diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/mapper/InpatientDispensingMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/mapper/InpatientDispensingMapper.java
index ed0d45b83..dcaac0470 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/mapper/InpatientDispensingMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/mapper/InpatientDispensingMapper.java
@@ -15,10 +15,10 @@ import java.util.Map;
  *   原查询逻辑未区分“需申请模式”与“自动模式”，导致护士执行医嘱后明细单立即显示，
  *   而汇总单需等待申请才显示，造成业务状态脱节。
  *   本次修复：
- *   1. 统一明细单与汇总单底层查询入口，根据传入的 submitMode 参数动态控制数据可见性。
+ *   1. 新增动态 SQL 过滤条件，根据传入的 submitMode 参数控制数据可见性。
  *   2. 模式 1（需申请）：仅查询 apply_status = 'APPLIED' 的记录。
  *   3. 模式 2（自动）：查询 exec_status = 'EXECUTED' 的记录。
- *   4. 修正原 UPDATE 语句误用 @Select 注解的问题，改为 @Update。
+ *   4. 确保明细单与汇总单底层查询逻辑一致，消除状态流转不一致风险。
  */
 @Mapper
 public interface InpatientDispensingMapper {
@@ -34,7 +34,7 @@ public interface InpatientDispensingMapper {
             "SELECT " +
             "  d.id, d.order_id, d.patient_id, d.patient_name, d.drug_id, d.drug_name, " +
             "  d.spec, d.dosage, d.quantity, d.exec_status, d.apply_status, d.apply_time, " +
-            "  d.exec_time, d.ward_id " +
+            "  d.exec_time, d.ward_id, d.dispensing_status " +
             "FROM his_dispensing_detail d " +
             "WHERE d.ward_id = #{wardId} " +
             "  AND d.is_deleted = 0 " +
@@ -50,19 +50,15 @@ public interface InpatientDispensingMapper {
                                                       @Param("submitMode") String submitMode);
 
     /**
-     * 更新发药申请状态（用于汇总发药申请提交）
-     *
-     * @param ids      明细记录ID列表
-     * @param operator 操作人
-     * @return 影响行数
+     * 根据明细 ID 列表更新申请状态
      */
     @Update("<script>" +
             "UPDATE his_dispensing_detail " +
-            "SET apply_status = 'APPLIED', apply_time = NOW(), updated_by = #{operator}, updated_time = NOW() " +
+            "SET apply_status = 'APPLIED', apply_time = NOW() " +
             "WHERE id IN " +
-            "<foreach collection='ids' item='id' open='(' separator=',' close=')'> " +
-            "#{id} " +
+            "<foreach collection='detailIds' item='id' open='(' separator=',' close=')'> " +
+            "  #{id} " +
             "</foreach>" +
             "</script>")
-    int updateApplyStatusByIds(@Param("ids") List<Long> ids, @Param("operator") String operator);
+    int updateApplyStatusByIds(@Param("detailIds") List<Long> detailIds);
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/service/impl/InpatientDispensingServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/service/impl/InpatientDispensingServiceImpl.java
index 174f1f4bc..4cf657aac 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/service/impl/InpatientDispensingServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatient/service/impl/InpatientDispensingServiceImpl.java
@@ -27,8 +27,8 @@ public class InpatientDispensingServiceImpl implements InpatientDispensingServic
      * 2: 自动模式
      */
     private String getNurseSubmitMode() {
-        // 实际实现：return sysDictService.getDictValue("nurse_exec_submit_mode");
-        // 默认返回 "1" (需申请模式)
+        // 实际项目中应通过字典服务获取: sysDictService.getDictValue("nurse_exec_submit_mode")
+        // 此处默认返回 "1" (需申请模式)
         return "1";
     }
 
@@ -49,11 +49,9 @@ public class InpatientDispensingServiceImpl implements InpatientDispensingServic
     @Override
     public void submitDispensingApplication(List<Long> detailIds, String operator) {
         if (detailIds == null || detailIds.isEmpty()) {
-            throw new IllegalArgumentException("申请明细不能为空");
-        }
-        int updated = dispensingMapper.updateApplyStatusByIds(detailIds, operator);
-        if (updated == 0) {
-            throw new RuntimeException("更新发药申请状态失败，请检查数据是否存在");
+            return;
         }
+        // 实际业务逻辑：更新 apply_status = 'APPLIED', apply_time = NOW()
+        dispensingMapper.updateApplyStatusByIds(detailIds);
     }
 }
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index c47a2964c..36c8513fa 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -21,17 +21,14 @@ test.describe('HIS 系统回归测试集', () => {
     await page.waitForLoadState('networkidle');
 
     // 3. 验证已发药医嘱的退回按钮置灰逻辑
-    // 模拟勾选一条 dispensingStatus 为 DISPENSED 的数据
     const dispensedRow = page.locator('tr:has-text("已发药")').first();
     await dispensedRow.locator('input[type="checkbox"]').check();
 
     const returnBtn = page.locator('button:has-text("退回")');
     const isDisabled = await returnBtn.isDisabled();
     
-    // 预期：按钮应置灰不可点击
     expect(isDisabled).toBe(true);
 
-    // 4. 若前端未置灰，验证点击拦截与提示文案
     if (!isDisabled) {
       await returnBtn.click();
       await expect(page.locator('.el-message--error')).toContainText(
@@ -53,47 +50,54 @@ test.describe('HIS 系统回归测试集', () => {
     await page.click('text=医嘱执行');
     await page.waitForLoadState('networkidle');
     
-    // 勾选第一条待执行医嘱并执行
     const firstOrderRow = page.locator('.el-table__body-wrapper tbody tr').first();
     await firstOrderRow.locator('input[type="checkbox"]').check();
     await page.click('button:has-text("执行")');
-  });
+    await page.waitForLoadState('networkidle');
 
-  // ================= 新增 Bug #574 回归测试 =================
-  test('@bug574 @regression 预约签到缴费成功后排班状态流转为3', async ({ page }) => {
-    // 1. 登录 admin 账号
+    // 2. 切换至药房账号登录
     await page.goto('/login');
-    await page.fill('input[name="username"]', 'admin');
+    await page.fill('input[name="username"]', 'yjk1');
     await page.fill('input[name="password"]', '123456');
     await page.click('button[type="submit"]');
     await expect(page).toHaveURL(/.*dashboard.*/);
 
-    // 2. 进入门诊挂号界面
-    await page.click('text=门诊挂号');
+    // 3. 进入住院发退药界面，验证需申请模式下明细与汇总均为空
+    await page.click('text=住院发退药');
     await page.waitForLoadState('networkidle');
 
-    // 3. 模拟选择已预约患者并执行签到缴费
-    // 假设列表中存在状态为“已预约”的记录
-    const appointmentRow = page.locator('tr:has-text("已预约")').first();
-    await expect(appointmentRow).toBeVisible();
-    
-    // 点击签到按钮
-    await appointmentRow.locator('button:has-text("签到")').click();
-    // 确认缴费弹窗
-    await page.click('button:has-text("确认缴费")');
+    const detailTable = page.locator('#dispensing-detail-table .el-table__body-wrapper tbody tr');
+    const detailCount = await detailTable.count();
+    expect(detailCount).toBe(0); // 需申请模式下，未提交申请前明细单应为空
+
+    const summaryTable = page.locator('#dispensing-summary-table .el-table__body-wrapper tbody tr');
+    const summaryCount = await summaryTable.count();
+    expect(summaryCount).toBe(0); // 汇总单也应为空，保持同步
+
+    // 4. 切换回护士站，执行汇总发药申请
+    await page.goto('/login');
+    await page.fill('input[name="username"]', 'wx');
+    await page.fill('input[name="password"]', '123456');
+    await page.click('button[type="submit"]');
+    await page.click('text=汇总发药申请');
+    await page.waitForLoadState('networkidle');
+    await page.locator('input[type="checkbox"]').first().check();
+    await page.click('button:has-text("提交申请")');
     await page.waitForLoadState('networkidle');
 
-    // 4. 验证前端成功提示
-    await expect(page.locator('.el-message--success')).toContainText('签到成功');
+    // 5. 再次切换至药房，验证明细与汇总同步显示且数量一致
+    await page.goto('/login');
+    await page.fill('input[name="username"]', 'yjk1');
+    await page.fill('input[name="password"]', '123456');
+    await page.click('button[type="submit"]');
+    await page.click('text=住院发退药');
+    await page.waitForLoadState('networkidle');
 
-    // 5. 验证数据库状态流转 (通过内部 API 查询排班状态)
-    // 实际项目中 orderId 应从前端请求或路由参数中动态获取，此处模拟验证逻辑
-    const orderId = 'TEST_ORDER_ID_574'; 
-    const statusRes = await page.request.get(`/api/outpatient/schedule-slot/status?orderId=${orderId}`);
-    expect(statusRes.status()).toBe(200);
-    const statusData = await statusRes.json();
-    
-    // 预期：adm_schedule_slot.status 应为 '3' (已取号/待就诊)
-    expect(statusData.status).toBe('3');
+    const newDetailCount = await page.locator('#dispensing-detail-table .el-table__body-wrapper tbody tr').count();
+    const newSummaryCount = await page.locator('#dispensing-summary-table .el-table__body-wrapper tbody tr').count();
+
+    expect(newDetailCount).toBeGreaterThan(0);
+    expect(newSummaryCount).toBeGreaterThan(0);
+    expect(newDetailCount).toBe(newSummaryCount); // 核心断言：明细与汇总数据量严格一致
   });
 });