Hök Instrument AB, Västerås, Sweden. School of Innovation, Design, and Engineering, Mälardalen University, Västerås, Sweden.
J Breath Res. 2009 Sep;3(3):036002. doi: 10.1088/1752-7155/3/3/036002. Epub 2009 Jun 17.
The present techniques for breath alcohol determination have usability limitations concerning practical use and the time and effort required for the test person. The rationale of the physiological assumptions in a recently demonstrated technique for breath analysis without a mouthpiece is investigated in this paper. Expirograms quantifying ethanol, carbon dioxide (CO(2)) and water (H(2)O) from 30 test subjects were analysed, with respect to the influence of individual variations in end-expiratory CO(2) and H(2)O concentrations, and possible benefits from simultaneous measurement of CO(2) or H(2)O. Both healthy subjects and patients suffering from pulmonary diseases performed breath tests with small and maximum volume expiration. The breath tests were recorded basically with a standard evidential instrument using infrared absorption spectroscopy, and equipped with a mouthpiece. Average concentrations were significantly higher for the maximum than for the small expirations. For the maximum expirations, the healthy subjects had a significantly higher end-expired PCO(2) of 4.4 ± 0.5 kPa (mean ± standard deviation) than the patients (3.9 ± 0.7 kPa). The corresponding values for H(2)O were 39 ± 1 and 38 ± 1 mg l(-1). The results indicate that the CO(2) variability is consistent with the requirements of accuracy for alcohol ignition interlocks. In addition, CO(2) as tracer gas is preferable to H(2)O due to its low concentration in ambient air. In instruments for evidential purposes H(2)O may be required as tracer gas for increased accuracy. Furthermore, the study provides support for early determination of breath alcohol concentration, indicating that determination after 2 s will introduce an additional random error of 0.02 mg l(-1) or less.
目前,用于呼气酒精测定的技术在实际使用方面存在可用性限制,并且测试人员需要花费大量时间。本文研究了一种最近展示的无需使用口气采集器进行呼气分析的技术,从生理假设的角度探讨其合理性。本文分析了 30 名测试对象的呼出气乙醇、二氧化碳(CO(2))和水(H(2)O)的呼出气图谱,重点研究了呼气末 CO(2)和 H(2)O 浓度个体差异的影响,以及同时测量 CO(2)或 H(2)O 可能带来的益处。健康受试者和患有肺部疾病的患者均进行了小容量和最大容量呼气的呼吸测试。呼吸测试主要使用配备有口气采集器的基于红外吸收光谱的标准证据仪器进行记录。呼气量最大时的平均浓度明显高于呼气量最小时的平均浓度。呼气量最大时,健康受试者的呼气末 PCO(2)为 4.4 ± 0.5 kPa(平均值 ± 标准差),显著高于患者(3.9 ± 0.7 kPa)。H(2)O 的相应值分别为 39 ± 1 和 38 ± 1 mg l(-1)。结果表明,CO(2)的变异性符合酒精点火联锁的精度要求。此外,由于 CO(2)在环境空气中的浓度较低,因此 CO(2)作为示踪气体比 H(2)O 更可取。对于用于证据目的的仪器,可能需要 H(2)O 作为示踪气体,以提高准确性。此外,该研究为早期呼气酒精浓度测定提供了支持,表明在 2 s 后进行测定将引入 0.02 mg l(-1)或更小的额外随机误差。