[摘要] 冠状动脉是营养心脏的动脉，管腔由大到小，管壁由厚变薄最终移行为微动脉；冠状动脉微血管在心肌的血供中起着重要作用，微血管性心绞痛受到越来越多的重视，研究提示冠状动脉内皮功能障碍、内皮活化及炎症、胰岛素抵抗、雌激素不足、冠状动脉痉挛等与微血管性心绞痛的发病密切相关。微血管性心绞痛的治疗也备受重视，各种治疗方案也取得了较好疗效。该研究对目前研究现状及治疗情况进行阐述。

    [关键词] 微血管性心绞痛；发病机制；药物治疗

    [中图分类号] R541.4 [文献标识码] A [文章编号] 1674-0742(2017)05(a)-0196-03

    [Abstract] Coronary artery is the artery of nutrient heart， the lumen is from big to small and the tube wall is from thickness to thin， and the coronary microvascular plays an important role in the blood supply of myocardium ......