目的探讨血浆胰岛素水平与高血糖、高血压、高脂血症、肥胖及冠心病等疾病的关系。方法按空腹血浆胰岛素测定值高低分二组，比较二组间有关指标的差异。结果高胰岛素血症组收缩压、舒张压、甘油三脂、体重指数、腰臀比例均明显高于对照组（Ｐ＜０．０５～Ｐ＜０．００１）。结论高胰岛素血症组冠心病危险因素明显增高，选择治疗方案时应避免使用增加胰岛素抵抗的药物 Objective To investigate the relationship between plasma insulin levels and hyperglycemia, hypertension, hyperlipidemia, obesity and coronary heart disease. Methods The fasting plasma insulin was divided into two groups based on the measured values ​​of insulin, and the differences of the relevant indexes between the two groups were compared. Results Compared with the control group, the systolic blood pressure, diastolic blood pressure, triglyceride, body mass index and waist - hip ratio were significantly higher in hyperinsulinemia group (P <0.05 ~ P <0.001). Conclusions The risk factors for coronary heart disease in hyperinsulinemia group were significantly higher than those in those with insulin resistance