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: 】
gediweishengguanlizhengchangwei:
huigenjujilinshengrenminzhengfulianfangliankonggongzuojili《guanyunonghaoxinguanzhuyaoxiaofeiquntidongtutiexinyewuhe“shekoukouanlagao”gongzuodedewenxintishi》hejilinshengrenminzhengfulianfangliankonggongzuojili、di🎃fangxiangcungongzuolingdaorenxiaozunei《guanyuchuwennonghaoxianjinxiangcunguojiaqingxingguanzhuangbingyuantiyingxiangbingyiqingyingjichuzhigongzuojihuadedewenxintishi》wenjianziliaofuheyaoqiu,weichongfenliyongshineishequnhuanbaotiexinyewupeixunjigouwangdiyong,jianchixuexi“zaozhaodao、zaojinxingzhiliao、zaobinggui”,zhiliaohejiandixinguanbingyuantiyingxiangbingqingbijiaozhongdeshihouzaoshou,xianjiunonghaoxianjinyixiegongzuodewenxintishixiangying:
yi、yanxushenggaojuweihuixinguanzhiliaoxiaolv
(一)促進街道新冠診治擴存增能
mingquetichuqingjieweishengqingkuangqingkuangyingyangjiankangweiyaokeyiyizhaojiuhudegongzuoxuqiuliang,xietonggongzuoshiminxiaoquyixiebumenguanli,tishengjijituijinpianqushequjuweihuijingzhunfuwudezhiliangzhuqingjieweishengqingkuangqingkuangjingzhunfuwudezhiliangzhuxinguanjiuhudedifangshixiankuorongjiansheguihua,yangeluoshiyixiegonggongpeitaosheshizhuangzhidengzengnengzigeilv,fenweiyiliaoshebeiqu、guashuiqu、yangliaoqu、zhenshibingqudeng,jiaqiangxindianjianhuren、xueyangshujujiance、gongyangdenggonggongpeitaosheshizhuangzhipeizi。zhenduiyuheshihuanjingdeshequjuweihuijingzhunfuwudezhiliangzhuqingjieweishengqingkuangqingkuangjingzhunfuwudezhiliangzhu,aimianzihuactdengzhuangzhidepeizi,xiufuxitongshiminshepianchakanchendao。keyiyizhaojingzhunfuwudezhiliangchengzhenrenkoushujurenshude15%-20%geshigeyangzigeilvzhongyao、tuireyao、zhikeyaojikangyuantancecaixueguanhepeiyou,baozhengshebeiyiliaohaocaizigeilvliangyaozishizhizhongquebaozai2zhouzhinei,chengzhenrenkoushujuximidiquhuafenkekeyiyizhaoqishishangsheng🍎zigeilvliang。
(二)大力加強社區服務于中心升溫醫療機構服務于
quanshenggejiedaotebieshipinganjingjianduchanpinbaozhangzhongjianmeiriyizhoujunyingzuoweifashaozhensuochanpinbaozhang(hanjiemouxiejiejiaqilvyou),bingjingyoufangzhifashaozhensuoyezhensuobu,baochifashaozhensuoxiawuruheyanshichanpinbaozhang;quanshenggejiedaotebieshipinganjingjianduchanpinbaozhangfenzhongjianmeiriyizhoujunyingzuoweifashaozhensuo💟chanpinbaozhang(hanjiemouxiejiejiaqilvyou),yitiaoౠjiandekejubanyezhensuobu。quanshenggejiedaotebieshipinganjingjianduchanpinbaozhangzhan、cunshipinganjingjiandushiyingzuzhibaozhangfashaoshaodianzhenduanshi、linshisheshifashaozhensuoliuguanqudeng,manyifashaodengchuqizhengzhuangnvxingyidiyibaogezhongxuqiu。
er、laoguzuihaoneirongdaxueshengxiaofeiquntianquanjiankangjianceqiyudongtaizhanshifuwu
(一)落實一崗雙責核心年齡層應管縱然
yijujiezhen、jucunwei,geshequn🍌gonggongweishengyewupeixunjidiyaozengjiahuoyuejieru,zaijiezhenjiangshengjiyaodiannianlingcengdingweiwanggehuaguanligongzuozhidujichutiaojianshang,duishengjiyaodiannianlingcengzuohaojiankangdebaojianjianceshujuyuguanligongzuozhidu。chanshengjiatingshenghuomazuiyishenglianxigukehehuoyueyewupeixun🌌gongneng,jiaqiangjianshao6sisuizhishang60suirenhuiyueyewupeixunbaohanzhumian,zhuyaowanchengshengjiyaodiannianlingcenghuiyuequanbaohanzhu。liyongyunyewupeixun、zuojihao、zhixin、shipinbofangdengfeixiangchufangshiyingwenhuoshangmensuifangdengyingduiguoyewupeixunfangshiyingwen,zuoshi“hong、huang、lv”biaoshipaishengjiyaodiannianlingcengjiankangdebaojianyewupeixun,zuodao“liudaguanchejiuwei”。
1.yijiezhenweibumen,chentuowanggehuaguanlifangfaluoji,luoshibenzhigongzuo“jiedaosangerenbenzhigongzuozu”benzhigongzuoxingzhengzhineng。
2.sanjizhuzhongyonghulvseguanchahuafenmohu,jishuxingdiaodibingdazaotaizhanggeshi,biaozhunhuaguanliduixiangxunximohu。
3.pingtaiganjinganquanshouhoufuwuxitong24banxiaoshianquanshouhoufuwudianhuochangtongwuzu🎐,jiayayilianjiejutifangfajujuegaozhihanguanjianrenqundang,youjiankangyewuxuqiushijishidejijidixiangying。
4.jingguoduozhongbutongxingtai,duiguanjianxingxiaofeiquntijiamijiemizhudongdidianhualianxilianjie,dui“⛎zhuhongse”guanjianxingxiaofeiquntibenzhoudianhualianxibubudayu3ci,dui“lanse”ciguanjianxingxiao꧙feiqunti,benzhoudianhualianxibubudayu2ci。
5.kuaisuzhidaoyaodianxiaofeizhejibenzhishixiaohuadaojibingqingkuanghedejiankangguanlizhuangkuang。
6.duizhongdianshinianlingduanyingxiangxinguanbingduyangbenhuojibenzhishipifujibingjiajudengwenti,jishixingshenxinjiankangmianfeizhi🐻dao、gansheyuzhuanzhen。
(二)認真執行重要三高人群類別控制
dui“hong、huang、lv”zhongdanianling𝕴cengchabiequanmiankuaisuzhixing“yi、er、sanleifenxiao”caozuofuwuzhiliangbaozhang,dui“caolvse”nianlingceng,tuijin“sijifuwuzhiliangbaozhang”,zengjinweishengyouxiaoxianjie,tiqianzuohaogerenweishengfangꦿhulan。dui“jiehongse”nianlingceng,zaituijin“sijifuwuzhiliangbaozhang”deqiantililunshang,duiyangxingzhujiazhiliaorenshiquanmiankuaisuzhixing“xiajifuwuzhiliangbaozhang”,zengjinkangyuanyance、weishengjiance、weishengzaixianzixun、shiyongjiandudeng。dui“jiehongse”nianlingceng,zaituijin“yi、xiajifuwuzhiliangbaozhang”qiantililunshang,quanmiankuaisuzhixing“sanleifenxiaofuwuzhiliangbaozhang”,jinglianweishengjiance,duibingshijianruodeyingdangzhuanzhenweituo。
san、zhongdiandalijiaqiangbingqingbijiaozhongdeshihouzhiqianfajue、zhiliaoyufenli
gexianqushipinweishengqingkuangjiandujiankangweiyaoyifushi、quqiangjiuyouguanlingdaoxiaozudingli,tishengduipianqushipinweishengqingkuangjiandutigongfuwuyujigoujulianjieyujianyi,chixu“zaofaxianle、zaoliaofa💃、zaoguodu”fangshi,shulipianqushipinweishengqingkuangjiandutigongfuwuyujigouju“kouanshangyi”zuoyong。
(一)促進新冠危重早得知
gejiedaobanweishengqingkuangtigongfu𓆉wuyiliaojigouyitihuajucunwei🎃,gaohaoduixinguanganqizhedejiankangbaojianshujupinggu,gengshiyaogewaizhongshishizhongzhongzhizhongcunnianlingduanganqizhe,zaiyangezhixing“yi、er、san”jifuwuguanlidegenjixingshang,yaozhongzhongzhizhongcungaohaoxinguanbingzhengyugenjixingxingzhongdajibingbingzhengbianqiandeshujupinggu。
zuohaoduixinguanhuanshangzheyangquyuwendingdupinggu。gejiedaobanshichubaozhangxingzhanganjingbaozhangxinggouzaoyaorenyuanhelipeizhizuliangdezhijiashimoboxueyangyi(yixiasuoxieyingwenzhiyangyi),zhuahaomeiweijiedaobanshichubaozhangxingzhanganjingbaozhangxingzhonghefenzhongzuihaobuyaorenyuanhelipeizhi20gewangshang、meiweijiedaobanshichubaozhangxingzhanganjingbaozhangxingzhanhecunganjingshizuihaobuyaorenyuanhelipeizhiergewangshang,meiweijucunweizuihaobuyaorenyuanhelipeizhi4gewangshang。huiweimeiweidejiatingmazuiyishengchuangyetuanduirenyuanhelipeizhiyixie zhanbidezhiyangyi,jiaojiehaojucunweijingshenliliang,jiangyangquyuwendingduping🍰gulierutebieshixiaofeiqunhuanshangzhedaduosuifangyouxineirong。gejiedaobanshichubaozhangxingzhanganjingbaozhangxinggouzaoyaojijidiyi𝔍tihuajucunwei,wei66suiwangshangyouxinguanaizibingduhuanshangweizhongfengxiancunzaiqiejinxingbubianyudetebieshixiaofeiqunshouquzhiyangyi,zhidingfanganjiayongjiancexueyangquyuwendingdu。
(二)深化新冠危重癥早診治
yaoyituoyushi、quqiangjiuyixuelingdaoxiaozuhuoli,guanchezhixingjuweihuianquanweisheng🍨fuwuxingjiegouduixinguanpifubingduxiedaizheduizhengxiayaohuanjie,huanyoujianyangdazai、yangliao、guashui、xiaotuanhuoyaopinanquanshiyong、zujianjiayongyiyuanbingfangdeng。
1.做好針對性的治療。geshiquanquanshipinhuanjingganjingguanlishipinhuanjingganjingguanliweihuiweipianqushipinhuanjingganjingyewuxiangmuyuguanlianquanshipinhuanjingganjingguanliyewuxiangmuyugongsixuanpeirenshuheshidedeco2dai、co2pingyuzhiyangjidengzhuangzhi,baochisuishiweiyiyuanmenzhenbuhuaner、jujiayanglaoyewuxiangmuzhiliaohuanerchushiyangliaohuoco2baozhuangyewuxiang🐈muyu。gepianqushipinhuanjingganjingyewuxiangmuyuguanlianquanshipinhuanjingganjingguanliyewuxiangmuyupingtai、fenpingtaijunyaoyunxinghuanjingyiyuanmenzhenbu“xiyangqu”;pianqushipinhuanjingganjingyewuxiangmuyuguanlianquanshipinhuanjingganjingguanliyewuxiangmuyuzhanyucunanquanshipinhuanjingganjingguanlishililunyijushangjunyaogenjudangxiaanzhuangdidiangerenkongjian,yunxinghuanjingco2guan,chushi“yangliao”yewuxiangmuyu,goumanzuzhuhujuminbenshiyangliaoyewuxiangmuyushichangxuqiu。zuozuowuhuaxiruzhiliao,gepianqushipinhuanjingganjingyewuxiangmuyuguanlianquanshipinhuanjingganjingguanliyewuxiangmuyupingtai、fenpingtaililunyijushangjunyaochushizuowuhuaxiruzhiliaoyewuxiangmuyu。tongyi,lejieranbingzheyangfenpinguozhichi,shigongshentishanshijiegouzhiyin,anguichengtuijinguashuidengfuwuzhiliang,yizhiweizhonghuichuxianfengxianyinhuan。
2.立即施用抵抗疾病解藥物調理。duizhongdianqunzhongfukexiedaizheliyongpingding,zaixianchengzhuanjiazuzhiyinxia,duijubeitiaojiandefukexiedaizhe,jishizhiyinliyongkangbingxingjieyaowu,tixiantiꦇzaojiuzheng。
3.全面推動中醫改善意義。chizhiyihengzhongxiyiyigoujian、yixueyaoℱlianyong,jiakuaituijin“sanyaochengbaofang”dengcaoyaozaishequjuweihuiyiliaoqingkuanghuanjingweishengqingkuangfuwuyupeixunzhuangzhidezhuangbeihexuanyong。geshequjuweihuiyiliaoqingkuanghuanjingweishengqingkuangfuwuyupeixunzhongxinjuyaoyingduixinguanmumagandongfenleichuqizhengzhuang,lvsefazhanlinian,bianzhengshizhi。dingzhu“zao”“kuai”dedeyuanze,rangzhongxiyao😼zaixinguanruchongxijunhuobingduderuqinzhiyuantiqianzhongqiganjinjierugenzhigenzhi,suishidiyuqingzhengbingyuanxiangchaozhongxing、weichaozhongxingfazhan。
(三)促進新冠危重癥早分離
1.有效配合轉診。duixinguanbingzhenghuohexinxingchangdaojibingbianzhongderanbingzhe,geshequfuwuguanliguanlizhongxinhuanjingweishengfuwuguanliguanlizhongxin、renjiayiyuanyishengkaifatuanduixuyonghao120yingjishouxianzhuanhuashenlvsetongchang,weituoganqizhemashangzhuanzhen。duiyuneixiejicenggongzuoshouzhendebingqingbijiaozhongdeshihouaimeizhe,yaoduanshijianneizhunqueduzhenbie,yaogenjushijixiaoguoshijishiyongqingkuang,mashanggongyang,liyongjijitaidujijiuzhengce,jinkenengdadaoaimeizhebaobao൩linchuangbiaoxianwendingxing,zaiyihurensuituanxiamashangzhuanzhen。
2.方便群眾橫向轉診。gepingtaishipinweishengjianfuwuzhiliangzhuyaoyinlingdiyuxingshequyiliaoweishengzhu、yiliantishangyijizhensuo,changtongwuzuxinguanzhiliaojiaochazhuanzhentongchang,gegequshipinweishengjiangengjiankangwei、geshequyiliaoweishengxuexiaoyaopanbiezerenrenchengjiezhuanzhen♌zhiye,youhuabingqingbijiaozhongdeshihoukehuzhuanzhenbuzou,zengjiazhuanzhenzhiliang。lingwai,yaochongpeijifaxinxichaxunhuazhichenggongneng,yunyongwuxianjiezhen、wuxianjianyandengfangfa,keyiyouxiaoquebaokehuhuoquxunsukeyiyouxiaozhiliao。
duijiedaogongzuozhananquangongzuogongsidianshangzhuanxinguanpifubingduxiedaizhe,youqishishitebieleirenpifubingduxiedaizhe,shangjibumenlingdaochongwuyiyuanyishengyaozujianshouzhilvlutongdao。zaishangjibumenlingdaochongwuyiyuanyishengshunliwanchengfashengjixingzhengzhuanggaishanhou,shiqingbaochiwendingdepifubingduxiedaizhekexiahuandaojie𓄧daogongzuozhananquangongzuogongsidianchanfang,ꦚjiedaogongzuozhanyiwurengongyaojinruzhuanzhenzhuyishixiang,zuogongzuoguanli。
quxianwendingwendingweiyingchengxiangyiyongbaoxianguanpianquneixianjiduozhongyiyonggongsifangjianhuoxuchuangpuziyuangongxiang,yijubuyiyangjiyiyonggongsifangjianhuoxuchuangpugongnengxingdingweixitong,chuangjianchengxiangyiyongbaoxian、gezhongleixingbianyongdedekaohejizhi,yaochengxiangyiyongbaoxianzuzhiguanpianquneixianjiduozhongyiyonggongsiyiwukaosheng,zaixiapaiꦆruzhu、weituodailijiaojiedengfangfa,zhijipianquwendinggongnengxinggongsizhenshigongnengxing。baokuobingfangdepianquwendinggongnengxinggongsi,jinshihoufangjianhuoxuchuangpubianyongdelvyingwancheng95%zhishang,weikuaisushezhibingfangdepianquwendinggongnengxinggongsi,duifuheyaoqiushoushuzhizhengdegandongzhe,yingzai💎putongjiatingbingfangnenggoumanzujiatingshenghuozhenliaosuoxu。
si、qianghuashequfuwuzhongxintuchunianlingcengzhenliaoziyuanxingshehuitongchouhexiechengdanbao
(一)充沛助推街鎮網格化監管共識機制
gejuweiganjinghuanjingweishengyewuguanliyuzhongxinyaozhudongquanxianjiegejiezhen、jucunwei,jiayichentuojiezhenwanggehuajianlizhiduyuanze,fahuichujiezhen、jucunweiweihexinfanying,kaizhanduizhongdiannianlingduanjuweijianlizhidu,zuohaodejiankangbaojianjiancefanganyudongtaitupianyewuguanliyu。chentuo“juweiwurenxiezuozu”shangbanyuanze,kaizhanduizhongdiannianlingduandebaobaolianxi。gejuweiganjinghuanjingweishengyewuguanliyugouzaoyaojijipeihejiezhen♕,yijuqukongfangban൩shangbananpaibushu,zuohaoduibashisuigugualaoyeye、youtiaojianxingjibingyuanzhedengweizhongzhengfengxianxingxingnianlingduanheshengcunweijishaonianertongdengnianlingduan“dejiankangbaojianbao”paifa,fengongxiezuojucunwei,tishengduidujushenghuogugualaoyeye、jinyubingcansunbeitongyichangzhulaolingrenrendetaizhanglianxi。
(二)進一步強化范圍醫療衛生資源性統籌規劃作為支撐點
gechengqushipinhuanjingweishengjianxuedejiankangweiyaopinghengguihuajuminqugexiangyixueyiyuanyishiguanli,jiezhuchendixunzhen、gongrenguanlipaizhu、dajianyuanzhanyixuefengongxiezuowangdengxingshi,wanchengdicengyuangongyi❀xueshipinhuanjingweishengjianxueyiyuanlaowuguogaoshiqing,yibaozhengtebiexinguanjiuzhuyewupingjingjinxing。yikaochengquerjijiuzhuzhongyizhuanjiatuanheshangsiyixueyiyuanshejidaoxunhuizhiyinjizhihua,duitebieshipinhuanjingweishengjianxueyewuyiyuanjinxingjishugongyizhiyin,peixunkechengdicengyuangongyishiguanliguanliguifanyunyongxiaoyuanziheyaohezhongyaopeifang“sanyaosanfangxieyishu”,yitigaozijidi🍌cengyuangongfangweizhongzhenggongneng。qieshijiaqiangyixueyingjiziyuandepinghengguihua,yanchangyixueyingjijidongcheliangyuliduxuanpei,weitebieshipinhuanjingweishengjianxueyewuzhongyang、qiyeyakeyishengxiangmutuanduidajianyouxianquanjiyunqudao。
(三)繼續加強基層員工醫務工作員培訓教育
zhenghezhuchengquliangjijiuhuzhuanyequnzhongkongℱzhizu,jianlicaiqubiaocengyiyuanhuliqunzhongkongzhixuexixize,tuijinwangshangyingxiao、xianxiahuodong、lingtouyiyuanqingxiedaijiaodenghaojizhongxuexi。wanquangenjuguojiade、shilidengxiangguandeyingwenxuexichengben,jijitaiduzuzhibiaocengyiyuanhuliqunzhongkongzhijiaruxuexi。zengjiachouyangjianyan,biaozhunxuexikaocha,weilebaozhengxuexixiaoguohao,shibiaocengyiyuanhuliqunzhongkongzhi(baokuoshancunyakeyisheng)zaiyinianqihoujubeijubeixinguanzhongdaqunzhongdingjizhongleifuwuxiangmucuoshi、chuanranzhengzhuangliuyi、chuanranzhezaijiakongzhihegenzhi、zhongyixueyaojiuhuhekangfuzhanzhensuo、diyangxuezhengzaoqishihoufajue、xihunandepinggubaogaogeshihezhenzhicuoshi、zhiyangyideliyong、weizhongyaozhuanzhenyuanzexiangyingxiaoyangfenzileiyaodebushiyingzhenghejingzhunliyongcuoshideng。
(四)進一步強化新冠救護廢舊物資保障機制
quxianlvsejiankanglvsejiankangweiyaojiyuquyulvsejiankangfuwupingtai、cunlvsejiankangshifuwurenkoutongji、shengjizhongdianhuanzhedishudengzhengzhuang,peizujiuhugongchengyingjigongchengshebeicaigou,baohanqireyiliaoshebeixuexiaoyiyao、xiyao、kangyuanpanduanhuaxueyaopin、kangchongduwuwu、zhiyangyideng,bingqiehequyubingdubingduganranzheshujugaibian,dongtaixinxidiaozhenganquanbaozhang,anquanbaozhanggongchengyingjigongchengshebeicaigouanquanbaozhang。zirandilixuanzhipianpi、jiaoxingbu🎶lidequyulvsejiankangfuwupingtai、cunlvsejiankangshiyaofenpibeizuliaofayaowuzhiliaoheyifanggongchengyingjigongchengshebeicaigou。zhiliyujiebian、jucunwei,yuyiliaoshebeixuexiao、yaodiandengkuaijiezixunrexian,jiyushijiqingkuanghuanyaojinliangxiangshandongnongcundongnanbuwaixiechanshengjiuhugongchengyingjigongchengshebeicaigou。
(五)公交實時理解事業的動態
gexianquganjingqiantilvseweiyaosuishizuodaoshequjuwei🍬huijuweihuiganjingqiantideanquanfuwuzhiliangjigouzhengchangyunxing、deanquanfuwuzhiliangqiantihekuodaqiantidengxindongtaishujubiaogetance,24xiaoshigongjiaoshulianzhangwoshequjuweihuijuweihuishengwenyiyongqianti、chanpinheyiqicunchushiyongqianti、cezhongxiaofeiqundeanquanfuwuzhiliangqiantideng,duizhenquyunxingyouguzhang huoyunxingchizhidechangsuo24xiaoshigongjiaoshengchandiaodu。chongpeiqiaoyongziliaohuajishushebei,tinggaoyunxingxiaoguo,jiandixiajicengyilai,zhijiezhibaoguonei、shengjiyaoyoudexindongtaishujubiaogeshujubiaogeheziliao。
(六)抓好街道社區醫務工人考慮關懷
quxiandejiankangdejiankangweiyaozhuliwanchengyigeguojiahebendixiangguanguanqieguanhuaiyishiguanlibanfa,buduanjiaqiangduiquyudejiankangdetigongfuwuzhiliangdetigongfuwuguanlizhongxindechengqi、zhiliangbaozhangjizhi。helifenpeifenpeiyudiaozhiquyuyishiguanli,ganhaoyishiguanlirenshengdetigongfuwuzhilianghehouqinbumenzhiliangbaozhangjizhi。anguichengwanchengduiquyuyishiguanlibutiejinyuqiyemazuiyishengqianhetongdetigongfuwuzhiliangfeicixingzhuanxiangjihuayewuyubeiꦐfei,jilijizhiquyuyishiguanliquanshenxingxinzijintouruquyuxinguanjijiuyewu。
(七)不斷加強權利與義務完成和督察綜合考核
geshiqujiankangjiankangbaojianjiankangjiankangbaojianweiyaogaohaozuzhishenrutuijinlingdaoren,zhuyihuitiantuzhizeshiguzhuangyiwu,qingchubumenzhizeshiguzhuangyiwuhe🎃deshijierenwuzuzhijiagou,youbaozhanggongzuoqiantitiaojian。yaogaohaoduiqujigongzuoshenrutuijinshijiqingkuanghezhize😼shiguzhuangyiwuguanchezhixingshijiqingkuangdejiandujiancha,jianlilianxigongzuomingxibiaobiaoge,zhidingchudeshijierenwumingxibiao、yixiewentimingxibiao、zhizeshiguzhuangyiwumingxibiao。yaojiangdangqianyunzhuanganhaojichengtebiexiaofeiqunzuixinfuwuguanli、jiaqiang“jiankangbaojiankangjiankangbaojian、fangbingqingbijiaozhongdeshihou”tiexindeshouhoufuwugongzuoshenrutuijinshijiqingkuanghexiaoguoyushejidaotebiegongzuodepanduan、chengbenhelianpai、pingxianpingxuandengxiangkakou,jinyibufahuichulaipanduanguwuyinlinggongneng。
foshanshiqingjieweishengjiankangshenghuofenweihuihui
&🥃nbsp; 2023nian2yue8ri