急性胰臟炎病人的營養照護

10.6666/ClinMed.202202_89(2).0015

楊筑穎；邱哲琳；楊妹鳳

急性胰臟炎（acute pancreatitis） ； 營養不良（malnutrition） ； 營養支持（nutrition support） ； 麩醯胺酸（glutamine）

臨床醫學月刊

89卷2期（2022 / 02 / 25）

84 - 88

繁體中文

急性胰臟炎患者普遍存在營養不良的風險，而營養不良會增加併發症、死亡率與住院天數，因此每位急性胰臟炎患者應進行營養篩檢，對營養不良或有風險者即早進行營養介入。在熱量建議部分，輕度患者每天每公斤體重25-30大卡，中、重度患者每天每公斤體重30-35大卡；蛋白質建議量為每天每公斤體重1.2-1.5公克。當出現微量營養素缺乏症狀時，應進行補充。對於重度急性胰臟炎且只使用靜脈營養患者，建議靜脈給予麩醯胺酸每天每公斤體重0.2公克，以減少死亡率及感染相關併發症。積極營養介入可減少疾病相關併發症、死亡率及住院天數，並提升病人的生活品質。

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