论文部分内容阅读
目的：研究 IR 与 COPD 患者吸烟量、肺功能等的相关性。方法选择我院住院 COPD 患者98人为实验组，选健康成年人31人为健康对照组。检测所有受试者身高、体重、肺功能、FBG、FINS，受试者是否吸烟及吸烟量。使用 SPSS19．0统计学软件分析各组数据。结果吸烟组较非吸烟组 FEV1pred％、FEV1／FVC 下降，两组均较对照组降低。COPD吸烟组 HOMA －IR、FBG、FINS 高于 COPD 非吸烟组和对照组。COPD 非吸烟组 HOMA －IR、FBG、FINS 高于对照组。（P ＜0．01）。吸烟与 COPD 患者 FBG、FINS 及 IR 的升高具有相关性（P ＜0．05；r ＝17．76，r ＝16．84，r ＝17．92），并随 SI 升高 COPD 患者 IR 越发明显差异明显。结论：COPD 患者可出现 IR，COPD 吸烟患者 IR 发生较不吸烟患者明显升高，且随SI 升高明显增加。“,”Objective To study the correlation of IR and COPD patience’s smoking and pulmonary function.Method98 patients with COPD were selected as experimental group,to choose another 31 healthy person as the control group.To investigate the correlation between the IR and lung function and SI.Result The dif erence of FEV% and FEV1 /FVC between the three group di-vided into smoking have statistical y significant.The dif erence of FEV% and FEV1 /FVC between two smoking group have statistical y significant.HOMA -IR,FBG and FINS in the smoking group were higher than non -smoking group and the control group.Conclusions The majority of COPD has IR of which the occurrence is related to SI,and the occurrence increased with SI.