Carlotti N, Maugendre D, Laurent M C, Grall J Y
Service de Gynécologie-Obstétrique B, Hôpital Sud, Rennes.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(2):168-73.
The aim of this work was to study the predictive value of 50 gram glucose O'Sullivan test for systematic screening of gestational diabetes. To confirm the diagnostic the test positivity was controlled by a 100 g, 3 hours oral glucose tolerance test. During a 12-month period, 751 women were included in the 7th month pregnancy consultation. The O'Sullivan test was positive in 18% of cases. The oral glucose tolerance test confirmed the diagnostic in 14% of these positive tests. The frequency of gestational diabetes was about 2.5% in this population. We compared then the results of the test with the other available screening modes. For this purpose, we analysed retrospectively 50 gestational diabetes diagnosed during the same time in the entire pregnant population of the clinic. In our experience, the O'Sullivan's test is a reliable and useful test. It is easy to perform. Less women are selected than in analysis of risk factors (18% versus > 30%), and with better sensitivity.
这项工作的目的是研究50克葡萄糖奥沙利文试验对妊娠期糖尿病系统筛查的预测价值。为了确诊，通过100克、3小时口服葡萄糖耐量试验来控制试验阳性结果。在12个月的时间里，751名孕妇在妊娠第7个月的会诊中被纳入研究。奥沙利文试验在18%的病例中呈阳性。口服葡萄糖耐量试验在这些阳性试验中确诊了14%。该人群中妊娠期糖尿病的发生率约为2.5%。然后我们将该试验结果与其他可用的筛查模式进行了比较。为此，我们回顾性分析了同期在该诊所整个孕妇群体中诊断出的50例妊娠期糖尿病病例。根据我们的经验，奥沙利文试验是一项可靠且有用的试验。它操作简便。与危险因素分析相比，被选中的女性更少（18%对>30%），且敏感性更高。
