Pulmonary Function and Respiratory Muscle Strength in Patients Undergoing Oncologic Breast Surgery
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
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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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 |
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https://rbc.inca.gov.br/index.php/revista/article/view/484/286 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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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) |
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rbc@inca.gov.br |
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