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首页> 外文期刊>Fisioterapia em Movimento >Avalia??o da efetividade do preparo pulmonar ambulatorial no período pré-operatório de cirurgia do es?fagoEvaluación de la efectividad del preparo pulmonar ambulatorial en el período pre-operatorio de cirugía del es?fago
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Avalia??o da efetividade do preparo pulmonar ambulatorial no período pré-operatório de cirurgia do es?fagoEvaluación de la efectividad del preparo pulmonar ambulatorial en el período pre-operatorio de cirugía del es?fago

机译：食管手术前门诊肺准备的有效性评估食管手术前门诊肺准备的有效性评估

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Introduction: Preoperative inspiratory muscle training (IMT) can minimize the occurrence of complications after esophagectomy. Objective: To evaluate the effects of preoperative IMT in patients undergoing esophageal surgery by determining respiratory muscle strength (PImax and PEmax), pulmonary function (FEV1, FVC, FEV1/FVC) and functional capacity by the 6-minute walk test (6MWT). Methods: Twenty-two patients were randomized into two groups: a control group (CG; n = 10) and an intervention group (IG; n = 12). Only IG performed IMT for a minimum period of 2 weeks. The assessments were conducted pre- and post-surgery. Results: An increase of PImax was observed in IG, but not in CG, in the second preoperative assessment (p = 0.014). Assessment on postoperative day 1 showed a reduction in maximal respiratory pressures in the two groups, but the reduction was more marked in IG (p 0.05). Partial recovery of the variables evaluated was observed at discharge in the two groups. These variables had fully returned to initial values on postoperative day 30. The distance walked in the 6MWT was greater in IG, but the difference was not significant (p = 0.166). There was no difference in the frequency of pulmonary complications between groups. Conclusion: Preoperative IMT performed in our study improved inspiratory muscle strength but did not influence the postoperative pulmonary function or functional capacity of patients undergoing esophagectomy.
机译：简介：术前吸气肌肉训练（IMT）可以最大程度地减少食管切除术后并发症的发生。目的：通过6分钟步行试验（6MWT）确定呼吸肌力量（PImax和PEmax），肺功能（FEV1，FVC，FEV1 / FVC）和功能能力，以评估术前IMT对食管手术患者的影响。方法：将22例患者随机分为两组：对照组（CG; n = 10）和干预组（IG; n = 12）。只有IG进行IMT的时间最少为2周。评估是在手术前后进行的。结果：在第二次术前评估中，在IG中观察到PImax升高，但在CG中未观察到PImax升高（p = 0.014）。术后第一天的评估显示两组最大呼吸压降低，但IG降低更为明显（p <0.05）。两组在出院时观察到所评估变量的部分恢复。这些变量在术后第30天已完全恢复为初始值。IG中6MWT行走的距离更大，但差异不显着（p = 0.166）。两组之间的肺部并发症发生频率没有差异。结论：本研究中进行的术前IMT改善了吸气肌的力量，但并未影响食管切除术患者的术后肺功能或功能能力。

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