In recent years, studies have found that Hcy, especially high levels of Hcy, is associated with lung diseases, while in the general population, Hcy is not related to the lungs [11]. In this study, we found that Hcy was positively correlated with ventilation disorders, which was consistent with previous studies [12, 13]. Studies have found that high levels of Hcy are also associated with different stages and grades of COPD. Among COPD patients, those with GOLD grades 3 and 4 have higher Hcy levels compared with those with grades 1 and 2, indicating that Hcy levels are positively correlated with GOLD grades, and high Hcy levels may be an important risk factor for the occurrence and development of disease [9]. Our study also found that there was significant difference in the Hcy level among different GOLD grade groups, and compared with patients with low-grade GOLD, those with high-grade GOLD had a higher Hcy level. These results indicated that Hcy level is closely related to the occurrence and severity of COPD,which may be an important factor in the pathogenesis of COPD.