A cirurgia para o câncer de mama não compromete a função pulmonar e a força muscular respiratória a longo-prazo

Conteúdo do artigo principal

Clarissa Medeiros da Luz
Marina Palú
Julia Deitos
Manuela Karloh
Ana Rosa de Oliveira
Anamaria Fleig Mayer

Resumo

Introdução: Mulheres com câncer de mama podem apresentar complicações a longo-prazo relacionadas ao procedimento cirúrgico. Objetivo: Avaliar a função pulmonar e a força muscular respiratória em mulheres submetidas a tratamento cirúrgico para câncer de mama ao longo de 60 dias. Métodos: Estudo longitudinal com 32 mulheres. A função pulmonar e a força muscular respiratória foram avaliadas utilizando espirometria e manovacuometria, respectivamente, no pré-operatório, de 12 a 48h no período pós-operatório, 30 dias e 60 dias após a cirurgia. Resultados: A capacidade vital (CV) e a capacidade inspiratória (CI) apresentaram redução significante no pós-operatório de até 48h (CV: 2,18±0,63; CI: 1,71±0,49; p<0,01 vs basal), com retorno aos parâmetros basais em 30 dias  após a cirurgia (CV: 2,76±0,60; CI: 2,16±0,57; p<0,01 vs PO48h) e manutenção destes no pós-operatório de 60 dias (CV: 2,64±0,60; CI: 2,11±0,62; p< 0,01 vs PO48h). Não foi observada diferença estatisticamente significante entre os valores de volume corrente nos quatro períodos avaliados, exceto quando comparado o período pós-operatório de 60 dias com o pós-operatório de até 48h (0,84±0,37 vs 0,64±0,19, respectivamente; p=0,028). Todos os valores de força muscular respiratória apresentaram-se significantemente reduzidos no pós-operatório de até 48h (PImax: -33,89±12,9 cmH2O; PEmax: 39,72±21,0 cmH2O; p<0,01 vs basal), com retorno aos valores basais em 30 (PImax: -50,1±21,2 cmH2O; PEmax: 59,86±24,7 cmH2O; p<0,01 vs PO48h) e 60 dias (PImax -50,78±19,2 cmH2O; PEmax 61,67±23.4 cmH2O; p<0,01 vs PO48h). Conclusão: A cirurgia para tratamento do câncer de mama não impacta na função pulmonar e força muscular respiratória 30 dias após a cirurgia.

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Luz, C. M. da, Palú, M., Deitos, J., Karloh, M., Oliveira, A. R. de, & Mayer, A. F. (2020). A cirurgia para o câncer de mama não compromete a função pulmonar e a força muscular respiratória a longo-prazo. ABCS Health Sciences, 45, 1314. https://doi.org/10.7322/abcshs.45.2020.1314
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