oaie, ai?ianeiai oi?aaeaiey nioeaeuiie caueou, aaieieno?a-
oee ?aeiiia, ioaaeaiea Iaineiiiiai oiiaa. Aieuieoa iieo?aao
aoiaieoa?io? iiiiuu ec Aa?iaiee, io aeaaioai?eoaeuiiai ia-
uanoaa E.E. INNA (iaiia?nu, iyaeee eiaaioa?u, iaaeoeineia
iai?oaiaaiea). Onoaiiaeaiu eiioaeou n A?eoainei-?inneeneei
iauanoaii «Oinien».
Oinien-neo?aa aieuieou iinoaiaiii caaiaauaaao aaoi?eoao
eae o ianaeaiey, oae e o iaaeoeineeo ?aaioieeia, i ?ai naeaa-
oaeunoaoao oaaee?aiea ?enea aieuiuo, ia?aaaaaaiuo ec oa??e-
oi?eaeuiuo iieeeeeiee a auacaio? neo?ao, e eioi?ie ia?aiia-
?aeuii ioiineeenu iaaaoeaii. Anee a 1994 a. oieuei 6 ai?ianeeo
iieeeeeiee ia?aee nio?oaie?anoai n auacaiie neo?aie oiniena,
oi ia eiiao 1996 a. o?a 15 ai?ianeeo iieeeeeiee. Oae, anee a ia-
?aea iaoae aayoaeuiinoe iaeeeaoeaiie iiiiuu? auee ioaa?a-
iu 49 aieuiuo, oi aeaaiaa?y oeo?oaie? i?aaiecaoee acaeii-
aaenoaey n iieeeeeieeaie ai?iaa e a?oaeie EIO eiee?anoai oa-
eeo aieuiuo e ianoiyuaio a?aiaie ninoaaeyao 360 ?aeiaae.
Ãîäû
Âûåçäíàÿ
Èç íèõ
ñëóæáà õîñïèñà
ãîñïèòàëèçèðîâàíû
1994 (2 ìåñ.)
49
—
1995
207
45
1996 (9 ìåñ.)
360
83
Âñåãî
616
128
Oaaee?eaaaony ?enei aieuiuo, iai?aaeaiiuo a oinien-
noaoeiia? ec ai?ianeeo iieeeeeiee. Oae, ii Ai?ianeie iieeeee-
ieea ¹ 2 ec 32 aieuiuo IV eeeie?aneie a?oiiu iaeeeaoeaio? ii-
iiuu a oinien-noaoeiia? iieo?eee 30 (94%) ?aeiaae, a ii iiee-
eeeie?aneiio ioaaeaie? Ai?ianeie aieuieou ¹ 2 ec 32 aieu-
iuo i?iea?aiu a noaoeiia?a 22 (71%).
A ?innee aieuoeinoai oinienia yaeyaony naiinoiyoaeuiuie
o??a?aaieyie. Nicaaiiay iaie iiaaeu ieacaiey iaeeeaoeaiie
iiiiue a ninoaaa iauaaeiaiiie aieuieou (iieieia iieeeeeie-
ee, INO, auacaiay neo?aa oinien-noaoeiia?a, oinien-
noaoeiia?) iaeaieaa oaiaia a i?aaiecaoeiiiii ieaia, oae eae
aaao aicii?iinou auno?iai ?aaae?iaaiey ia eciaiy?ueeny
noaoon aieuiiai, a oae?a iicaieyao naaeaou aieaa ainooiiie noa-
oeiia?io? iiiiuu, iniaaiii aey nioeaeuii iacaueuaiiuo
neiaa ianaeaiey.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», Iaeeeaoeaiay
iaaeoeia e ?aaaeeeoaoey, 1997, ¹ 2, no?. 12-13.
ÏÐÎÃÍÎÇÈÐÎÂÀÍÈÅ ÂÛÆÈÂÀÅÌÎÑÒÈ
ÏÐÈ ÐÀÊÅ ÌÎËÎ×ÍÎÉ ÆÅËÅÇÛ ÏÓÒÅÌ
ÎÏÐÅÄÅËÅÍÈß ÃÐÓÏÏÛ
ÏÎÂÛØÅÍÍÎÃÎ ÐÈÑÊÀ
A.?. Iaeuieeia, A.I. Ueieoui
O?aeuneay ainoaa?noaaiiay iaaeoeineay aeaaaiey,
eaoaa?a iieieiaee, Aeaoa?eiao?a
A 1989 a. ia eaoaa?a iieieiaee O?AIA auea ?ac?aaioaia aa-
oiiaoece?iaaiiay i?ia?aiia «?aaii» aey i?iaaaaiey ne?eiei-
aa n oaeu? ?aiiaai auyaeaiey iiooieae ?ai?iaoeoeaiie nenoa-
iu o ?aiuei. I?ia?aiia, iniiaaiiay ia ciaiee oieaa?naeuiuo
oaeoi?ia ?enea e eioaa?aoeaiii iiaoiaa i?e ia?aaioea aaiiuo
aieaoe?iaaiey, iicaieeea nie?aoeou a 10-19 ?ac ?eneaiiinou
?aiuei, io?aa?ueony a ianeaaiaaiee e auyaeaiee ?aea i?aa-
iia ?ai?iaoeoeaiie nenoaiu (?I?N).
Oaeu? ianoiyuaai enneaaiaaiey iineo?eea ioaiea aicii?-
iinoe i?iaiice?iaaiey 5-eaoiae au?eaaaiinoe aieuiuo ?aeii
iiei?iie ?aeacu (?I?), eia?ueo a?oiio iiauoaiiiai ?enea
?I?N ii i?ia?aiia «?aaii».
A enneaaiaaiea aioee 158 aieuiuo ?I? ?acee?iuo aic?an-
oiuo a?oii, noaaee caaieaaaiey, ioia?aiiuo neaiui iaoiaii.
Ana aieuiua auee i?iea?aiu a 1989-90 aa. a eeeieea iieieiaee
O?AIA eiiieaeniui eee eiiaeie?iaaiiui iaoiaii a caaene-
iinoe io noaaee caaieaaaiey. Ai ea?aiey ana aieuiua auee aia-
naiu a eiiiu?oa?iue aaie aaiiuo, ?oi iicaieeei noi?ie?i-
aaou a?oiio ?enea. A enneaaoaio? a?oiio aioee 58 ?aeiaae n ?e-
neii ?acaeoey ?I?N, inoaeuiua 100 ?aeiaae ninoaaeee eiio-
?ieuio? a?oiio. A 1996 a. aue i?iaaaai aiaeec 5-eaoiae au?eaa-
aiinoe aieuiuo enneaaoaiie e eiio?ieuiie a?oii ii iaoiaai
iaaeoeineie noaoenoeee.
N?aaiee aic?ano aieuiuo a enneaaoaiie e eiio?ieuiie a?oi-
iao ninoaaee 51,4 e 57,3 aiaa niioaaonoaaiii. ?acoeuoaou 5-eao-
iae au?eaaaiinoe, ii iaoei aaiiui, a caaeneiinoe io noaaee
caaieaaaiey ia ioee?a?ony io iioaeeeiaaiiuo a ia?aoe e ninoa-
aeee i?e I-IIA noaaee — 21,33%, i?e IIA-IIIA noaaee — 28,57%, i?e
IIIA — IV noaaee — 80%. I?e aiaeeca enneaaoaiie e eiio?ieuiie
a?oii, ioia?aiu nouanoaaiiua ?acee?ey ia?ao ieie.
Ec i?eaaaaiiie oaaeeou aeaii, ?oi e?iia noaaee caaieaaa-
iey i?eiaaea?iinou e a?oiia ?enea ?I?N oae?a aeeyao ia 5-eao-
i?? au?eaaaiinou. ?acoeuoaou i?iaiice?iaaiey au?eaa-
aiinoe o aieuiuo ?I? a caaeneiinoe io i?eiaaea?iinoe e a?oi-
ia ?enea ?I?N o?aao?o eiaeaeaoaeuiiai iiaoiaa e oaeoeea ea-
?aiey i?e ia?aeuiuo noaaeyo ?I?.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», Iaeeeaoeaiay
iaaeoeia e ?aaaeeeoaoey, 1997, ¹ 2, no?. 14.
ÎÐÃÀÍÈÇÀÖÈß ÌÅÄÈÊÎ-ÑÎÖÈÀËÜÍÎÉ
ÏÎÌÎÙÈ ÎÍÊÎËÎÃÈ×ÅÑÊÈÌ ÁÎËÜÍÛÌ
 ÏÎÇÄÍÈÕ ÑÒÀÄÈßÕ ÇÀÁÎËÅÂÀÍÈß
I.A. Ieoiianeay, A.N. Aa??oe
Iao?ii-enneaaiaaoaeuneee einoeooo iieieiaee
ei. I.I. Iao?iaa, Naieo-Iaoa?ao?a
Iaaeaaii?eyoiua eae ii o?iai?, oae e ii aeiaieea iieacaoa-
ee iieieiae?aneie caaieaaaaiinoe a Naieo-Iaoa?ao?aa ia oiia
nioeaeuii-aaiia?aoe?aneeo e yeieiai-yeiiiie?aneeo oaeoi?ia
i?iaeeoiaaee iaiaoiaeiinou iiaiai iiaoiaa e ?aoaie? i?ia-
eaiu iaaeei-nioeaeuiie iiiiue eieo?aaaeuiui iieieiae?an-
eei aieuiui a ia?eia iiaaioiaee e ?aoi?ie?iaaie? nenoaiu
ca?aaiio?aiaiey — aaaaaie? nenoaiu iaycaoaeuiiai iaaeoei-
neiai no?aoiaaiey. A 1990 a. a Naieo-Iaoa?ao?aa ioe?uo ia?aue
a ?innee oinien — niaoeaeece?iaaiiia o??a?aaiea ii ieaca-
ie? iaeeeaoeaiie iiiiue e iaaeei-nioeaeuiie ?aaaeeeoaoee,
eaaeeoeoe?iaaiiiai ooiaa e ineoieiae?aneie iiaaa??ee eieo-
?aaaeuiuo iieieiae?aneeo aieuiuo a noaoeiia?a e ia aiio,
oaeu ?aaiou eioi?iai — oeo?oaiea ea?anoaa ?ecie iieieiae?a-
46
Àíòîëîãèÿ íàó÷íûõ ïóáëèêàöèé
Ðåçóëüòàòû 5-ëåòíåé âûæèâàåìîñòè ÐÌÆ
â ãðóïïå ðèñêà ÐÎÐÑ è êîíòðîëüíîé ãðóïïå
â çàâèñèìîñòè îò ñòàäèè çàáîëåâàíèÿ
ãðóïïà
êîíò-
ãðóïïà
êîíò-
ðèñêà ðîëüíàÿ ðèñêà
ðîëüíàÿ
ÐÎÐÑ ãðóïïà
ÐÎÐÑ ãðóïïà
I
19/3
28/2
15,79%
7,14% 3,26
IIA
10/5
19/6
50%
31,58% 4,16
IIB-IIIA 19/7
43/11
36,84%
25,58% 2,03
IIIB-IV 10/9
10/7
90%
70%
2,5
âñå
58/24
100/26
48,16%
33,58% 2,6
*
— ðàçëè÷èÿ â ãðóïïàõ äîñòîâåðíû (ð>95%) ïðè X
2
>2.
Ñòàäèÿ
Êðèòåðèé
ðàçëè÷èÿ
Õ
2
*
5-ëåòíÿÿ
âûæèâàåìîñòü
×èñëî áîëüíûõ
(âñåõ/óìåðøèõ)
