— 藥理與非經腸給藥 · EASY · MCQ —
在非緊急情況下,給予胰島素的首選途徑為何?
Which is the preferred route for administering insulin in a non-emergency setting?
- AIntravenous靜脈注射
- BSubcutaneous✓ 正解皮下注射
- COral口服
- DIntramuscular肌肉注射
— Explanation · 中文詳解 —
胰島素(Insulin)是一種蛋白質激素,若經由口服進入胃部會被胃酸與消化酶分解而失效。皮下注射(Subcutaneous)能提供穩定的吸收率,適合長期糖尿病管理。靜脈注射(Intravenous)雖作用最快,但因半衰期短且風險高,僅限於急性高血糖危象(如糖尿病酮酸中毒 DKA)。肌肉注射吸收太快,且會造成不必要的組織損傷與疼痛。
Insulin is a protein hormone; if taken orally it would be broken down by gastric acid and digestive enzymes. Subcutaneous injection provides steady absorption and is suitable for long-term diabetes management. Intravenous administration acts most rapidly but, because of its short half-life and high risk, is reserved for acute hyperglycemic crises such as diabetic ketoacidosis (DKA). Intramuscular injection is absorbed too quickly and causes unnecessary tissue trauma and pain.