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对警察用于检测药物损害的瞳孔大小标准的评估。

An evaluation of pupil size standards used by police officers for detecting drug impairment.

作者信息

Richman Jack E, McAndrew Kathleen Golden, Decker Donald, Mullaney Stephen C

机构信息

The New England College of Optometry, Boston, Massachusetts, USA.

出版信息

Optometry. 2004 Mar;75(3):175-82. doi: 10.1016/s1529-1839(04)70037-8.

Abstract

BACKGROUND

The Drug Evaluation and Classification (DEC) program was developed to detect, arrest, and convict drivers impaired by drugs other than alcohol. The DEC program is a training program designed to prepare police officers and other qualified persons to serve as Drug Recognition Experts (DREs).

PURPOSE

The purposes of this study were: (1) to determine normative values and ranges for pupillary responses using the specific DEC program protocols for pupil testing in nonimpaired persons, and (2) to appraise the suitability of the 3.0- mm to 6.5-mm pupil range as a potential sign of impairment under three conditions.

METHODS

Trained DRE officers measured pupi sizes using standardized DEC protocols. Pupil measurements were taken under three light levels: room light, near-total darkness, and direct light. The subjects were 250 volunteers, with an average age of 29.2 years (+/-6.1). All subjects were healthy, nonimpaired, and free of visual, and/or neurological problems.

RESULTS

For each pupil measured (N= 500), the mean (SD) for each of the three test conditions were: room light 3.86 (0.93) mm; near-total darkness 6.41(1.55) mm; and direct light 3.35 (0.72) mm.

CONCLUSIONS

This study determined normative values and potential ranges for pupillary responses using the specific DEC program protocols for pupil testing in non-impaired persons. When the presently approved DEC program pupil size range (3.0 to 6.5 mm) is compared with the results of this study, it appears that the DEC range for pupil size might be too sensitive. However, when determining impairment related to drug(s), the DRE reviews the results of all tests and draws a conclusion based on the totality of the evidence, not only on a variation in the pupil size.

摘要

背景

药物评估与分类(DEC)计划旨在检测、逮捕和定罪受酒精以外药物影响的司机。DEC计划是一个培训计划,旨在让警察和其他合格人员成为药物识别专家(DRE)。

目的

本研究的目的是:(1)使用针对未受影响人员瞳孔测试的特定DEC计划协议确定瞳孔反应的标准值和范围,以及(2)评估3.0毫米至6.5毫米瞳孔范围在三种条件下作为潜在损伤迹象的适用性。

方法

训练有素的DRE官员使用标准化的DEC协议测量瞳孔大小。在三种光照水平下进行瞳孔测量:室内光、近乎全暗和直射光。受试者为250名志愿者,平均年龄29.2岁(±6.1)。所有受试者均健康、未受影响,且无视觉和/或神经问题。

结果

对于每次测量的瞳孔(N = 500),三种测试条件下各自的平均值(标准差)为:室内光3.86(0.93)毫米;近乎全暗6.41(1.55)毫米;直射光3.35(0.72)毫米。

结论

本研究使用针对未受影响人员瞳孔测试的特定DEC计划协议确定了瞳孔反应的标准值和潜在范围。将目前批准的DEC计划瞳孔大小范围(3.0至6.5毫米)与本研究结果进行比较时,DEC瞳孔大小范围似乎可能过于敏感。然而,在确定与药物相关损伤时,DRE会审查所有测试结果,并根据全部证据得出结论,而不仅仅基于瞳孔大小的变化。

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