Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery

Detalhes bibliográficos
Autor(a) principal: Monteiro Abreu, Ana Paula
Data de Publicação: 2014
Outros Autores: Endres, Daiane, Bortoluzzi Costa, Aline, Cecagno Zanini, Sheila Cristina, Ribeiro Martini, Rafael, Pereira Leguisamo, Camila
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/484
Resumo: Introduction: Patients undergoing surgical treatment for breast cancer may experience physical damage, among them: respiratory changes that may result in future complications and decrease in quality of life. Objectives: To assess Pulmonary Function and Respiratory Muscle Strength pre and post-operative in patients undergoing breast cancer surgery. Method: The study included 20 women diagnosed with breast cancer undergoing conservative surgery (quadrantectomy) or mastectomy that were assessed by manometry and spirometry pre and postoperatively. Results: It was found preoperatively that respiratory muscle strength and pulmonary function showed decreased compared to the predicted values for each patient, with the respiratory muscle strength: maximal inspiratory pressure (43.14%) and maximal expiratory pressure (40.09%), and pulmonary function: peak inspiratory flow (49.86%) and forced expiratory volume in one second (99.14%), only forced vital capacity (125%) than expected. Regarding the values of the preoperative compared with postoperative respiratory muscle strength on both maximal inspiratory pressure (p<0.001) and maximal expiratory pressure (p<0.001) decreased postoperatively; pulmonary function in forced expiratory volume in one second (p<0.001) and forced vital capacity (p=0.001) were decreased post-operative only peak inspiratory flow was not significant (p=0.108). Conclusion: After surgery, there was a decrease from respiratory muscle strength and pulmonary function. Patients who underwent neoadjuvant treatment had a decrease of pulmonary function in the values of forced vital capacity and forced expiratory volume in the first second.
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spelling Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast SurgeryLa Función Pulmonar y la Fuerza Muscular Respiratoria en las Pacientes Sometidas a Cirugía Oncológica de MamaFunção Pulmonar e Força Muscular Respiratória em Pacientes Submetidas à Cirurgia Oncológica de MamaNeoplasias da MamaMastectomiaVentilação PulmonarEspirometriaPeríodo Pré-OperatórioPeríodo Pós-OperatórioBreast NeoplasmsMastectomyPulmonary VentilationSpirometryPreoperative PeriodPostoperative PeriodNeoplasias de la MamaMastectomíaVentilación PulmonarEspirometríaPeriodo PreoperatorioPeriodo PostoperatorioIntroduction: Patients undergoing surgical treatment for breast cancer may experience physical damage, among them: respiratory changes that may result in future complications and decrease in quality of life. Objectives: To assess Pulmonary Function and Respiratory Muscle Strength pre and post-operative in patients undergoing breast cancer surgery. Method: The study included 20 women diagnosed with breast cancer undergoing conservative surgery (quadrantectomy) or mastectomy that were assessed by manometry and spirometry pre and postoperatively. Results: It was found preoperatively that respiratory muscle strength and pulmonary function showed decreased compared to the predicted values for each patient, with the respiratory muscle strength: maximal inspiratory pressure (43.14%) and maximal expiratory pressure (40.09%), and pulmonary function: peak inspiratory flow (49.86%) and forced expiratory volume in one second (99.14%), only forced vital capacity (125%) than expected. Regarding the values of the preoperative compared with postoperative respiratory muscle strength on both maximal inspiratory pressure (p<0.001) and maximal expiratory pressure (p<0.001) decreased postoperatively; pulmonary function in forced expiratory volume in one second (p<0.001) and forced vital capacity (p=0.001) were decreased post-operative only peak inspiratory flow was not significant (p=0.108). Conclusion: After surgery, there was a decrease from respiratory muscle strength and pulmonary function. Patients who underwent neoadjuvant treatment had a decrease of pulmonary function in the values of forced vital capacity and forced expiratory volume in the first second.Introducción: Las pacientes sometidas al tratamiento quirúrgico contra el cáncer de mama podrán presentan secuelas físicas, entre ellas: problemas respiratorios que pueden dar lugar a complicaciones futuras y a la disminución de la calidad de vida. Objetivos: Evaluar la función pulmonar y de la fuerza muscular respiratoria antes y después de la cirugía. Método: El estudio incluyó a 20 mujeres diagnosticadas con cáncer de mama, quienes fueron sometidas a cirugía conservadora (cuadrantectomía) o mastectomía, se evaluó mediante manometría y la espirometría pre y postoperatoria. Resultados: Se encontró que en el pre-operatorio, la fuerza muscular respiratoria y la función pulmonar se presentaron reducidas en comparación a los valores previstos a cada paciente; con la fuerza muscular respiratoria de: presión inspiratoria máxima (43,14%) y presión espiratoria máxima (40,09%); y la función pulmonar de: flujo espiratorio máximo (49,86%) y el volumen espiratorio forzado en el primer segundo (99,14%), sólo la capacidad vital forzada (125%) era más de lo esperado. A los valores de pre-operatorio comparados con los de pos-operatorio en la fuerza muscular respiratoria, tanto la presión inspiratoria máxima (p<0,001) como la presión espiratoria máxima (p<0,001) se redujeron después de la operación; en la función pulmonar el volumen espiratorio forzado en el primer segundo (p<0,001) y la capacidad vital forzada (p=0,001) se redujeron después de la operación, sólo el flujo espiratorio máximo no mostró ninguna reducción significativa (p=0,108). Conclusión: Después de la cirugía, hubo una reducción de la fuerza muscular respiratoria y de la función pulmonar. Las pacientes que se sometieron al tratamiento neoadyuvante obtuvieron disminución de la función pulmonar, en relación a los valores de la capacidad vital forzada y al volumen espiratorio forzado en el primer segundo.Introdução: Pacientes submetidas a tratamento cirúrgico para câncer de mama poderão apresentar prejuízos físicos, entre eles: alterações respiratórias, que podem acarretar em futuras complicações, e diminuição da qualidade de vida. Objetivo: Avaliar a função pulmonar e a força muscular respiratória pré e pós-operatórias em pacientes submetidas à cirurgia oncologia de mama. Método: Participaram do estudo 20 mulheres, com diagnóstico de câncer de mama, submetidas à cirurgia conservadora (quadrantectomia) ou a mastectomia, que foram avaliadas pela manovacuometria e espirometria nos pré e pós-operatórios. Resultados: Constatou-se que, no pré-operatório, a força muscular respiratória e a função pulmonar apresentaram-se diminuídas em relação aos valores previstos para cada paciente, estando a força muscular respiratória: pressão inspiratória máxima (43,14%) e pressão expiratória máxima (40,09%); e a função pulmonar: pico de fluxo expiratório (49,86%) e volume expiratório forçado no primeiro segundo (99,14%), apenas a capacidade vital forçada (125%) estava acima do previsto. Aos valores do pré-operatório comparados ao pós-operatório na força muscular respiratória, tanto a pressão inspiratória máxima (p<0,001) quanto a pressão expiratória máxima (p<0,001) apresentaram redução no pós-operatório; na função pulmonar, o volume expiratório forçado no primeiro segundo (p<0,001) e a capacidade vital forçada (p=0,001) apresentaram-se diminuídos no pós-operatório, apenas o pico de fluxo expiratório não apresentou redução significativa (p=0,108). Conclusão: Após a cirurgia, houve diminuição da força muscular respiratória e da função pulmonar. As pacientes que realizaram tratamento neoadjuvante obtiveram diminui..o da função pulmonar, nos valores de capacidade vital forçada e do volume expiratório forçado no primeiro segundo.INCA2014-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/48410.32635/2176-9745.RBC.2014v60n2.484Revista Brasileira de Cancerologia; Vol. 60 No. 2 (2014): Apr./May/June; 151-157Revista Brasileira de Cancerologia; Vol. 60 Núm. 2 (2014): abr./mayo/jun.; 151-157Revista Brasileira de Cancerologia; v. 60 n. 2 (2014): abr./maio/jun.; 151-1572176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/484/286Monteiro Abreu, Ana Paula Endres, Daiane Bortoluzzi Costa, Aline Cecagno Zanini, Sheila Cristina Ribeiro Martini, RafaelPereira Leguisamo, Camila info:eu-repo/semantics/openAccess2021-11-29T20:10:01Zoai:rbc.inca.gov.br:article/484Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:10:01Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
La Función Pulmonar y la Fuerza Muscular Respiratoria en las Pacientes Sometidas a Cirugía Oncológica de Mama
Função Pulmonar e Força Muscular Respiratória em Pacientes Submetidas à Cirurgia Oncológica de Mama
title Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
spellingShingle Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
Monteiro Abreu, Ana Paula
Neoplasias da Mama
Mastectomia
Ventilação Pulmonar
Espirometria
Período Pré-Operatório
Período Pós-Operatório
Breast Neoplasms
Mastectomy
Pulmonary Ventilation
Spirometry
Preoperative Period
Postoperative Period
Neoplasias de la Mama
Mastectomía
Ventilación Pulmonar
Espirometría
Periodo Preoperatorio
Periodo Postoperatorio
title_short Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
title_full Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
title_fullStr Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
title_full_unstemmed Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
title_sort Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
author Monteiro Abreu, Ana Paula
author_facet Monteiro Abreu, Ana Paula
Endres, Daiane
Bortoluzzi Costa, Aline
Cecagno Zanini, Sheila Cristina
Ribeiro Martini, Rafael
Pereira Leguisamo, Camila
author_role author
author2 Endres, Daiane
Bortoluzzi Costa, Aline
Cecagno Zanini, Sheila Cristina
Ribeiro Martini, Rafael
Pereira Leguisamo, Camila
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Monteiro Abreu, Ana Paula
Endres, Daiane
Bortoluzzi Costa, Aline
Cecagno Zanini, Sheila Cristina
Ribeiro Martini, Rafael
Pereira Leguisamo, Camila
dc.subject.por.fl_str_mv Neoplasias da Mama
Mastectomia
Ventilação Pulmonar
Espirometria
Período Pré-Operatório
Período Pós-Operatório
Breast Neoplasms
Mastectomy
Pulmonary Ventilation
Spirometry
Preoperative Period
Postoperative Period
Neoplasias de la Mama
Mastectomía
Ventilación Pulmonar
Espirometría
Periodo Preoperatorio
Periodo Postoperatorio
topic Neoplasias da Mama
Mastectomia
Ventilação Pulmonar
Espirometria
Período Pré-Operatório
Período Pós-Operatório
Breast Neoplasms
Mastectomy
Pulmonary Ventilation
Spirometry
Preoperative Period
Postoperative Period
Neoplasias de la Mama
Mastectomía
Ventilación Pulmonar
Espirometría
Periodo Preoperatorio
Periodo Postoperatorio
description Introduction: Patients undergoing surgical treatment for breast cancer may experience physical damage, among them: respiratory changes that may result in future complications and decrease in quality of life. Objectives: To assess Pulmonary Function and Respiratory Muscle Strength pre and post-operative in patients undergoing breast cancer surgery. Method: The study included 20 women diagnosed with breast cancer undergoing conservative surgery (quadrantectomy) or mastectomy that were assessed by manometry and spirometry pre and postoperatively. Results: It was found preoperatively that respiratory muscle strength and pulmonary function showed decreased compared to the predicted values for each patient, with the respiratory muscle strength: maximal inspiratory pressure (43.14%) and maximal expiratory pressure (40.09%), and pulmonary function: peak inspiratory flow (49.86%) and forced expiratory volume in one second (99.14%), only forced vital capacity (125%) than expected. Regarding the values of the preoperative compared with postoperative respiratory muscle strength on both maximal inspiratory pressure (p<0.001) and maximal expiratory pressure (p<0.001) decreased postoperatively; pulmonary function in forced expiratory volume in one second (p<0.001) and forced vital capacity (p=0.001) were decreased post-operative only peak inspiratory flow was not significant (p=0.108). Conclusion: After surgery, there was a decrease from respiratory muscle strength and pulmonary function. Patients who underwent neoadjuvant treatment had a decrease of pulmonary function in the values of forced vital capacity and forced expiratory volume in the first second.
publishDate 2014
dc.date.none.fl_str_mv 2014-06-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/484
10.32635/2176-9745.RBC.2014v60n2.484
url https://rbc.inca.gov.br/index.php/revista/article/view/484
identifier_str_mv 10.32635/2176-9745.RBC.2014v60n2.484
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/484/286
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 60 No. 2 (2014): Apr./May/June; 151-157
Revista Brasileira de Cancerologia; Vol. 60 Núm. 2 (2014): abr./mayo/jun.; 151-157
Revista Brasileira de Cancerologia; v. 60 n. 2 (2014): abr./maio/jun.; 151-157
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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