一名急性胰臟炎病人表現出嚴重上腹痛。護理師應採取哪項措施來讓胰臟達到生理休息？
A client with acute pancreatitis presents with severe epigastric pain. Which nursing intervention is the priority to promote physiological rest of the pancreas?
- AAdminister prophylactic antibiotics給予預防性抗生素
- BMaintain NPO status✓ 正解維持禁食狀態
- CEncourage frequent small meals鼓勵少量多餐
- DApply warm compresses to the abdomen在腹部敷熱敷包
急性胰臟炎治療核心在於抑制胰液分泌。禁食（NPO）是消除胰臟分泌刺激的最直接手段，配合靜脈輸液維持水電解質平衡，能有效減輕胰臟發炎負荷。其他選項如進食會刺激酵素分泌，熱敷可能加重腹腔發炎反應，抗生素則非首選用藥。
Treatment of acute pancreatitis centers on suppressing pancreatic enzyme secretion. NPO status is the most direct way to remove the stimulus for pancreatic secretion, combined with IV fluids to maintain fluid and electrolyte balance, thereby effectively reducing the inflammatory burden on the pancreas. The other options are inappropriate: eating stimulates enzyme secretion, warm compresses can worsen intra-abdominal inflammation, and antibiotics are not first-line therapy.
美台對急性胰臟炎的 NPO 執行均嚴格，但美國常更早引入早期腸內營養（EEN），台灣臨床則常保留較長的禁食時間。