Avaliação de crianças com fibrose cística após 12 meses de fisioterapia respiratória
DOI:
https://doi.org/10.33233/fb.v2i5.650Abstract
Objetivos: Avaliar o crescimento pondero estatural, o estado nutricional, a freqüência de pneumonias e a tolerância ao exercício, em crianças com fibrose cística, após associação de fisioterapia respiratória tradicional ao tratamento farmacológico. Métodos: Foram avaliadas 7 crianças com fibrose cística comprovada, do Ambulatório de Pneumologia Pediátrica do Hospital de Clínicas da Universidade Federal de Uberlândia. A fisioterapia respiratória foi realizada de novembro de 1997 a outubro de 1998, em sessões de 1 hora, 3 vezes por semana. Os parâmetros avaliados no início e ao final da pesquisa foram peso e altura, pela tabela do National Center for Health Statistics; estado nutricional, segundo o escore de Waterlow; freqüência de pneumonias em relação aos 12 meses anteriores; tolerância ao exercício, pelo teste de caminhada de 6 minutos. A análise estatística utilizou a prova de Wilcoxon, com nível de significância em 0,05. Resultados: O crescimento pondero estatural estava comprometido no início e ao final da pesquisa, embora houvesse ganho significativo de peso e estatura ao final. O estado nutricional, previamente comprometido, assim se manteve. Os episódios de pneumonia diminuíram significativamente (p < 0,05). Não ocorreram alterações significativas no teste de caminhada de 6 minutos. Conclusão: O grupo teve crescimento pondero estatural significativo e diminuiu a freqüência de pneumonias. No entanto, manteve-se desnutrido e com tolerância ao exercício inalterada.
Palavras-chave: fibrose cística, fisioterapia respiratória, avaliação.
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