002) ɜ ɫɪɚɜɧɟɧɢɢ ɫ ɚɧɚɥɨɝɢɱɧɵɦ ɩɨɤɚɡɚɬɟɥɟɦ ɜ ɝɪɭɩɩɟ ɩɨɫɥɟ 40 ɥɟɬ. ȼ ɬɨ ɠɟ ɜɪɟɦɹ, ɜ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɞɨ 40 ɥɟɬ ɭɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ ɛɵɥ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɛɨɥɶɲɟ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɭɝɥɚ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ (p=0,0004). Ɋɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɫɩɪɚɜɚ ɛɵɥɨ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɜɵɲɟ ɭɤɚɡɚɧɧɨɝɨ ɩɨɤɚɡɚɬɟɥɹ ɫɥɟɜɚ (ɪ=0,004). Ɍɚɤɚɹ ɠɟ ɬɟɧɞɟɧɰɢɹ ɨɩɪɟɞɟɥɹɥɚɫɶ ɩɪɢ ɨɩɪɟɞɟɥɟɧɢɢ ɞɥɢɧɵ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ, ɤɨɬɨɪɚɹ ɛɵɥɚ ɜɵɲɟ ɚɧɚɥɨɝɢɱɧɨɝɨ ɩɨɤɚɡɚɬɟɥɹ ɫɥɟɜɚ (ɪ=0,001).

Ⱦɥɹ ɭɬɨɱɧɟɧɢɹ ɩɨɥɭɱɟɧɧɵɯ ɞɚɧɧɵɯ ɫɪɚɜɧɢɬɟɥɶɧɨɝɨ ɚɧɚɥɢɡɚ ɦɟɠɞɭ ɦɭɠɱɢɧɚɦɢ ɢ ɠɟɧɳɢɧɚɦɢ ɛɵɥɨ ɩɪɨɜɟɞɟɧɨ ɝɢɫɬɨɥɨɝɢɱɟɫɤɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɭɦɟɪɲɢɯ ɩɚɰɢɟɧɬɨɜ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɜɨɡɪɚɫɬɚ ɢ ɩɨɥɚ, ɭ ɤɨɬɨɪɵɯ ɨɬɫɭɬɫɬɜɨɜɚɥɢ ɜ ɚɧɚɦɧɟɡɟ ɡɚɛɨɥɟɜɚɧɢɹ ɨɪɝɚɧɨɜ ɦɨɱɟɩɨɥɨɜɨɣ ɫɢɫɬɟɦɵ. ȼ ɧɚɲɟɦ ɢɫɫɥɟɞɨɜɚɧɢɢ ɛɵɥɢ ɩɨɥɭɱɟɧɵ ɞɚɧɧɵɟ, ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɳɢɟ ɨ ɧɚɥɢɱɢɢ ɪɚɡɥɢɱɢɣ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɭ ɦɭɠɱɢɧ ɜ ɜɨɡɪɚɫɬɟ ɫɬɚɪɲɟ 40 ɥɟɬ, ɱɬɨ ɦɨɠɟɬ ɫɜɢɞɟɬɟɥɶɫɬɜɨɜɚɬɶ ɨ ɩɪɨɰɟɫɫɚɯ ɨɩɭɳɟɧɢɹ ɩɨɱɤɢ, ɤɨɬɨɪɚɹ ɜ ɛɨɥɶɲɟɣ ɫɬɟɩɟɧɢ ɦɨɠɟɬ ɛɵɬɶ ɜɵɪɚɠɟɧɚ

ɫɥɟɜɚ. ɍɤɚɡɚɧɧɵɟ ɢɡɦɟɧɟɧɢɹ ɦɨɝɭɬ ɛɵɬɶ ɨɛɭɫɥɨɜɥɟɧɵ ɪɚɡɜɢɬɢɟɦ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɣ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ. ȼ ɞɚɥɶɧɟɣɲɟɦ ɷɬɚɩɟ ɢɫɫɥɟɞɨɜɚɧɢɹ ɛɵɥ ɩɪɨɜɟɞɟɧ ɫɪɚɜɧɢɬɟɥɶɧɵɣ ɚɧɚɥɢɡ ɱɚɫɬɨɬ ɜɫɬɪɟɱɚɟɦɨɫɬɢ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɣ ɜ ɫɬɟɧɤɟ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ. ɉɪɢ ɫɪɚɜɧɢɬɟɥɶɧɨɦ ɚɧɚɥɢɡɟ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɤɪɢɬɟɪɢɹ Ɏɢɲɟɪɚ ɩɪɨɰɟɧɬ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɣ ɜ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɹɯ ɭ ɦɭɠɱɢɧ ɫɬɚɪɲɟ 40 ɥɟɬ ɛɵɥ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɜɵɲɟ (ɪ=0,049). ɍ ɠɟɧɳɢɧ ɜ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɫɬɚɪɲɟ 40 ɥɟɬ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɛɵɥɢ ɭɫɬɚɧɨɜɥɟɧɵ ɜ 4-ɯ ɫɥɭɱɚɹɯ ɢɡ 15-ɢ ɧɚɛɥɸɞɟɧɢɣ (26,66%). ȼ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɞɨ 40 ɥɟɬ –ɬɨɥɶɤɨ ɜ 1-ɦ ɫɥɭɱɚɟ ɢɡ 9 ɧɚɛɥɸɞɟɧɢɣ (11,11%). ɉɪɢ ɫɪɚɜɧɢɬɟɥɶɧɨɦ ɚɧɚɥɢɡɟ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɤɪɢɬɟɪɢɹ Ɏɢɲɟɪɚ ɭ ɠɟɧɳɢɧ ɞɨ 40 ɥɟɬ ɢ ɩɨɫɥɟ 40 ɥɟɬ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵɯ ɪɚɡɥɢɱɢɣ ɧɟ ɨɛɧɚɪɭɠɟɧɨ (ɪ>0,05). ɋɥɟɞɭɟɬ ɨɬɦɟɬɢɬɶ, ɱɬɨ ɩɪɢ ɝɢɫɬɨɥɨɝɢɱɟɫɤɨɦ ɢɫɫɥɟɞɨɜɚɧɢɢ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɥɨɤɚɥɢɡɨɜɚɥɢɫɶ ɜ ɬɨɥɳɟ ɫɬɟɧɤɢ ɤɪɨɜɟɧɨɫɧɵɯ ɫɨɫɭɞɨɜ, ɩɪɢ ɷɬɨɦ ɮɨɪɦɢɪɭɸɳɢɟɫɹ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɟ ɛɥɹɲɤɢ ɧɟ ɜɵɫɬɭɩɚɥɢ ɜ ɩɪɨɫɜɟɬ ɫɨɫɭɞɚ, ɬɨ ɟɫɬɶ ɧɟ ɦɟɧɹɥɢ ɟɝɨ ɞɢɚɦɟɬɪ. ȼɨɡɦɨɠɧɨ ɪɚɡɪɚɫɬɚɧɢɟ ɫɨɟɞɢɧɢɬɟɥɶɧɨɣ ɬɤɚɧɢ ɩɨ ɩɟɪɢɮɟɪɢɢ ɛɥɹɲɟɤ, ɤɨɬɨɪɨɟ ɛɵɥɨ ɛɨɥɟɟ ɜɵɪɚɠɟɧɨ ɭ ɦɭɠɱɢɧ ɜ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɫɬɚɪɲɟ 40 ɥɟɬ ɜɵɡɜɚɥɨ ɭɜɟɥɢɱɟɧɢɟ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɥɟɜɚ, ɱɬɨ ɜ ɫɜɨɸ ɨɱɟɪɟɞɶ ɨɛɭɫɥɨɜɥɟɧɨ ɦɟɧɶɲɟɣ ɞɥɢɧɨɣ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɜ ɫɪɚɜɧɟɧɢɢ ɫ ɩɪɚɜɨɣ.

Ɂɚɤɥɸɱɟɧɢɟ

1. ȼ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɞɨ 40 ɥɟɬ ɭ ɦɭɠɱɢɧ ɭɝɨɥ ɨɬɯɨɠɞɟɧɢɹ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ ɛɵɥ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɛɨɥɶɲɟ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɭɝɥɚ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ (p=0,0004). 2. ɍ ɠɟɧɳɢɧ ɚɧɚɬɨɦɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɧɟ ɛɵɥɢ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵ ɜ ɪɚɡɥɢɱɧɵɯ ɜɨɡɪɚɫɬɧɵɯ ɝɪɭɩɩɚɯ, ɱɬɨ ɦɨɠɧɨ ɨɛɴɹɫɧɢɬɶ ɛɨɥɟɟ ɩɨɡɞɧɢɦ ɪɚɡɜɢɬɢɟɦ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɣ ɜ ɤɪɨɜɟɧɨɫɧɵɯ ɫɨɫɭɞɚɯ ɜ ɫɪɚɜɧɟɧɢɢ ɫ ɦɭɠɱɢɧɚɦɢ. 3. ɍ ɠɟɧɳɢɧ ɜ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɟ ɞɨ 40 ɥɟɬ ɢ ɫɬɚɪɲɟ 40 ɥɟɬ ɪɚɫɫɬɨɹɧɢɟ ɞɨ ɛɢɮɭɪɤɚɰɢɢ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ ɛɵɥɨ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɜɵɲɟ ɭɤɚɡɚɧɧɨɝɨ ɩɨɤɚɡɚɬɟɥɹ ɫɥɟɜɚ. Ɍɚɤɚɹ ɠɟ ɬɟɧɞɟɧɰɢɹ ɨɩɪɟɞɟɥɹɥɚɫɶ ɩɪɢ ɨɩɪɟɞɟɥɟɧɢɢ ɞɥɢɧɵ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɫɩɪɚɜɚ, ɤɨɬɨɪɚɹ ɛɵɥɚ ɜɵɲɟ ɚɧɚɥɨɝɢɱɧɨɝɨ ɩɨɤɚɡɚɬɟɥɹ ɫɥɟɜɚ. 4. Ⱥɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɜ ɫɬɟɧɤɚɯ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɭ ɦɭɠɱɢɧ ɫɬɚɪɲɟ 40 ɥɟɬ ɧɚɛɥɸɞɚɥɢɫɶ ɫɬɚɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɨ ɱɚɳɟ ɜ ɫɪɚɜɧɟɧɢɢ ɫ ɛɨɥɟɟ ɦɨɥɨɞɨɣ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɨɣ (ɪ<0,05), ɜ ɬɨ ɠɟ ɜɪɟɦɹ ɭ ɠɟɧɳɢɧ ɩɨɞɨɛɧɨɣ ɡɚɤɨɧɨɦɟɪɧɨɫɬɢ ɧɟ ɧɚɛɥɸɞɚɥɨɫɶ. 5. ɍɜɟɥɢɱɟɧɢɟ ɭɝɥɚ ɨɬɯɨɠɞɟɧɢɹ ɥɟɜɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ ɭ ɦɭɠɱɢɧ ɜ ɫɬɚɪɲɟ 40 ɥɟɬ ɦɨɠɟɬ ɛɵɬɶ ɨɛɭɫɥɨɜɥɟɧɨ ɜɨɡɪɚɫɬɧɵɦ ɨɩɭɳɟɧɢɟɦ ɩɨɱɤɢ, ɛɨɥɟɟ ɜɵɪɚɠɟɧɧɵɦɢ ɚɬɟɪɨɫɤɥɟɪɨɬɢɱɟɫɤɢɦɢ ɢɡɦɟɧɟɧɢɹɦɢ ɫɬɟɧɨɤ ɫɨɫɭɞɨɜ, ɚ ɬɚɤ ɠɟ ɦɟɧɶɲɢɦ ɩɨɤɚɡɚɬɟɥɟɦ ɞɥɢɧɵ ɭɤɚɡɚɧɧɨɣ ɩɨɱɟɱɧɨɣ ɚɪɬɟɪɢɢ.

ɋɩɢɫɨɤ ɥɢɬɟɪɚɬɭɪɵ:

1. Ɍɪɚɧɫɩɥɚɧɬɚɰɢɹ ɞɨɧɨɪɫɤɢɯ ɨɪɝɚɧɨɜ ɜ ɦɢɪɟ [ɗɥɟɤɬɪɨɧɧɵɣ ɪɟɫɭɪɫ]: Ɋɟɠɢɦ ɞɨɫɬɭɩɚ: https://rustransplant.com/chislo-transplantaciy-v-mire-uvelichilos/ 2. ɋɢɧɟɥɶɧɢɤɨɜ Ɋ. Ⱦ. Ⱥɬɥɚɫ ɚɧɚɬɨɦɢɢ ɱɟɥɨɜɟɤɚ [Ɍɟɤɫɬ]: ɭɱɟɛɧɨɟ ɩɨɫɨɛɢɟ / ɋɢɧɟɥɶɧɢɤɨɜ Ɋ. Ⱦ, ɋɢɧɟɥɶɧɢɤɨɜ ə. Ɋ, ɋɢɧɟɥɶɧɢɤɨɜ Ⱥ. ə; Ɍ. 3. –7-ɟ ɢɡɞ., ɩɟɪɟɪɚɛ –Ɇ.: ɊɂȺ «ɇɨɜɚɹ ɜɨɥɧɚ», 2010. –94 ɫ. 3. ɉɚɪɮɟɧɨɜɢɱ, Ɇ.Ȼ. ȼɚɪɢɚɧɬɧɚɹ ɚɧɚɬɨɦɢɹ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ (ɨɛɡɨɪ ɥɢɬɟɪɚɬɭɪɵ) / Ɇ.Ȼ. ɉɚɪɮɟɧɨɜɢɱ // ɉɪɨɛɥɟɦɵ ɡɞɨɪɨɜɶɹ ɢ ɷɤɨɥɨɝɢɢ: ɫɛ. ɫɬɚɬɟɣ. –Ɇɢɧɫɤ, 2012. –№ 4 (34). –ɋ. 23-27. 4. Ʉɭɡɶɦɟɧɤɨɜɚ, Ʌ. Ʌ. ȼɚɪɢɚɧɬɵ ɚɧɚɬɨɦɢɢ ɩɨɱɟɱɧɵɯ ɚɪɬɟɪɢɣ ɜɡɪɨɫɥɨɝɨ ɱɟɥɨɜɟɤɚ, ɫɩɨɫɨɛɫɬɜɭɸɳɢɟ ɪɚɡɜɢɬɢɸ ɩɨɫɬɬɪɚɧɫɩɥɚɧɬɚɰɢɨɧɧɵɯ ɨɫɥɨɠɧɟɧɢɣ / Ʌ.Ʌ. Ʉɭɡɶɦɟɧɤɨɜɚ, ɇ.Ⱥ. Ɍɪɭɲɟɥɶ, Ɉ.ȼ. Ʉɚɥɚɱɢɤ // Ⱥɤɬɭɚɥɶɧɵɟ ɩɪɨɛɥɟɦɵ ɦɟɞɢɰɢɧɵ: ɫɛ. ɫɬɚɬɟɣ. –Ɇɢɧɫɤ, 2017. –ɋ. 452-454.