運動禁藥之血液檢測程序及其推行之重要性

The Operating Procedure and the Importance of Blood Test in Anti-doping

林益安(Yi-An Lin) ； 朱文慶(Wen-Ching Chu) ； 許美智(Mei-Chich Hsu)

《運動研究》 19卷2期 (2010/12) Pp. 12-19

https://doi.org/10.6167/JSR/2010.19(2)2

摘要

近年以來，世界反運動禁藥組織(World Anti-Doping Agency, WADA)與國際奧林匹克委員會(International Olympic Committee, IOC)有更加重視血液檢測的趨勢，除了持續擴增血液檢測的項目外，亦提高血液檢測的樣本數，近期WADA更要展開運動員生物護照(athlete biological passport)的計畫。從此可知，運動員及訓練人員接觸血液檢測的機率將會明顯提高，是故對血液檢測的作業程序及其發展應有更進一步的瞭解。本文內容將概要敘述血液檢測之目的與作業程序，並藉由相關議題探討血液檢測推行之重要性。本文中所整理的血液檢測作業程序能提供讀者一個完整的運作概念，同時亦摘錄檢測程序運作上容易疏忽的一些細節；最後，將透過血液回輸等3個議題來討論血液檢測推行的重要性，從中可瞭解血液檢測的推行是完備運動禁藥管制作業的關鍵之一。

關鍵字

運動員生物護照 ； 違規輸血 ； 血液樣本 ； 作業程序

並列摘要

In recent years, the World Anti-Doping Agency (WADA) and the International Olympic Committee (IOC) manifest considerable concern about blood test issues, and have imposed a continual expansion of blood test project as well as an increase of quantity of blood test sample. An athlete biological passport is also planned to be launched by WADA in the near future. This strategy results in an increased exposure to blood test of athletes and trainers; thus, there is a vast need for comprehensive understanding of operating procedure and the development of blood test. The aim of the present article is to outline the purpose and the operating procedure of blood test and highlight the importance of blood test administration by presenting relevant issues. This article will provide readers with a comprehensive understanding of the operating procedure, including some details that have not been given enough attention while performing blood test. Finally, the importance of blood test will be highlighted by further discussing blood transfusions, limitation of recombinant human erythropoietin detection, and athlete biological passport. This way, blood test can be seen as one of the critical elements to completing doping control.

並列關鍵字

athlete biological passport ； blood doping ； blood sample ； operating procedure

參考文獻

中華奧林匹克委員會（2003）。運動禁藥採樣程序及方法作業要點。2009 年12 月18 日，取自98 全運會網址http://140.128.55.15/from/index-1.php?m=2&m1= 4&m2= 24&id=152

Diamanti-Kandarakis, E.,Konstantinopoulos, P. A.,Papailiou, J.,Kandarakis, S. A.,Andreopoulos, A.,Sykiotis, G. P.(2005).Erythropoietin abuse and erythropoietin gene doping: detection strategies in the genomic era.Sports Medicine.35(10),831-840.

Eichner, E. R.(2007).Blood doping: Infusions, erythropoietin and artificial blood.Sports Medicine.37(4-5),389-391.

Gaudard, A.,Varlet-Marie, E.,Bressolle, F.,Audran, M.(2003).Drugs for increasing oxygen and their potential use in doping: A review.Sports Medicine.33(3),187-212.

Gore, C. J.,Parisotto, R.,Ashenden, M. J.,Stray-Gundersen, J.,Sharpe, K.,Hopkins, W.(2003).Second-generation blood tests to detect erythropoietin abuse by athletes.Haematologica.88(3),333-344.