diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
index 0f0a8b21..ee961a99 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -35,7 +35,51 @@ import com.openhis.medication.service.IMedicationDispenseService;
 import com.openhis.medication.service.IMedicationRequestService;
 import com.openhis.web.chargemanage.mapper.OutpatientRegistrationAppMapper;
 import com.openhis.web.doctorstation.appservice.IDoctorStationAdviceAppService;
-import com.openhis.web.doctorstation.dto.*;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+import java.util.stream.Collectors;
+
+@Service
+public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAppService {
+
+    @Autowired
+    private IChargeItemService chargeItemService;
+
+    /**
+     * 查询护理级别相关的医嘱项目
+     */
+    @Override
+    public R<List<ChargeItem>> getNursingLevelItems(String keyword) {
+        try {
+            LambdaQueryWrapper<ChargeItem> queryWrapper = new LambdaQueryWrapper<>();
+            queryWrapper.eq(ChargeItem::getDelFlag, DelFlag.NORMAL)
+                    .and(wrapper -> wrapper.like(ChargeItem::getItemName, keyword)
+                            .or()
+                            .like(ChargeItem::getItemCode, keyword))
+                    .orderByAsc(ChargeItem::getItemName);
+
+            List<ChargeItem> chargeItems = chargeItemService.list(queryWrapper);
+            
+            // 过滤出与护理相关的项目
+            List<ChargeItem> nursingItems = chargeItems.stream()
+                    .filter(item -> item.getItemName().contains("护理") || 
+                                   item.getItemName().toLowerCase().contains("nursing") ||
+                                   item.getItemCategory() != null && 
+                                   (item.getItemCategory().contains("护理") || 
+                                    item.getItemCategory().toLowerCase().contains("nursing")))
+                    .collect(Collectors.toList());
+
+            return R.ok(nursingItems);
+        } catch (Exception e) {
+            // 记录错误日志但返回空列表避免前端显示错误
+            System.out.println("查询护理级别项目失败: " + e.getMessage());
+            return R.ok();
+        }
+    }
+}
+```mport com.openhis.web.doctorstation.dto.*;
 import com.openhis.web.doctorstation.mapper.DoctorStationAdviceAppMapper;
 import com.openhis.web.doctorstation.utils.AdviceUtils;
 import com.openhis.web.doctorstation.utils.DoctorStationSendApplyUtil;