{"id":1145,"date":"2023-12-28T14:07:52","date_gmt":"2023-12-28T14:07:52","guid":{"rendered":"https:\/\/journal.nncf.kz\/?p=1145"},"modified":"2024-04-18T12:38:20","modified_gmt":"2024-04-18T12:38:20","slug":"%d0%b0%d1%83%d1%8b%d1%80-covid-19-%d0%ba%d0%b5%d0%b7%d1%96%d0%bd%d0%b4%d0%b5-%d0%bf%d0%b0%d1%86%d0%b8%d0%b5%d0%bd%d1%82%d1%82%d0%b5%d1%80%d0%b4%d1%96%d2%a3-%d3%a9%d0%bb%d1%96%d0%bc%d1%96%d0%bd%d1%96","status":"publish","type":"post","link":"https:\/\/journal.nncf.kz\/en\/%d0%b0%d1%83%d1%8b%d1%80-covid-19-%d0%ba%d0%b5%d0%b7%d1%96%d0%bd%d0%b4%d0%b5-%d0%bf%d0%b0%d1%86%d0%b8%d0%b5%d0%bd%d1%82%d1%82%d0%b5%d1%80%d0%b4%d1%96%d2%a3-%d3%a9%d0%bb%d1%96%d0%bc%d1%96%d0%bd%d1%96\/","title":{"rendered":"\u0410\u0423\u042b\u0420 COVID-19 \u041a\u0415\u0417\u0406\u041d\u0414\u0415 \u041f\u0410\u0426\u0418\u0415\u041d\u0422\u0422\u0415\u0420\u0414\u0406\u04a2 \u04e8\u041b\u0406\u041c\u0406\u041d\u0406\u04a2 \u049a\u0410\u0423\u0406\u041f \u0424\u0410\u041a\u0422\u041e\u0420\u041b\u0410\u0420\u042b \u0416\u04d8\u041d\u0415 \u0422\u042b\u041d\u042b\u0421 \u0410\u041b\u0423\u0414\u042b \u049a\u041e\u041b\u0414\u0410\u0423"},"content":{"rendered":"

\u0410\u043b\u044b\u043d\u0434\u044b: 6 \u043d\u043e\u044f\u0431\u0440\u044f 2023\/ \u049a\u0430\u0431\u044b\u043b\u0434\u0430\u043d\u0434\u044b: 11 \u0434\u0435\u043a\u0430\u0431\u0440\u044f 2023\/ \u041e\u043d\u043b\u0430\u0439\u043d \u0436\u0430\u0440\u0438\u044f\u043b\u0430\u043d\u0434\u044b: 28 \u0434\u0435\u043a\u0430\u0431\u0440\u044f 2023
\n\u0423\u0414\u041a 616.24-002
\nDOI: 10.26212\/2227-1937.2023.69.76.001<\/a><\/p>\n

\u041c.\u041c. \u041c\u0438\u0440\u0441\u0430\u043b\u0438\u0435\u0432, ORCID: 0000-0001-5166-6169
\n\u0412.\u041a. \u0418\u0441\u0440\u0430\u0438\u043b\u043e\u0432\u0430, ORCID: 0000-0001-7778-9618
\n\u0414.\u0421. \u0414\u0436\u0430\u0440\u043a\u0435\u043d\u0431\u0435\u043a\u043e\u0432\u0430, ORCID: 0009-0002-3254-1875
\n\u0422.\u0414. \u0420\u0430\u043a\u043e\u0432\u0430, ORCID: 0009-0001-6415-3466
\n\u0414.\u0410. \u049a\u043e\u0436\u0430\u043c\u0431\u0435\u0440\u0434\u0438\u0435\u0432\u0430, ORCID: 0000-0001-7603-2613
\n\u0410.\u0410. \u0410\u043b\u043f\u044b\u0441\u0431\u0430\u0435\u0432, ORCID: 0009-0006-0042-8287
\n\u049a.\u04d8. \u0416\u04b1\u043c\u0430\u0431\u0435\u043a, ORCID: 0009-0003-6859-6701
\n\u0414.\u0410. \u0411\u0443\u0440\u0431\u0430\u0435\u0432, ORCID: 0009-0003-7133-4139
\n\u0411.\u0415. \u0411\u0438\u0434\u0430\u0445\u043c\u0435\u0442\u043e\u0432\u0430, ORCID: 0009-0009-9397-2530
\n\u0423.\u041a. \u041c\u0443\u0440\u0437\u0430\u0445\u043c\u0435\u0442\u043e\u0432\u0430, ORCID: 0009-0007-0404-5213
\n\u0421.\u0412. \u042e\u0433\u0430\u0439, ORCID: 0009-0007-8505-9325
\n\u0421.\u0416. \u0410\u0441\u0444\u0435\u043d\u0434\u0438\u044f\u0440\u043e\u0432 \u049a\u0430\u0437\u0430\u049b \u04b0\u043b\u0442\u0442\u044b\u049b \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430\u043b\u044b\u049b \u0423\u043d\u0438\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442\u0456, \u0410\u043b\u043c\u0430\u0442\u044b, \u049a\u0430\u0437\u0430\u049b\u0441\u0442\u0430\u043d<\/p>\n

\u0410\u0423\u042b\u0420 COVID-19 \u041a\u0415\u0417\u0406\u041d\u0414\u0415 \u041f\u0410\u0426\u0418\u0415\u041d\u0422\u0422\u0415\u0420\u0414\u0406\u04a2 \u04e8\u041b\u0406\u041c\u0406\u041d\u0406\u04a2 \u049a\u0410\u0423\u0406\u041f \u0424\u0410\u041a\u0422\u041e\u0420\u041b\u0410\u0420\u042b \u0416\u04d8\u041d\u0415 \u0422\u042b\u041d\u042b\u0421 \u0410\u041b\u0423\u0414\u042b \u049a\u041e\u041b\u0414\u0410\u0423<\/p>\n

\u0422\u04af\u0439\u0456\u043d:
\n\u041c\u0430\u049b\u0441\u0430\u0442. \u0410\u043b\u043c\u0430\u0442\u044b \u049b. \u21161 \u049a\u041a\u0410 \u0440\u0435\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u0436\u04d9\u043d\u0435 \u049b\u0430\u0440\u049b\u044b\u043d\u0434\u044b \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u0431\u04e9\u043b\u0456\u043c\u0448\u0435\u0441\u0456\u043d\u0434\u0435 (\u0420\u0436\u049a\u0422) \u0440\u0435\u0441\u043f\u0438\u0440\u0430\u0442\u043e\u0440\u043b\u044b\u049b \u049b\u043e\u043b\u0434\u0430\u0443 \u04af\u0448\u0456\u043d
\n\u0430\u0443\u0440\u0443\u0445\u0430\u043d\u0430\u0493\u0430 \u0436\u0430\u0442\u049b\u044b\u0437\u044b\u043b\u0493\u0430\u043d COVID-19 \u0431\u0430\u0440 \u043d\u0430\u0443\u049b\u0430\u0441\u0442\u0430\u0440\u0434\u044b\u04a3 \u04e9\u043b\u0456\u043c\u0456 \u043c\u0435\u043d \u049b\u0430\u0443\u0456\u043f \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u0430\u0440\u044b\u043d \u0437\u0435\u0440\u0442\u0442\u0435\u0443.
\n\u041c\u0430\u0442\u0435\u0440\u0438\u0430\u043b \u0436\u04d9\u043d\u0435 \u04d9\u0434\u0456\u0441\u0442\u0435\u0440. \u0420\u0435\u0442\u0440\u043e – \u0436\u04d9\u043d\u0435 \u043f\u0440\u043e\u0441\u043f\u0435\u043a\u0442\u0438\u0432\u0430\u043b\u044b\u049b \u0437\u0435\u0440\u0442\u0442\u0435\u0443 \u0410\u043b\u043c\u0430\u0442\u044b \u049b. \u21161 \u049a\u041a\u0410 \u0420\u0436\u049a\u0422 \u0431\u04e9\u043b\u0456\u043c\u0448\u0435\u0441\u0456\u043d\u0434\u0435 \u0421.\u0414.
\n\u0410\u0441\u0444\u0435\u043d\u0434\u0438\u044f\u0440\u043e\u0432 \u0430\u0442\u044b\u043d\u0434\u0430\u0493\u044b \u049a\u0430\u0437\u04b0\u041c\u0423 \u0431\u0430\u0437\u0430\u0441\u044b\u043d\u0434\u0430 \u043e\u0440\u044b\u043d\u0434\u0430\u043b\u0434\u044b. 2021 \u0436\u044b\u043b\u0434\u044b\u04a3 26 \u043d\u0430\u0443\u0440\u044b\u0437\u043d\u0430\u043d 28 \u049b\u044b\u0440\u043a\u04af\u0439\u0435\u0433\u0456\u043d\u0435 \u0434\u0435\u0439\u0456\u043d \u04e9\u043b\u0456\u043c
\n\u049b\u0430\u0443\u043f\u0456\u043d\u0456\u04a3 \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u0430\u0440\u044b \u041a\u043e\u043a\u0441\u0442\u044b\u04a3 \u043a\u04e9\u043f \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u044b \u0440\u0435\u0433\u0440\u0435\u0441\u0441\u0438\u044f\u043b\u044b\u049b \u043c\u043e\u0434\u0435\u043b\u0456\u043c\u0435\u043d \u0442\u0430\u043b\u0434\u0430\u043d\u0434\u044b, \u043e\u043b \u0437\u0435\u0440\u0442\u0442\u0435\u0443\u0433\u0435 sarscov-2 \u0436\u0435\u0434\u0435\u043b
\n\u0440\u0435\u0441\u043f\u0438\u0440\u0430\u0442\u043e\u0440\u043b\u044b\u049b \u0434\u0438\u0441\u0442\u0440\u0435\u0441\u0441 \u0441\u0438\u043d\u0434\u0440\u043e\u043c\u044b\u043c\u0435\u043d (Ards) \u0430\u0441\u049b\u044b\u043d\u0493\u0430\u043d \u043f\u043d\u0435\u0432\u043c\u043e\u043d\u0438\u044f\u043d\u044b\u04a3 \u0431\u0435\u043b\u0433\u0456\u043b\u0456 \u043d\u04d9\u0442\u0438\u0436\u0435\u043b\u0435\u0440\u0456 \u0431\u0430\u0440 \u0431\u0430\u0440\u043b\u044b\u049b \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0442\u0435\u0440
\n\u043a\u0456\u0440\u0434\u0456 (\u0430\u0439\u044b\u0493\u0443 \u043d\u0435\u043c\u0435\u0441\u0435 \u043a\u0435\u0437 \u043a\u0435\u043b\u0433\u0435\u043d \u0441\u0435\u0431\u0435\u043f\u0442\u0435\u043d \u0431\u043e\u043b\u0493\u0430\u043d \u04e9\u043b\u0456\u043c).
\n\u041d\u04d9\u0442\u0438\u0436\u0435\u043b\u0435\u0440. \u0417\u0435\u0440\u0442\u0442\u0435\u0443\u0433\u0435 311 \u043f\u0430\u0446\u0438\u0435\u043d\u0442, \u043e\u043d\u044b\u04a3 \u0456\u0448\u0456\u043d\u0434\u0435 177 (56,9%) \u0435\u0440 \u0430\u0434\u0430\u043c \u0436\u04d9\u043d\u0435 134 (43,1%) \u04d9\u0439\u0435\u043b \u0430\u0434\u0430\u043c \u049b\u0430\u0442\u044b\u0441\u0442\u044b\u0440\u044b\u043b\u0434\u044b.
\n\u041c\u0435\u0434\u0438\u0430\u043d\u0430 \u0436\u0430\u0441\u044b \u2013 63 \u0436\u0430\u0441. 186 (59,8%) \u043d\u0430\u0443\u049b\u0430\u0441 \u0410\u043b\u043c\u0430\u0442\u044b \u049b. \u21161 \u049a\u041a\u0410 \u0441\u0442\u0430\u0446\u0438\u043e\u043d\u0430\u0440\u044b\u043d\u044b\u04a3 \u0420\u0436\u049a\u0422 \u0431\u04e9\u043b\u0456\u043c\u0448\u0435\u0441\u0456\u043d\u0434\u0435 \u0431\u043e\u043b\u0434\u044b.
\n\u041d\u0430\u0443\u049b\u0430\u0441\u0442\u0430\u0440\u0434\u044b\u04a3 298-9 (95,8%) SARS-CoV-2 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f\u0441\u044b \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u044b \u041f\u0422\u0420 \u0430\u0440\u049b\u044b\u043b\u044b \u0440\u0430\u0441\u0442\u0430\u043b\u0434\u044b. 127 (40,8%) \u043d\u0430\u0443\u049b\u0430\u0441 \u049b\u0430\u0439\u0442\u044b\u0441
\n\u0431\u043e\u043b\u0434\u044b, 183 (59,2%) \u043d\u0430\u0443\u049b\u0430\u0441 \u0430\u0443\u0440\u0443\u044b\u043d\u0430\u043d \u0430\u0439\u044b\u049b\u0442\u044b. \u04e8\u043b\u0456\u043c\u043d\u0456\u04a3 \u043d\u0435\u0433\u0456\u0437\u0433\u0456 \u0441\u0435\u0431\u0435\u043f\u0442\u0435\u0440\u0456 \u0416\u0420\u0414\u0421 (93,4%), \u0436\u04af\u0440\u0435\u043a-\u049b\u0430\u043d \u0442\u0430\u043c\u044b\u0440\u043b\u0430\u0440\u044b
\n\u0430\u0441\u049b\u044b\u043d\u0443\u043b\u0430\u0440\u044b (3,2%) \u0436\u04d9\u043d\u0435 \u04e9\u043a\u043f\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u044f\u0441\u044b (1,0%) \u0431\u043e\u043b\u0434\u044b. \u041e\u0442\u0442\u0435\u0433\u0456 \u0442\u0435\u0440\u0430\u043f\u0438\u044f\u0441\u044b\u043d\u0434\u0430\u0493\u044b \u043d\u0430\u0443\u049b\u0430\u0441\u0442\u0430\u0440\u0434\u0430 \u04e9\u043b\u0456\u043c-\u0436\u0456\u0442\u0456\u043c \u0442\u04e9\u043c\u0435\u043d
\n\u0431\u043e\u043b\u0434\u044b (10,4%), \u0431\u0430\u0441\u0442\u0430\u043f\u049b\u044b\u0434\u0430 \u0438\u043d\u0432\u0430\u0437\u0438\u0432\u0442\u0456 \u0435\u043c\u0435\u0441 (36,5%) \u043d\u0435\u043c\u0435\u0441\u0435 \u0438\u043d\u0432\u0430\u0437\u0438\u0432\u0442\u0456 (84,5%) \u0436\u0435\u043b\u0434\u0435\u0442\u0443\u0433\u0435 \u0430\u0443\u044b\u0441\u0442\u044b\u0440\u0443\u0493\u0430 \u0442\u0443\u0440\u0430 \u043a\u0435\u043b\u0433\u0435\u043d
\n\u043d\u0430\u0443\u049b\u0430\u0441\u0442\u0430\u0440\u0434\u0430 \u0436\u043e\u0493\u0430\u0440\u044b\u043b\u0430\u0434\u044b. \u04e8\u043b\u0456\u043c \u049b\u0430\u0443\u0456\u043f\u0456 \u0436\u0430\u0441 \u0448\u0430\u043c\u0430\u0441\u044b\u043d\u0430 \u0431\u0430\u0439\u043b\u0430\u043d\u044b\u0441\u0442\u044b \u0436\u043e\u0493\u0430\u0440\u044b\u043b\u0430\u0434\u044b, 50 \u0436\u0430\u0441\u0442\u0430\u043d \u0430\u0441\u049b\u0430\u043d \u0435\u0440\u043b\u0435\u0440 \u0442\u043e\u043f\u0442\u0430\u0440\u044b\u043d\u0434\u0430
\n\u04e9\u043b\u0456\u043c \u049b\u0430\u0443\u043f\u0456 \u04d9\u0439\u0435\u043b\u0434\u0435\u0440\u0433\u0435 \u049b\u0430\u0440\u0430\u0493\u0430\u043d\u0434\u0430 \u0436\u043e\u0493\u0430\u0440\u044b \u0431\u043e\u043b\u0434\u044b. \u0411\u0456\u0440 \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u044b \u043c\u043e\u0434\u0435\u043b\u044c\u0434\u0435\u0440\u0434\u0435 \u04e9\u043b\u0456\u043c\u043d\u0456\u04a3 \u0434\u0430\u043c\u0443\u044b\u043c\u0435\u043d \u0431\u0430\u0439\u043b\u0430\u043d\u044b\u0441\u0442\u044b \u0430\u0443\u0440\u0443\u043b\u0430\u0440
\n\u0430\u0440\u0442\u0435\u0440\u0438\u044f\u043b\u044b\u049b \u0433\u0438\u043f\u0435\u0440\u0442\u043e\u043d\u0438\u044f, \u0410\u0416\u0416, \u0438\u043d\u0441\u0443\u043b\u044c\u0442, \u0436\u04af\u0440\u0435\u043a\u0448\u0435\u043b\u0456\u043a \u0444\u0438\u0431\u0440\u0438\u043b\u043b\u044f\u0446\u0438\u044f, 2 \u0442\u0438\u043f\u0442\u0456 \u049b\u0430\u043d\u0442 \u0434\u0438\u0430\u0431\u0435\u0442\u0456 \u0436\u04d9\u043d\u0435 \u0441\u0435\u043c\u0456\u0437\u0434\u0456\u043a \u0431\u043e\u043b\u0434\u044b,
\n\u0434\u0435\u0433\u0435\u043d\u043c\u0435\u043d, \u0436\u044b\u043d\u044b\u0441\u044b \u043c\u0435\u043d \u0436\u0430\u0441\u044b\u043d\u0430 \u0431\u0430\u0439\u043b\u0430\u043d\u044b\u0441\u0442\u044b \u0442\u04af\u0437\u0435\u0442\u0443\u043b\u0435\u0440\u0433\u0435 \u043d\u0435\u0433\u0456\u0437\u0434\u0435\u043b\u0433\u0435\u043d \u043a\u04e9\u043f \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u044b \u043c\u043e\u0434\u0435\u043b\u044c \u0441\u0442\u0430\u0442\u0438\u0441\u0442\u0438\u043a\u0430\u043b\u044b\u049b \u043c\u04d9\u043d\u0434\u0435
\n\u0442\u0435\u043a \u0416\u0418\u0410 \u043f\u0435\u043d (\u0442\u04d9\u0443\u0435\u043a\u0435\u043b \u043a\u043e\u044d\u0444\u0444\u0438\u0446\u0438\u0435\u043d\u0442\u0456 [\u043e] 1,256, 95% \u0441\u0435\u043d\u0456\u043c\u0434\u0456\u043b\u0456\u043a \u0430\u0440\u0430\u043b\u044b\u0493\u044b [\u0421\u0410] 1,064-1,484,p=0,007), 2 \u0442\u0438\u043f\u0442\u0456 \u049b\u0430\u043d\u0442
\n\u0434\u0438\u0430\u0431\u0435\u0442\u0456 (\u041e\u0420 1,300,95% \u0421\u0410 1,131-1,494,p<0,0001) \u0436\u04d9\u043d\u0435 \u0441\u0435\u043c\u0456\u0437\u0434\u0456\u043a\u0442\u0456 \u0441\u0430\u049b\u0442\u0430\u0434\u044b(\u041e\u0420 1,347, 95% ci 1,166-1,556, p<0,0001).\n\u049a\u043e\u0440\u044b\u0442\u044b\u043d\u0434\u044b. \u0420\u0435\u0441\u043f\u0438\u0440\u0430\u0442\u043e\u0440\u043b\u044b\u049b \u043a\u04e9\u043c\u0435\u043a \u043a\u04e9\u0440\u0441\u0435\u0442\u0443 \u04af\u0448\u0456\u043d \u0420\u0436\u049a\u0422 \u0431\u04e9\u043b\u0456\u043c\u0448\u0435\u0441\u0456\u043d\u0435 \u0430\u0443\u044b\u0441\u0442\u044b\u0440\u044b\u043b\u0493\u0430\u043d, COVID-19 \u0431\u0430\u0440 \u043d\u0430\u0443\u049b\u0430\u0441\u0442\u0430\u0440\u0434\u044b\u04a3\n\u043d\u0435\u0433\u0456\u0437\u0433\u0456 \u04e9\u043b\u0456\u043c \u049b\u0430\u0443\u0456\u043f\u0456\u043d\u0456\u04a3 \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u0430\u0440\u044b \u0416\u0420\u0414\u0421 \u0430\u0443\u044b\u0440\u043b\u044b\u0493\u044b, \u0431\u04d9\u0440\u0456\u043d\u0435\u043d \u0431\u04b1\u0440\u044b\u043d \u04e8\u0416\u0416 \u0433\u0435 \u0430\u0443\u044b\u0441\u0442\u044b\u0440\u0443\u0493\u0430 \u043c\u04b1\u049b\u0442\u0430\u0436\u0434\u044b\u049b \u0435\u0433\u0434\u0435 \u0436\u0430\u0441, \u0435\u0440\n\u0430\u0434\u0430\u043c\u0434\u0430\u0440, \u0416\u0418\u0410, \u0441\u0435\u043c\u0456\u0437\u0434\u0456\u043a \u0436\u04d9\u043d\u0435 2 \u0442\u0438\u043f\u0442\u0456 \u049b\u0430\u043d\u0442 \u0434\u0438\u0430\u0431\u0435\u0442\u0456 \u0431\u043e\u043b\u0434\u044b.\n\u0422\u04af\u0439\u0456\u043d \u0441\u04e9\u0437\u0434\u0435\u0440: COVID-19, \u049b\u0430\u0443\u0456\u043f \u0444\u0430\u043a\u0442\u043e\u0440\u043b\u0430\u0440\u044b, \u0442\u044b\u043d\u044b\u0441 \u0430\u043b\u0443\u0434\u044b \u049b\u043e\u043b\u0434\u0430\u0443, \u04e9\u043a\u043f\u0435\u043d\u0456 \u0436\u0430\u0441\u0430\u043d\u0434\u044b \u0436\u0435\u043b\u0434\u0435\u0442\u0443, \u043f\u043d\u0435\u0432\u043c\u043e\u043d\u0438\u044f<\/p>\n

\u04d8\u0414\u0415\u0411\u0418\u0415\u0422\u0422\u0415\u0420 \u0422\u0406\u0417\u0406\u041c\u0406
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\n801.<\/p>\n

\r\n\t\"\"\r\n\r\n\t
\r\n\t\t\u0421\u043a\u0430\u0447\u0430\u0442\u044c: \u0410\u0423\u042b\u0420 COVID-19 \u041a\u0415\u0417\u0406\u041d\u0414\u0415 \u041f\u0410\u0426\u0418\u0415\u041d\u0422\u0422\u0415\u0420\u0414\u0406\u04a2 \u04e8\u041b\u0406\u041c\u0406\u041d\u0406\u04a2 \u049a\u0410\u0423\u0406\u041f \u0424\u0410\u041a\u0422\u041e\u0420\u041b\u0410\u0420\u042b \u0416\u04d8\u041d\u0415 \u0422\u042b\u041d\u042b\u0421 \u0410\u041b\u0423\u0414\u042b \u049a\u041e\u041b\u0414\u0410\u0423<\/a>\r\n\t\t
<\/div>\r\n\t\t
\u0421\u043a\u0430\u0447\u0430\u043d\u043e: 145, \u0440\u0430\u0437\u043c\u0435\u0440: 1.1 MB<\/div>\r\n\t<\/div>\r\n\t\r\n<\/div>\r\n\r\n