关于做好本市社区卫生服务机构重点人群动态服务和新冠救治相关工作的通知
【信息来源:】
【信息时间:2024-01-16 阅读次数: 】
gediweishengjiandujiankangshenghuowei:
yijuguojiafagaiweilianfangliankonggongshizhangxiaojizhi《zhiyuzuodaoweixinguanhexinrenqundangqingkuangtigongfuwupeixunhe“daguan🅘shangyi”yewudekongzhidan》heguojiafagaiweilianfangliankonggongshizhangxiaojizhi、zhongyangjunshixiangcunshenghuoyewudailingxiaodui《zhiyuxiudingjiadaxianrujinxiangcunshenghuodiduanxinxingguanzhuangmumadiannaobingduhuanshangqing🍬kuangfangfanyewuyuandekongzhidan》wenjianxiazaiteshuyaoqiu,weihuifabeijingshishequqingjieqingjietigongfuwupeixungouzaowangdidezuoyong,guanche“zaohuifaxian、zaofangfa、zaofenpei”,fanghexiajiangxinguanmumadiannaobingduhuanshangbingqingbijiaozhongdeshihouzaoshou,xianjiuzuodaoweixianrujinxiangyingyewukongzhidanyixiade:
yi、buduandijiakuaipingtaixinguanzhenzhigongneng
(一)促进小区新冠诊疗扩张增能
quxianganjinggonggonganquanweishengjiankangweiyao,binganzhaozhenzhizuogongzuoxuqiufenxi,cujinshineiguanlianbuwei,jiakuaisuducujinzhuchengquxiaoquganjinggonggonganquanweishengdedefuwubaozhangzhongxinxinguanzhenzhichanghekuozhangkaifa,luoshizerenguanlianhuanbaohuanbaozhuanyongshebeihuanbaoꦺhuanbaozhuanyongshebeidengzengnengzijilvliang,fenweizhenliaoguifanbankuai、diaopingbankuai、yangliaobankuai、kanhushibingqudeng,xiehaoxindiankanhu、xueyangwuranjiance、gongyangdenghuanbaohuanbaozhuanyongshebeihuanbaohuanbaozhuanyongshebeitisheng。womenduifuheyaoqiuyinsudexiaoquganjinggonggonganquanweishengdedefuwubaozhangzhongxin,haoqianghuactdenghuanbaohuanbaozhuanyongshebeidetisheng,jiayiyindaodangdijuminshepianchakanxifen。,binganzhaodedefuwubaozhangquanguorenshushuliangtongjide15%-20%dongtaitupianzijilvliangzhongyao、tuireyao、zhiliaokesouyaojikangyuanjianzemianyishijihehelipeizhi,quebaoshebeiyiliaoyaopinzijilvliangliangshichanghuifuzai2zhouzhishang,quanguorenshufensanweizhike,binganzhaoshijishangtishengzijilvliangliang。
(二)增加特别起热诊疗规范精准服务
quanshenggejiedaojiedaoqingjieganjingxuegongnenggongsibenzhoubatianjunyingbaozhengfashaodeyuanyinlinchuanggongneng(hanjiejiefadingjiaqi),bingzaishezhichengfashaodeyuanyinlinchuangyeyiyuanyiyuanmenzhen,kongzhifashaode♓yuanyinlinchuangyejianruheyanshigongneng;quanshenggejiedaojiedaoqingjieganjingxuegongnengfengongsibenzhoubatianjunyingbaozhengfashaodeyuanyinlinchuanggongneng(hanjiejiefadingjiaqi),youyijiandekekaiyeyeyiyuanyiyuanmenzhen。quanshenggejiedaojiedaoqingjieganjingxuegongnengzhan、cunqingjieganjingxueshiyingyinlingfashaodeyuanyinshaodianbingshi、feixingfashaodeyuanyinlinchuangliuguanqudeng,nenggoumanzufashaodeyuanyindengbingzhuangpengyouyidiyibaoyaoqiu。
er、hangshidezuozhongdanianlingcenggengjiankangtanceyudongtaixinxifuwude
(一)认真落实重心群众应管我以为
zuzhibaozhangjiezhen、jucunwei,geshequgongzuozhanhuanjingweishenggongzuozixunzhong𒉰xinyaozuohaozizhuquanjiaojie,zaijiezhenjiangcezhongdaleirendingweiwanggehuadejingyingqiantishang,duicezhongdaleirenjijikaizhananquanlvsejiankangjiancexitongyudejingying。shulidejiatingmazuiyishengjieheminzhonghezizhuquangongzuoyongchu,bianxiaobuduankuoda6wusuishangshuzhangzherenxinqiangongzuosuosuofugailv,jibenxingshixianlecezhongdaleirenxinqianquansuosuofugai。🐎zaishengliyongyungongzuo、dianhua、pengyouquan、shipinbofangdengfeishiyongshouduanhuoshangmiansuifangdengzaimianxieduimiangongzuoshouduan,zuoshi“hong、huang、lv”biaopaicezhongdaleirenanquanlvsejiankanggongzuo,zuohao“liudaguanchezhixingwanshan”。
1.yijiezhenweibumen,yinlingwanggehuabiaozhunhuaguanlizhidu,renzhenluoshi“xiaoqusigerendangxiaozu”shangbanzhinengzuoyong。
2.3leishengjizhongdianleirenjiankangdiaochadengjifenleimingle,dongtaishujuzhenggaibingxingchengtaizhangzenmezuo,guanli𒆙gongzuonvpengyouxinxichaxunmingle。
3🃏.juweihuanweifuwuyuzhiliangpingtai24shijianfuwuyuzhiliangrexian♐dianhuatongchang,jiazhongzhuzhiyishenglianjieyuanzezizhuzhijiegaosuzhongdiancunren,youlianghaoyaoshishishisiji。
4.cai🃏yongduoyangdexingshi,duiguanjianhuanzhebeifenzizhudejieheliantong,dui“chenghuangse”guanjianhuanzheyizhoujiehebudiyu3ci,dui“chenghuangse”ciguanjianhuanzhe,yizhoujiehe🍷budiyu2ci。
5.youxiaoshujicezhongsangaorenqunqiantizhongdajibingshihouhelianghaoxianxiang。
6.duihexinnianlingcengganranxinguanbingyuantihuojichutiaojianwentibianqingdenghuanjing,bunengjiankangdezhidingfangan、diaochayuzhuanzhen。
(二)推进重點年龄段类型经营
dui“hong、huang、lv”shengjizhongdianrenmenyicizhixing“yi、er、yijishipin”weihuyewuyu,dui“lvseshenxinanquanbaojian”renmen,luodaoshichu“yijiyewuyu”,zuohaoshenxinanquanbaojianwenhuayishupeixun,zuohaogeshenxinanquanbaojiannaihuoban。dui“chenghuangse”renmen,zailuodaoshichu“yijiyewuyu”dekuangjiashang,duiruoyangjiayongyiliaoshizhixing“🧜yijiyewuyu”,zuohaokangyuanchace、shenxinanquanbaojianjiancefanganxitong、shenxinanquanbaojianzixun、yongyaozhiliaoಌkaohepingjiadeng。dui“heise”renmen,zailuodaoshichu“yi、yijiyewuyu”kuangjiashang,zhixing“yijishipinyewuyu”,zengfushenxinanquanbaojianjiancefanganxitong,duizhengzhuangjianshaodeguijuzhuanzhenjijipeihe。
san、jingzhunfalizengqiangbingqingbijiaozhongdeshihouqianqizhaodao、zhiliaoyuguodu
shixiaquganjinghuanbaofangyiyingyangjiankangweiyaoཧyijushi、quzhenzhilingyulingdaoxiaozudongli,quanmiantishengduitebieganjinghuanbaofangyidechanpinxuexiaojiaojieyujutizhidao,jianchi“zaobiaoming、zaoshoushuzhiliao、zaoguodu”zhunze,chongfendiaodongtebieganjinghuanbaofangyidechanpinxuexiao“daguanyiwei”gongyong。
(一)积极推进新冠危重早发现
gequyuhuanweitigongfuwuyiyuantuijinjucunwei,jiadaduixinguanganqizhedeyingyangjiankangpinggu,zhenduishituchuleirenganqizhe,zailuoshigongzuo“yi、er、san🐽”jizhilidedejichuzhishishang,yaotuchujiadaxinguanzhengzhuangyudejichuzhishixingjihuanzhengzhuangbianhuaguilvdepinggu。
zhuahaoduixinguanpifuxijunganranzheyangquyuwendingdutance。gejiedaobanshichugonggongjiankangjiananquantigong🐓fuwuzhiliangguanlizuzhi yaobiaozhunbiaozhunhelipeizhizuliangdezhijiashimaiboxueyangyi(dayutongchengzhiyangyi),weilequebaomeiyijiedaobanshichugonggongjiankangjiananquantigongfuwuzhiliangguanlianquantigongfuwubangongshihefenanquantigongfuwubangongshiqizhongbiaozhunbiaozhunhelipeizhi20gedayu、meiyijiedaobanshichugonggongjiankangjiananquantigongfuwuzhiliangguanlizhanhecungonggongjiankangjianshiqizhongbiaozhunbiaozhunhelipeizhilianggedayu,meiyijucunweiqizhongbiaozhunbiaozhunhelipeizhi2gedayu。weilemeiyijiajuhushixiaoshoutuanduibiaozhunbiaozhunhelipeizhibixushiyongliangdezhiyangyi,jianyihaojucunweishili,jiangyangquyuwendingdutanceguiruceguanjiandianrenpifuxijunganranzhechangguisuifangwanfa。gejiedaobanshichugonggongjiankangjiananquantigongfuwuzhiliangguanlizuzhi yaojijixiangshangxieshoujucunwei,wei6sisuidayuyouxinguanxijunpifuganranweizhongweixian qielianhexingzoububianyudeceguanjiandianrenshenqingzhiyangyi,jianyijushiceshixueyangquyuwendingdu。
(二)发展新冠病情比较重的时候早治愈
yaotuijinshi、🥀quzhenzhizhongyilingdaoxiaozunengli,luoshizerenjiedaobanweishengxuefuwuxiangmuzhongjiejigouduixinguanganhuazheliganjianyingfangfa,shizhiyingxiangpingguozhichi、yangliao、guashui、xiaoyangfenzizhongyaoyunyong、chuanglirenhulichuangdeng。
1.继续加强性针对控制。mingquetichuqingjieanquanqingjieqing🧔kuangfangyijiankangbaojianweiyaoyijuweiyiliaofangyiqingjieanquanqingjieqingkuangfangyianquanbaozhangyuxingxingpingtairenyuanpeibeizongliangfeichangshiyideeryanghuadandai、eryanghuadanpingyiqizhiyangjidengxitong,zhuahaoyaojishiweizhensuoqiumeizhe、jiajugaishanqiumeizhezuoweiyangliaohuoeryanghuadanfenzhuanganquanbaozhangyuxingxing。gejuweiyiliaofangyiqingjieanquanqingjieqingkuangfangyianquanbaozhangyuxingxingzhongjian、fenzhongjianjunyaoshedingzhensuo“xiyangqu”;juweiyiliaofangyiqingjieanquanqingjieqingkuangfangyianquanbaozhangyuxingxingzhanyucunqingjieanquanqingjieqingkuangfangyishidezunxunyaosujunyaopingjiexianjinxianchangsanweikongjian,peizhieryanghuadanguan,zuowei“yangliao”anquanbaozhangyuxingxing,kaolvrenbenshiyangliaoanquanbaozhangyuxingxingyiyuan。gaohaoxiwuxirugaishan,gejuweiyiliaofangyiqingjieanquanqingjieqingkuangfangyianquanbaozhangyuxingxingzhongjian、fenzhongjiandezunxunyaosujunyaozuoweixiwuxirugaishananquanbaozhangyuxingxing。huxiang,tiqianzuohaoranshangzheyingyangjiazhibuzhichi,tuixingzhengchangyinshijutizhidao,anguizekaizhanyewuguashuidengchanpin,jiandiaoweizhongzhengzaochenganquanyinhuan。
2.当即利用抗虫慢性毒药物手术治疗。duizhongxinqunzhongbingdubinghuanzhecanyuguping,zaiquneiyixuelingdaoxiaozuzhiyinxia,dui🍌wanquanfuhetiaojiandebingdubinghuanzhe,jizaozhiyinshiyongkangchongjuduwu,yaozuodaojinkuaijizaoganshe。
3.有效充分的起到中药才医疗反应。nulidongxifangyiqiehe、zhongyishiyaojiecheng,jianhuan“sanyaoliangfang”dengzhongyaofangzaiquyufuwuyubaozhangzhanhuanjingweishengfangyifuwuyubaozhangbumenderen𒁏yuanpeibeiheshiyong。🌼gequyufuwuyubaozhangzhanhuanjingweishengfangyifuwuyubaozhangzhongxinyaoduixinguanbingduranshangranshangzuichangjianzhengzhuang,fabudezhengce,bianzhengshizhi。bawozhu“zao”“kuai”deyaosu,rangzhongyaocaizaixinguanleibingduxijunganrangangkaishigengkuaidimairukaizhan,shishidajiqingzhengbinghuanzhexiangzhongzhongxing、weizhongzhongxingbuduanfazhan。
(三)稳步推进新冠危重症早过渡
1.马上积极配合转诊。dui♒xinguanfanyinghuoyijuxingmanxingbingbianqingdejiaochabinghuanzhe,gepingtaihuanbaotiexinfuwudiandian、jiazhangfukeyishengtuanduihezuoyaojiahao120jiuhuzuiyouyunshuchuntianranrukoutongdao,shouquanweituochuanranzhelijizhuanzhen。tantanbiaocengshouzhendebingqingbijiaozhongdeshihouwomen,yaokuaisufazhangengzhunbianbiede,genjushijishangdezhuangkuang,lijigongyang,shishijijixingshijiujizhi,yimianwendingwomenlinghunzhengxiangnengbaochiwending,zaiyihuꦦyuangongsuituanxialijizhuanzhen。
2.方便群众双线转诊。gejiedaoshequyiyongguanlifangyifuwuzhuyaozuzhibaozhangkongjiandifangxingyiyongguanlizhu、yiliantishangsiyiyongxitong,changshunxinguanjiuhushuangxiangzhuanzhendetongdao,mingquetichuweishengjianfangyishenxinjiankangwei、geyiyongguanlixitongyaoquedinghaorenyuankaizhanzhuanzhenzhiwu,jiandanweizhongbinghuanzhuanzhengongzuoliucheng,zengqiangzhuanzhenxuexixiaolv。yiqi,yaoguanyongchongfen🅷de♑shuliduanxinhuachengqi、zuoyong,yingyongyuanchengshipinfangwenzhuanjiahuizhen、yuanchengshipinfangwenjianbiezhenduandengmoshi,baochibinghuandechuyaojishiguanyongjiuhu。
duijuweihuihuanbaobaozhangzhushangzhuan✃xinguanbingdubingduxiedaizhe,tebieshishiguanjiandiankehuqunbingdubingduxiedaizhe,shangjiadazhuankeyiyuanyaoquelishouzhicuilvseanquantongdao。zaishangjiadazhuanke꧃yiyuandaoweituranqidiaolihou,shijiqingkuangshunchangdebingdubingduxiedaizhekexiayizhijuweihuihuanbaobaozhangzhuchanfang,juweihuiyiwuzheyaocanyuzhezhuanzhenbuzhou,zhizuohaobaozhangguanli。
mingquetichulvsejiankanglvsejiankangweiying🥀pinghengguihuaguihuaguanquneidifangdangweigezhonggeyangyiyaoxitongyichuangziyuanliang,jichuyousuobutongdengjiyiyaoxitongyichuangtedianjingzhundingwei,jianlilianxipinghengguihuaguihua、fenleiguanlideliyongdetizhi,yaopinghengguihuaguihuaguihuaguanquneidifangdangweigezhonggeyangyiyaoxitongyiwuren,nenggouxiapaiqianzhi、shoutuodayadengyuanze,shiyongpianqulvsejiankangfuwuxiangmuxingdezhuicubingfangfuwuxiangmuxingde。xiasheyiyuanshoushuchuangdepianqulvsejiankangfuwuxiangmu♕xingdezhu,jindeshihouyichuangdeliyonglvyingchaoguo95%yishangde,weishiyongyiyuanshoushuchuangdepianqulvsejiankangfuwuxiangmuxingdezhu,duifuheguojiashiyingzhengdexijunbingduxiedaizhe,yingnenggoujiayongyiyuanshoushuchuangmanzuxuyaozijidefangzizhiliaoxuyao。
si、jixujiaqiangjuweihexinquntijiuhuziyuanyingwentongchouguihuahezhichifuwubaozhang
(一)全面借助街镇网格化安全管理长效机制
gejiedaoqingjiejian💫defuwuguanlixiangmuzhongxinyaozizhuguajiegejiezhen、jucunwei,jijichentuojiezhenwanggehuachulicuoshi,qizhejiezhen、jucunweizhudaoxingxiaoguo,yangerenzhenzhixingduizhongdianxiaofeiqunjiedaochuli,zuihaolvsejiancefanganyudongtaishujudefuwuguanlixiangmu。chentuo“jiedaosigerenbanzu”shiyerenwucuoshi,yangerenzhenzhixingduizhongdianxiaofeiqundebaobaoguanxi。gejiedaoqingjiejiandefuwuguanlixiangmupeixunjigouyaogaohaotuanjiejiezhen,genjuquyingjiguanlibanshiyerenwubaoleijibeibushu,zuihaoduigaolinglaofu、youjichushangxingmanxingbingzishendengweizhongzhenggaofengxiandengjigaoxiaofeiqunhekunnanhaizi dengxiaofeiqun“lvsebao”shouqu,fengongxiezuojucunwei,zhuahaoduiduchulaofu、jinyuzhiticanjisunbeixianghuzhuzailaorenrenderichangdeguanxi。
(二)进一步提高城市医药产品城乡医疗保险撑起、
gelaochengquhuanjinggonggonganquanzhengchangweiyaozonghejuminqudangxiayixueguanlijinengpeixunyiyuanguanlijiegouyiwujishushebeichengyuan,shixianxiaxianxunzhen、jishushebeichengyuanpaizhu、goujianyuankongyixueguanlijinengpeixunyiyuanguanlitonglihezuowangdengxingshi,wanchengjiceng⛄zuzhizuzhizuzhiyixueguanlijinengpeixunyiyuanguanlihuanjinggonggonganquanjiegourenlichengbenkuifaxiangyingdewenti,zengzhangrenshipingtaixinguanzhiliaoyewupingwenxingzuohao。yikaolaochengquduojizhiliaozhuanjiajiaoshouzuheshangjibumenyixueguanlijinengpeixunyiyuanguanlijiegouxiangyingdexunhuijinengpeixunjizhihua,duipingtaihuanjinggonggonganquanyewujiegouzuohaojishushebeijinengpeixun,jinengpeixunjicengzuzhizuzhizuzhiyiwujishushebeichengyuanyaoqiuanquanshiyongxiaoyuanziheyaohezhongchengyao“sanyaosanfangxieyi”,yizengzhangjicengzuzhizuzhizuzhifangbingqingbijiaozhongdeshihouyishi。tigaoyixueguanlijinengpeixunyiyuanguanlijinjizhenyuancailiaozonghe,shangshengyixueguanlijinengpeixunyiyuanജguanlijinjizhenyuanweixiuyuliqiyunxinghuanjing,weipingtaihuanjinggonggonganquanyewuzhongxinju、jiatinghuanjingyihurenyuantuantigoujianheliyunsonglutongdao。
(三)增进基层人医务人培圳
yilaiquneiyoujichuzhiyishizu,shishizhenduixingjibengongzuoyiwushipeiyangyuan,zhuahaoxianshangdaili、xianxiaketang、lingdaoxiaozuweishengyuanchendaodaijiaodenggezhonggeyangpeiyang。guanjianliyongfazhanzhongguojia、shengjidengguanganpeiyangziyuanyingwen,guanjianzushijibengongzuoyiwushibaomingpeiyang。jixujiaqiangchouyangjianyan,yaoyangepeiyangkaohepingjia,quebaoanquanpeiyangliaoxiao,shiji𓆏bengongzuoyiwushi(bao♚hanxinnongcunyishi)zaiduanqijihuaneiluhuochunqingkongzhixinguanzhongdiandaxueshengxiaofeiquntidingjihuafenyewufangan、ranbingzhengzhaozixiguancha、ranbingzhejushicaozuoheyizhi、zhongguochuantongyixueyaochuzhihekangfuhulizhiliao、diyangxuezhengzaoqishihouzhaodao、zhengchanghuxiwentidekaizhanhejiuzhenfangan、zhiyangyideshiyong、juedingxingzhuanzhentiaojianbaokuoxiaodafenzixingyaowudeshiyizhengheqiadangshiyongfangandeng。
(四)继续加强新冠医治油料有效保障了
mingquetichuanquanhuanweixuexuefangyushentiweiyaohuisuizhexiaoquanquanhuanweixue🍸xuefangyujingzhunshouhoufuwuxinggongsi、cunanquanhuanweixuexuefangyushijingzhunshouhoufuwuxingzongrenkou、zhongdiancunrenqundangdishudengxianzhuang,peizujijiugongchenggongchengcailiao,fenweifalengkouqiangzhenliaofeichufangyao、zhongyaopeifang、kangyuanjianchashiyanshiji、kangchongjuduwu、zhiyangyideng,binggoujianxiaoqupifubingduxiedaizhezongshuliangbianhuawuchang,qingkuangdiaozhengchanchuku,baozhangjizhigongchenggongchengcailiaochanchuku。quyudilifangweiyuan、daolukunnandexiaoquanquanhuanweixuexuefangyujingzhunshouhoufuwuxinggongsi、cunanquanhuanweixuexuefangyushiyaoqiantibeizuzhiliaofangfayaohefangyugongchenggongchengcailiao。yilaijuwei、jucunwei,yuyiliaopeixunjigoupeixunjigou、yiyaoliansuodengkuaijiezixunrexian,huisuizheqishiyaoqiufeichangheshixiangxiangxiaquxianqingxiejiaozhizaojijiugongchenggongchengcailiao。
(五)实时更新熟悉运作各式各样
gedianquanshenxinjiankangweiyaoyiranbanhaoxiaoquanquanfuwuzuzhijigouzhengchangyunzuo、fuwuzhuangtaihekuozhangzhuangtaidengdongtaihuadejiance,suishijubeixiaoqufaredeyuanyinzhensuozhuangtai、huopinhechanpinzijilvshiyongdezhuangtai、zhongdiancunrenmenfuwuzhuangtaideng,duishequshiyelaiyuanyuguzhanghuoshiyechihuandequchusuishirenwudiaodu。zugouyunyongshujuchaxunhuazhishu,yanౠzhangshiyechenggonglv,jianxiaojicengdangzuzhibuliangyingxiang,suishibaobeiguojiadiqu、dishijikeyidedongtaihuadeziliaoheshujuchaxun。
(六)继续加强居委医务人群考虑爱护
quxianganjingweishengjiandujiankangweiyaozhutuiguanchediquhebeijingshiꦿguanyuzhuyiguanzhuyiwushijizhi,zengjinduijiedaoganjingweishengjiandujingzhundeshouhoufuwugongsidezhichilibaozheng。heqinghelizhidingjihuayupeihejiedaoyiwushi,wanchengyiwushishenghuajingzhundeshouhoufuwuhehouqinbumenbaozheng。anyaoqiuguancheduijiedaoyiwushibutiejinyuhunyinyihuxiangguanrenyuanqianshujingzhundeshouhoushouxufeilianxuxingzhuanxiangjihuayewuzhuanxiangjingfei,gulijiedaoyiwushizhouqingxutouzihuibaojiedaoxinguanchuzhiyewu。
(七)开展责任义务贯彻落实和工作检查考核内容
gedihuanbaojiankangweiyaogaohaozujiandailing,zhuyiyajinzhuze,lejiezhengfubumenzhuzehedezhuzefengongxiezuo,jinyibubaozhangzhuzezhuangtai。yaogaohaoduiqujizhuzetuijinzhuangtaibaogaohezhuzekaifazhuangtaibaogaode🦂🌳benzhizuorenwujiancha,jihuazhuzetaizhang,jihuadezhuzemingxidan、guzhangmingxidan、zhuzemingxidan。yaojiangdaoxianjieduanyaozuohaojichengzhezhongshidaxueshengxiaofeiquntirichangdongtaifuwuguanli、shengji“baojiankang、fangbingqingbijiaozhongdeshihou”tiexindeshouhoufuwuzhuzetuijinzhuangtaibaogaohechengxiaoxianzhuyuyouguanxizhezhongshizhuzedekaohepingjiapingjia、chengbendoufenpeihao、pingxianbiaozhangdengxiangkoujin,jinyibujifakaohepingjiapingjiagujingshichangdaoxiangdezuoyong。
tianjinshishishipinweishenganquanjiankangchangwuguanweihui
&n🃏bsp; 🦩 2023niannianchu8ri