Greinke S, Brandenburg U, Penzel T, Peter J H, von Wichert P
Med. Poliklinik, Philipps Universität Marburg.
Pneumologie. 1993 Dec;47 Suppl 4:722-5.
Spectral analysis of long-term recordings of blood pressure is a convenient method to recognise and reveal the amplitude and periodicity of changes in blood pressure during sleep. The increased variability of nocturnal blood pressure in patients with sleep apnoea is mainly determined by two types of oscillating variations in blood pressure: 1. Oscillations in a low frequency range of 0.0-0.06 Hz associated with breathing disorders and consecutive arousals. 2. Oscillations in a higher frequency range of 0.2-0.5 Hz associated with three different patterns of breathing. Normal undisturbed breathing, regular snoring and ineffective breathing efforts during obstruction of the upper airways. Furthermore, the interaction between breathing or breathing disorder and arterial blood pressure is determined by the influence of the sleep stages.
长期血压记录的频谱分析是识别和揭示睡眠期间血压变化的幅度和周期性的便捷方法。睡眠呼吸暂停患者夜间血压变异性增加主要由两种血压振荡变化决定:1. 与呼吸障碍和连续觉醒相关的0.0 - 0.06赫兹低频范围内的振荡。2. 与三种不同呼吸模式相关的0.2 - 0.5赫兹高频范围内的振荡。正常无干扰呼吸、规律性打鼾以及上呼吸道阻塞期间无效的呼吸努力。此外,呼吸或呼吸障碍与动脉血压之间的相互作用由睡眠阶段的影响决定。