diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/nenu/dto/GfStudentListImportDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/nenu/dto/GfStudentListImportDto.java
index 61be16e2..74b42b94 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/nenu/dto/GfStudentListImportDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/nenu/dto/GfStudentListImportDto.java
@@ -25,7 +25,7 @@ public class GfStudentListImportDto {
     private String name;
 
     /** 性别 */
-    @Excel(name = "性别", prompt = "必填", readConverterExp = "0=男性,1=女性,2=未知", combo = "男性,女性,未知")
+    @Excel(name = "性别", prompt = "必填", readConverterExp = "1=男,2=女,0=未知", combo = "男,女,未知")
     private String gender;
 
     /** 学号 */
diff --git a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AdministrativeGender.java b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AdministrativeGender.java
index 4a8c7d2c..2a632eea 100644
--- a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AdministrativeGender.java
+++ b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AdministrativeGender.java
@@ -5,17 +5,17 @@ import lombok.AllArgsConstructor;
 import lombok.Getter;
 
 /**
- * 性别 0=男,1=女,2=未知(和若依框架保持一致)
+ * 性别 0=未知,1=男,2=女(与数据库adm_patient.gender_enum字段保持一致)
  */
 @Getter
 @AllArgsConstructor
 public enum AdministrativeGender implements HisEnumInterface {
 
-    MALE(0, "male", "男性"),
+    MALE(1, "male", "男"),
 
-    FEMALE(1, "female", "女性"),
+    FEMALE(2, "female", "女"),
 
-    UNKNOWN(2, "unknown", "未知");
+    UNKNOWN(0, "unknown", "未知");
 
     @EnumValue
     private final Integer value;
diff --git a/openhis-ui-vue3/src/components/PatientList/index.vue b/openhis-ui-vue3/src/components/PatientList/index.vue
index 7b83d75c..667c08d3 100644
--- a/openhis-ui-vue3/src/components/PatientList/index.vue
+++ b/openhis-ui-vue3/src/components/PatientList/index.vue
@@ -49,7 +49,7 @@
                         size="small"
                         class="age-tag"
                         effect="plain"
-                        :class="{ 'age-tag-female': item.genderEnum_enumText === '女性' }"
+                        :class="{ 'age-tag-female': item.genderEnum_enumText === '女' }"
                       >
                         {{ item.genderEnum_enumText || '-' }}
                         <span v-if="item.age"> · {{ item.age }}</span>
@@ -109,7 +109,7 @@
                           size="small"
                           class="age-tag"
                           effect="plain"
-                          :class="{ 'age-tag-female': item.genderEnum_enumText === '女性' }"
+                          :class="{ 'age-tag-female': item.genderEnum_enumText === '女' }"
                         >
                           {{ item.genderEnum_enumText || '-' }}
                           <span v-if="item.age"> · {{ item.age }}</span>
diff --git a/openhis-ui-vue3/src/utils/validate.js b/openhis-ui-vue3/src/utils/validate.js
index 61b430de..27e89691 100644
--- a/openhis-ui-vue3/src/utils/validate.js
+++ b/openhis-ui-vue3/src/utils/validate.js
@@ -121,7 +121,7 @@ export function getGenderAndAge(idCard) {
   if (m < 0 || (m === 0 && new Date().getDate() < dateOfBirth.getDate())) {
     age--;
   }
-  // 提取性别
-  const gender = idCard.charAt(16) % 2 === 0 ? 1 : 0;
+  // 提取性别（身份证第17位：奇数=男, 偶数=女）对应数据库字典 1=男 2=女
+  const gender = idCard.charAt(16) % 2 === 0 ? 2 : 1;
   return { age, gender };
 }