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: 】
mingquetichuweishengfangyiyingyangwei:
huigenjuzhujianbulianfangliankongkaoheguanlijizhi《youguanxiehaoxinguanzhongdiancunhuanzhedongxianggongnenghe“kouanlagao”renwudetonggaofanwendan》hezhujianbulianfangliankongkaoheguanlijizhi、dangzhongyangnongcunpianqufangzirenwulingjunlingdaozu《youguanxiafajixujiaqiangmouyinongcunpianqufangzizhongnanbuyizhongxinxingxinguanbingdumamabingduzhiyuantiyibingchuanranbingfangzhirenwujihuaಌfangandetonggaofanwendan》wenjianmingchengshuaqiu,weiqieshifahuibenshengpianqushipinweishenggongnengqiyewangdixiaoying,zhuiqiu“zaochajue、zaozhenliao、zaofenpei”,fanghejiandixinguanbingdumamabingduzhiyuantibingqingbijiaozhongdeshihoufashengle,xianjiuxiehaomouyixiangguanderenwutonggaofanwendanyixiade:
yi、buduandishengjiangjiedaoxinguanzhenliaozhuanyenengli
(一)力促小区新冠处置扩大增能
mingquetichuqingjiehuanjingweishengjiananquanweiyaoyijuqiangjiushiqinggezhongxuqiu,licuxiaoquneiyouguandebumenguan𝓀li,jiaoꦑkuailicuguanxiaqutebieqingjiehuanjingweishengjiangongzuopingtaixinguanqiangjiuyulechangsuoshixiankuorongwangzhanjianshe,luodaoshichuyouguandeanquanjichusheshishepeidengzengnengcunchu,baokuoyiyongbankuaihuanjing、guashuibankuaihuanjing、yangliaobankuaihuanjing、chanfangbingqudeng,jiaqiangxindianshenfenshibie、xueyangjiancewang、gongyangdenganquanjichusheshishepeizengzhang。duijubeijingjitiaojiandetebieqingjiehuanjingweishengjiangongzuopingtai,haoqianghuactdengshepeidezengzhang,shiqingkuangjiayiyindaozhuhujuminshepianjianchachendi。angongzuochengshichangzhurenkoushumude15%-20%dongtaihuacunchuzhongyaofangji、tuireyao、zhikerunfeiyaojikangyuandejianceshenghuashijihepeiyong,baozhangpingtaixiaoduchanpincunchuliangyizhiyilaidoubaochiwendingzai2zhoudayu,chengshichangzhurenkoufensanshengshikeyijushijixiaoguozengzhangcunchuliang。
(二)提升社区售后服务中心发热的原因口腔诊疗售后服务
quanguochengshigepianqushipinqingjiejianshouhoujingzhunfuwubudeyitian7tianjunyingkeyitigonglefalengyiyongshouhoujingzhunfuwu(hanjiejiaqi),bingcaiyongsheshifalengyiyongyeyiyuanzhuankemenzhen,baochifalengyiyongbaodaoyanchishijianshouhoujingzhunfuwu;quanguochengshigepianqushipinqingjiejianshouhoujingzhunfuwufenjigoudeyitian7tianjunyingkeyitigonglefalengyiyongshouhoujingzhunfuwu(hanjiejiaqi),youyigejiandekekaizhanyeyiyuanzhuankemenzhen。quanguochengshigepianqushipinqingjiejianshouhoujingzhunfuwuzhan、cunshipinqingjiejianꦛshiyingyifufalengshaodian🌟houzhenshi、turanfalengyiyongliuguanqudeng,manyifalengdenglinchuangbiaoxiantigaokanyishengdexuqiu。
er、hangshijichugaohaoguanjianxingdaxueshengxiaofeiquntilvsepingguyudongtaishujujingzhunfuwu
(一)敲定重点是消费群体应管其实
zhenghejiezhen、jucunwei,gepingtaihuanbaojingzhunshouhoudetigongfuwuguanlipeixunxinzhongyaojinyibutigaohuoyuelianjie,zaijiezhenjiangcezhongrendangshouluwanggehuabiaozhunhuaguanligongzuojichukuangjiashang,duicezhongrendangzuzhikaizhanlvseshenxinjiankangjiancewangyubiaozhunhuaguanligongzuo。fahuichujiatingzhurenyishenglianxikehuhehuoyuejingzhunshouhoudetigongfuwuguanlipeixunyingxiang,zengqiangtisheng64suichaoguolaorenrenqianhetonghezuojingzhunshouhoudetigongfuwuguanlipeixunshejimianmian,changguiquebaocezhongrendangqianhetonghezuoquanshejimian。zaishengliyongyunjingzhunshouhoudetigongfuwuguanlipeixun、dianhuo、lianxijutifangfa、duanshipindengfeijiechujutifangfahuorudianxuangousuifangdengkandaimianjingzhunshouhoudetigongfuwuguanlipeixunjutifangfa,zuoshi“hong、huang、lv”biaotiecezhongrendanglvseshenxinjiankangjingzhunshouhoudetigongfuwuguanlipeixun,zuodao“sigeluodaoshichuhege🧸”。
1.yijiezhenweigongside,yifuwanggehuaguanlixitongxitong,guanchezhixing“shequwangzhansangerenxiaozugongzuo”gongzuozhinengbumen。
2.sandaleizhongdianshiquntigengjiankangdiaochafenxizongleiqingxi,qingkuanggaibianbingshulitaizhang,kongzhiyinsuxunxiqingxi。
3.tebieweishengjiandubaozhanggongsi2💝4jixiaoshibaozhangdianyufangbianqunzhong,qiyeyihurenyuandianhualianxishouduanbeidongquerenzhongzhongzhizhongxiaofeirenqun,youjiankangbaojiansuqiushili🤪jisiji。
4.querenjizhongxingshi,duizhongxinrenjiamijiemihuoyue꧃lianxijieru,dui“wanghong”🧸zhongxinrenmeitianlianxibudiyu3ci,dui“chenghuangse”cizhongxinren,meitianlianxibudiyu2ci。
5.dangjixuehuiguanjianxingnianlingduanjichutiaojianhuanbingxianxianghejiankangdexiankuang。
6.duizhongdiancunsangaorenqungandongxinguanbingduganranhuojichushangchuanranxingjibingjialiaodengzhengzhuang,bunenggengjiankangzhidaoyijian、gansheyuzhuanzhen。
(二)落实责任省级重点患者类别服务管理
dui“hong、huang、lv”guanjiandaxueshengxiaofeiquntigekuaisuzhixing“yi、er、sanjishipinkaoshi”jingyingbaozhang,dui“huanglvse”daxueshengxiaofeiqunti,guanchezhixing“6jibaozhang”,zhizuohaozhengchangdexueqianjiaoyu,zhizuohaorengezhengchangdefanghuxitong。dui“chenghuangse”daxueshengxiaofeiqunti,zaiguanchezhixing“6jibaozhang”detiaojianshang,duichengyangxingjujiayanglaogongnengliaofashikuaisuzhixing“zhongjibaozhang”,zhizuohaokangyuanceliang、zhengchangdewuranjiance、zhengchangdezaixianzixun、yaowuzhiliaojianyideng。dui“fenhongse”daxueshengxiaofeiqunti,zaiguanchezhixing“yi、zhongjibaozhang”tiaojianshang,kuaisuzhixing“sanjishipinkaoshibaozhang”,zengqiangzhengchangdewuranjiance,duizhengzhuang✤zengduodeguijuzhuanzhenyuanzhu。
san、xiagongfuzhuahaoweizhongzhengzaochajuedao、zhiyuyubinggui
gedihuanweijiankangweiyaozhutuishi、quqiangjiuzhuanyeyishengzudeliliang,jiadaduixiaoquhuanweianquanfu𝔍wudejigoujiaojieyujianchazhidao,jianchi“zaobiaoming、zaoshoushuzhiliao、zaojieliu”zunxunyuanze,shulixiaoquhuanweianquanfuwudejigou“daguanshangyi”yong。
(一)力促新冠危重症早发展
gejiedaoweishengqingkuangfuwudeyiyuan𝓀xietonggongzuojucunwei,daidongduixinguanganliangzhedeshentijiankangpingguqi,zhenduishiguanjiandianyonghuganliangzhe,zairenꦕzhenzhixing“yi、er、san”jijianlidejibenzhishishang,yaoguanjiandiandaidongxinguanbingzhengyujibenzhishixingjibingbingzhengdebianhuadepingguqi。
jinyibujiaqiangduixinguanranbingzheyangquyuwendingdujiancezhan。gejiedaodeshouhougongnengguanlizhanhuanbaodeshouhougongnengguanlijigouyaojubeizuliangdezhijiashimaiboxueyangyi(zuoyousuoxieyingwenzhiyangyi),yibaozhengmeiyigejiedaodeshouhougongnengguanlizhanhuanbaodeshouhougongnengguanlijidihefenjidizuishaojubei20gechaoguo、meiyigejiedaodeshouhougongnengguanlizhanhuanbaodeshouhougongnengguanlizhanhecunhuanbaoshizuishaojubei8gechaoguo,meiyigejucunweizuishaojubei1gedagaichaoguo。xiangweimeiyigezhongguojiatingfukeyishengtuanduijubeibiranshumudezhiyangyi,hezuohaojucunweidongli,jiangyangquyuwendingdujiancezhanshoulutuchucunkehuquntiranbingzhehexinsuifangjieshao。gejiedaode♓shouhougongnengguanlizhanhuanbaodeshouhougongnengguanlijigouyaojijixiangshangxinxihuajucunwei,wei6liusuichaoguoyouxinguanleibingduranbingweizhongweixian qieꦬjihuabulianghouguodetuchucunkehuquntifenfazhiyangyi,zhidianjiajushounazhenduanxueyangquyuwendingdu。
(二)推进项目建设新冠危重症早中药治疗
yaozuzhibaozhangshi、quyizhijishulingdaoxiaozuyongqi,kaizhanshequn♈ganjingfuwuxiangmupeixunjigouduixinguanganranzhiyuantizheliganjian🗹yinggaishan,baohanyingxiangdazai、yangliao、dadiandi、xiaotuanhuozhongyaoliyong、dajianjialibingfangdeng。
1.搞好对症下药进行治疗。gegequqingjieshipinqingjiejianduanquanweiyaoyitebieqingjieshipinqingjiejiandutiexintiexingongzuozhongjiejigouchangbeizongshuliangyidekongqidai、kongqipingyuzhiyangjidenghuanbaoshebei,querenshishiweiyiyuanderen、zijidefangziyizhifangfaderenkeyitigaoyangliaohuokongqiguanzhuangtiexintiexingongzuo。getebieqingjieshipinqingjiejiandutiexintiexingongzuoguanlizhongxinjude、fenguanlizhongxinjudejunyaoanzhuangyiyuan“xiyangqu”;tebieqingjieshipinqingjiejiandutiexintiexingongzuozhanyucunqingjieshipinqingjiejiandushiyaoqiushangjunyaoheliliyongmuqianyouquyusanweikongjian♎,yunxinghuanjingkongqiguan,keyitigao“yangliao”tiexintiexingongzuo,goumanzuzhuhubenshiyangliaotiexintiexingongzuodexuqiu。kaishizuowuhuaxiruyizhifangfa,getebieqingjieshipinqingjiejiandutiexintiexingongzuoguanlizhongxinjude、fenguanlizhongxinjudeyaoqiushangjunyaokeyitigaozuowuhuaxiruyizhifangfatiexintiexingongzuo。detongshi,zhuahaochuanranzhemeiweishiyong,shishigengjiankangshanshijiegoudezhidao,anguichengjinxingjingmaishuyedengchanpin,zengduoweizhongshiyoufashengfenxian。
2.马上动用抗虫解药物冶疗。duiyaodianquntiyingxiangzheshishipingjiazhibiao,zaizhuchengqukeyanlingdaoxiaozumianfeipeixunxia,duishihetiaojiandeyingxiangzhe,mashangmianfeipeixunshiyongdikangmanﷺxingduyaowu,zhenzhengzuodaogengkuaididiaocha。
3.积极起着中药材缓解功用。baozhengzhongxifangyitongguo、zhongyixueyaozaiyong,jiada“san🧔yaosanfangxieyi”dengzhongyaozaijiedaobanshichugonggongweishengxuebaozhangzhongjiejigoudedazaihecaiyong。gejiedaobanshichugonggongweishengxuebaozhangzhongxinjuyaoduiyingxinguanxijunganranduojianfanying,yinshilidao,bianzhengshizhi。yaozhu“zao”“kuai”dedeyuanze,rangzhongchengyaozaixinguan🅺mumabingdubingduchutizaojieruyeliaoyeliao,jishieshaqingzhengqiumeizhexiangqingxing、weiqingxingfazhanjinbu。
(三)推动新冠危重症早分配
1.尽早委托转诊。duixinguanbushifanyinghuogenbenxingchuanranbingzhengyanzhongdezhanranzhe,geshequyiliaojianduweishengjianduyewuzhongjian、jiatingshizhu💝zhiyishengweishangtuanduiyaozhuanghao120jiuyuanshouxuanyunsonglvlvtong,bangzhujiaochaxiedaizhejinzaozhuanzhen。mianduimiancengshouzhendeweizhongzhenghuaner,yaoduanshijianneizhunquedushebie,jichuzhenshideqingkuang,jinzaogongyang,tongguojijizhudongjiuzhicuoshi,zuodaobaochihuanerhuolixianxiangpingwenཧxing,zaiyihujishurenyuanyitongxiajinzaozhuanzhen。
2.互联互通横向转诊。gepingtailvsejiankangfuwuzhiliangguanlijidiyaoyijiayituoyuchengshixingyidingguanlijidi、yiliantishangjibumenyiyuanmenzhen,changshunxinguanjiuhushuangxiangzhuanzhenrukoutongdao,gexianqulvsejiankanglvsejiankangwei、geyidingdingdianyiliaojigouyaomingquetuoshanzerenzhuanzhengongzuo,jianhuafaweizhongyanzhangzhuanzhenjutibuzhou,൲yanzhangzhuanzhencuowulv。zhijie,yaochedidefahuichulaixiangguanjiaoyu♒xinxihuachengzaidezuoyong,caiquwuxianwenzhen、wuxianjiuzhendengfangshifangfa,quebaoanquanshengchanyanzhangdejianbunengyouyongjiuhu。
duijiedaoxiaoquhuanweigongzuoyuzhongxinshangzhuanxinguanganhuazhe,feichangshiguanjianxingxiaofeiqunganhuazhe,lingdaobumenmenzhenyaoxingchengshouzhishenlvselutongdao。zailingdaobumen𝓀menzhenwanquanfashengmanxingqizhiyuhou,huanjingshichangpingwendeganhuazhekexiahuandaojiedaoxiaoquhuanweigongzuoyuzhongxinzhen🧸shi,jiedaoxiaoquyiwugongzuoyuanyaocaozuozhuanzhenjutiliucheng,zuogongzuoyuduijie。
gexianqushenxinjiankangshenxinjiankangweiyingpinghengpianquneigebudangxiayiliaozuzhi puweiziyuanyingwen,jichuyouchayidengjifenleibieyiliaozuzhi puweinenglipinpaidingwei,baochipingheng、fenleibiedezaishiyongdegongzuojizhi,yaopinghenganpaipianquneigebudangxiayiliaozuzhi yiwuderenyuan,caiyongxiapairuzhu、shoutuojieshoudengjutifangfa,fu🃏chipingtaishenxinjiankangtiexinchanpinzhiliangzhongyangjianhushitiexinchanpinzhiliang。anzhuangyoushoushuchuangdepingtaishenxinjiankangtiexinchanpinzhiliangzhongyang,jinjieduanzhong,puweidezaiyonglvyingtigao95%zhishang,weishezhishouꦍshuchuangdepingtaishenxinjiankangtiexinchanpinzhiliangzhongyang,duitieheshoushuzhizhengdeganqizhe,yingcaiyongrenshoushuchuangnenggoumanzushenghuoyiliaoxiaofeixuqiu。
si、qieshijiaqiangpianquneirongxiaofeiquntijiuhudeziyuantongchouguihuahezhichengtixidedaobaozhang
(一)充分地组织保障街镇网格化经营逻辑
geshequnhuanjingqingjieweishengjingzhunfuwupeixunzhilianggongsiyaozhudongdejiaojiegejiezhen、jucunwei,chongzuyikaojiezhenwanggehuadeguanlibenzhiyewuluoji,qieshifahuijiezhen、jucun🥂weizhudaodiweixiaoying,luoshiyigangshuangzeyigangshuangzeduizhongdianyonghushequndeguanlibenzhiyewu,nonghaoshenxinanquanjiankangjianceshujuyudongtaitupianjingzhunfuwupeixunzhiliang。yikao“shequnliurenxiezuozu”benzhiyewuluoji,luoshiyigangshuangzeyigangshuangzeduizhongdianyonghudebaobaolianjieqilai。geshequnhuanjingqingjieweishengjingzhunfuwupeixunzhiliangqiyeyaoxiediaoyizhijiezhen,juedingquyufangbanbenzhiyewuyanjiubushu,nonghaoduigaoshoulaotaitai、youjichuxingxingjibingtigaodengweizhonggaokenengxingyonghuhexianrukunjingxiaoxingdengyonghu“shenxinanquanjiankangbao”bofu,xieshoujucunwei,jinyibutigaoduikongchaolaotaitai、jinyubingcanqinshuxianghuzhunianlingjiaodaderenderichangrenwulianjieqilai。
(二)加大位置医疔产品统筹医疗保险的支撑
gexianquhuanweijianqingkuangjiankangbaojianweiyaotongdengzhiliaozhongjiedaikuanbumenbaoxianchanyeyuanquneigezhongzhiliaozhongjiedaikuanbumenzhongjiedaikuanbumenyiwuzhuanyerenshi,jiezhuhuixiachendaoyouzhajidexunzhen、zhuanyerenshipaizhu、dajianyuanchengkongzhizhiliaozhongjiedaikuanbumencaozuowangdengfangan,yingduibiaocengyuangongzhiliaozhongjiedaikuanbumenhuanweijianqingkuangzhongjiedaikuanbumenrenziyanzhongbuzunanti,youxiaoquebaoshequnhuanweixinguanyizhijingzhundefuwuzhiliangshichangpingwengaohao。goujianchengquyoujiyizhishuipinglingdaoxiaozuheshangjilingdaozhiliaozhongjiedaikuanbumenzhongꦍjiedaikuanbumenxiangguanxunhuijianchapingjiabiaogongzuojizhi,duishequnhuanweihuanweijianqingkuangjingzhundefuwuzhiliangzhongjiedaikuanbumengaohaoshuipingjianchapingjiabiao,peixunkechengbiaocengyuangongyiwuzhuanyerenshiguichengshiyongxiaodafenziyaohezhongxiyao“sanyaosanfangxieyishu”,yitinggaobiaocengyuangongfangweizhongzhengnenglisuzhi。qieshijiaqiangzhiliaozhongjiedaikuanbumenjiuhudeziyuantongdengzhiliaozhongjiedaikuanbumenbaoxian,yanzhangzhiliaozhongjiedaikuanbumenjiuhupeisongcheliangyumolipeizhidan,weishequnhuanweihuanweijianqingkuangjingzhundefuwuzhiliangzhongxinde、putongjiatingyishizuzhidajianweixianyunshuquyu。
(三)做好群众医务工作员培训教育
yikaoshineiliangjijiuhuyouguandexinxilingdaoxiaozu,jianlizhuanmenzhenduinongcunbiaocengyiwurengongpeixunjihuashu,jinxingxianshangjiaoyu、quanqudao、lingdaoxiaozumenzhenxiahuadaijiaodengduoleipeixun。duofangmianliyuyigeguojia、shilidengyouguandexinxipeixunjiaoyuziyuan,jijicanyuqiyenongcunbiaocengyiwurengongsanjiapeixun。jinyibujiaqiangchouyangjiance,yangeyaoqiupeixunceshi,tigaorenshipeixunjieguo,shinongcunbiaocengyiwurengong(jiqimeilixiangcunhushi)zaizhongﷺzhangyinianhoudexinyingshoubawoxinguanbijiaozhongyaorenmendengjifenleidengjifenleishouhoufuwujiqiao、ranshanglinchuangzhengzhuangliuyi、ranshangzhejiajujingyinghegaishan、guoshengwuzhiyaojiuhuhekangfuzhanzhensuo、diyangxuezhengjiaozaofazhan、huqiyounandudefenxihejiezhenjiqiao、zhiyangyideshiyong、bijiaozhongyaozhuanzhenyuanzejiqixiaodafenzikoufuyaowudeshiyingxingzhenghezhengqueshiyongjiqiaodeng。
(四)抓好新冠处置武器装备基本保障
gegequqingjiehuanjingqingjieshipinhuanbaoyingyangweiyaobutongshequjuweihuijuweihuiqingjiehuanjingqingjieshipinhuanbaogongzuozhongxindezhan、cunqingjiehuanjingqingjieshipinhuanbaoshigongzuochengshirenkou、neirongkehuquntidishudengqianti,peizujijiuziyuan,fenweifarezenmebanlinchuangfangshexingyaopin、zhongcaoyao、kangyuanyanceshiyanshiji、kangchongmanxingduzhongliuyaowu、zhiyangyideng,binglianxishequjuweihuijuweihuichuanranzheguimobianhuan,gifdongtaidiaozhengcunliang,dedaobaozhangzi𒈔yuancunliang。dilizuobiaoshangweizhishangyuan、chuxingbufangbiandeshequjuweihuijuweihuiqingjiehuanjingqingjieshipinhuanbaogongzuozhongxindezhan、🐎cunqingjiehuanjingqingjieshipinhuanbaoshiyaodiqianbeizukongzhizhongliuyaowuhefangyuziyuan。yifushequjuweihui、jucunwei,yuyixuezhuangzhi、yiyaoliansuodengzhidafuwurexian,butongjutixiangyaoheshidexiangzhejiangnongcunquyuwaixiechushoujijiuziyuan。
(五)实时时间了解做工作的动态
geshiquanquanjiankanglianghaoweiyaoyanxuzhizuohaojiedaobanshichuanquanjiankangyewujigouzidongyunxing、yewuzhuangtaihekuojianzhuangtaidengdongtaituhuajiankong,leidahuibotugengxinꦡshulianjiedaobanshichuqirezhiliaozhuangtai、yiliaohaocaihejizijilvshiyongzhuangtai、yaodianxiaofeiqunyewuzhuangtaideng,duiguanqubenzhiyunxinghuichuxianjiantihuobenzhiyunxingyouyidingdezhihouxingdekongjianleidahuibotugengxinxitongdiaodu。youliliyonglvxunxihuajiqiao,tisheng benzhiyunxingrexiaolv,jiandiaojicengyuangongdefudan,likebaosonggeguo、shengjikeyidedongtaituhuashujuyuanhexunxi。
(六)增强区域医务相关人员关切关注
gexianquqingjieshentijiankangweiyaozhutuiquanmianluoshizerenfadaguojiahedangdiyouguanguanzhudewentiguanzhuyiwuzhefangfa,daidongduishequnqingjiededeyewuzhanjudezhichenglianquanbaoxian。shidanganpaihaoyuanpaishequnyiwuzhe,lejieyiwuzheguorizidegongnengheneiqinanquanbaoxian。anguidingquanmianluoshizerenduishequnyiwuzhebutiefeiyujiatingshenghuoyakeyishenghuiyuedegongnengfeiyibian▨xingzhuanmendeyewuzijin,guwushequnyiwuzhequanshenshangxiaxinfangrushequnxinguanyizhideyewu。
(七)增强的责任严格执行和督察考核评价
shixiaquweishengfangyijiankangweiyaojinyibuzengqiangzuzhihualaoban,zhujianyashixishuchengdan,mingxibumenchengdanhemubiaozhuxianrenwuzhize,baozhangcuoshi💦yewuzhuxianrenwutiaojian。yaojinyibuzengqiangduiqujiyewuzhuxianrenwukaifatiaojianhechengdanluoshishiqingtiaojiandejiandujiancha,jianliqiyewuzhuxianrenwutaizhangzenmezuo,shedingmubiaozhuxianrenwutongzhidan、dawentitongzhidan、chengdantongzhidan。yaojiangxianxinggaohaojicengrenyuanzhongdiancunshikequndongtaitupiananquanfuwu、zengqiang“baojiankang、fangbingqingbijiaozhongdeshihou”duozhongyewuzhuxianrenwukaifatiaojianhequdechengxiaoyuguanlianzhongdiancunshiyewuzhuxianrenwudekaolv、zibenhuafen、pingxianbiaozhangdengxiangkoujin,tigaorenshishulikaolvguwuzhudaomude。
kunmingshiqingjieweishengjiankanglianhehuihui
&🍌nbsp; &nbsℱp; 2023nian3yue8ri