關于做好本市社區衛生服務機構重點人群動態服務和新冠救治相關工作的通知
【信息來源:】
【信息時間:2024-01-16 閱讀次數: 】
shixiaquganjingweishengjiankangshenghuowei:
♉kegenjuguojiafagaiweilianfangliankongchangxiaozhidu《zhiyulejiexinguanzhuzhongdaxueshengxiaofeiquntidongtaidegongnenghe“kouanyiwei”renwudegaozhishu》heguojiafagaiweilianfangliankongchangxiaozhidu、zhongyangjunshixinnongcunfangzirenwulingdaorenxiaozubenzhiyunzhuan《zhiyubanbuzengjinxianxingxinnongcunfangzidiquhuafenxinxingdeguanzhuangbingjunranbingzhiyuantiqingkuangyinhuanpaichazhilirenwufangangeshidegaozhishu》ziliaoqingqiu,weifahuichushanghaishijuweihuiqingjieweishenggongnengpingtaiwangdibangzhu,jianchibuxie“zaofajue、zaozhiliaofangfa、zaobinggui”,fangkonghejiandixinguanbingjunranbingzhiyuantiweizhongfashengde,xianjiulejiexianxingyouguanderenwugaozhishuxialie:
yi、yizhidetishengshequweishengxinguanzhenliaoliliang
(一)加快推進社區網站新冠治療擴盤增能
🔯gegequanquananquanweiyaoyijuqidezhenliaoshiqingshiyongxuqiu,xietongzuozhanxiaoquneishejidaodedezhengfubumen,jiasushenhuashixiaqushequnanquangongzuozixunzhongxindexinguandezhenliaohuodongchangsuokuocunguihua,yangeluoshishejidaodedepeizhixitongdengzengnengzigeilv,baohandezhenliaoweizhi、diaopingweizhi、yangliaoweizhi、zhongzhengchaceshibingqudeng,lejiexindianchace、xueyangchace、gongyangdengpeizhixitongfenpei。duidaijuyounenglideshequnanquangongzuozixunzhongxinde,feichangyaoqianghuactdengxitongdefenpei,yinliuyonghushepianjianxiuhuixiachendaoyouzhajide。yijugongzuoquanguorenkoujiegoubilide15%-20%dongtaixinxizigeilvzhongyao、tuireyao、zhiliaokesouyaojikangyuanchacezhijihejubei,weilequebaojigouhuopinzigeilvliangrengjiuweichizai2zhouzhe,quanguorenkoujiegouchoumiyanhaidiqukeyijuqishijiqingkuangtishengzigeilvliang。
(二)增強居委會發高燒診所貼心服務
♍quanxianggejiedaobanjuweihuiganjinggongnengpingtaimeitianyizhoujunyingtigaolechanshengreliangzenmebanzenmebankouqianghuizhengongneng(hanjieguodingyixiejiejiari),bingjiezhusheweichanshengreliangzenmebanzenmebankouqianghuizhenyeyiyuan,tuidongchanshengreliangzenmebanzenmebankouqianghuizhenbaodaotingchigongneng;quanxianggejiedaobanjuweihuiganjinggongnengfenpingtaimeitianyizhoujunyingtigaolechanshengreliangzenmebanzenmebankouqianghuizhengongneng(hanjieguodingyixiejiejiari),yitiaojiandekechuangbanyeyiyuan。quanxianggejiedaobanjuweihuiganjinggongnengzhan、cunganjingshiyingyinlingchanshengreliangzenmebanzenmebanshaodianzhensuo、linshicangkuchanshengreliangzenmebanzenmebankouqianghuizhenliuguanqudeng,shixianchanshengreliangzenmebanzenmebandenglinchuangzhengzhuangyonghuyidijiuyishiyongxuqiu。
er、zhazhashishixiehaoguanjiandianxiaofeizhegengjiankangjiancezhanyudongxiangdefuwu
(一)推進重要用戶應管也許
🎉jiezhuyujiezhen、jucunwei,gejuweihuiganjingweishengdebaozhangpingtaiyaojinyibuqianghuabeidongjieru,zaijiezhenjiangtuchucunxiaofeizhebingruwanggehuakongzhigongzuotiaojianshang,duituchucunxiaofeizhejinxingshentijiankangshenghuojianceqiyukongzhigongzuo。biaoxianjialiboshigoutongxiaofeizhehebeidongdebaozhangxiaoying,zengdafangda66suishangshulaolingrenchengjiaodebaozhangsuofugaimianji,chabuduokongzhituchucunxiaofeizhechengjiaoquansuofugai。liyonglvyundebaozhang、shouji、shoujiweixin、duanshipindengfeichujibanfahuomianfeishangmensuifangdengduidaimiandebaozhangbanfa,zuoshi“hong、huang、lv”tuantuchucunxiaofeizheshentijiankangshenghuodebaozhang,zuo“bageshishijiuwei”。
1.yijiezhenweiqishiyedanwei,tuijinwanggehuaguanlizhidukaohejizhi,guanche“pingtaiwurenxiaozunei”renwuguanlizhineng。
2.3leizhuyaorenqundangjiankangbaojianlejiezhongleiqingxi,dongxiangdiaozhengbingjianzaotaizhanggeshi,caozuowenbenxiaoxiqingxi。
💖3.pingtaiweishengjiandugongzuoyiyuan24banxiaoshigongzuozixunrexianliantong,jiarenboshijiehefangshifangfafenshouhoushumiantongzhizhongyaorenqundang,youwendingdexuqiushilikechushihuashibai。
𝓀4.anzhaoduogefengge,duihexinsangaokequnwenjianjiamihuoyuerenshilianjie,dui“zhuhongse”hexinsangaokequnqitianrenshibudiyu3ci,dui“jinse”cihexinsangaokequn,qitianrenshibudiyu2ci。
5.kuaisukongzhizhongdiancunsangaorenqunjichushangchuanranxingjibingshihouhejiankangshenghuoguanlizhuangkuang。
6.duicezhongkehuqunmumabingduxinguanmumabingduhuodejichudejibingbingkuangdengqianti,jishixinglvsefangtantigang、jiuzhengyuzhuanzhen。
(二)落實責任核心類人劃分類別菅理
𒉰dui“hong、huang、lv”zhongxinxiaofeileirengeyongshiyong“yi、er、siji”gongzuoguanlitigongjingzhunfuwupeixunguanlideguanli,dui“huanglvse”xiaofeileiren,kaizhan“diyitongguochengjitigongjingzhunfuwupeixunguanlideguanli”,jiadawendingxuexiao,wanchenggerenwendingnaihuoban。dui“jinse”xiaofeileiren,zaikaizhan“diyitongguochengjitigongjingzhunfuwupeixunguanlideguanli”dejibenshang,duiyangxingfanyingjiajushounafangfarenshishiyong“erjitigongjingzhunfuwupeixunguanlideguanli”,jiadakangyuanjianze、wendingpinggufangan、wendingxunwen、shiyongminglingdeng。dui“hongyanse”xiaofeileiren,zaikaizhan“yi、erjitigongjingzhunfuwupeixunguanlideguanli”jibenshang,shiyong“sijitigongjingzhunfuwupeixunguanlideguanli”,shengxingwendingpinggufangan,duidianxianzengjiadegeiyuzhuanzhenyuanzhu。
san、zhulidianzengjinweizhongzaoqixianshi、yizhiyujieliu
⛎mingquetichuganjingshenxinjiankangweiyaoyituoyushi、quqiangjiuyixuezhuanjiatuanfali,dalijiaqiangduijuweihuiganjingshouhoufuwuyupingtaihezuoyujianchazhidao,yangeyaoqiuziji“zaochuxian 、zaofangfa、zaoguodu”yaosu,genghaodifahuijuweihuiganjingshouhoufuwuyupingtai“guanzhashangyi”gongyong。
(一)推行新冠危重癥早看到
ꦕgeshequhuanbaohuanbaogongzuojiegouxinxihuajucunwei,zuohaoduixinguanjiaochabinghuanzhedeshenxinjiankangwuranjiance,youqishishituchurenmenjiaochabinghuanzhe,zaitixian“yi、er、san”jiguanligongzuodeqiantishang,yaotuchuzuohaoxinguanzhengzhuangyuqiantixingjihuanzhengzhuangbutongdewuranjiance。
🌠zhuahaoduixinguanpifubingdumaxiedaizheyangbaomandujianceqishuju。getebiehuanweigongzuozuzhi yaojubeizuliangdezhijiashixinmoxueyangyi(zhixiatongchengzhiyangyi),baochimeiyitebiehuanweigongzuoyiliaojigouhefenyiliaojigouzuiqimajubei20geyinei、meiyitebiehuanweigongzuozhanhecunhuanweishizuiqimajubeiliageyinei,meiyijucunweizuiqimajubeigeyinei。xiangweimeiyirenjiayiyuanyishenggongsijubeihendaguimodezhiyangyi,mianfeizhidaohaojucunweijingshenliliang,jiangyangbaomandujianceqishujushouluhexinquntipifubingdumaxiedaizhechangguisuifangziyuan。getebiehuanweigongzuozuzhi yaojishixietongguanlijucunwei,wei6liusuiyineiyouxinguanbingdumapifuganhuaweizhonggailvqiejingwangxingzoububianyudehexinquntifenfazhiyangyi,mianfeizhidaojiajushounajiancexueyangbaomandu。
(二)積極推進新冠危重早制療
🤡yaozhengheshi、quyizhiyishengzuli,luoshizerenshequnweishengfangyianquanfuwushebeiduixinguanganqizheheshizhenliao,huanyoujianyangshiyong、yangliao、dadiandi、xiaofenzishiyaocaishiyong、shulirenjiayiyuanbingfangdeng。
1.帶動針對調理。ꦯquxianhuanbaojiandujiandulvsejiankangweiyaoyipingtaitiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhanhuanbaojiandujiandutiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzuzhijigouxuanyongcishushiyudeqingqidai、qingqiping、zhiyangjidengjiqishebei,weilequebaobunengweizhuankeyiyuanren、jujiazhuangxiuyizhirenkeyigeichuyangliaohuoqingqizhuangguantiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliang。gepingtaitiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhanhuanbaojiandujiandutiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhongxin、fenzhongxinjunyaosheweizhuankeyiyuan“xiyangqu”;pingtaitiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhanhuanbaojiandujiandutiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhanyucunhuanbaojiandujiandushiguizeshangjunyaojiezhudangqianyongdiquyu,peizhiqingqiguan,keyigeichu“yangliao”tiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliang,chongfenkaolvchengshijuminzhuanchejiesongyangliaotiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangshichangxuqiu。dalikaizhanxiwuyizhi,gepingtaitiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhanhuanbaojiandujiandutiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliangzhongxin、fenzhongxinguizeshangjunyaokeyigeichuxiwuyizhitiexindefuwuguanliyuzhiliangzhiliangbaozhangzhiliang。zhijie,zuohaoranshangzhejuyangfuchi,tuixingshentijiankangyingyangyinshijiandu,anguanliguifanzuoguashuidengtigongfuwu,jiandiweizhongzaochengtouzifengxian。
2.即時使用的抗病性解藥物冶療。⛄duizhongdakequnganliangzheshixingpingding,zaiquneizhuanjiajiaoshouzujianyixingxia,duishiyongtiaojiandeganliangzhe,likejianyixingyunyongdikangjibingmanxingduyaowu,zuoqijinkuaijizaojieru。
3.加以表現中成藥的治療使用。🃏nulizhongxiyiyiqiehe、zhongguochuantongyixueyaojiecheng,huanman“sanyaochengbaofang”dengzhongyaocaizaishequngonggongweishengqingkuangyewuxitongdehelipeizhihexuanyong。geshequngonggongweishengqingkuangyewujigouyaoduiyuxinguanbingduyounaxieganhuajiaoweichangjianqingkuang,zhuzhongshixiao,bianzhengshizhi。dingzhu“zao”“kuai”deguize,rangcaoyaozaixinguanmumaxijunganranxiaoyuanyingxiaotuiguanghuodongchuqijinkuaideruzhuzhongyaozhiliao,dangjizhizhiqingzhengbinghaoxiangchaozhongxing、weichaozhongxingjinzhan。
(三)持續推進新冠危重早過渡
1.有效督促轉診💜。duixinguanbiaoxianhuoyijuxingdejibingyanzhongdehuanshangzhe,gejiedaobanshichuqingjieweishenggongzuozhongxinju、jiatingshiyishituanduixiezuoshiyonghao120jiuzhiyouxianquanzhuanhuahongserukoutongdao,weituoganliangzhezhijiezhuanzhen。womenduijicengyiyuanshouzhendeweizhongzhengnvxing,yaojiaokuaijingzhundepanbie,suizhushijideqingxing,zhijiegongyang,zunxunlianghaojiuzhidecuoshi,zuihaohuifunvxingshengminganquanzhengxiangpingwenxing,zaiyihuderenyuanyitongxiazhijiezhuanzhen。
2.通暢雙相轉診。🎐geshequfuwuzhanganjingganjingfuwujiegouyaotuidongkongjianxingyixuejiegou、yiliantilingdaoyiliaoqixiejiegou,hulianhutongxinguanchuzhishuangxianzhuanzhengongzuoqu,gexianquganjingganjingjiankangwei、geyixuejiegouyaolaiquedingzerenrentigongzhuanzhenzhugang,biandejianhuaweizhongzhengwomenzhuanzhenbuzou,zengjiazhuanzhensudu。detongshi,yaowanquanqidaoxiangguanxiandaixinxijishuzhichibangzhu,heliliyongyuanchengdiannaoguanjijiuzhen、yuanchengdiannaoguanjijiancedengfangshifangfa,shiguanwomendechubunengyouxiaoxingchuzhi。
🎀duitebiehuanweishouhougongzuozhandeshangzhuanxinguanganhuazhe,youqiyaoshiguanjianhuanzheganhuazhe,shangyijichongwuzhuankeyiyuanyaojianliqishouzhimolvseduanxintongdao。zaishangyijichongwuzhuankeyiyuanjinxinghuxigongnengshuaijieqigenzhihou,shiqingnengbaochiwendingdeganhuazhekexiahuandaotebiehuanweishouhougongzuozhandeicubingfang,tebieyiwuxiangguanrenyuanyaocanyuzhezhuanzhencaozuoliucheng,yaozuohaoshouhoujingzhunfuwudeduijie。
ꦛgeshiquganjingqingkuangshentiweiyingchengxiangshoushuzhiliaobaoxianguanquneipaichujiguangezhongleixingshoushuzhiliaopeixunxitongfangjianhuoxupuweishuziyuande,zhinenggenjuqitajibieshoushuzhiliaopeixunxitongfangjianhuoxupuweishuzhinengqueding,baochichengxiangshoushuzhiliaobaoxian、zongleiyongdetizhi,yaochengxiangshoushuzhiliaobaoxiananpaihaoguanquneipaichujiguangezhongleixingshoushuzhiliaopeixunxitongyiwuzhuanyerenyuan,keyishiyongxiapaizhujin、weituodailiduijiedengcelve,pinguozhichixiaoquganjingqingkuanggongzuodezhongyangzhuyuanbugongzuode。kaisheyiliaochuangdexiaoquganjingqingkuanggongzuodezhongyang,jinjieduanzhong,fangjianhuoxupuweishuyonglvyingchaoguo95%shangshu,weishezhichengyiliaochuangdexiaoquganjingqingkuanggongzuodezhongyang,duizunxunshiyingzhengdexijunbingduganranzhe,yingkeyishiyonghunyinyiliaochuangmanzuxuyaojiajuhuanjingshoushuzhiliaoxiaofeixuqiu。
si、buduanjiaqiangxiaoquguanjianxingxiaofeiqunjiuhujiaoyuziyuantongdenghezhichengzhuyouxiaobaozhang
(一)積極主動推動街鎮網格化操作制度化
🐻gepianquwangzhanyingyangtiexinshangbanzhanjuyaobeidongjieguangejiezhen、jucunwei,chedichongfenzhanxianjiezhenwanggehuafuwuxingyuguanlifangfaluoji,zhanxianjiezhen、jucunweizhudaozheyongtu,kaizhanduiguanjianshiyonghupianquwangzhanfuwuxingyuguanlifangfa,xiehaoyingyangjiancezhanyudongtaizhanshitiexinfuwuxingyu。chongfenzhanxian“pianquwangzhanwurenxiaodui”shangbanluoji,kaizhanduiguanjianshiyonghudebaobaoguanlian。gepianquwangzhanyingyangtiexinfuwuxingyuzuzhijigouyaotingqujiezhen,mingquequkongfangbanshangbanbushu,xiehaoduigaolingchanfulaofu、youjichutiaojianxingjibingyuanzhedengweizhongzhenggaodefengxianyonghuhezhikunxueshengdengyonghu“yingyangbao”paifa,xietongzuozhanjucunwei,zengjinduidujushenghuolaofu、jinyubingcandushengzinvyizhiruzhuzhonglaoniandepingshiguanlian。
(二)切實加強區域環境治療網絡資源統等支持力
༒shixiaquanquanjiankangjiandujiankangweiyaochengxiangzhengxingshebeijiankangjiandujiankangjiandubaoxianjuminxiaoqugedazhengxingshebeijiankangjiandujiankangjianduqiyeyiwushi,genjuqingxiexunzhen、shipaizhu、xingchengshoujiyuanchengzhengxingshebeijiankangjiandujiankangjianduquyuhezuowangdengfangshi,chedijiejuejibenzhengxingshebeijiankangjiandujiankangjianduanquanjiankangjianduqiyerenbuchongfenyixiewenti,henzhuajiedaobanshichuxinguanjiuhuchanpinwendingxingdalituijin。jiezhuquneierjijiuhuzhuanyezuheshangjiazhengxingshebeijiankangjiandujiankangjianduqiyexiangguanxunhuizhuanyepeiyangtizhi,duijiedaobanshichuanquanjiankangjianduchanpinqiyedalituijindejishuzhuanyepeiyang,peiyangjibenyiwushibiaozhunhuazaishiyongxiaotuanhuoyaohechengyao“sanyaosantong”,yishangshengjibenfangweizhongzhengshili。qieshijiaqiangzhengxingshebeijiankangjiandujiankangjianduyingjinengyuanchengxiangzhengxingshebeijiankangjiandujiankangjiandubaoxian,tigaozhengxingshebeijiankangjiandujiankangjianduyingjixiaocheyuyalixiankapeizhi,weijiedaobanshichuanquanjiankangjianduchanpinzhongxindian、jiajuboshizuzhixingchenghelizhuanhuaqingsuantongdao。
(三)切實加強基本醫務工作人員指導
🦂yijiayituoyushineiyoujiyiliaozhuanjiazu,zhidingfangangeshishejinongcunnongcunjibenyiwuchengyuanjinengpeixunfangangeshi,kaizhandiaoyanxianshangdaili、xianshang、lingdaoyiyuanzhuanjiaqingxiedaijiaodengduozhongbutongjinengpeixun。zhudongzhudongliyongouzhouguojia、shengjidengguanyujinengpeixunyingshiziyuan,zhudongqiyenongcunnongcunjibenyiwuchengyuanqianwangcanjiajinengpeixun。tishengchouyangjiance,renzhenjinengpeixunkaohepingjia,jiaqiangzuzhilingdaojinengpeixunganjue,shinongcunnongcunjibenyiwuchengyuan(yebaokuonongcunshequzhurenyishi)zailinshixingneixianshushuxixinguanneirongxiaofeiqundengjidingyigongzuoshouduan、ganqixianzhuangguance、ganqizhejujiayanglaofuwujianguanhedezhiliao、zhongzhiyaoxueyaoyiliaohekangfuyiliao、diyangxuezhengzaoqiwajue、huxixitongkunnandedepingjiahezixunyishengshouduan、zhiyangyidebianyong、guanjianxingzhuanzhenyuanzehuoxiaotuanhuoyaopindeshiyongzhengheheshibianyongshouduandeng。
(四)強化新冠處置武器裝備基本保障
♔quxiangengjiankanggengjiankangweiyaoyaojushequnwangzhangengjiankanggongnengzhu、cungengjiankangshigongnengzongrenkou、tuchukequndishudengshijishangdeqingkuang,peizujiuzhuziyuan,zhuyaobaokuofatangkouqiangzhenliaofangshexingyaopin、zhongyao、kangyuanjianzeshiyanshiji、dikangjibingmanxingdushiyongdeyaowu、zhiyangyideng,binggoujianshequnwangzhanganliangzhezongshuliangbodong,zuixindongdediaozhengcunchu,baozhangcuoshiziyuancunchu。shengwuxueweizhipianyuandongbeibu、jiaotongxianbufangbiandeshequnwangzhangengjiankanggongnengzhu、cungengjiankangshiyaotiqianjiaochangdeshijianlaizhunquedeyujingchudizhendefashengbeizuzhiliaofangfashiyongdeyaowuhefangzhiziyuan。goujianjie、jucunwei,yuyiliaoqixieyiyuan、wangshangyaodiandengkuaijiezixunrexian,yaojushijishangdexudeshifenxiangnongcunshequdongbeibuqingdaoxiaoshoujiuzhuziyuan。
(五)實時交通熟練崗位動態展示
ไgexianqugonggongweishengxianzhuangfashengwendingweiyaozhongxinwanchengjiedaobanshichugonggongweishengxianzhuangfashengdeshiqingrenwurenwujigouyunying、deshiqingrenwurenwuxianzhuangfashenghekuopanxianzhuangfashengdengjishuxingxingjiankong,jishijiaotongshulianjiedaobanshichudirezhenliaoguifanxianzhuangfasheng、fangshexingyaopinheshebeicunchushiyongxianzhuangfasheng、shengjizhongdianxiaofeiquntideshiqingrenwurenwuxianzhuangfashengdeng,duiguanxiaqushiqingrenwurenwuhuicunzaiwentihuoshiqingrenwurenwuzhihuandedifangjishijiaotongdiaoduyuan。wanquanzaishengliyongqiyejingxihuazhishu,zengqiangshiqingrenwurenwuyouxiaolv,jiangdijichufudanguozhong,shishishenbaoguojiade、dishijibixu dejishuxingxingtongjiziliaoheqiyeshuju。
(六)加大小區醫務人噓寒問暖愛護
🔴gediqingjiehuanjingweishengyingyangjiankangweiyaozhulituijinwoguohedangdiyouguandexinxiguanzhuhehuyiwuxiangguanzhigonganquancuoshi,zengqiangduijiedaojuweiqingjiehuanjingweishengtiexindefuwupeixunzhongdiandezhichidedaojibenbaozhang。kexuehelichongfenliyongyupeihejiedaojuweiyiwuxiangguanzhigong,xiehaoyiwuxiangguanzhigongxingshenghuotiexindefuwupeixunhehouqinchudedaojibenbaozhang。anfalvfaguituijinduijiedaojuweiyiwuxiangguanzhigongbuzhufeiyuxiaojiatingdafuruzhutiexindefuwupeixunfeiyixiazixingzhongdianzuoyezhongjingfeizhichu,mianlijiedaojuweiyiwuxiangguanzhigongzhengtixintoufangjiedaojuweixinguanchuzhizuoyezhong。
(七)抓好主責完成和工作檢查獎懲
🍌gexianquganjingweishengshentijiankangweiyaozhuahaozuzhixingrenyuan,zhujitianzhufuze,liqingtuanduifuzehegongzuoshangzhongrenanpai,jibenbaozhanggongzuoshangzhuangtai。yaozhuahaoduiqujigongzuoshanglejiejutizhuangtaihefuzeshishijutizhuangtaidejiandujiancha,xingchenggongzuoshangjilubiao,shishigongzuoshangzhongrenmingxi、shiqingmingxi、fuzemingxi。yaojiangmouxielejiejicengzuzhizhongdarenqingkuangbaogaoshiye、tisheng“baoshentijiankang、fangbingqingbijiaozhongdeshihou”shujulaigongzuoshanglejiejutizhuangtaiheyuqixiaoguoyugezhongxiangguanzhongdagongzuoshangdejiancha、xindaizijinfenpeiquan、pingxianbiaozhangdengxiangkoujin,jinyibuqizhujianchajifadaoshiyingxiang。
jinanshihuanjingweishenggengjiankangyanjiuhuihui
🎃 2023nian3yue8ri