diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/adviceBaseList.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/adviceBaseList.vue
index 8bc5c4de9..0b45d8302 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/adviceBaseList.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/adviceBaseList.vue
@@ -131,7 +131,8 @@ function getList() {
         }
       });
     })
-    .catch(() => {
+    .catch((err) => {
+      console.warn('医嘱基础信息加载失败:', err);
       adviceBaseList.value = [];
     })
     .finally(() => {
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
index 177d23461..31d9c894b 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -952,7 +952,9 @@ function handleChange(value) {
       // 修复Bug #486：当行没有显式选择医嘱类型时（row?.adviceType为undefined），
       // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
       const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
-      tableRef.refresh(adviceType, categoryCode, value);
+      // 修复Bug #453：当adviceType为空字符串或NaN时，不传具体类型，让refresh函数根据searchKey决定搜索范围
+      const effectiveAdviceType = (adviceType && !isNaN(Number(adviceType))) ? adviceType : '';
+      tableRef.refresh(effectiveAdviceType, categoryCode, value);
     }
   }
 }