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目的:观察雷火灸治疗人工流产术后月经过少的临床疗效.方法:将74例人工流产术后月经过少患者随机分为两组,每组37例.对照组予以常规激素序贯疗法;观察组予雷火灸治疗.疗程为3个月经周期.观察治疗前后中医证候评分、月经量、子宫内膜厚度及性激素指标水平,比较临床疗效.结果:观察组和对照组总有效率分别为91.4％和73.5％,组间差异有统计学意义(P<0.05).治疗后,两组患者中医证候评分均较治疗前明显降低(均P<0.05),观察组评分低于对照组(P<0.05);两组患者月经量、子宫内膜厚度及各项性激素指标水平较治疗前明显改善(均P<0.05),观察组改善情况优于对照组(均P<0.05).结论:雷火灸可以明显改善人工流产术后月经过少患者的临床症状,增加月经量和子宫内膜厚度,同时可以调节性激素水平,其疗效优于常规激素序贯疗法.“,”Objective: To observe the clinical efficacy of thunder-fire moxibustion for hypomenorrhea after induced abortion. Methods: A total of 74 patients with hypomenorrhea after induced abortion were randomized into two groups, with 37 cases in each group. The control group was treated with conventional hormone sequential therapy, and the observation group was treated with thunder-fire moxibustion. The course of treatment was 3 menstrual cycles. The traditional Chinese medicine (TCM) symptom scores, menstrual volume, endometrial thickness and the sex hormone levels were observed before and after treatment. The clinical efficacy was compared after treatment. Results: The total effective rate in the observation group and the control group was 91.4％ and 73.5％, respectively, and the difference between the two groups was statistically significant (P<0.05). After treatment, the TCM symptom scores in both groups decreased significantly (all P<0.05), and the scores in the observation group were lower than those in the control group (P<0.05). The menstrual volume, endometrial thickness and each sex hormone level of the patients in both groups were significantly improved after treatment (all P<0.05), and the improvements in the observation group were more significant than those in the control group (all P<0.05). Conclusion: Thunder-fire moxibustion can significantly improve the clinical symptoms of patients with hypomenorrhea after induced abortion; it can increase menstrual volume and endometrial thickness, and regulate the sex hormone levels, producing a better curative effect than the conventional hormone sequential therapy.