— 降低風險 · EASY · MCQ —
一位胰臟炎急性發作的病人，下列哪項飲食衛教最合適？
A nurse is caring for a client with acute pancreatitis. Which dietary instruction is most appropriate?
- AClear liquid diet initially初期給予清流質飲食
- BLow fat, small frequent meals低脂、少量多餐
- CMaintain NPO status until pain subsides✓ 正解維持禁食狀態直到疼痛緩解
- DHigh protein, high carbohydrate高蛋白、高碳水化合物
— Explanation · 中文詳解 —
急性胰臟炎的病理機轉為胰臟酵素自我消化。治療的首要目標是讓胰臟得到「完全休息」（Pancreatic rest），以抑制胰臟酵素分泌。因此，急性發作期病人必須維持禁食（NPO），並給予靜脈輸液維持電解質平衡。直到腹痛緩解、腸蠕動音恢復，才考慮進展至清流質飲食。過早進食會刺激胰臟再度分泌酵素，導致病情惡化。
The primary goal in managing acute pancreatitis is to achieve pancreatic rest by inhibiting enzyme secretion, which is accomplished by maintaining NPO status. Introducing oral intake, even clear liquids, prematurely can stimulate pancreatic activity and exacerbate inflammation, delaying recovery until pain subsides and bowel sounds return.