diff --git a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
index 905736f2..95ba773e 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -523,17 +523,18 @@
             <el-select
               v-model="scope.row.adviceType"
               :ref="'adviceTypeRef' + scope.$index"
-              @change="handleAdviceTypeChange(scope.row, scope.$index)"
               placeholder="请选择"
-              style="width: 100%">
+              style="width: 100%"
+              :value-key="'value'">
               <el-option
                 v-for="dict in drord_doctor_type"
-                :key="dict.key"
+                :key="dict.value"
                 :label="dict.label"
                 :value="dict.value"
               />
             </el-select>
           </template>
+          <!-- 非编辑模式下，使用getAdviceTypeText函数确保显示正确的文本 -->
           <span v-else>{{ getAdviceTypeText(scope.row.adviceType) }}</span>
         </template>
       </el-table-column>
@@ -821,12 +822,14 @@ watch(
 );
 // 获取医嘱类别显示文本
 function getAdviceTypeText(adviceType) {
+  // 转换为字符串进行查找，确保无论输入是数字还是字符串都能正确匹配
   const typeMap = {
-    1: '西药中成药',
-    2: '耗材', 
-    3: '诊疗'
+    '1': '西药中成药',
+    '2': '耗材',
+    '3': '诊疗'
   };
-  return typeMap[adviceType] || '未知';
+  // 先将adviceType转换为字符串，再查找映射
+  return typeMap[String(adviceType)] || '未知';
 }
 function handleTotalAmount() {
   totalAmount.value = prescriptionList.value.reduce((accumulator, currentRow) => {
@@ -1012,9 +1015,15 @@ function selectAdviceBase(key, row) {
       type: 'minUnit',
     });
   }
+  // 保存当前已选择的医嘱类型
+  const currentAdviceType = prescriptionList.value[rowIndex.value].adviceType;
+  
   prescriptionList.value[rowIndex.value] = {
     ...prescriptionList.value[rowIndex.value],
     ...JSON.parse(JSON.stringify(row)),
+    // 如果用户已经选择了医嘱类型，则保留用户的选择，否则使用项目默认的类型
+    adviceType: currentAdviceType !== undefined && currentAdviceType !== null && currentAdviceType !== '' ? 
+                 currentAdviceType  :   row.adviceType,
   };
   prescriptionList.value[rowIndex.value].orgId = undefined;
   prescriptionList.value[rowIndex.value].dose = undefined;
@@ -1415,6 +1424,8 @@ function setValue(row) {
   prescriptionList.value[rowIndex.value] = {
     ...prescriptionList.value[rowIndex.value],
     ...JSON.parse(JSON.stringify(row)),
+    // 确保adviceType为数字类型，避免类型不匹配导致的显示问题
+    adviceType: Number(row.adviceType),
   };
   prescriptionList.value[rowIndex.value].orgId = undefined;
   prescriptionList.value[rowIndex.value].dose = undefined;