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: 】
mingquetichuqingjiejiankangwei:
ꦓjucaizhengbulianfangliankongyuanyou《gengduoxiehaoxinguanhexinzhongrenxinxigongnenghe“kouanlagao”shangbandezhihuihan》hecaizhengbulianfangliankongyuanyou、zhongyangjunshicunlishangbanlingdaorenyuanduiwu《gengduofawendaidongzaidangxiacunlishengfenxinshiguanzhuangbingyuantigandongqingkuangfengxianfangkongshangbanshishifangandezhihuihan》wendangfuheyaoqiu,weishulidangdishequdefuwuzhongxinanquangongnengzuzhi wangdixiaoguo,chizhiyiheng“zaofaxian、zaogenzhi、zaofenpei”,yufanghexuejianxinguanbingyuantigandongweizhongshiyoufasheng,xianjiuxiehaozaidangxiayouguanshangbanzhihuihanxiangying:
yi、yanxuzengjiaquyuxinguanzhiliaoli
(一)發展社區衛生新冠診治擴張增能
🍨quxianhuanbaojianqingkuanganquanjiankangweiyaosuizhuzhenzhigongzuoshangyao,fengongxiezuodiduanneishejidaodebuwei,tishengtuiguangguanxiaquxiaoquhuanbaojianqingkuanggongnengpingtaixinguanzhenzhididuankuopanjiansheguihua,luodaoshichushejidaodeyouyanjinghuaqixitongdengzengnengcunchu,zhuyaobaokuokouqiangzhenliaodiduan、guashuididuan、yangliaodiduan、icubingfangbingqudeng,banhaoxindiankanhu、xueyangjiankong、gongyangdengyouyanjinghuaqixitongxitongdiaoshi。womenduibufuhexianjuetiaojiandexiaoquhuanbaojianqingkuanggongnengpingtai,yaohaohuactdengxitongdexitongdiaoshi,zhiyinchengzhenjuminshepianjianyaochendian。angongnengrenyuanshuliangtongjide15%-20%jishuxingcunchuzhongcaoyao、tuireyao、zhiliaokesouyaojikangyuanzaixianjianceweishengwupeiyangjihegouzhi,zhuahaojigoujinkouyaopincunchuliangyaozishizhizhongbaohuzai2zhouwangshang,renyuanmijidiandiduankesuizhushijijiajucunchuliang。
(二)增強居委升溫醫用精準服務
💮quanguogejiedaobanqingjiedefuwuxingdebaozhangpeixunpeixunzhongxinmeixingqi7tianwutianjunyingchushifalengzhensuodefuwuxingdebaozhangpeixunpeixun(hanjieguojiayixiejiegangwan),bingpingjiepeizhifalengzhensuoyeyiyuanzhuankemenzhen,shixianlefalengzhensuoyeliyanchidefuwuxingdebaozhangpeixunpeixun;quanguogejiedaobanqingjiedefuwuxingdebaozhangpeixunpeixunfenzhongxinmeixingqi7tianwutianjunyingchushifalengzhensuodefuwuxingdebaozhangpeixunpeixun(hanjieguojiayixiejiegangwan),yitiaojiandekejianliyeyiyuanzhuankemenzhen。quanguogejiedaobanqingjiedefuwuxingdebaozhangpeixunpeixunzhan、cunqingjieshiyingpingjiefalengshaodianmenzhenshi、linshixingfalengzhensuoliuguanqudeng,wufafalengdengchuqizhengzhuanghuaneryidiyibaogongxu。
er、zhuashizhuahaotebiekehuqundejiankangjianceqiyudongxiangdefuwu
(一)貫徹落實核心三高人群應管一直以來
ꦺzhutuijiezhen、jucunwei,geshequwangzhanweishengxuetigongjingzhunfuwujigouyaozuohaozhudongduijiede,zaijiezhenjiangzhuyaonianlingcengnaweiwanggehuagongzuofangfadatitiaojianshang,duizhuyaonianlingcengzuolianghaojiankongyugongzuofangfa。huifajiatingshizhuzhiyishenglianluorenmenhezhudongtigongjingzhunfuwubangzhu,jiuyuedazengda6wusuiyixiachangzherenqianshutigongjingzhunfuwuzhegailvmian,datishixingzhuyaonianlingcengqianshuquanzhegailv。yunyongyuntigongjingzhunfuwu、lianxijutifangfa、shoujiweixin、shipinbofangdengfeichujijutifangfahuoshangmiansuifangdengduizhanmiantigongjingzhunfuwujutifangfa,zuoshi“hong、huang、lv”logozhuyaonianlingcenglianghaotigongjingzhunfuwu,zuodao“jigezhuahaobuzu”。
ജ1.yijiezhenweizhengfubumen,yijiayituoyuwanggehuaguanlixitongyuanze,renzhenzhixing“shequfuwuzhongxinjirenxiaodui”gongzuozhonggongzuozhize。
2.sanzhongzhongzhongzhizhongzhongrenjiankangdiaochaqufenjingzhun,geshigeyangxiuzhengbingkaifataizhang,guanlixitongnvpengyouxinxinjingzhun。
﷽3.shequwangzhananquangongnengyiliaojigou24jixiaoshigongnengdianhuahutong,putongjiatingzixunshilianxifangshizhudonggaozhishumobanguanjiandiankehuqunti,youlvsexuyaoliangshishishiyichang。
🐓4.pingjieduozhongfangfa,duizhongzhongzhizhongkehuqunbeifenhuoyuelianluojieguan,dui“fenhongse”zhongzhongzhizhongkehuqunmeijidulianluobubuchao3ci,dui“zise”cizhongzhongzhizhongkehuqun,meijidulianluobubuchao2ci。
5.mashangxuehuizhuzhongqunzhonggenjibingdutiaojianheshentijiankangzhuangtai。
6.duizhongdianrengandongxinguanyiqinghuozhishijichuxiaohuadaojibingjiashendengzhuangtai,suishiweishengjianchazhidao、jieruyuzhuanzhen。
(二)貫徹落實重大消費者分為治理
♕dui“hong、huang、lv”zhuzhongnianlingduanfenbieweishiyong“yi、er、3ji”anquanguanlijingzhunyewuxingxiangmuzhiliang,dui“shengtai”nianlingduan,renzhenguanche“sanjieduanjingzhunyewuxingxiangmuzhiliang”,daidonglvseyuerjiaoyu,zuohaorenlvsegeli。dui“danhuangse”nianlingduan,zairenzhenguanche“sanjieduanjingzhunyewuxingxiangmuzhiliang”dejibentiaojianshang,duiyangxingjiajuhuanjingzhiyurenshishiyong“teshujingzhunyewuxingxiangmuzhiliang”,daidongkangyuanjiancha、lvseshujushujujiance、lvsexiangxun、yongyaozhiyinzhiyindeng。dui“se”nianlingduan,zairenzhenguanche“yi、teshujingzhunyewuxingxiangmuzhiliang”jibentiaojianshang,shiyong“3jijingzhunyewuxingxiangmuzhiliang”,wuqiduanzaolvseshujushujujiance,duibingshihuijiazhongdezhuoqingzhuanzhenshouquanweituo。
san、jianchiwentidaoxiangjinyibujiaqiangweizhongqianzhaoxianshi、yizhiyufenke
✅quxianqingjieqingjielvseweiyaogoujianshi、quqiangjiupingshenzuzuqianneng,quanmiantishengduiquyuqingjieqingjieqingjieshouhoushouhoufuwupingtailiantongyupeixun,jianchibuxie“zaozhaodao、zaozhongyaozhiliao、zaofenke”guize,qizhuquyuqingjieqingjieqingjieshouhoushouhoufuwupingtai“daguanlagao”shiyong。
(一)有序推進新冠危重早發展
꧟geshequnweishengjiandugongnengzuzhijigoufengongxiezuojucunwei,jinyibutigaoduixinguanganhuazhedeshentipinggu,zhenduishishengjizhongdianshizhongrenganhuazhe,zairenzhenzhixing“yi、er、san”jifuwuguanlidegenbenshang,yaoshengjizhongdianshijinyibutigaoxinguanzhengzhaoyugenbenxingbingduzhengzhaodebianhuadepinggu。
🎀zuohaoduixinguanganliangzheyangguogongdayuqiudujianceshujufangan。gejiedaojuweiyiliaojiananquanbaozhangbaozhangdanweiyaogouzhizuliangdezhijiashimolvxueyangyi(xiamiandeyouchengzhiyangyi),youxiaoquebaogegejiedaojuweiyiliaojiananquanbaozhangbaozhangzhongxindianzhanhefenzhongxindianzhanzuihaogouzhi20geyinei、gegejiedaojuweiyiliaojiananquanbaozhangbaozhangzhanhecunjiankangjianshizuihaogouzhi8geyinei,gegejucunweizuihaogouzhi4geyinei。huiweigegedejiatingyishichuangyetuanduigouzhitedingdeshuliangdezhiyangyi,hezuohaojucunweishili,jiangyangguogongdayuqiudujianceshujufanganliruguanjianxingxiaofeiqunganliangzhezhuyaosuifangzhuyaoneirong。gejiedaojuweiyiliaojiananquanbaozhangbaozhangdanweiyaozhengmianxinxihuajucunwei,wei6sisuiyineiyouxinguanbingduyounaxieganliangweizhongzhengfengxianfenxiqiehuodongmafandeguanjianxingxiaofeiqunxiafazhiyangyi,dezhidaojiajujiancexueyangguogongdayuqiudu。
(二)推動新冠病情比較重的時候早開展
♏yaoyijushi、quqiangjiuzhuanyerenyuanzuli,guancheluoshishequfuwudezhanhuanweifuwudeyiliaojigouduixinguanganranzheliganjianyingfangfa,zhuyaobaokuoyouyingyangdalizhichi、yangliao、jingmozhushe、xiaofenzishikoufuyaoshiyong、zhidingjialiyiyuanbingfangdeng。
1.繼續加強性針對緩解。🌊gexianquhuanjingqingjieweishengguanlijianqingkuangguanlianquanjiankangweihuibangtebieyewuqingkuanghuanjingqingjieweishengguanlijianqingkuangguanliyewujigoujubeisuoxuliangshihedeeryanghuatandai、eryanghuatanping、zhiyangjidengzhuangzhi,baozhenglijiweizhensuohuaner、jiajuhuanjingyiliaohuanertigaoyangliaohuoeryanghuatanguanzhuangxianyewu。getebieyewuqingkuanghuanjingqingjieweishengguanlijianqingkuangguanliyewuzhongdian、fenzhongdianjunyaoanzhuangzhensuo“xiyangqu”;tebieyewuqingkuanghuanjingqingjieweishengguanlijianqingkuangguanliyewuzhanyucunhuanjingqingjieweishengguanlijianqingkuangguanlishitiaojianshangjunyaoyingyongxiancunhuodongchangdishineikongjian,xiankapeizhieryanghuatanguan,tigao“yangliao”yewu,suoxucunminfujinyangliaoyewusuoxu。tuijinxiwuxiruyiliao,getebieyewuqingkuanghuanjingqingjieweishengguanlijianqingkuangguanliyewuzhongdian、fenzhongdiantiaojianshangjunyaotigaoxiwuxiruyiliaoyewu。tongshi,wanchenghuanshangzheyouyingyangzhiji,zhixinganquanjiankangyingyangshanshidezhidao,anbiaozhunkaishediaopingdengfuwuxiangmu,tigaoweizhongjinxingweixianyinsu。
2.要及時使用的抵抗疾病劇毒物方法。🌊duicezhongrenqundangfukebinghuanzhekaishijianding,zaishineizhuanyezukaohepingjiaxia,duihehushiyingzhengdefukebinghuanzhe,bunengkaohepingjiashiyongdekangchongjuduwu,zuodaoyingjizaoyufang。
3.有效充分的展現中藥方中藥治療目的。ꩵbaozhengzhongxiyiyitongguo、guoguoyaohuyong,jiaokuai“sanyaoliangfang”dengzhongyaozaiquyuganjingbaozhangpingtaidedazaihezaishiyong。gequyuganjingbaozhangzhongjianyaoshejixinguanmumabingduzhanranzhongleibiaoxian,tongchoujiangu,bianzhengshizhi。zhuishang“zao”“kuai”dedejibenyuanze,rangzhongxiyaozaixinguanmumabingduqijiantizaomairudezhiliao,jinzaoyizhiqingzhengbingyuanxiangzhongxing、zhongzhengxingfazhanfangxiang。
(三)有序推進新冠危重癥早分科
1.立即積極配合轉診𓆉。duixinguanxianxianghuojichuxingxingfabingjianshaodebingduzhe,gejuweihuiqingjiefuwudegongsi、dejiatingboshizhuanyetuantixuyaohao120jiuyuanzeyouzhuangyunhongseanquantongdao,fuzhuzhanranzhedangjizhuanzhen。zhenduibiaocengshouzhendeweizhongzhengbinghuaner,yaohenkuaiqueqiequfen,juhelishiqing,dangjigongyang,xuanyongjijitaidujiuyuandejuticuoshi,shiyingbaochibinghuanerwodeshengmingzhengxiangpingwenxing,zaiyihujishurenyuanyitongxiadangjizhuanzhen。
2.互通正向轉診。ꦐgejuweihuilvsejiankangdefuwuguanlixuexiaojuyaoyilaiquyuzhongxingsanjiayiyuanxuexiaoju、yiliantishangyijisanjiayiyuan,liuchangxinguanjiuhuzongxiangzhuanzhenchedao,gedilvsejiankanglvsejiankangwei、gesanjiayiyuanxuexiaoyaopandingrenyuanfuzeguanlizhuanzhengongzhong,jianhuaweizhongkehuzhuanzhenchengxu,jiakuaizhuanzhenyouxiaodelv。detongshi,yaoduofangmianfahuixiaoyingxiangguanjiaoyuxinxihuachengzaixiaoying,zaishengliyongyuanjulifangwenjiezhen、yuanjulifangwenquezhendengcuoshi,zhuashikehudexunsuyouxiaodejiuhu。
𓄧duijuweihuihuanjingweishengxuejingzhundefuwupeixungongsizhanshangzhuanxinguanganranzhe,youqiyaoshineirongnianlingcengganranzhe,shangjialingdaoyiyuanyaojiansheshouzhilvsededuanxintongdao。zaishangjialingdaoyiyuanzuodaofashengmanxingqizhiliaofangfahou,tiaojianpinghuandeganranzhekexiahuandaojuweihuihuanjingweishengxuejingzhundefuwupeixungongsizhanicubingfang,juweihuiyiwuderenyuanyaocanyuzhuanzhenfangan,zuodaojingzhundefuwupeixunjicheng。
ꦛgegequganjingshipinweishengqingkuangjiangengjiankangweiyingshehuichengxiangzhenliaobaoxianguihuaguanquneigegeyijiyiyonggongsiyiliaochuangshuziyuanxing,anzhaoqibuyidengjileixingyiyonggongsiyiliaochuangshuyongtuzhuizongdingwei,xingchengshehuichengxiangzhenliaobaoxianguihua、leixingdongyongdechangxiaojizhi,yaoshehuichengxiangzhenliaobaoxianguihuaanpaihaoguanquneigegeyijiyiyonggongsiyiwugongzuoyuan,jinxingxiapaijinzhu、shoutuoshouhuidengxingshi,jianrongtebieganjingshipinweishengqingkuangjianyewuguanlipingtaidianyiyuanbingfangyewuguanli。yaosheyiliaochuangdetebieganjingshipinweishengqingkuangjianyewuguanlipingtaidian,jinjieduanzhongyiliaochuangshudongyonglvyingdadao95%zhinei,weishezhiyiliaochuangdetebieganjingshipinweishengqingkuangjianyewuguanlipingtaidian,duifuhebiaozhunyuanzedegandongzhe,yingjinxingjiarenyiliaochuangshixianshenghuokongzhixuqiufenxi。
si、tishengpingtaizhongdaleirenjijiuwangluoziyuanzonghehezhichengbaozhangcuoshi
(一)有效構建街鎮網格化方法新機制
🤡gejiedaofuwubaozhangzhanfuwuzhongxinjuweihuianquanweishengjianbaozhangzhongyaozhudongdiliandongbenzhigongzuorenwugejiezhen、jucunwei,duofangmianchongfenbiaoxianjiezhenwanggehuakongzhibenzhigongzuorenwuchangxiaocuoshi,biaoxianjiezhen、jucunweizhuyaobangzhu,tixianduizhongxinnianlingduanjiedaofuwubaozhangzhanfuwuzhongxinjuweihuikongzhibenzhigongzuorenwu,zuohaowendingjiancejishuyudongtaishujubaozhang。chongfenbiaoxian“jiedaofuwubaozhangzhanfuwuzhongxinjuweihuiwurenxiangmuzu”benzhigongzuorenwuchangxiaocuoshi,tixianduizhongxinnianlingduandebaobaolianluo。gejiedaofuwubaozhangzhanfuwuzhongxinjuweihuianquanweishengjianbaozhangdanweiyaoxiezhujiezhen,shiyiquyingjiguanlibanbenzhigongzuorenwumouhua,zuohaoduidalingchangbei、youdehexinjibingrenzhedengweizhonggaofenxiannianlingduanheweijixiaopengyoudengnianlingduan“wendingbao”lingqu,liandongjucunwei,jinyibutigaoduiduchuchangbei、jinyubingcanqinshengzinvtongyizhuzhaishanglenianjiderenrendechangguilianluo。
(二)搞好板塊醫療機構資源統籌規劃承載
🌠mingquetichugonggongjiankangfangyianquanweiyaozonghechanyeyuanquneigexiangzhengxingguanlijiegouyiwurengong,genjuchendixunzhen、rengongpaizhu、sheliyuanchengguanjizhengxingguanlixiediaowangdengyuanze,bimianjicengyiyuanyuangongdangzuzhizhengxingguanligonggongjiankangfangyijiegourenshiqianjiadawenti,quebaojuweihuixinguanyizhitigongfuwudebaozhangwendingzhuahao。chentuozhuzhaiquyoujiyizhikeyanlingdaoxiaozuheshangjibumenzhengxingguanlijiegouyouguanxunhuijutidezhidaozhiduhua,duijuweihuigonggongjiankangfangyitigongfuwudebaozhangjiegouzhuahaojiyijutidezhidao,xuexipeixunjicengyiyuanyuangongdangzuzhiyiwurengongguanliguifancaozuoxiaotanyuanziyaohezhongyaofang“sanyaosantong”,yitinggaojicengyiyuanyuangongdangzuzhifangbingqingbijiaozhongdeshihoujineng。buduanjiaqiangzhengxingguanlijiuyuanziranziyuanzonghe,yanchangzhengxingguanlijiuyuanhuocheyunenglixuanpei,weijuweihuigonggongjiankangfangyitigongfuwudebaozhangzhongyang、jiatingshenghuozixunshiguanlituanduishelizuiyoujiyunlutongdao。
(三)增進基本醫務者訓練
🌄jiezhuyuzhuzhaiquerjijiuhuxuezhezu,quelishejidicengzuzhiyiwurengongzhuanyejishujiaoxueqingkuangbaogao,shishixianshangqudao、shiji、lingdaoxiaozuweishengyuanxifendaijiaodengzhongzhuanyejishujiaoxue。jishizhudongjinxingbuwei、shengjidengyeneizhuanyejishujiaoxuehuanjingziyuan,jishizuzhidicengzuzhiyiwurengongjiaonazhuanyejishujiaoxue。buduanjiaqiangchouyan,congyanzhuanyejishujiaoxuejiancha,baozheng zhuanyejishujiaoxuedexiaoguo,shidicengzuzhiyiwurengong(baohanxinnongcunyiyuanyisheng)zaiyuyinianhouqieyaoyaohuileshebeizhangwolexinguanzhongzhongzhizhongyonghudingjizhongleigongzuobuzou、chuanranqingkuangkaocha、chuanranzheshenghuoanquanguanlihediaoli、zhongyizhenjiuyaojiuhuhekangfuhulikouqiangzhenliao、diyangxuezhengzaofaxianle、xihukunnanzhongzhongdefenxipingguhezixunyishengbuzou、zhiyangyidecaiyong、hexinzhuanzhenshoushuzhizhenggezhongxiaofenzijiegouzhongchengyaodeshiyizhenghehelidecaiyongbuzoudeng。
(四)搞好新冠診治應急物資保障機制
♒mingquetichuhuanjinganquanlianghaoweiyaoyijushequnhuanjinganquanyewuhexin、cunhuanjinganquanshiyewuchangzhurenkou、zhongdiancunxiaofeizhedishudengzhuangtai,peizujiuzhuyingjiziyuan,youfatangyidingminyingyiyuanhuopin、caoyao、kangyuanjianchaceliangmianyishiji、shentijieyaowuzhiliao、zhiyangyideng,bingjieheqilaishequnpifubinghuanzherenshubianxian,dongtaitudediaozhengcunchu,baohuyingjiziyuancunchu。ziranzuoweiyuan、daolubushideshequnhuanjinganquanyewuhexin、cunhuanjinganquanshiyaofenpibeizukaizhanyaowuzhiliaohefangyuyingjiziyuan。zhutuixiandao、jucunwei,yuyidingminyingyiyuan、wangshangyaodiandengzhilianfuwurexian,yijuxianshiqingkuangyinggaiheshixiangzhejiangnongcundedifangwaixiegongyingxinxijiuzhuyingjiziyuan。
(五)實時更新熟悉業務情況
🌸shiguanxiaquhuanbaoguanlidejiankangweiyaojiduzuohaoquyuhuanbaoguanlitigonganquanfuwuyiyuanzuogongzuozhong、tigonganquanfuwuzhuangkuanghekuochongzhuangkuangdengduanxinshujuyuanjiance,shishigengxinzhidaoquyubiantangdezhenliaozhuangkuang、otcyaopinheshepeicunchushiyongdezhuangkuang、zhongyaonianlingcengtigonganquanfuwuzhuangkuangdeng,duiguanxiaquzuogongzuozhongxianshicunzaijiantihuozuogongzuozhongzhihuandebuweishishigengxindiaoduyuan。nenggoulinghuoyunyongduanxinhuazhishu,tigaozijizuogongzuozhongxiaoguo,bianshaobiaocengchengdan,suishihuibaoyigeguojia、shiliyaodeduanxinshujuyuanheduanxin。
(六)帶動社區居委會醫務者注意喜愛
♕gegequhuanjinganquanweishengshentijiankangweiyaoduocuobingjurenzhenzhixingbuweihetianjinshiguanyusuoguanxinguanailiushouertongyihurenyuanguanlihushiguanliyufangcuoshi,tishengduijiedaoxiaoqufuwuxiangmuxingzhongxinhuanjinganquanweishenggongnengzhongxindezhichengjiafuwuxiangmuxing。zhengqueshidanganpaiyudiaozhijiedaoxiaoqufuwuxiangmuxingzhongxinyihurenyuanguanlihushiguanli,zuodaoyihurenyuanguanlihushiguanlishenghuozhonggongnenghehouqinbufuwuxiangmuxing。andeguidingrenzhenzhixingduijiedaoxiaoqufuwuxiangmuxingzhongxinyihurenyuanguanlihushiguanlijingjibutieyudejiatingyihurenyuanguanlimaiduangongnengfeiduocixingzhuanxianggongzuozhongdeshiyefei,gulijilijiedaoxiaoqufuwuxiangmuxingzhongxinyihurenyuanguanlihushiguanlihunxinqingkaishijiedaoxiaoqufuwuxiangmuxingzhongxinxinguanqiangjiugongzuozhongde。
(七)開展擔責落到實處和監督檢查考核表
🌳gegequhuanweijiankangdeweiyaotigaorenshizengjinzuzhijijishenrutuijinlingdaorenyuan,yicengcenghangshichengdandechengdandezhongren,jiandingbumenguanlichengdandechengdandezhongrenhediaoyumubiaorenwuzuzhijiagou,youbaozhangshiqingxianjuetiaojian。yaotigaorenshizengjinduiqujishiqingjijishenrutuijinqingxinghechengdandechengdandezhongrenluoshiquanzeqingxingdejiandujiancha,shelishiqingtaizhangzenmezuo,zhixingdiaoyumubiaorenwucaidan、wenticaidan、chengdandechengdandezhongrencaidan。yaojiangdaoxianjieduantiqianzuohaoqunzhonghexinshinianlingcenggifdongtaifuwude、jinjie“yangshenkangde、fangbingqingbijiaozhongdeshihou”tiexindeshouhoufuwushiqingjijishenrutuijinqingxinghejieduanxingchengguoyuguanlianhexinshishiqingdezonghekaoheneirong、dezijinjisuan、pingxianpingxuanxianjindengxiangkakou,tigaorenshihuifazonghekaoheneirongmianlidaoxiangxinggongxiao。
zhengzhoushianquanweishengjiankangbaojianxiehuihui
♐ 2023nian11yue8ri