— 生理適應 · EASY · MCQ —
護理師照顧一位急性胰臟炎病人，在急性期最合適的飲食建議為何？
A nurse is caring for a client with acute pancreatitis. Which dietary recommendation is most appropriate during the acute phase?
- ANPO (Nothing by mouth) status✓ 正解禁食（NPO）狀態
- BClear liquid diet, advanced as tolerated清流質飲食，視耐受程度逐漸進展
- CHigh-protein, high-calorie diet高蛋白、高熱量飲食
- DLow-fiber, soft diet低纖維、軟質飲食
— Explanation · 中文詳解 —
急性胰臟炎（Acute Pancreatitis）的核心病理是胰臟酵素過早活化導致組織自我消化。急性期治療的首要目標是「讓胰臟休息（Pancreatic Rest）」，透過禁食（NPO）減少胃酸分泌，進而抑制膽囊收縮素（Cholecystokinin）的分泌，防止胰臟消化酶的過度分泌。臨床上待腹痛緩解、澱粉酶與脂肪酶數值下降後，才可考慮恢復進食。若過早進食會引發劇烈疼痛與併發症。
During the acute phase of pancreatitis, the primary goal is to provide pancreatic rest by minimizing enzyme secretion. Maintaining NPO status reduces gastric acid stimulation, thereby decreasing cholecystokinin release and preventing further pancreatic inflammation. Introducing food too early can exacerbate pain and delay recovery.