Biwasaka H, Tokuta T, Sasaki Y, Niitsu H, Kumagai R, Aoki Y
Department of Legal Medicine, Iwate Medical University School of Medicine, Morioka, Japan.
Nihon Hoigaku Zasshi. 2000 Aug;54(2):233-40.
We have investigated the applicability of the Q.E.D. (Quantitative Ethanol Detector) and Aloco-Screen test kits for screening ethanol concentrations in forensic samples, such as hemolyzed/decomposed blood, urine and vitreous humor. Because both kits were based on enzymatic color reactions, direct application of the kits to hemoglobin-rich samples gave unsatisfactory results. The deproteinization of blood with trichloroacetic acid followed by membrane filtration overcame such problem. This procedure was also effective for pretreatment of urine and vitreous humor samples to suppress excessive color development in the Alco-Screen test. The ethanol concentrations in whole blood (n = 29), urine (n = 7) and vitreous humor (n = 6) samples determined by the Q.E.D. kit correlated well with those determined by gas chromatography; the correlation coefficients were 0.986, 0.975 and 0.993, respectively. Because of its high specificity and sensitivity to ethanol, Q.E.D. seems to be highly reliable for quantitative estimation of ethanol concentrations in forensic samples. Alco-Screen also had high sensitivity, the specificity to ethanol was relatively low; the color reaction was also observed in the presence of acetone, n-propanol, toluene, methanol, ethylene glycol, methamphetamine, diazepam and dichrovos. Therefore, if forensic samples are analyzed by the Alco-Screen, it is essential to confirm the positive results using other analytical methods.
我们研究了Q.E.D.(定量乙醇检测仪)和酒精筛查测试试剂盒在法医样本(如溶血/分解血液、尿液和玻璃体液)中筛查乙醇浓度的适用性。由于这两种试剂盒均基于酶促显色反应,将其直接应用于富含血红蛋白的样本时,结果并不理想。用三氯乙酸对血液进行脱蛋白处理,然后进行膜过滤,解决了这一问题。该方法对尿液和玻璃体液样本的预处理也有效,可抑制酒精筛查测试中过度显色。用Q.E.D.试剂盒测定的全血(n = 29)、尿液(n = 7)和玻璃体液(n = 6)样本中的乙醇浓度与气相色谱法测定的结果相关性良好;相关系数分别为0.986、0.975和0.993。由于Q.E.D.对乙醇具有高特异性和高灵敏度,因此在法医样本中乙醇浓度的定量估计方面似乎高度可靠。酒精筛查测试也具有高灵敏度,但对乙醇的特异性相对较低;在丙酮、正丙醇、甲苯、甲醇、乙二醇、甲基苯丙胺、地西泮和敌敌畏存在的情况下也会观察到显色反应。因此,如果用酒精筛查测试对法医样本进行分析,必须使用其他分析方法来确认阳性结果。