一名診斷為急性胰臟炎的病人,在急性期時最適合的飲食建議為何?
A client is diagnosed with acute pancreatitis. Which dietary modification is most appropriate for this client during the acute phase?
- ASmall, frequent meals with moderate fat適量脂肪的少量多餐
- BClear liquid diet with high protein高蛋白清流質飲食
- CLow-fat, high-fiber diet低脂高纖飲食
- DNPO (Nothing by mouth) and intravenous fluids✓ 正解禁食(NPO)及靜脈補液
急性胰臟炎(Acute Pancreatitis)治療的核心目標是讓胰臟「休息」。當胰臟發炎時,消化酵素(如澱粉酶、脂肪酶)會被過早活化,導致胰臟組織自身消化。進食會刺激胃泌素分泌,進而引發胰臟分泌更多消化酵素,加重病情。因此,在急性期採取禁食(NPO)並輔以靜脈輸液(IV Fluids)維持電解質平衡,是減輕胰臟負荷、緩解腹痛的最關鍵護理措施。
The central treatment goal for acute pancreatitis is to allow the pancreas to rest. During acute inflammation, digestive enzymes (such as amylase and lipase) become prematurely activated, leading to autodigestion of pancreatic tissue. Eating stimulates gastrin release, which in turn induces further pancreatic enzyme secretion and worsens the condition. Therefore, NPO status combined with IV fluids to maintain electrolyte balance is the most critical nursing measure to reduce pancreatic workload and relieve abdominal pain in the acute phase.