作者kathyya (慧)
看板medstudent
標題Re: [申覆] 臨床(五) 1,6
時間Thu Jan 28 13:18:54 2010
疑義要點及理由:
下列敘述有關飲食纖維何者為非?
選項(A)水溶性之纖維(例如fruit pectins)是用來治療便秘的。為公布答案
對不起書上翻不到 網路查到的意思為果膠,主要作為果凍的食品添加物
From Wikipedia, the free encyclopedia
Pectin is a structural heteropolysaccharide contained in the primary cell walls of
terrestrial plants. It was first isolated and described in 1825 by Henri
Braconnot[2]. It is produced commercially as a white to light brown powder,
mainly extracted from citrus fruits, and is used in food as a gelling agent
particularly in jams and jellies. It is also used in fillings, sweets, as a
stabilizer in fruit juices and milk drinks and as a source of dietary fiber.
Harrison 16th edition p233有提到
Patients with slow transit constipation are treated with bulk, osmotic,and
^^^^^
stimulant laxatives, including fiber , psyllium, milk of magnesia, lactulose,
^^^^^
polyethylene glycol,and bisacodyl.
水溶性纖維亦符合以上敘述,也是纖維的一種,並沒有contraindication不能拿來治療。
此外若選項(C)正確:水溶性纖維可造成糞便體積加大(bulky stool),就會有刺激腸胃蠕動之效,我認為
亦有治療便秘的效果,不能算完全錯誤,因此建議送分。
--
剪不斷
理還亂
是離愁 是鄉愁 是愛恨情仇
寂寞裡清秋
深夜獨上西樓
--
※ 發信站: 批踢踢實業坊(ptt.cc)
◆ From: 59.113.71.70