diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/OutpatientRecordServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/OutpatientRecordServiceImpl.java
index c35f8d833..2e04fa4a2 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/OutpatientRecordServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/OutpatientRecordServiceImpl.java
@@ -86,7 +86,12 @@ public class OutpatientRecordServiceImpl implements IOutpatientRecordService {
             
             // 处理就诊对象状态筛选
             if (outpatientRecordSearchParam.getSubjectStatusEnum() != null) {
-                queryWrapper.eq("enc.status_enum", outpatientRecordSearchParam.getSubjectStatusEnum());
+                if (outpatientRecordSearchParam.getSubjectStatusEnum() == 0) {
+                    // 前端选择"无状态"(0)时，过滤 status_enum IS NULL 的记录
+                    queryWrapper.isNull("enc.status_enum");
+                } else {
+                    queryWrapper.eq("enc.status_enum", outpatientRecordSearchParam.getSubjectStatusEnum());
+                }
             }
             
             // 处理医生姓名查询（支持模糊查询）
diff --git a/openhis-ui-vue3/src/views/patientmanagement/outpatienrecords/index.vue b/openhis-ui-vue3/src/views/patientmanagement/outpatienrecords/index.vue
index 8f7c99a8c..cef6ec72b 100755
--- a/openhis-ui-vue3/src/views/patientmanagement/outpatienrecords/index.vue
+++ b/openhis-ui-vue3/src/views/patientmanagement/outpatienrecords/index.vue
@@ -95,13 +95,13 @@
       <el-table-column prop="encounterTime" label="就诊时间" width="160" sortable />
       <el-table-column prop="doctorName" label="接诊医生" width="120" />
       <el-table-column prop="organizationName" label="医疗机构" min-width="120" :show-overflow-tooltip="true" />
-      <el-table-column prop="subjectStatusEnum_enumText" label="状态" width="100" align="center">
+      <el-table-column label="状态" width="100" align="center">
         <template #default="scope">
           <el-tag 
             :type="getStatusTagType(scope.row.subjectStatusEnum)" 
             size="small"
           >
-            {{ scope.row.subjectStatusEnum_enumText }}
+            {{ scope.row.subjectStatusEnum_enumText || '无状态' }}
           </el-tag>
         </template>
       </el-table-column>
@@ -165,11 +165,8 @@ function getList() {
     console.log('当前查看患者:', route.query.patientName);
   }
 
-  // 构建请求参数 - "无状态"(0) 转为 undefined，让后端不加过滤
+  // 构建请求参数
   const requestParams = { ...queryParams.value };
-  if (requestParams.subjectStatusEnum === 0) {
-    requestParams.subjectStatusEnum = undefined;
-  }
   listOutpatienRecords(requestParams).then((response) => {
     outpatienRecordsList.value = response.data.records;
     total.value = response.data.total;