diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue
index b721af68..6db9e65d 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue
@@ -350,7 +350,7 @@
 </template>
 
 <script setup name="PatientAddDialog">
-import { watch } from "vue";
+import { watch, defineProps } from "vue";
 import pcas from 'china-division/dist/pcas-code.json';
 import { addPatient, patientlLists, getOutpatientRegistrationList } from './outpatientregistration';
 import { fromPairs } from 'lodash';
@@ -587,19 +587,19 @@ const validateIdCard = (rule, value, callback) => {
 
 // 监护人信息条件验证函数
 const validateGuardianInfo = (rule, value, callback) => {
-  // 只有当年龄小于18岁时才验证监护人信息
+  // 只有当年龄小于规定年龄时才验证监护人信息
   if (form.value.age) {
     // 提取年龄数字部分
     const ageMatch = form.value.age.toString().match(/\d+/);
     if (ageMatch) {
       const age = parseInt(ageMatch[0]);
-      // 如果年龄小于18岁，监护人信息必须填写
-      if (age < 18 && !value) {
-        return callback(new Error('年龄小于18岁的患者必须填写监护人信息'));
+      const guardianAgeValue = parseInt(props.guardianAge) || 16;
+      // 如果年龄小于规定年龄，监护人信息必须填写
+      if (age < guardianAgeValue && !value) {
+        return callback(new Error(`年龄小于${guardianAgeValue}岁的患者必须填写监护人信息`));
       }
     }
   }
-  // 18岁及以上患者或年龄未填写时，跳过验证
   callback();
 }
 
@@ -658,6 +658,10 @@ const props = defineProps({
     type: Object,
     required: false,
   },
+  guardianAge: {
+    type: String,
+    default: '18'
+  }
 });
 
 // 处理出生日期变化，自动计算年龄
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index a3b132d2..69c3113b 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -620,7 +620,7 @@
       :searchInfo="form.searchKey"
       @submit="setForm"
     />
-    <patient-add-dialog ref="patientAddRef" @submit="setForm" />
+    <patient-add-dialog ref="patientAddRef" @submit="setForm" :guardian-age="guardianAgeConfig" />
     <ChargeDialog
       :open="openDialog"
       @close="handleClose"
@@ -696,8 +696,11 @@ import ReprintDialog from './components/reprintDialog.vue';
 import { handleColor } from '@/utils/his';
 import useUserStore from '@/store/modules/user';
 import { formatDate, formatDateStr } from '@/utils/index';
+import { getConfigKey } from '@/api/system/config';
 
 const patientInfo = ref({});
+// 监护人规定年龄配置
+const guardianAgeConfig = ref(null);
 
 // 跳转到患者档案管理页面
   const goToPatientRecord = () => {
@@ -1581,6 +1584,19 @@ getList();
 getContract();
 // getConditionDefinition();
 getLocationInfo();
+// 获取监护人规定年龄配置
+async function loadGuardianAgeConfig() {
+  try {
+    const response = await getConfigKey('guardianAge');
+    if (response.code === 200) {
+      guardianAgeConfig.value = response.data;
+    }
+  } catch (error) {
+    console.error('获取监护人规定年龄配置失败:', error);
+  }
+}
+// 组件加载时获取配置
+loadGuardianAgeConfig();
 </script>
 <style scoped>
 .el-form--inline .el-form-item {