一位護理師正在接收入院一位新診斷為急性胰臟炎的病人。初期最重要的飲食調整是什麼？
A nurse is admitting a client with a new diagnosis of acute pancreatitis. Which dietary modification is most important initially?
- AClear liquid diet.清流質飲食
- BNPO (Nothing by Mouth).✓ 正解禁食（NPO）
- CLow-fat diet.低脂飲食
- DHigh-protein diet.高蛋白飲食
急性胰臟炎（Acute Pancreatitis）的核心治療目標是讓胰臟休息。進食會刺激膽囊收縮素（CCK）分泌，進而促進胰臟分泌胰液（包含消化酶），這會加劇胰臟的自我消化與發炎反應。因此，初期禁食禁水（NPO）是減少胰臟負擔的最重要介入。待病人腹痛緩解、腸蠕動音恢復，再依序給予清流質飲食（Clear liquid diet）並監測臨床反應。此為優先級極高的照護措施，以避免病情惡化。
The central goal of treatment in acute pancreatitis is to allow the pancreas to rest. Eating stimulates cholecystokinin (CCK) release, which in turn promotes the secretion of pancreatic juice (including digestive enzymes), aggravating pancreatic autodigestion and inflammation. Therefore, initial NPO (nothing by mouth) status is the most important intervention to reduce the workload on the pancreas. Once the client's abdominal pain subsides and bowel sounds return, a clear liquid diet can be introduced gradually with monitoring of the clinical response. This is a very high-priority care measure to prevent worsening of the disease.