Avaliação das pressões respiratórias máximas e expansibilidade pulmonar em pacientes portadoras de câncer de mama e submetidas a tratamento cirúrgico
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Data
2010-09-20
Autores
Rodrigues, Nathane Ruiz Schincarioli [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
O Câncer de mama (CM) vem ocupando lugar de destaque entre as doenças mamárias, as estatísticas mostram um aumento tanto nos países desenvolvidos quanto nos países em desenvolvimento, se tornando um problema de saúde pública. No Brasil, 60% dos diagnósticos de CM são descobertos em estádios avançados, aumentando assim o índice de mortalidade da doença. Avaliar as pressões respiratórias máximas e expansibilidade pulmonar antes e após tratamento cirúrgico de CM; Investigar a prevalência de complicações pulmonares das pacientes no pós-operatório de CM. Estudo prospectivo de 41 pacientes com CM e tratadas por cirurgia no HC- Faculdade de Medicina de Botucatu- Unesp, entre Março de 2008 e Dezembro de 2009. As pacientes foram avaliadas no pré-operatório através de um questionário clinico e na seqüência a avaliação das pressões respiratórias máximas (PImax e PEmax) e expansibilidade pulmonar. Depois de quarenta dias do pós-operatório as pacientes eram novamente avaliadas. Houve diferença significativa nas PImax e PEmax no pósoperatório com relação ao pré-operatório. Não houve diferença estatística na avaliação da expansibilidade pulmonar e complicações respiratórias no pósoperatório. Nas pacientes portadoras de CM de mama e tratadas por cirurgia observamos que houve uma diferença significativa entre as PImax e PEmax no pós-operatório em relação ao pré-operatório e quanto as demais variáveis avaliadas, não houve diferença significativa. Não houve também incidência significativa de complicações respiratórias no pós-operatório
Breast Cancer (BC) has been placing a prominent issue among the breast diseases, statistics show a considerable increase in both developed and undeveloped countries, being now considered a problem of public health. In Brazil, 60% of the diagnoses of BC are discovered in advanced stage, increasing its mortality rates. To evaluate the maximum respiratory pressures and pulmonary expansibility before and after surgical treatment of the BC; To investigate the prevailing of pulmonary complications in patients on post-surgical of BC.Prospective study of 41 patients with BC and treated surgically in HC – Faculdade de Medicina de Botucatu – Unesp, from March, 2008 through December, 2009. Patients have been evaluated on presurgical through a clinical questionnaire and in the sequence the evaluation of the maximum respiratory pressures (Plmax and PEmax) and pulmonary expansibility. After forty days of post-surgical the patients were evaluated again. There was a significant difference on the Plmax and PEmax in postsurgical compared to pre-surgical. There was no statistic difference on the evaluation of the pulmonary expansibility and respiratory complications on postsurgical. In patients with BC and treated surgically we noted there was a significant difference on PImax and PEmax in post-surgical compared to pre-surgical and when it comes to other variables evaluated, there was no significant difference, and no significant difference on respiratory complications on post-surgical treatment
Breast Cancer (BC) has been placing a prominent issue among the breast diseases, statistics show a considerable increase in both developed and undeveloped countries, being now considered a problem of public health. In Brazil, 60% of the diagnoses of BC are discovered in advanced stage, increasing its mortality rates. To evaluate the maximum respiratory pressures and pulmonary expansibility before and after surgical treatment of the BC; To investigate the prevailing of pulmonary complications in patients on post-surgical of BC.Prospective study of 41 patients with BC and treated surgically in HC – Faculdade de Medicina de Botucatu – Unesp, from March, 2008 through December, 2009. Patients have been evaluated on presurgical through a clinical questionnaire and in the sequence the evaluation of the maximum respiratory pressures (Plmax and PEmax) and pulmonary expansibility. After forty days of post-surgical the patients were evaluated again. There was a significant difference on the Plmax and PEmax in postsurgical compared to pre-surgical. There was no statistic difference on the evaluation of the pulmonary expansibility and respiratory complications on postsurgical. In patients with BC and treated surgically we noted there was a significant difference on PImax and PEmax in post-surgical compared to pre-surgical and when it comes to other variables evaluated, there was no significant difference, and no significant difference on respiratory complications on post-surgical treatment
Descrição
Palavras-chave
Mamas - Cancer - Cirurgia, Aparelho respiratorio, Musculos respiratorios, Complicações e sequelas, Breast cancer, Surgical treatment
Como citar
RODRIGUES, Nathane Ruiz Schincarioli. Avaliação das pressões respiratórias máximas e expansibilidade pulmonar em pacientes portadoras de câncer de mama e submetidas a tratamento cirúrgico. 2010. 68 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2010.