diff --git a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/adviceBaseList.vue b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/adviceBaseList.vue
index ab598f16..fe8a9b48 100644
--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/adviceBaseList.vue
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/adviceBaseList.vue
@@ -99,17 +99,48 @@ watch(
 
 // 移除组件初始化时的 getList() 调用，避免在没有 adviceType 时查询所有类型的数据
 // getList();
-async function getList() {
-  loading.value = true;
-  try {
-    // 统一调用 getAdviceBaseInfo，因为后端在这个接口里实现了库存和价格查询
-    const res = await getAdviceBaseInfo(props.adviceQueryParams);
-    adviceBaseList.value = res.data?.records || [];
-  } catch (error) {
-    console.error('获取医嘱列表失败:', error);
-  } finally {
-    loading.value = false;
+function getList() {
+  // 验证是否已选择患者
+  if (!props.patientInfo || Object.keys(props.patientInfo).length === 0) {
+    console.log('[adviceBaseList] getList() 跳过：未选择患者');
+    return; // 不执行API调用
   }
+  
+  // 只有在弹窗打开时才执行查询
+  if (!props.popoverVisible) {
+    console.log('[adviceBaseList] getList() 跳过：弹窗未打开');
+    return;
+  }
+  
+  // 必须有 adviceType 才查询，避免查询所有类型的数据
+  if (!queryParams.value.adviceType) {
+    console.log('[adviceBaseList] getList() 跳过：adviceType 未设置，当前值:', queryParams.value.adviceType);
+    return;
+  }
+  
+  queryParams.value.organizationId = props.patientInfo.orgId;
+  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(queryParams.value));
+  
+  getAdviceBaseInfo(queryParams.value).then((res) => {
+    console.log('[adviceBaseList] getList() 响应数据:', {
+      total: res.data?.total,
+      recordsCount: res.data?.records?.length || 0,
+      firstRecord: res.data?.records?.[0]?.adviceName || '无数据',
+      adviceType: queryParams.value.adviceType
+    });
+    adviceBaseList.value = res.data.records || [];
+    total.value = res.data.total || 0;
+    nextTick(() => {
+      currentIndex.value = 0;
+      if (adviceBaseList.value.length > 0) {
+        adviceBaseRef.value?.setCurrentRow(adviceBaseList.value[0]);
+      }
+    });
+  }).catch((err) => {
+    console.error('[adviceBaseList] getList() 请求失败:', err);
+    adviceBaseList.value = [];
+    total.value = 0;
+  });
 }
 
 // 处理键盘事件