.

1 (47) 2012

10- - !

, , 2002 . , - , , .

, , , - .

, -, . , : - ; ; - - ; , ; ; .. - , - , - , .

: .. , .. , .. , .. , .. , .. , .. , .. , .. , .. .

, .

, , , - !

.. ..

CMYK 1

1 2012

. , ...,

. . .

. , ..., . . .

..., . . .

... . .

2002

:

, -

, . . - ,

, , ,

.

, 125040, , . , . 8, . 35

.: (495) 742-44-40, (499) 557-00-91, . 137e-mail:info@asvomed.ru

, .

77-13601 20 2002 . 16.03.2012. 6084 1/8. 1.

. 10 . . 1000 . 2143. ,

214000, . , . , 16, .: (4812) 59-99-07, 38-28-65, 38-14-53.

. ., ..., . . ., ... . ., ..., . . ., ..., . .., ..., . . ., ... .., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ... . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ... . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ..., .

. ., ..., . (. ) .., ..., . (, . ), . ., ... . ., ..., -. . ., ..., . . ., ..., -. (. ) . ., ..., . . ., ..., . (. ) . ., ..., . (. ) . ., ..., . (, ) . ., ..., . . ., ..., . (. ) . ., . ., ..., -. . ., ..., . (, . ) . ., ..., . (. ) . ., ..., . (. ) . ., ..., . (. .-) . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ..., . . ., ..., . , -. . ., ..., . . ., ..., . (. ) . ., ..., .

1 2012

2 -

CMYK 2

-

-

614-036.86:614

..: . ; ..: .

, .

. -

. - .

-, - (- , 1990 .).

- - . , - , - , (). - , , , , , , , .

, -, .

10.12.1997

356 -, - , 364 - , -, - -, - - .

2003 241 [3] - . 2006 52 [4] - , - 27.08.1999 337 - - 109, : -

- .

20.08.2007 553 27.08.1999 337 -, -, , - , , - , -, , ; - , , - , , ; - , - , , , , .

, - , - - .

2008 - 112 - - , , - , , , , - , , , , , ; - - ; , - , , ; - .

1 2012

3-

CMYK 3

2009 (07.07.2009) - 415 - , - , - -, , , , , - ; - -, , , , - , , -; , - , , , - ; , - ; , - , , --, , -, , , - -, , , , , - , , -, , , , , , -, , , - , , , -, , , - -, , -, , , -, , , - , .

2010 210 - - , - , , , , - , , , , , ; - - ; - , , , , , ; , - , .

09.02.2011 . 94 - - - , -

- , - - 23 2009 . 210 , - . ( -, : - , ( ), , - , , ( ) .

25.07.2011 . 801 - - - III 1 ) -, : - .

- - . 2004 - . --, 30 - , - , - . - .

- - , - : , , , - , , -.

- - , - 20082009 . , - - - - , -: -, , -, , , . - , , , , , , , -, , , -, , , -, , , , - [5, 6, 7, 8, 9].

415 [9] - , : -

1 2012

4 -

CMYK 4

, , -, -, , , , -, , , -, , , -, , , -, , , , , -, , , -, , , -, , - , , , , - , , , -

, - , -. - .

, -

- , -, - .

1. // - 10.12.1997 . 356.

2. // - 10.12.1997 . 356.

3. 241 27.08.1999 337 - // 09.06.2003 241.

4. , 27 1999 . 33// 31.01.2006 . 52.

5. 27.08.1999 337 - // 20.08.2007 . 553.

6. . . 20.08.2007// - 337 27.08.1999.

7. - // 11.03.2008 . 112.

8. // 23.04.2009 . 210.

9. - // 07.07.2009 . 415.

10. // 09.02.2011 . 94.

11. - // 25.07.2011 . 801.

. , , , , . . , - .

: , .

Summary. Documents in data bases Konsultant Plus, Garant, site Minzdravsotsrazvitiya of Russia Data bank with the use of words specialties nomenclature, medical specialties nomenclature, positions nomenclature have been analyzed. The availability and the place of medical specialties in the field of rehabilitation treatment and medical rehabilitation was deter-mined in the documents. The enlargement of main specialties list and specialties, requiring postgraduate professional educa-tion or additional education for training physicians in the specialty of Rehabilitation medicine was substantiated.

Key words: nomenclature, specialty.

: . : . , ., . 9, .: (495)697-92-04; e-mail: n_prilipko@mail.ru.

1 2012

5-

CMYK 5

616-036.86-053.2:376

..: .

, . ,

, - , , , - .

, - [1].

-, 2001 2009 63 ( 7 ) . -: - 13%, 34%, - ( ), 25%, - , 3%, - 2%.

72% - , - - (34%), 20% () [2].

, - -, (- .. ., 1972). , . , .

, -

( ), - , , , .

- : -, . - , - .

, .., , - . Activity of Daily Living (ADL) ( .., .., 1988) - , - , , , , .

, : - , . [3, 4].

- . - : -, , , , , , - , , , , - , , - , , , . ( 20 ). - - - 1015- .

- . : 0 60 , 61 125 126 190 . , 220 -, - . - - .

- - . - 0 3 , 3 6 6 9 , -, , , , -, . . , - .

- - . ( 2007 .) - 1012%.

991 -

. 331 (31,4%) -, 307 (31,0%) 337 (37,6%) . 58 (5,8%) -

1 2012

6 -

CMYK 6

, 51 (5,14%) - 18 - -.

- -.

., 27.06.2006 . 1528, 20.04.201112.05.2011. - . . : , - , . - , 85 (38,6%), - - . ( , --, -, , , , , - , .) - , - , , , , , , , . 130 (59%). - 20,4%. .

., 28.03.2007 . 1519. 19.04.12.05.2011., : , . . : - -. 60 (27,3%)

. : , , , , , , , . - 90 (40,9%), -. 13,6%.

., 04.10.2008 . 3315, 03.12.2010.24.12.2010., -: , . -. : , , . 65 (29,5%), - . - ( , -, , -, , , , ) , , . - , , . 90 (40,9%), - 11,4% .

,

- , - , , .

1. .., .., .., .., .. , / : . -, 1970. . 2636.

2. .. / - - : . 2010 C.164166.

3. .., .. / , , 1988. 301 .4. .. / , . . 2002. 124 .

. - , , - , .

: , , .

Abstract. Inculcation of skills of self-service to children with the limited possibilities in complex rehabilitation is the initial stage of integration of children in a society. For an establishment of level of dependence of the child from assistance the modified estimated scale is used. For the purpose of definition of level of efficiency of the spent rehabilitation actions the comparative analysis of skills before treatment is carried out.

Key words: children with the limited possibilities, skills of self-service, complex rehabilitation.

: .E-mail: sholpan.ospanova.66@mail.ru

1 2012

7-

CMYK 7

,

615.85-615.86

..: , ...; ..: , , ...; ..: c , ...; ..: , ...

2 3 . .. , .

-

, 534 - - 1,5 2 . 374 (70%) , - , -, . , , - - - .

,

, - , [1, 2, 3, 5, 7, 8, 9, 10]. - - , - [12, 15, 18]. - , , , , - - . , , - [2, 3, 4, 5]. - - - - [1, 16, 17]. -, 45 95% . - - [3, 4, 5, 6, 7]. , -, -

. - , , - , - , , , [1, 2, 3, 5, 9]. - - , . - -, , , - , , - , , - , [3, 4, 5, 16, 17].

- .

534 -

( 3512,7 , 17411,5, 74,87,3 ), -. ( ) 89% , 6% 5%. 88,8% 30 . (11,2%) - 3146 (. 1).

(51,9%) - (49,1%) . (63,6%) . , , , - 6,7% . ( 12,9% ) , - -

1 2012

8 -

CMYK 8

17,3%, - 13,5%, 7,9%, 5,3%, - 3,1%.

- . - -, , (-10) 55% . 17% , 23% - , 27% - , 10% - ( ) 8% .

[8, 9, 11]. - () - - MMPI (Minnesota Multiphasic Personality Inventory) [8, 9, 11]. - - , - , [8, 9, 11]. -, - .

- , - , - . , , , . - , , 12 , , - , -. - , , - - - , - .

-

- , - ( ). - , 55 , - ; .

- - 70% (374 ) - . , , . - ( 18,6% 99 ) (58,8% 314 ).

11,4% (61 ) - ( 23 ) - - - , , . 8,6% (46 ), , - - , - , - , , . (87,6% 468 ) -, - . .

- II ( 70 -) VII (. 2), - .

. 2.

: 1 , 2 -. ; -. *

1 2012

9-

CMYK 9

. 3. -

:1 2 : 1- , 2 . ; - . * - ,

1 2012

10 -

CMYK 10

, -; (. 7.).

. 7. - (1 2 ) - (3)

: ; , *

1 2012

11-

CMYK 11

Abstract. In article the psychological picture of changes revealed at wounded men with a fighting trauma of the top ex-tremities at a late stage of medical rehabilitation in terms from 1,5 till 2 years after wounds is analyzed. Results of kliniko-psy-chological inspection of 534 military men with consequences of a fighting trauma of the top extremities are resulted. In 70 % of supervision steady changes in psycho-emotional sphere have been noted. In research the depressive reactions, shown by the suppressed mood, elements of intellectual and motor block, or in the form of the latent depression are revealed.

Key words: the psychoemotional sphere, the suppressed mood, the motor block, the latent depression.

: . : . , . , . 5; .: 8(495)455-88-13

616

1 ..: , - , ...;2 ..: ; 2 ..: . 1 , . 2 , .

-. , , . - , - , - - - .

- , - , - , . , - . : , - - 2.2.3.3/9399 -: , - (20092011 ) - -, -

. - , - - , - .

: - - ; - 15- ; - - ; - ; - - .

- - . - - . - -

1 2012

12 -

CMYK 12

, - . -, , - , - . - - - , , - .

- , - . , . - ( , -, , , , , , , , - ) - .

, - . - (), , ( ), - , , , , .

, - - . - , . , (- ). . , - . , - , - .

- , - - - .

-

, - , - , - - , , - , , - .

- . . - - (, , ) 500

17 24 , 258 242 . : 206 (, - , 2- ); 60 (, , 2- ), 234 ( , 23- -). -, , - , , - , - . : - , - . - : SF-36; - . . .. ; - .. ; - .. ; - - ., . ; - .. ; -25 .. . - -.

SF-36. , - -, , - . , , -. . , -, -, - - .

1. -

SF36 n=500

72,3911,58

72,0712,32

48,4512,4

64.916,89

62.118,65

65.412,1

65.2616,13

69.6811,91

69,9611,42

65,6112,76

- - -. , , -. , , -.

1 2012

13-

CMYK 13

2.

SF36

n=258n=242

-

73,211,43 71,539,79

72,1412,1 73,79,73

69,9512,3 69,9512,37

65,546,8 73,17,1

68,328,84 63,418,69

61,357,34 61,887,34

-

63,415,42 70,918,03

-

74,189,32 73,419,76

70,211,24 67,3912,61

62,5611,79 69,8110,47

- .. , , - , . - -, , . , - - , , , , . , , - : -, , , -. 45,44. , - , - , , .

44,05. , - , - , - .

- . ( 46,43, 45,44), ( 43,65, 41,54).

, - .. , 7 , -. , - , - , . , - . . - -. - (7,5), (6,4).

.. 25,83. - -

, -, . , , . - 26,49 . , , . , , - . - 21,82 . , , - . . - -- 17,39 . , . , (23- ), - , - . -- 24,73 . , , - (. 1) .

. 1.

, , - , - , , , , - -, . , . - . 24,74, - 27,95 . 25,22, 28,98 . - 25,22, 28,98 . - 16,96, 18,23 . , - - 24,03 26,11 . , -, .

- . - . . ,

1 2012

14 -

CMYK 14

- ( 134 ).

- 42,34 . - - . , . , . 24,37 . - - , . , , -. 24,08 . . - , . 49,60 . , - - . , - . - 11,43 . . , , (. 2).

. 2. - -

. . : 134,14, 133,74 . - 42,92, 41,08 . - 23,53, 26,26 . - 23,93, 24,43 . - 49,78, 49,22 . , 11,39, 11,52 .

, - -, - . - : , , . - .

, .

.. .

I - 9,31 . , , , , -. , , , , , - , , - . -. II 9,14 . , - . , , . - , - , , , . - . III 6,31 . - , , , . - .

IV - 9,87 . - , . (. 3).

. 3.

- : - 9,24, 9,43 . 9,42, 8,64 . - 6,4, 6,16 . 9,99, 9,66 .

, -, , . -, .

-25 .. - -. 4,21 , 2,58 .

1 2012

15-

CMYK 15

, , -, . - , -, .

: - 4,73 , 3,04 , - 3,91 , 2,32 .

-

, , -. , , - . - . , , - . - , , .

, , -, , , - . : , .

-: , -, . - , . . : - , .

, - , , ,

, , . - : - , .

- , - . - : , , -. . - .

. , - , . - , . , . - , -, .

: , , . - , - -.

: - , , - . - , , . , .

, - - - - , - , , .

1. // / . . . . , 2006 . 974.2. : / . .. . : . , 2009.3. : . / . . .. . :

, 20084. : . / . . .. ,

... : , 2010.5. [ ]. : http://www/reflexion/ru/Library/RPC 2007- Tezis.pdf

: ,

, , - . - , - -. -, , - , , - .

1 2012

16 -

CMYK 16

: -, - , - .

AbstractThe scientific study of reproductive health of young people: risk behavior, the attribution of responsibility and demo-

graphic ekspektation directed to the analysis of behavioral risk youth reproductive health, the attribution of responsibility and demographic expectations, and developing programs for prevention and correction of the reproductive values of young people. Among the objectives of the study the study of psychosocial risk youth reproductive health, the development of prevention and healthy lifestyles and responsible attitude to their reproductive health and behavior of the Russian students. The interdisciplinary nature of the study will explicate the basic parameters of motivation, anxiety levels, social and psycho-logical adaptation, the level of reflexivity, value and meaning of preferences and quality of life.

Key words: reflection of psychological and medical risks of reproductive health of young people, explication of social-psychological characteristics of modern Russian students, socio-psychological model of healing.

:a . E-mail: sfilippchenkova@mail.ru

1 2012

17

CMYK 17

, , ,

615.842.03:616.248:615.825.1

..: . - , ..., ; ..: - ; ..: . - , ...

, . 13 . .. , .

,

, - - (1015%), , [1, 2]. .

- , . , - - , , , - [34].

- - (), -200, . . 80- - [5, 6].

, , - -. . - . - , - , , - [7].

- , , . - [6, 7].

- -

, , , - , - - - [6, 7, 10, 11].

- - , - .

-

101 - 5 15 . 67 (66,3%), 34 (33,7%).

52 (51,5%) - , 49 (48,5%) . 78 (77,2%) , 23 - (22,8%) .

73 (72,7%) . 23 (22,8%) -, 25 (24,8%) . 70 (69,3%) , 15 (14,9%) .

, - : - , , , - .

- - ( SpiroSoft GE Medical Sistems, ).

- , ( MicroPeak, ), % - [8].

-

1 2012

18

CMYK 18

(- ) [9].

, - 9,8% , 58,8% - - 31,4% - .

- 72,4% .

49 (48,51%), 52 (51,49%) .

. 1- (42 ) , 2- (29 ) (), 3- (30 ) .

- 100 24 - , , , 60 , 24 -. , 10 . .

, - (1- ) . 5- 66,7% - 62,5% . 58,1% - . 64,3% . 80% -, . 87% , - , - , - .

2- . 5- 37,5% , 28,6%. 42,9% . - 25% , 40%. (50%) - , 56,3% - , 71,4% .

(3- ) - , . - 1- . 3- , 90,9% .

(5- ) . - 86,7% , . : - .

- (1 ) (,

1, ,

25,

50,

75 ( 1).

1. - (M m)

( % )

1 (n=42)

2 (n=29)

3 (n=30)+

82,532,0291,192,60*

79,991,9584,341,72

82,402,6193,732,26**

1

81,292,1888,931,50**

81,180,9785,961,66*

82,342,4194,022,23**

77,042,4883,571,77*

72,561,5479,671,26**

76,062,7288,002,27**

25

71,630,8774,880,86*

66,691,5970,831,04*

70,612,3182,022,47**

50

66,021,3976,441,69*

62,941,5768,581,44*

66,952,4378,662,80**

75

57,461,4568,251,02***

55,532,3961,741,36*

55,842,9971,322,46***

: , - (*

1 2012

19

CMYK 19

-. - 3,3% . - -.

( 2).

2. (M m)

- ( % )

1 (n=42)

2 (n=29)

3 (n=30)+

73,516,76

105,576,94**71,266,31 86,582,30*

72,446,97116,658,81***

: , - (*

1 2012

20

CMYK 20

- . , .

: , , -, , , .

Abstract. A total presents the results of treatment of 101 children presenting with bronchial asthma. Positive influence of the combined use of deep oscillation and physical rehabilitation on clinical and functional condition of the patients was improved during the investigation. Dynamics of falling of the bronchial obstruction was apprized by analyzing of function of respiratory system and peak expiratory flow measurement. A rationale has been developed for the application of the pro-posed therapeutic strategy to the treatment of children with bronchial asthma.

Key words: bronchial asthma, deep oscillation, physical rehabilitation, breathing excursion of chest, function of respiratory system, peak expiratory flow measurement.

: . : 123056, . , . 15;.: 8(499)766-70-23, : 8(499)766-70-47, e-mail: 6057016@mail.ru

616-082.8:616-006.66:615.065

1,2 ..: , ..., ; 2 ..: , ..., ;3 ..: -, ...;2 ..: , ,..;4 ..: , ...1 3, . 2 , . 3 - , . 4 . . .. - -, .

- . , , - - , , , - , - , - .. [1]. , , - , - - - , - [2].

- . . (-

, -, , - , , - , , , , , -, . [3, 4, 5]. - . -, - - [6].

- 482 , - .

1 ( , n=63) ,

1 2012

21

CMYK 21

, . - - . - .

2 (n=59) - . , - - . - 11,5 . 15 .

3 (n=62) . (), - . 7 10 - .

4 (n=74) - , - (??? = 660???20 ), - , , - . - 10 .

5 (n=58) . (5 ) 1116% -, 46 - (5 ) 20,9%

2 (

). - - 5 , 45. 15.

, -

( 1) , - (. 1, . 1, 2). , 23%, - 58%, 8,10,39 - , 7% - , , , ( 68%). - - . 33%, 810%, - , 6 , , 12 .

. , - 912%, 18 53%. 11,50,33 - , ( - ) - , , , -

. 47% 18-26%. , - - 6 - .

- - , -, . -, - . - : 60% , 33% 6 - 25% 1 -. - 15 24% 6 .

- . 711% 1929% . ( 2025%) ( ) -. ( 4-7%) - - 15%. (12 ) - , - 6 .

, , , - , - . -, ( ) , , - . -, 16 , 61%, , , , ( 12 ). ( 20%) . , , , - -. - , .

, -

-

1 2012

22

CMYK 22

1.

1.

, 273920,2 268817,5*

, 34,60,34 32,00,24*

, 13,30,35 21,40,82*

, 35,01,26 23,50,79*

, 22,10,44 15,00,27*

2. + -

, 279022,6 262321,1* #

, 34,10,29 33,00,22* #

, 13,50,39 25,00,81* #

, 37,21,16 19,60,77*

, 24,10,42 11,80,28* #

3. + -

, 279521,5 270220,4*

, 34,90,30 33,20,29* #

, 12,10,44 20,80,57* #

, 34,71,02 18,50,74* #

, 23,60,38 11,40,20* #

4. + -

, 281618,8 271517,4*

, 34,70,28 32,90,29* #

, 13,00,46 22,30,89*

, 34,71,20 14,80,33* #

, 25,40,34 15,20,24*

5. +

, 283219,5 273618,4* #

, 34,20,26 33,30,24* #

, 13,00,39 29,20,85* #

, 32,81,05 12,70,28* #

, 24,70,41 14,70,24*

: * ; # - ( )

1. - ( 8 ) . ()

2. - . ()

- . , , , , - - -. - , -

- . , - , , . , - , - , - .

1 2012

23

CMYK 23

1. .., .., ... . // , 2008. 1. . 9094.

2. .. // , 2008. 3. . 3136.

3. .., .. , // , 1988. . 34. 1. . 38.

4. .., .., .. // . ., 1999. . 2224.

5. Badger C., Preston N., Seers K., Mortimer P. Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database Syst. Rev., 2004. Oct 18; (4): CD003141.

6. .. - : . . . . ., 2004. 48 .

. -, -, . , . , , -, , - .

: , , .

Abstract. The radical resection of chest gland is accompanied by development postmastectomy syndrome for which treatment various methods of physical therapy from an arsenal of regenerative medicine as the standard method of treatment doesn't possess sufficient efficiency are offered. It is proved that various methods of physiotherapy have specific influence on pathological reactions postmastectomy syndrome. The pneumocompression reduces puffiness of the top extremity an elbow joint, the psychotherapy reduces depression level, the phototherapy reduces viscosity of blood and improves hemostasis parameters, Hypoxemic training promotes increase in speed of carrying out of an impulse on an elbow nerve, improves quality of life.

Key words: postmastectomy syndrome, reconstructive correction, methods of physical therapy.

: , 105264, . , ., . 29; .: (499) 163-05-22; od3@mosgorzdrav.ru , 121069. . , ., 9; .: (495) 697-97-11; fvk49@mail.ru. , 129626. . , ., . 13; .: (495) 687-99-99. alexandr@bratik.ru , 121069. . , ., 9; . (495) 697-93-15;b gn57@yandex.ru. , 660022. . , . , 1; iv-kolesnikova@mail.ru

1 2012

24

CMYK 24

616.711:611.329:615.27:615.032

1 ..: , ...;1 ..: , ..., ;2 ..: , ..., ;3 ..: , ..., ; 1 ..: . 1 , . 2 , . 3 . .. , .

-

- , . , - [1, 2], - - [3]. - () , .

202 -

20 66 - (, -, - , ) (). - , -, , , .

- . - 96 , , , , , -, , - . 17 (18%) 96, , , , . () 106 , - - . , - 3 (3%).

- , - . - (). -

(V 2230, 53, 54, 55, 60, 62), ( 36), - (VG 3, 4, 5), -. 14 , 3 ( ). - - ( ), 5-, 8- 12- .

- 14- , () 3031- , - , 30- 6 .

SF-36 [4]. 36 : (), - (), (), (), (), ().

, -, -, - , - - - .

-

, - 14- , - , , . - , , , / , -, , , . , - 14- , (. 1).

, - - -,

1 2012

25

CMYK 25

14- -. - - (. 1).

. 1. 14-

1. 14- ( )

(n=79)

- (n=106)

38 41 30 76 0,009

11 68 8 98 0,22

59 20 12 94 0,00

. 49 30 19 87 0,00

: 14-

, , 14- -, , - , / , , - . - .

, - , - . - . , , - , , , - .

- -, , SF-36. , , - -. , - (>0,05). - () -: 35,711,7; 42,014,5; 22,815,9; 34,621,3; 43,210,4; 30,415,2; 29,916,8; 33,915 8; 44,117,6. 2 , - - 3031- .

2. - 3031-

[LQ; UQ]

[LQ; UQ]

35 [30;50] 55 [35; 67]

1 2012

26

CMYK 26

, . . 3.

, -, , - (. 2).

. 2. , -

, . 2, - , 14- - - . , - , - ( , , ). -, 40% : , , , , , - .

- -

( 6 ), - - , .

-

- , - - . - -.

- , , - - , , - .

- - - -. - ( 6 ) , -, - , . - , - [5].

1. .. . , 1957.2. .. ( ) .: , 1998 470 .3. .., .., .. ,

/ . 2009. . XVI. 2. . 245247.4. .. . .: , 2002. 320 .5. .. // :

- / . 2008. 10. . 5155.

. 202 20 66 - (, , - -, ) - (). : , . , - , , 6 .

: , , -, .

1 2012

27

CMYK 27

Abstract. We observed 202 patients with dorsalgia and gastroesophageal reflux disease. Patients were randomized into two groups. The first group received standard therapy, the second group received pharmacopuncture and manual therapy. pharmacopuncture and manual therapy can help cure back pain and gastroesophageal reflux disease. Catamnesis 6 months.

Key words: vertebroneurology, gastroesophageal reflux disease, medical rehabilitation, pharmacopuncture.

: . : 410053 , . , . 1; e-mail: NEKomleva@yandex.ru . : 117513, . , . , . 1; e-mail: marjanovsky@arnebia.ru

616.831-072.1-089

1 .., 2 .. 1 , . , 2 , . ,

(), -

, [2, 3, 4, 11]. - 1530 - 100 000 . 20 2,7% [7, 8, 11]. . - - . - , - . - 60 . 1 5000 - [3, 4, 8].

, - , - , , -, , . - -, - [4, 7, 8]. , , , , - , - - ().

. - , - [1, 5, 9, 10].

, , - , 0,2 4 1000 . - 68 1000 . - , - - [1, 5, 6, 9, 10].

- - ( .. ., 1996; .., 2000; Raimondi .Y., 1987; ., 1991). , .

- . - , , , , - .

- - , - , -

1 2012

28

CMYK 28

IV , , - .

- III . A.L. Levis c c. (1994) - , . -, , . 206 , 127 . - 59 , 26.

- , -, . -, - , - ( ).

- - , - .

82

, - 2007 2011 . , 13- . - , - 2 :

I . 41 , - III (- III)

II . 41 - () .

-, , , , - . - , - . ( - ) - (Karnofsky D.A., Burchenal J.H., 1949).

1- 41 - . -III - , 7 1 - -. 2- . - , , .

-

-, , , - -

- .

. , .. - - . - -. - -, , -, - 1- , III - . - - , , - - .

2- - , - , . , 1.

1.

1- 2-

- ()

47,41,1 72,10,9* 48,81,4 41,90,7*

: * - - (P

1 2012

29

CMYK 29

1. -

- .

2. - . - .

- , -.

3. - , - .

1. . ., . ., . . / . . - , , - , . 2004.

2. .. - : . . ... . . . ., 2004. 25 .

3. . ., . . // / . .. , .. , .. . .: , 1995. . 2. . 658.

4. .., .., .. - - // . /, 1970. . 540543.

5. .., .., .. . : (, , ). ., 1999. 234 . 6. Amato M., Guggisberg C., Kaiser G. Treatment of progressive posthemorrhagic hydrocephalus with temporary external ventricular drainage.

Preliminari results // J. Helv Paediatr Acta. 1996. Vol. 41, 4. P. 317324.7. Casey K.F. Vries J.K. Cerebral fluid overproduction in the absence of tumor or villous hypertrophy of the choroid plexus //Child's Nerv Syst. 1999.

Vol. 5. P. 2334.8. Cipri S., Gangemi A., Cafarelli F. et al. Neuroendoscopic management of hydro cephalus secondary to midline and pineal lesions // J. Neurosurg.

Sci. 2005. Vol. 49. P. 97106. 9. Paulson O.B., Standgaard S., Edvinsson L. Cerebral autoregulation // Cerebrovase brain Metab Rev 2. 2000. P. 161192.10. Schievink W.I., Meyer F.B., Atkinson J.L. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension [see comments] // J. Neurosurg

2002. Vol. 84, 4. P. 598605.11. Wong T.T., Yen S.H.. Ho D.M. et al. Pineal germinoma with intratumoral hem orrhage after neuroendoscopic tumor biopsy // Childs Nerv. Syst.

2003. Vol. 19. P. 769772.

. . - . - , .

: , , .

Abstract. Now the estimation of quality of life becomes more and more important in estimation of treatment of illnesses of brain. In neurooncology the greatest distribution was received with Karnofsky scale. Definition quality of life of patients gets the important independent value and allows to reveal side benefits or lacks of spent treatment. At a correct choice of surgical method it is possible to achieve significant improvement of quality of life of patients, despite of weight of condition at receipt.

Key words: quality of life, a hydrocephaly, brain tumors.

: .. e-mail: asadullaevu@gmail.com .. e-mail: mnaser@mail.ru

1 2012

30

CMYK 30

,

616.62-008.224

1 ..: , , , ..., ; 1 ..: , , - , ...; 2 ..: , ... 1 . .. , . 2 , .

. - . - - . . - , . - , - .

- , , , 20 50% - [1, 2, 3], - , - [3, 4, 11].

, -, - -. , , 1026%, - 18 47% [1, 8, 9, 12]. , , - [Swash M., 1985].

- . , - - . , , - , , , - , [3, 6, 7, 8, 10].

(Th11 Th12) (S2 S4) - . - , - -.

- , - , . - .

, - , , - . - - - . .

- , (), . , - . - - () - . - - .

- . -, - . - , . - - . -

1 2012

31

CMYK 31

, - , . - - , , - .

.. (2008) - (29,3%) -. . .

, - . - , - - - . - . (), , - , - [4, 5, 6, 11]. - . - , , - .

. - , . - , (, ), - - (-, ). - , - . . - - . , , .

-, , - -. , -, . , - , , -, . -

, , , - - -.

14 (), - , , .

Keypoint Workstation () - 20 - 0,45 . - 2 10 . () , , /- () - ( - ). , - , m. levator ani (m. puborectalis, m. pubo-coccygeus, m. iliococcygeus), m. bulbospongiosus, - , m. ischiocavernosus. - .

() - () , ().

72 , 29 - , 28 (), 15 , - , 3 12 : (n=6), - (n=4), HIFU (n=5). - 23 67 ( 37,69,5). - , , - . 32% - .

, , - , I . - - . , , - .

, , -, . IPSS QOL.

1 2012

32

CMYK 32

, , . - , - AMS Morley. , . .

, , -

- .

- . 56%. , 2 m. puborectalis.

12 m. puborectalis, .

(n=44) - 3. - - 5 . , -, .

- , , . - - - . -, . -

1.

. .

7 7 14

6 - 6

- 8 8

1 6 7

4 4 8

11 18 29

28 - 28

( HIFU ) 5 - 5

( ) 4 - 4

( ) 6 - 6

15 - 15

2. m. puborectalis: -

- ,

- ,

,

,

-

-

(n=7) 40,81,4 22,8 1,2 19,6 1,4 0,68 0,8 5,6 1,3 0,360,15

(n=7) 41,0 1,3 22,7 1,3 19,0 1,4 0,7 0,7 6,01,2 0,340,17

. 2. . m. bulbospongiosus

. 1. m. puborectalis

1 2012

33

CMYK 33

(, ) - , .

- . 10%, 20%, - (. 3). - . 4, 5.

. 3. . 46 . m. bulbospongiosus 28,4

, - - , . , - , - 36 , , HIFU (high-intensity focused ultrasound ) - . - , - .

, - - - ( ). - , 40% - (. 45). - , ( n=9). - , 6 - , .

. 4. . 48 . m. bulbospongiosus 13/23 (56,5%)

. 5. . 48 . m. bulbospongiosus - ( )

3.

IPSS, -

QOL,

-

()

Q max, . .(/)

Q ave, . .

(/)

-

( HIFU ), n=5 305 5-6 11046 10-12 8,62,1 4,72,0 2

( -), n=4

214 4-5 7815 6-7 7,42,2 3,71,5 2

( ), n=6 205 3-5 8627 8-12 102,2 5.81,8 1

, n=6 185 2-4 3615 11-16 16,23,4 7,21,7 -

, n=8 195 2-4 - 10-18 21,23,4 10,21,3 -

, n=7 182 46 - 13-20 22,04,5 10,21,7 -

, n=8 72 4-5 43,210,5 6-8 24,05,6 8,6 2,2 -

1 2012

34

CMYK 34

, , - - .

, - .

- , - - , , - , , , - . 2 . 28 - - NeoControl (NeoTonus, ) 0100%, 1%, 1 50 , 1%, 130 , 1 , 060 , 1 . 2 , 46 , 20 , 10 5 50 . - .

- , , , - 6 7.

-

, - . , 13,3%, - 2550%. - , 13,5%, , -.

, - -, - , , . 3 - , - . - .

- , - -. , , , - .

- , - , - , , - - .

, - - , 3, 6, 12 24 .

4.

,

,

,

( HIFU ), n=5 40,81,4 30,8 1,2 19,6 1,4 >N

( ), n=4 41,21,3 32,6 1,5 19,6 1,4 >N

( ), n=6 41,0 1,3 22,8 1,2 21,2 1,6 - , n=14

45,6 1,6 32,8 1,2 18,2 1,1 >N

, n=8 44,7 1,7 31,8 1,2 19,41,8 >N

, n=7 41,21,4 26,8 1,2 21,71,8 >N

, n = 28 41,0 1,3 22,8 1,2 21,2 1,6 >N

5.

-

-

(/)

( HIFU ), n=5 7,8 1,8 0,3+/-0,15 4060% n=5 (1-3)/(1-3)

( -), n=4

9,72,2 0,60,2 5055% n=4 (3)/(2)

( ), n=6 7,71,6 0,50,2 1520% n=4 (1)/(2)

, n=14

7,61,5 0,60,1 1015%

, n=8 10,62,8 0,80,5 3550% n=4 (3)/(2)

, n=7 9,62,5 0,70,1 4060% n=5 (4)/(2)

, n= 28 7,71,6 0,750,2 1520% n=4 (1)/(2)

1 2012

35

CMYK 35

-

- . - - . , - , - , , - . - . - - , .

- . - , , - . 13,3%, 2550%. - 13,5%, .

-, - .

6.

IPSS,

QOL,

-

()

-

Q max, . . (/

)

Q ave, . . (/

)

, n=8 83 13 26,515,1 56 17,22,4 10,22,7

, n=6 73 12 - 78 21,23,4 10,21,3

, n=7 111 23 - 78 22,04,5 10,21,7

, n=8 62 12 32,29,5 46 24,05,6 8,6 2,2

(HIFU ), n=5 162 34 7226 79 11,62,1 6,72,0

(. ), n=4 174 23 6015 67 8,43,2 5,71,5

(), n=6 84 23 4617 78 123,2 7.82,8

7.

,

,

,

( HIFU ), n=5 40,81,4 20,8 1,2 19,6 1,4 >N

( ), n=4 40,21,3 22,6 1,5 19,6 1,4 >N

( ), n=6 40,0 1,3 22,8 1,2 20,2 1,6 -

- , n=14

43,6 1,6 32,8 1,2 18,2 1,1 N

, n=8 41,7 1,7 26,8 1,2 19,41,8 >N

, n=7 41,21,4 26,8 1,2 21,71,8 N

, n = 28 40,2 1,2 21,9 1,3 19,0 1,6 N

1. / . . .. . . . ., 2004. 270 .2. / .. , .. . : -, 2006 136 .3. . /.. , .. . 2005 464 . 4. .. .. // . 2006. 1. . 4347.5. .., .. . , 2003. 160 .6. .. . . . . 2008. 184 . 7. .. .. / . . 2009. 188 .8. Allen D. Seftel Male and female sexual dysfunction / UK, Elsevier. 2004. P. 294. 9. Borland R.N., Walsh P.C. The management of rectal injury during radical retropubic prostatectomy/J Urol. 1992; 147 (3 Pt 2); 905-7.10. Shafik A. // J. Urol. 1999. Vol 161. P. 8589. 11. Swash M., Snooks S.J. //J. Roy. Soc. Med. 1985 . Vol. 30 P. 906911. 12. Ripert T. Transrectal high-intensity focused ultrasound (HIFU) treatment of localized prostate cancer: review of technical incidents and morbidity after

5 years of use / Prostate cancer Prostatic Dis. 2010 Jun; 13(2): 1327.

. , - . - 14 - . 72 : -

1 2012

36

CMYK 36

29, 28 15 , , . , - . - , - - . - . , , , - . -, . , - , -. 13,3%, 2550%. - 13,5%, - .

: , , , .

Abstract. The article is devoted to the examination, treatment and rehabilitation of patients with the presence of denervation changes of pelvic floor muscles in disorders of urination and erection. On the basis of their own mate-rial with a needle electromyography in 14 healthy volunteers, designed regulatory framework for the electromyo-graphic activity of pelvic floor muscles and the corticospinal tract conduction. A total of 72 patients: lower urinary tract diseases with disorders of urination 29, idiopathic erectile dysfunction 28 and 15 patients who applied with erectile dysfunction and urinary arising after previous surgery for prostate diseases. The needle EMG changes were observed in patients with chronic inflammatory changes in lower urinary tract symptoms in the experimental muscle denervation are minimal and no significant alteration of MUP. Patients with pelvic pain and erectile dysfunction de-tected changes of MUP and the state of muscle fibers in neuretic type, as evidenced by the increase in the average values of the amplitude and duration on the background of the current denervation process. Similar results were ob-tained in patients with urinary incontinence in most cases there were signs of the current denervation process. The group of patients undergoing surgery revealed gross disturbances as the conduction of spinal tract and disorders of the contractile ability of pelvic floor muscles. Denervation revealed changes in the pelvic floor muscles need to be considered in the overall assessment of patients with erectile dysfunction and urination, as well as in the choice of treatment. In the treatment of patients, we are widely used drugs that enhance the nutrition and conductivity of nerve tissue, as well as extracorporeal magnetic stimulation of the muscles of the perineum. In the studied patients groups an increase in the velocity urination parameters on average 13.3% decrease in residual urine volume by 25 50%. In neurophysiological study stated improving the conductivity of corticospinal tract by 13.5%, reducing the number of polyphase MUP.

Key words: neurogenic disorders of urination, erection, contractility of perineal muscles, corticospinal tract.

: ..: 119935 , , 28; .: 8(495)956-15-12; e-mail: tigranich2006@yandex.ru

1 2012

37

CMYK 37

,

616.8;616-78

1 ..: , ..., ;1 ..: -, ...;2 ..: , ...;3 ..: , ... 1 - , . 2 , . 3 23 .

-

. - , - . 35 000 . - 1 , , - 400 000 [1, 2].

- , . , - 81,2% [3]. , , , -. (, , -, .). - , [3].

- , , - [3].

- - () , . , - - -, [2].

, , , - 22,5 [2, 3].

- , - , - .

: - -, - Locomat - .

Locomat

, - , . , , , , - , . 25 35 - .

- - , -, , -, 25 , -. 123 - , .

: Locomat - (56 ); - (67 ); (12 ), , , , , ; -. 78, 45. 54+1,4 . - -, - .

. 4 .

c (), (), - ; -; - .

1 2012

38

CMYK 38

: -, - , . , , .

1.

1.

:

01

10% 1 10% 10%

11233

: ; ;

.

-

, - , 67% , 76% , .

- - 8788% , .

Locomat . 1.

, - .

, - . 2.

, - Locomat - . , - , , - , . , , - .

2. -

-

-

%

- %

1- 78/24 4+0,3 2,3+0,2 53 2,1+0,2

2- 78/11 4,5+0,3 2,6+0,2 52 2,4+0,3

1 2

78/6778/69

3,1+0,12,9+0,2

2,1+0,22,0+0,1

2826

1,9+0,11,86+0,2

: : - ,

- , - , , - , - , -, , . - 11%, -

. 1. Locomat

1 2012

39

CMYK 39

44,5 , 76%, .

, - -

- , , - .

1. .., .. . . . 2008. 560 . 2. .., .. . -. 2005. 860 .3. .. -

: . . . ., . 2009. 122 .

. 123 - Locomat, - -, . , - 5657% , - , , , - .

: , , , - , .

Abstrakt. Modern new technologies of medical rehabilitation in 123 patients with ischemic insult are presented. The high ef-ficiency is provided of mechanotherapeutic komputer complex in 56-57% after diagnostic vegetative status, EMG miography.

Key words: neurorehabilitation, ischemic insult, physiotherapeutic complex,mechanotherapeutic komputer complex, lazerphluometry cjmplex.

: . : (499) 240-23-544; e-mail: makarovamr@mail.ru . : , . , 6, .1; .: 8(499) 796-05-07.

1 2012

40

CMYK 40

616.127-005.8-085-003.96

..: , ...; ..: ..., .

, .

()

. - , [1, 2, 3]. -, (), - - [4].

- - () . - , - [5]. - (), , - [6, 7]. - -, [8], [9], - - [10]. - [11] [12].

. -.

-

() 298 35 65 , - , , (198 ) (100 ) - (98 ) (, 100 ). (1996). - 1 (1989, 1994). - 2 (.). - 20052009 . 3 .

:

) : , - ( IIa), (), ;

) ( ): , (, ), , - (), , - , (Ca), II ();

) : , - ;

) - : , , - (), (), ();

) - -: ( (), , -, .

- 29 , 65,5% (19 ) - .

- [13, 14]:

( );

(- ) () -;

, - ( ), () - ( ) . (). - .

- , , - 11,87 = 2. - - () ( 3,25, = 11). ( IIa) - , , (. 1).

(. 2) -, () 5,0 / 64%. -

1 2012

41

CMYK 41

- = 1,16, , -, 3,0 / = 1,04. (> 0,35 /) 2,67 . - 1,0 / 28%.

- , (. 2). - () 9 - 2,3 , .. 130%.

() 6 - 93%. ( -) 12 , ( = 12). - - () 150 1,14 ( = 81). ( ), .. 3550 . 4,55, = 7.

- (. 2).

1.

1 ( >10 ) 10,0% 8,9% 1,13 1,2% 842 (- >10 .) 10,6% 8,2% 1,30 2,5% 413 (IIa) 14,3% 8,8% 1,62 5,5% 184 12,8% 3,9% 3,25 8,8% 11

5 57,1% 4,8% 11,87 52,3% 2

2.

()

1 (> 5,0) 12,1% 7,4% 1,64 4,7% 212 (> 1,7) 10,5% 9,1% 1,16 1,4% 703 (> 3,0) 9,9% 9,5% 1,04 0,4% 2444 (> 0,35) 15,3% 5,7% 2,67 9,6% 105 (> 1,0) 8,3% 11,5% 0,72 -3,2% 31

6 ( < 9 ) 14,5% 6,3% 2,30 8,2% 127 ( > 6 ) 17,2% 8,9% 1,93 8,3% 128 ( > 150) 10,2% 8,9% 1,14 1,2% 819 (-) 19,3% 4,2% 4,55 15,0% 7

10 (Q+) 10,3% 8,9% 1,15 1,3% 7411 - 18,4% 5,5% 3,34 12,9% 812 - 21,6% 7,3% 2,96 14,3% 713 - > 10/ 18,2% 6,8% 2,68 11,4% 914 - > 10/ 12,0% 9,0% 1,34 3,0% 3315 dQT > 100 . 20,4% 7,4% 2,76 13,0% 8

16 IVRT > 85 10,5% 9,5% 1,10 1,0% 10217 S% < 28% 12,2% 9,2% 1,33 3,0% 3318 < 3,5 /. 18,8% 8,0% 2,34 10,8% 919 / < 1,5 19,1% 8,0% 2,40 11,2% 920 < 60 22,0% 7,8% 2,82 14,2% 721 > 180 23,3% 7,5% 3,12 15,8% 622 < 55% 30,3% 7,2% 4,23 23,1% 4

: , , , -, ( 35-50 );Q+ Q, - , - , - - , - , dQT QT;IVRT (), S% - - , , / - () () , , , .

1 2012

42

CMYK 42

- ( 2,96 3,34). , 10 QT (dQT) 100 , 2,68 2,79 . - Q - 10 (1,15 1,34 ).

, - - , (. 2). , () 60 2,82, () 180 3,12, - () 55% 4,23.

(. 3) . , [15], - . - -. - , -, 3 . . , - - . 2,8 - . , , 57% 48% (. 3).

-, . , - , , . [16] . - , ,

, - , , [5, 17]. , - - ( 2,96 3,34). , 60 , - 180 , 55% 182323%. - , (, ). - , -, - . - .

- - 2,8 . 48%. 57%. , - .

- - , [5]. - [5, 15, 17, 18, 19]. - , - [20]. - - - , , , - , , [7, 9, 10, 11, 12].

1. -

, , ( ), , 60 , 180 , 55%.

3.

()

1 8,3% 50,0% 0,17 -41,7% 22 8,2% 33,3% 0,25 -25,1% 43 8,1% 25,9% 0,31 -17,8% 64 6,9% 19,4% 0,36 -12,5% 85 5,6% 15,8% 0,35 -10,2% 106 5,8% 13,2% 0,44 -7,5% 137 Ca 6,1% 10,4% 0,59 -4,3% 238 7,4% 10,0% 0,74 -2,6% 39

9 5,1% 12,0% 0,43 -6,9% 14

10 6,0% 11,6% 0,52 -5,6% 1811 17,0% 6,1% 2,81 10,9% 9

1 2012

43

CMYK 43

2. , , , , , , - .

3. (, ) -

, , - .

4. , , . - .

1. .. // . 2002. . 13. . 113118.2. Yusuf S. INTER-HEART: a study of risk factors for first myocardial infarction in 52 countries and over 27000 subjects. Paper presented at the European Society

for cardiology Congress 2004, 29 August-1 September, Munich, Germany. Summary prepared by Murphy M.S.A. www.cardiosource.com.3. .. : 3- ., . . .: . . , 2003. 466 .4. .. , . // . 2002. 1. . 68.5. .. . // . 2002. . 1, 3. .123125.6. .., .. // : -

, , . ., 1997. .101.7. .. , // : -

, / . .. , .. . .: , 2004. . 850.8. Murry C.E., Jennings R.B., Reimov K.A. Preconditioning with ischemia: a dilay of lethal cell injury in ischemic myocardium // Circulation. 1986. V. 5.

P. 11241136.9. .., .. -

// . . . 1988. 4. . 401403.10. .., .. // -

. 1987. 3. . 8589.11. .. , - -

: . . ... . . . , 1993. 24 .12. .. ,

: . . ... .. . , 1999. 43 .13. McQuay Henry J., Moore R. Andrew. Using numerical results from systematic reviews in clinical practice // Ann. Intern. Med. 1997. V.126. P.712-720.14. .. //

. 1997. 2. . 45.15. Abrams J. Chronic Stable Angina // N. Engl J. Med. 2005;352:252433.16. . . /

. 2009; 8(6). 3. 58 .17. .. : . . ... . . . .,

1996. 36 .18. Todd I.C., Ballantyne D. Effect of exercise training on the total ischaemic burden: an assessment by 24 hour ambulatory electrocardiographic monitoring.

Br Heart J 1992; 68: 560-6.19. Recommendations of the Working Group on Cardiac Rehabilitation of the European Society of Cardiology. Long-term comprehensive care of cardiac patients

// Eur. Heart J.1992.13: . 145.20. .., .. - // ,

. 2002. 1. .1015.

. - . - 298 , . - .

-, , ( ), , 60 , - 180 , 55%. - , , .

: , , .

Abstract. In work results catamnestic analysis of influence of various methods of treatment sick of an ischemic heart trouble on risk of development of a repeated myocardial infarction are presented. The analysis of risk of development of a repeated myocardial infarction was carried by results of investigation of 298 men who have transferred a myocardial infarc-tion. Patients accepted various classes of medicinal preparations and passed a course of rehabilitational treatment with use of adaptation to periodic altitude chamber hypoxia or employment by physiotherapy exercises.

It was fixed factors of high risk at the patient diabetes mellitus, an arterial hypertensia, dislipidemia (including rising VLDL-C), presence painlessness and a painful ischemia of a myocardium at daily monitoring, depression of a stroke output less than 60 ml, augmentation of mass of a myocardium of a left ventricle more than 180 g, fraction of emission less than 55 %. A method of adaptation to periodic altitude chamber a hypoxia it is essential more than usual physiotherapy exercises, influences improvement of the forecast of patients transferred a myocardial infarction.

Key words: myocardial infarction, risk factors, methods of rehabilitation

: . : 460014, , . , . 6; .: (3532)-24-40-95; e-mail:bruni@mail.osu.ru. . : 460014, , . , . 6; .: (3532)-38-15-35; e-mail:olmiron1@rambler.ru.

1 2012

44

CMYK 44

616.3

1 ..: , ;2 ..: , ...; 1 ..: , ...1 , . 2 , .

-

- -. , 30 50% , , () [1].

- 60% , 2/3 [2]. , , - - 3050%. , , 5%, 3,4%. - 3040 . , . - , , , 34 , , - 6:1. -, , - - 1:3, 1:4 [2].

, - . - , , .

- - (brain-gut is), , [3]. , - - . / - - . , ( , , ), , , - [4].

- . , (58,3%) - [3]. - - (40,8%), -

30% .

, - . , , - , - , -. -, . , , , -, , [3, 5]. - .

- [6]. , , - - - [5, 7]. - - () - () .

- , - - .

- , , . - 3 (30, 30 31 ). - : I - , II . - -.

- -2 . - . -

1 2012

45

CMYK 45

N S, . 800-1200 , 3 40 0,5 . - 9-12 . 8 10 , .

- - . 4 , -, 60 . - 9-12 . 8 10 , .

-

- (I, II III). - , (STAI).

- 86 (94,5%) , - -. , , - ( 49 55 -) 1- (-) 58,9+1,24, 2- () 56,8+1,18 7- () 57,2+1,36 -. , - .

- - . STAI (55,1+1,2 , p0,05) .

(- 3,42+0,10, 3,40+0,12, - 3,54+0,12 ) (p

1 2012

46

CMYK 46

( +3,08+0,10, - +2,05+0,09 +2,29+0,08 ). , - - , , , , , , - .

, - , - . , - - 1- (-8,8+1,92, p

1 2012

47

CMYK 47

high-intensity magnetic therapy showed significantly greater than in the control group and the group of low-intensity biore-sonance magnetotherapy, reduction in the scales of reactive and personal anxiety, greater improvement in mood and well being.

Key words: high-intensity magnet, low-intensity bioresonance magnetotherapy, irritable bowel syndrome, psychological status.

: .. : 143010, , 1, . , . ; .: 8(495) 598-83-50, : 8(495) 598-83-54. . : . , , 20, 1; .: (495) 957-75-00 (. *30152), : 8 (495) 620-29-12; e-mail: gusakova07@mail.ru

1 2012

48

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1 2012

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1 2012

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1 2012

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1 2012

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1 2012

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: . . ... . . . 2007. 22 .3. .. : . . ... . . .

/, 1985. 19 c.4. .. // . 2003. 1. . 4852.5. .. / .: , 2001. 685 .6. Rehman H.U., Masson E.A. Neuroendocrinology of female aging / H.U. Rehman, E.A. Masson / Gend Med. 2005. Vol. 2(1). P. 4156.7. .., .., .. , .

/ . 2004. 4 (10). . 3538.8. .., .. // -, , 2011. - 170 .9. Oosthuizen G.M., Joubert G., du Toit R.S. A role for melatonin in breast disease and the menopause. / G.M. Oosthuizen, G. Joubert, R.S. du Toit //

S. Afr. Med. J. 2001. Vol. 91. 7. . 576577.10. Rohr U.D., Herold J. Melatonin deficiencies in women // Maturitas. 2002. Suppl. 1. Vol. 15. 41. . 85104. Rohr U. D., 2002.11. .. -

, : .. . . /, 1999.12. .., .., .. -

// ; . .: , 2004. .411443. 13. .. , . /: - ,

2000. 193 .14. .. .- .: , 1982.- 270 .15. .. -- -

: . . ... -. . ., 1999. 37 .16. .. : . . ... . .

/, 1985. 19 c.17. .., .. . .: ,1981. 126 .18. .. // - .: . 1988. C. 288. 19. - .. . .: , 2008. 1024 .

. - , . - , . 96% , - , . - , - .

: , , , , - , , , .

Abstract. The paper presents data on the characteristics of the pre-menopausal woman's life, depending on individual constitutional peculiarities of reproductive system, in particular, from stereofunctional and chronophysiological its organi-zation. Established hormonal predictors of menopause syndrome, and showed decrease melatonin levels in daily urine. In 96% patients who have used in addition to traditional treatment of menopausal symptoms, therapy with light deprivation, prolonged treatment results is provided. The proposed method to prevention and treatment neurovegetative form of climac-teric syndrome, helped to reduce the pharmacological stress in the women, to accelerate the remission time, and improve the woman's life.

Keywords: premenopausal, menopause, reproductive system, morphological and functional asymmetry, lateral behavioral phenotype, chronotype, melatonin, light deprivation.

: . . . 232-36-72. . . . 232-36-72. . . . 227-52-05. . . . 232-62-96.

1 2012

54

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1 2012

55

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1 2012

56

CMYK 56

. : ( ). : - , - - . : , , . , -, , , , , - - .: - .

: , , , , -, .

Abstract. Aim: studying of some biochemical indicators at healthy fertile age women and women with of iron deficiency (on an example of Bukhara area). Research methods: with use of the unified and developed methods hematological and biochemical methods in Bukhara fertile age women with a normal hemoglobin index and with deficiency of iron. Results: it is shown that there are certain pathological fluctuations in some hematological biochemical indicators and essentials haemopoetic microcells at women fertile age at development in them iron deficiency conditions. In particular hypoproteinemia, hypoferremia, hypozincemia, hypocupremia, and also hypertransferrinemia.

Keywords: women fertile age, hypoproteinemia, hypoferremia, hypozinemia, hypocupremia, hypertransferrinemia.

: . : ; 200118; . ; , 1, e-mail: gavhar72@inbox.ru

1 2012

57, ,

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1 2012

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- . - G-EO, Haptic Walker. - G-EO-System - - Hesse S., Waldner A., Tomelleri C. (2010).

Erigo Lokomat (Hocoma, ). 2009 . 240 Lokomat. , - - - .

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(8 ) Lokomat . 3 , 3 Lokomat, 3 - . - Lokomat, , - Lokomat. Lokomat - . , Lokomat - , , -, .

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, - 5 , 2 , 20 - 2 17 . , Lokomat 16 20 , , - 10 . 8 , 35 , 45 . - , Lokomat - , . -. , 4 , - Lokomat , - 8- .

2008 . Freivogel S., Mehrholz J. , - LokoHelp. , LokoHelp, - (p=0,048) (Functional Ambulation Category) 0,7 2,5; (p=0,086) - (Motricity Index) 94 111 ; (p=0,033) - (River-mead Mobility Index) 5 7 [9].

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1 2012

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, ..); ; - - ; . - . - , : 1 (n=70) 2 (n=47). . 1 (n=51), 1 (n=19) . 2 (n=37) 2 (n=10), . 1 (- , , , , , ) - Erigo. 2 - , Erigo .

- (

1 2012

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1 2012

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- - [17] [18].

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. - - - - . - - - . , Locomat, . -, : 3- , 6 , 1. - 1 , 5 , 4 . [21]. - 20 ( 11 ) - , 3 12 Lokomat. , .

- - , , -, , . , , , - . - , - , - .

1. . . . ., , 1966. 349 .2. . . : // -

. 2002. 3. C. 1424.3. Cheatwood JL, Emerick AJ, Kartje GL. Neuronal plasticity and functional recovery after ischemic stroke.// Topics in stroke rehabilitation. 2008.

Vol.15. P. 4250.4. Dimyan M.A., Cohen L.G. Neuroplasticity in the context of motor rehabilitation after stroke // Nat. Rev. Neurol. 2011. 1. P. 4651.5. Sabel B.A., Matzke S., Prilloff S. Special issues in brain plasticity, repair and rehabilitation: 20 years of a publishing strategy // Restor. Neurol. Neurosci.

2010. Vol. 28, 6. P. 719728.6. Hachisuka K. Robot-aided training in rehabilitation. J. Brain Nerve; 2010; 2; 133140.7. Mayr A, Kofler M, Quirbach E, Matzak H, Frhlich K, Saltuari L. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients

using the Lokomat gait orthosis. Neurorehabil Neural Repair. 2007; 21(4):307314.8. Hidler J., Nichols D., Pelliccio M., Brady K:Multicentre randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. J. Neurorehabil.

Neural Repair;2009;1;5-13. 9. Freivogel S., Mehrholz J., Husak-Sotomayor T., Schmalohr D. // Gait training with the newly developed LokoHelp- system is feasible for non-ambulatory

patients after stroke, spinal cord and brain injury. A feasibility study // Brain inj. 2008. Vol. 22, 78. P.625632.10. The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients: a randomized controlled trial / Schwartz I. et al. //

PM R. 2009. Vol. 1. 6. P. 516523. 11. Enhanced gait-related improvements after therapist-versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled

study / Hornby T.G. et al. // Stroke. 2008. Vol. 39. 6. P.17861792/12. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke / Hidler J. et al. // Neurorehabil Neural Repair. 2009. Vol.

23, No 1. P. 513.13. . .., .., .., ..

.: , 2010. 128 . ISBN 978-5-94515-102-4.14. ..

// . . . . . . . ., 2009. 122 .15. ..

// . . . . . . . ., 2010. 125 .16. .. -

// . . . . . . . ., 2011. 123 . 17. .., .., .. ( )

. . 2008. 5. . 7375.

1 2012

62 , ,

CMYK 62

18. .., .., .. . - Lokomat (HOCOMA, ) // . 2009; 1: 8286.

19. .., .., .., .., .., .. Lokomat . -. , 2010. . 1011.

20. .., .., .., .., .. Pediatric Locomat . II -2010. . 2010. . 125.

21. Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy / Borggraef I. et al // Eur J Paediart Neurol. 2010, Feb 5.

. - , - , - , - . .. . , , - - .

: , , , , , .

Abstract. This article reviews of recent publications about robots applications in neuroreabilitation and additionally presents five years our experience of robotic rehabilitation of neurological end neurosurgical patients of National Medical Surgery Pirogov Center. Robotic-assisted rehabilitation is one of the most perspective methods to correction of locomotor dysfunctions, results of its application is no without controversy. It is important to accumulate data and analysis.

Key words: rehabilitation, stroke, spinal injury, robot, Locomat, brain injury.

: . : 105203, , , 70; .:8 (495) 464-23-54. e-mail daminov07@mail.ru.

615.814.1-053.31

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1 2012

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1 2012

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-

- - , , . - - . [39]. - , [40]. - .

, , , . - ( - , , , , , , ) , , - , - - , , [41]. - - - -. - [42]. - - . Fos jun [43]. 33 - 16 10 6 . 2,1% , 18,2% 79,2% -. (, ), - , - , -. , -, , [44]. - 6 [45]. - - -, , , , - [46]. 1 9 . , - , , [47], , - [48]. CV 8 (-) - [49]. - - , , - - [50]. - LI 4 (-) [51]. - - , [52]. - . - . -

1 2012

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, . -, - [53]. , - [54]. - - - , -. - , - -. . , - , - . , - - - - , - [55]. - - - . , , - , - , -, - . -

- [56]. - - - , - [57]. - . - - - [58]. . -, - - . - - - [59]. - - - . - . - - [60].

- , - , , , - .

1. .., .. // . 1982. 2. . 4145.2. .., - .., .. . -

// . : IX . ., 2004. . 3, 1. . 47.

3. .. // . 1990. . 90, 8. . 2729.

4. .. : // . 2002. 1. . 613.

5. .. // . 2005. 3. . 3035.

6. Jiang K.W., Yang C.W., Shui Q.X., Xia Z.Z. et al. Time-course of mu-calpain activation, c-Fos, c-Jun, HSP70 and HSP27 expression in hypoxic-ischemic neonatal rat brain // Zhonghua Er. Ke. Za. Zhi. 2004. Jun. Vol. 42, 6. P. 441445.

7. .., .., .., .. . // -. 2006. 10. . 6878.

8. .. // . 2002. . 47, 2. . 35-40.9. .. // . 1996. 6. . 1023.10. Jiang K.W., Zhang Y., Shui Q.X. Possible mechanism of electroacupuncture preconditioning for hypoxia/ischemic brain injury protection effect in

neonatal rats // Zhongguo. Zhong. Xi. Yi. Jie. He. Za. Zhi. 2003. Dec. Vol. 23, 12. P. 914917.11. Jiang K., Zhao Z., Shui Q., Xia Z. Electro-acupuncture preconditioning abrogates the elevation of c-Fos and c-Jun expression in neonatal hypoxic-ischemic

rat brains induced by glibenclamide, an ATP-sensitive potassium channel blocker // Brain. Res. 2004. Feb. 13. Vol. 998, 1. P. 1319.12. Lee H., Park H.J., Kim S.A., Lee H.J. et al. Acupuncture stimulation of the vision-related acupoint (Bl-67) increases c-Fos expression in the visual

cortex of binocularly deprived rat pups // Am. J. Chin. Med. 2002. Vol. 30, 23. P. 379385.13. Li R.W., Zhang J.L., Guo Y., Li C.H. Effect of acupuncture s erum on intracellular Ca2+ concentration in cultured neurons // Zhong. Xi. Yi. Jie. He. Xue.

Bao. 2004. Nov. Vol. 2, 6. P. 453455.14. Park H.J., Lim S., Lee H.S., Lee H.J. et al. Acupuncture enhances cell proliferation in dentate gyrus of maternally-separated rats // Neurosci. Lett.

2002. Feb. 22. Vol. 319, 3. P. 153156.15. Uchida Y., Nishigori A., Takeda D., Ohshiro M. et al. Electroacupuncture induces the expression of Fos in rat dorsal horn via capsaicin-insensitive

afferents // Brain. Res. 2003. Jul. 18. Vol. 978, 12. P. 136140.16. Zhao Y.X., Wang J., Qin Y.R., Wang Y. et al. Effect of acupuncture serum on the number of osteclast cultured in vitro // Zhongguo. Zhen. Jiu. 2007.

Jul. Vol. 27, 7. P. 521524.

1 2012

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17. Tjen-A-Looi S.C., Fu L.W., Zhou W., Syuu Z. et al. Role of unmyelinated fibers in electroacupuncture cardiovascular responses // Auton. Neurosci. 2005. Mar. 31. Vol. 118, 12. P. 4350.

18. .., .., .. . // : VII . ., 2003. . 439.

19. .. - // . 2006. 4 (18). . 5562.

20. Sthler van Amerongen K., Kuhn A., Surbek D., Nelle M. Ear acupuncture points in newborn triplets // Z. Geburtshilfe. Neonatol. 2007. Apr. Vol. 211, 2. P. 8789.

21. Van Amerongen K.S., Blattmann F.C., Kuhn A., Surbek D. et al. Ear acupuncture points in neonates // J. Altern. Complement. Med. 2008. JanFeb. Vol. 14, 1. P. 4752.

22. Scharf A., Staboulidou I., Gnter H.H., Wstemann M. et al. Influence of antenatal acupuncture on cardiotocographic parameters and maternal circulation a prospective study // Z. Geburtshilfe. Neonatol. 2003. SepOct. Vol. 207, 5. P. 166172.

23. .., .., .. - , // : : 2- . , 1996. . 1718.

24. .. // . 1985. 6. . 2728.

25. .., .., .. // - . 1992. 812. . 2224.

26. .., .. // . 1980. 11. . 5153.

27. .., .. - // . 1985. 4. . 6265.

28. .., .. , - // . 1988. 7. . 3436.

29. Elden H., Ostgaard H.C., Fagevik-Olsen M., Ladfors L. et al. Treatments of pelvic girdle pain in pregnant women: adverse effects of standard treatment, acupuncture and stabilising exercises on the pregnancy, mother, delivery and the fetus/neonate // BMC. Complement. Altern. Med. 2008. Jun. Vol. 26, 8 P. 34.

30. Bo Q.X., Zhang J.X. Observation on therapeutic effect of scalp acupuncture analgesia on labor // Zhongguo. Zhen. Jiu. 2006. Sep. Vol. 26, 9. P. 659661.

31. Habek D., Cerkez Habek J., Jagust M. Acupuncture conversion of fetal breech presentation // Fetal. Diagn. Ther. 2003. NovDec. Vol. 18, 6. P. 418421.

32. .., .., .. . , // . 1986. 6. . 3237.

33. .., .. , // . 1988. 6. . 2531.

34. .. // . 1980. 8. . 27-30.35. .., .. // .

1981. 8. . 4345.36. .., .. // -

. 1993. . 93, 5. . 6063.37. Caine J. The effects of music on the selected stress behaviors, weight, caloric and formula intake, and length of hospital stay of premature and low

birth weight neonates in a newborn intensive care unit // J. Music. Ther. 1991. Winter. Vol. 28, 4. P. 180192.38. .. // . 1991. . 91, 3. . 9699.39. .. // -

: III . , 1983. . 243244.40. Anand K.J. Pharmacological approaches to the management of pain in the neonatal intensive care unit // J. Perinatol. 2007. May. Vol. 27,

Suppl. 1. P. 411.41. Carbajal R., Gall O., Annequin D. Pain management in neonates // Expert. Rev. Neurother. 2004. May. Vol. 4, 3. P. 491-505.42. Golianu B., Krane E., Seybold J., Almgren C. et al. Non-pharmacological techniques for pain management in neonates // Semin. Perinatol. 2007.

Oct. Vol. 31, 5. P. 318322.43. Guo H.F., Tian J., Wang X., Fang Y. et al. Brain substrates activated by electroacupuncture (EA) of different frequencies (II): Role of Fos/Jun proteins

in EA-induced transcription of preproenkephalin and preprodynorphin genes // Brain Res. Mol. 1996. Dec. 31. Vol. 43, 12. P. 167-173.44. Carbajar R., Rousset A., Danan C., Coquery S. et al. Epidemiology and treatment of painful procedures in neonates in intensive care units //

JAMA. 2008. Jul. 2. Vol. 300, 1. P. 6070.45. .., .., ..

// . : IX . ., 2004. 3, 1. . 436.

46. .., .., .. . // . 2001. 3. . 9698.

47. .., .. // , - . 1999. 2. . 4753.

48. .., .. // . 2002. 1. . 4044.

49. Cui M.C., Li C.H. Clinical observation on drug-separated moxibustion at Shenque (CV 8) for treatment of infantile autumn diarrhea // Zhongguo. Zhen. Jiu. 2008. Mar. Vol. 28, 3. P. 194196.

50. Zhong X.B., Xia Z.H., Kong Y.Y., Yuan Y. et al. Clinical observation on acupuncture combined with motortherapy for early treatment of cerebral palsy high risk infants // Zhongguo. Zhen. Jiu. 2007. Feb. Vol. 27, 2. P. 106108.

51. Reinthal M., Andersson S., Gustafsson M., Plos K. et al. Effects of minimal acupuncture in children with infantile colic - a prospective, quasi-randomised single blind controlled trial // Acupunct. Med. 2008. Sep. Vol. 26, 3. P. 171182.

52. .. // - . 1996. . 77, 6. . 454455.

53. Field T.M., Schanberg S.M., Scafidi F. et al. Tactile-kinesthetic stimulation effects on preterm neonates // Pediatrics. 1986. Vol. 77, 5. P. 654658.

54. .., .., .., .. - - // . 1989. . 89, 8. . 23-27.

55. .. // . 2005. 3 (14). . 5558.

56. .. // . 2006. 3 (17). . 5760.

57. .. - // . 2007. 1. . 6367.

58. .. // .