diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java
index a19db731..24c93272 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java
@@ -147,10 +147,9 @@ public class CurrentDayEncounterDto {
     private String operatorName;
 
     /**
-     * 退号操作工号
+     * 退号操作工号（用户账号）
      */
-    @JsonSerialize(using = ToStringSerializer.class)
-    private Long operatorId;
+    private String operatorId;
 
     /**
      * 退款金额
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
index ec489fd1..c915f408 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
@@ -96,7 +96,7 @@
                         T14.bill_date      AS return_date,
                         T14.refund_reason  AS return_reason,
                         T15."name"         AS operator_name,
-                        T14.enterer_id     AS operator_id,
+                        T17.user_name      AS operator_id,
                         ABS(T14.display_amount) AS refund_amount,
                         T6.contract_no     AS contract_no,
                         T16.refund_method  AS refund_method
@@ -134,6 +134,7 @@
                                         AND T14.status_enum = 3
                                         AND T14.payment_enum = 1
                           LEFT JOIN adm_practitioner AS T15 ON T15.ID = T14.enterer_id AND T15.delete_flag = '0'
+                          LEFT JOIN sys_user AS T17 ON T17.user_id = T15.user_id AND T17.delete_flag = '0'
                           -- 关联退号支付详情，获取退款方式（聚合多个支付方式）
                           LEFT JOIN (
                              SELECT reconciliation_id,
diff --git a/openhis-ui-vue3/src/store/modules/user.js b/openhis-ui-vue3/src/store/modules/user.js
index 5b9afd02..95c79331 100644
--- a/openhis-ui-vue3/src/store/modules/user.js
+++ b/openhis-ui-vue3/src/store/modules/user.js
@@ -52,7 +52,7 @@ const useUserStore = defineStore(
               this.roles = ['ROLE_DEFAULT']
             }
             this.id = user.userId
-            this.name = user.userName
+            this.name = user.userName // 用户账号（对应数据库的user_name字段，如'admin'）
             this.orgId = user.orgId
             this.orgName = user.orgName
             this.nickName = user.nickName
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue
index 9dbfc1a1..fe8d6b8c 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue
@@ -206,9 +206,10 @@ function submit() {
   // 获取当前时间作为退号操作日期
   const returnDate = formatDateStr(new Date(), 'YYYY-MM-DD HH:mm:ss');
   
-  // 获取当前用户信息作为操作工号（使用用户管理中的用户编号）
-  const operatorId = userStore.id || null;
-  const operatorName = userStore.name || userStore.nickName || '';
+  // 获取当前用户信息作为操作工号（使用用户管理中的用户账号）
+  // userStore.name 对应后端的 userName（用户账号），如 'admin'
+  const operatorId = userStore.name || null; // 退号操作工号（用户账号）
+  const operatorName = userStore.nickName || userStore.name || ''; // 退号操作人姓名
   
   // 计算退款总金额
   const refundAmount = formData.selfPay.reduce((sum, item) => sum + (Number(item.amount) || 0), 0);