Evaluation of breathing exercise in hormonal and immunological responses in patients undergoing abdominal surgery

Evaluation of breathing exercise in hormonal and immunological responses in patients undergoing abdominal surgery

Autor Carneiro, Élida Mara Google Scholar
Ramos, Marisa de Carvalho Google Scholar
Terra, Guilherme Azevedo Google Scholar
Rodrigues Júnior, Virmondes Google Scholar
Matos, Delcio Autor UNIFESP Google Scholar
Crema, Eduardo Google Scholar
Instituição UFTM Department of Surgery
UFTM Department of Immunology
Universidade Federal de São Paulo (UNIFESP)
Resumo PURPOSE: To evaluate the effects of sustained deep inspiration in the prevention of postoperative pulmonary complications, the hormonal and immunological responses in patients submitted to abdominal surgery. METHODS: This randomized clinical trial study included 75 patients submitted to abdominal surgery, of which 36 were randomly allocated in the experimental group and underwent sustained deep inspiration during five seconds, in three sets of ten repetitions per day. The others 39 patients were allocated in the control group and were not submitted to any breathing exercise. The following parameters were measured preoperatively, 24h and 48h postoperatively: chest x-ray, serum ACTH, cortisol, IL-4, IL-10, TNF-α, forced expiratory volume in first second (FEV1), forced expiratory flow 25-75% (FEF 25-75), forced vital capacity (FVC), paO2 and paCO2. RESULTS: Mean serum cortisol in patients of the experimental and control groups before surgery were 12.8 mcg/dl (4.6-50) and 10.48 mcg/dl (1-29.1), respectively (p=0.414). The experimental group had significantly increase in serum cortisol levels, 23.6 mcg/dl (9.3-45.8), especially 24h postoperatively (p=0.049). CONCLUSION: Sustained deep inspiration in patients submitted to abdominal surgery determined important changes in serum cortisol, however, without significantly influence the postoperative pulmonary complications and the endocrine and immune responses
Palavra-chave Physical Therapy Modalities
Surgery
Hormones
Cytokines
Idioma Inglês
Data de publicação 2013-05-01
Publicado em Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 28, n. 5, p. 385-390, 2013.
ISSN 0102-8650 (Sherpa/Romeo, fator de impacto)
Publicador Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Extensão 385-390
Fonte http://dx.doi.org/10.1590/S0102-86502013000500011
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000319994200011
SciELO S0102-86502013000500011 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/7735

Exibir registro completo




Arquivo

Nome: S0102-86502013000500011.pdf
Tamanho: 735.0KB
Formato: PDF
Descrição:
Abrir arquivo

Este item está nas seguintes coleções

Buscar


Navegar

Minha conta