Endometritis is a common gynecological disease in clinical practice. It is an inflammation of the endometrium. There are two main types: acute endometritis and chronic endometritis. When it comes to how to treat endometritis, the two types of disease, acute and chronic, are treated separately. 1. Chronic endometritis (1) Drug treatment: Diethylstilbestrol 0.25-0.5 mg can be taken orally once a day for 1-2 weeks, and appropriate antibiotics can be used for treatment for 5-7 days. At the same time, treatment is given for senile vaginitis (see senile vaginitis). (2) Surgical treatment: Patients with complications of intrauterine pyometra should immediately dilate the cervix and drain the pus. After the operation, a rubber drainage tube was placed in the cervical tube until no pus flowed out, and the above-mentioned drugs were used at the same time. (3) If any obvious inducement is found, it should be removed. 2. Acute endometritis (1) General treatment Acute endometritis requires bed rest, preferably in a semi-recumbent position, to help limit inflammation and drain uterine secretions; hot compresses can be applied to the lower abdomen to promote absorption of inflammation and relieve pain; Keep bowel movements smooth to relieve pelvic congestion and facilitate the excretion of toxins. (2) Clearing uterine cavity residues and other foreign matter If endometritis occurs after delivery or abortion, if there is suspected placental tissue residue, it should be removed immediately while using antibiotics. However, it is advisable to gently remove the protruding uterine cavity residues and try not to perform curettage. Curettage can only be performed when the antibiotic dose reaches a certain level and the inflammation is under control to prevent the spread of inflammation. 3. Traditional Chinese Medicine Treatment of Endometritis Moisture heat resistance type 【Treatment method】 Treat with clearing away heat, promoting dampness, promoting blood circulation and removing blood stasis. [Prescription] The prescription is Simiao Pills (Cheng Fang Fang Du) combined with peach kernel and safflower decoction with modifications. Prescription: Phellodendron chinense, raw coix seed, Atractylodes macrocephala, Achyranthes bidentata, peach kernel, safflower, red peony root, angelica sinensis, Chuanxiong, Patrinia scabra, Red vine, raw licorice. If the menstruation is continuous and red, add Leonurus japonicus, Rubia cordifolia, Platycladus orientalis leaves to promote blood circulation, remove blood stasis, cool blood and stop bleeding. If the amount of leucorrhea is excessive and yellow in color, add Plantago seed (wrapped and decocted) and Alisma orientalis to clear away dampness and heat. |
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