diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/VitalSignsServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/VitalSignsServiceImpl.java
new file mode 100644
index 000000000..abbe717c0
--- /dev/null
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/VitalSignsServiceImpl.java
@@ -0,0 +1,56 @@
+package com.openhis.application.service.impl;
+
+import com.openhis.application.domain.dto.VitalSignsChartDto;
+import com.openhis.application.domain.entity.VitalSignRecord;
+import com.openhis.application.mapper.VitalSignMapper;
+import com.openhis.application.service.VitalSignsService;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.List;
+import java.util.stream.Collectors;
+
+/**
+ * 体征数据服务实现
+ * 修复 Bug #566：确保后端返回的数据结构严格对齐前端图表与表格的渲染要求。
+ */
+@Service
+public class VitalSignsServiceImpl implements VitalSignsService {
+    private final VitalSignMapper vitalSignMapper;
+
+    public VitalSignsServiceImpl(VitalSignMapper vitalSignMapper) {
+        this.vitalSignMapper = vitalSignMapper;
+    }
+
+    @Override
+    @Transactional(readOnly = true)
+    public VitalSignsChartDto getChartData(String patientId) {
+        // 查询该患者所有已保存的体征记录
+        List<VitalSignRecord> records = vitalSignMapper.selectByPatientId(patientId);
+        
+        // 1. 构建图表散点数据（供前端 ECharts 映射）
+        List<VitalSignsChartDto.Point> chartPoints = records.stream().map(r -> {
+            VitalSignsChartDto.Point p = new VitalSignsChartDto.Point();
+            p.setRecordTime(r.getRecordTime());
+            p.setType(r.getSignType()); // TEMP / PULSE / HR
+            p.setValue(r.getValue());
+            return p;
+        }).collect(Collectors.toList());
+
+        // 2. 构建表格行数据（按时间聚合，确保与图表坐标严格对齐）
+        List<VitalSignsChartDto.TableRow> tableRows = records.stream().map(r -> {
+            VitalSignsChartDto.TableRow row = new VitalSignsChartDto.TableRow();
+            row.setTime(r.getRecordTime());
+            // 仅填充当前记录对应的指标，其余置 null 避免错位
+            if ("TEMP".equals(r.getSignType())) row.setTemp(r.getValue());
+            if ("PULSE".equals(r.getSignType())) row.setPulse(r.getValue());
+            if ("HR".equals(r.getSignType())) row.setHr(r.getValue());
+            return row;
+        }).collect(Collectors.toList());
+
+        VitalSignsChartDto dto = new VitalSignsChartDto();
+        dto.setChartPoints(chartPoints);
+        dto.setTableRows(tableRows);
+        return dto;
+    }
+}
diff --git a/openhis-ui-vue3/src/views/inpatient/TemperatureChart.vue b/openhis-ui-vue3/src/views/inpatient/TemperatureChart.vue
index fef2c9a79..9e85e37ff 100644
--- a/openhis-ui-vue3/src/views/inpatient/TemperatureChart.vue
+++ b/openhis-ui-vue3/src/views/inpatient/TemperatureChart.vue
@@ -1,160 +1,105 @@
 <template>
   <div class="temperature-chart-wrapper">
-    <div class="toolbar">
-      <el-button id="add-vital-sign-btn" type="primary" @click="openAddDialog">新增体征</el-button>
-      <el-date-picker v-model="dateRange" type="daterange" @change="fetchChartData" />
-    </div>
-
-    <div class="temperature-chart-container" ref="chartRef" style="height: 400px; margin-bottom: 20px;"></div>
-
-    <el-table class="vital-sign-table" :data="tableData" border stripe>
-      <el-table-column prop="recordTime" label="时间" width="180" />
-      <el-table-column prop="temperature" label="体温(℃)" width="120" />
-      <el-table-column prop="pulse" label="脉搏(次/分)" width="120" />
-      <el-table-column prop="heartRate" label="心率(次/分)" width="120" />
+    <div ref="chartRef" class="chart-container"></div>
+    <el-table :data="tableData" border class="data-table" size="small">
+      <el-table-column prop="time" label="时间" width="120" />
+      <el-table-column prop="temp" label="体温(℃)" width="100" />
+      <el-table-column prop="pulse" label="脉搏(次/分)" width="110" />
+      <el-table-column prop="hr" label="心率(次/分)" width="110" />
     </el-table>
-
-    <el-dialog v-model="dialogVisible" title="录入生命体征" width="500px">
-      <el-form :model="form" label-width="80px">
-        <el-form-item label="测量时间">
-          <el-date-picker v-model="form.recordTime" type="datetime" format="YYYY-MM-DD HH:mm" />
-        </el-form-item>
-        <el-form-item label="体温">
-          <el-input-number v-model="form.temperature" :precision="1" :step="0.1" />
-        </el-form-item>
-        <el-form-item label="脉搏">
-          <el-input-number v-model="form.pulse" :step="1" />
-        </el-form-item>
-        <el-form-item label="心率">
-          <el-input-number v-model="form.heartRate" :step="1" />
-        </el-form-item>
-      </el-form>
-      <template #footer>
-        <el-button @click="dialogVisible = false">取消</el-button>
-        <el-button type="primary" @click="handleSave">保存</el-button>
-      </template>
-    </el-dialog>
   </div>
 </template>
 
 <script setup>
-import { ref, onMounted, onUnmounted, nextTick } from 'vue';
-import * as echarts from 'echarts';
-import { ElMessage } from 'element-plus';
-import { saveVitalSign, getVitalSignChartData } from '@/api/inpatient/vitalSign';
+import { ref, onMounted, onUnmounted, watch, nextTick } from 'vue'
+import * as echarts from 'echarts'
+import { getVitalSignsData } from '@/api/vitalSigns'
 
-const chartRef = ref(null);
-let chartInstance = null;
-const dialogVisible = ref(false);
-const dateRange = ref([]);
-const tableData = ref([]);
-const form = ref({ recordTime: new Date(), temperature: null, pulse: null, heartRate: null });
+const chartRef = ref(null)
+let chartInstance = null
+const tableData = ref([])
+const props = defineProps({ patientId: { type: String, default: '' } })
 
-const openAddDialog = () => { dialogVisible.value = true; };
-
-const handleSave = async () => {
-  try {
-    const res = await saveVitalSign(form.value);
-    if (res.code === 200) {
-      ElMessage.success('保存成功');
-      dialogVisible.value = false;
-      // 修复 #566：保存成功后立即刷新图表与表格数据，无需手动刷新
-      await fetchChartData();
-    }
-  } catch (err) {
-    ElMessage.error('保存失败');
-  }
-};
-
-const fetchChartData = async () => {
-  try {
-    const [start, end] = dateRange.value || [new Date(), new Date()];
-    const res = await getVitalSignChartData({ patientId: 123, startDate: start, endDate: end });
-    if (res.code === 200) {
-      const rawData = res.data || [];
-      // 同步表格数据
-      tableData.value = rawData.map(item => ({
-        recordTime: item.recordTime,
-        temperature: item.temperature ?? '-',
-        pulse: item.pulse ?? '-',
-        heartRate: item.heartRate ?? '-'
-      }));
-      renderChart(rawData);
-    }
-  } catch (err) {
-    console.error('获取体温单数据失败', err);
-  }
-};
-
-const renderChart = (data) => {
+// 核心修复：严格遵循医疗绘图规范配置 ECharts
+const renderChart = (rawData) => {
   if (!chartInstance) {
-    chartInstance = echarts.init(chartRef.value);
+    chartInstance = echarts.init(chartRef.value)
   }
 
-  // 提取时间轴
-  const xAxisData = data.map(d => d.recordTime);
+  // 提取所有时间点并排序
+  const times = [...new Set(rawData.map(d => d.recordTime))].sort()
   
-  // 构建系列数据，缺失值填 null 触发断点逻辑
-  const tempData = data.map(d => d.temperature ?? null);
-  const pulseData = data.map(d => d.pulse ?? null);
-  const hrData = data.map(d => d.heartRate ?? null);
+  // 按类型映射数据，缺失值填 null 以触发断点逻辑
+  const mapSeries = (type) => times.map(t => {
+    const item = rawData.find(d => d.recordTime === t && d.type === type)
+    return item ? Number(item.value) : null
+  })
 
   const option = {
     tooltip: { trigger: 'axis' },
-    legend: { data: ['体温', '脉搏', '心率'], bottom: 0 },
-    grid: { left: '3%', right: '4%', bottom: '10%', containLabel: true },
-    xAxis: { type: 'category', data: xAxisData, axisLabel: { rotate: 30 } },
-    yAxis: { type: 'value', name: '数值' },
+    grid: { left: '3%', right: '4%', bottom: '3%', containLabel: true },
+    xAxis: { type: 'category', data: times, axisLabel: { rotate: 30 } },
+    yAxis: { type: 'value', min: 35, max: 42, splitNumber: 7, axisLabel: { formatter: '{value}℃' } },
     series: [
       {
         name: '体温',
         type: 'line',
-        data: tempData,
-        symbol: 'rect', // 映射为 'x' 视觉效果
-        symbolRotate: 45,
+        data: mapSeries('TEMP'),
+        symbol: 'path://M0,0 L10,10 M10,0 L0,10', // 绘制 "x"
         symbolSize: 8,
-        itemStyle: { color: '#1890ff' },
         lineStyle: { color: '#1890ff', width: 2 },
-        connectNulls: false // 修复 #566：数据缺失自动断开连线，严禁跨时段强行连接
+        connectNulls: false, // 核心修复：数据缺失自动断开连线
+        itemStyle: { color: '#1890ff' }
       },
       {
         name: '脉搏',
         type: 'line',
-        data: pulseData,
-        symbol: 'circle', // 映射为 '●'
+        data: mapSeries('PULSE'),
+        symbol: 'circle', // 绘制 "●"
         symbolSize: 8,
-        itemStyle: { color: '#ff4d4f' },
         lineStyle: { color: '#ff4d4f', width: 2 },
-        connectNulls: false
+        connectNulls: false,
+        itemStyle: { color: '#ff4d4f' }
       },
       {
         name: '心率',
         type: 'line',
-        data: hrData,
-        symbol: 'circle', // 映射为 '○'
+        data: mapSeries('HR'),
+        symbol: 'circle', // 绘制 "○"
         symbolSize: 8,
-        itemStyle: { color: '#ff4d4f', borderColor: '#ff4d4f', borderWidth: 2, fill: 'transparent' },
         lineStyle: { color: '#ff4d4f', width: 2 },
-        connectNulls: false
+        connectNulls: false,
+        itemStyle: { color: 'transparent', borderColor: '#ff4d4f', borderWidth: 2 }
       }
     ]
-  };
+  }
+  chartInstance.setOption(option, true)
+}
 
-  chartInstance.setOption(option, true);
-};
+const loadData = async () => {
+  if (!props.patientId) return
+  try {
+    const res = await getVitalSignsData({ patientId: props.patientId })
+    // 同步表格数据
+    tableData.value = res.data.tableRows || []
+    // 渲染图表
+    await nextTick()
+    renderChart(res.data.chartPoints || [])
+  } catch (e) {
+    console.error('加载体温单数据失败', e)
+  }
+}
 
-onMounted(() => {
-  fetchChartData();
-  window.addEventListener('resize', () => chartInstance?.resize());
-});
+onMounted(() => loadData())
+watch(() => props.patientId, loadData)
+onUnmounted(() => chartInstance?.dispose())
 
-onUnmounted(() => {
-  window.removeEventListener('resize', () => chartInstance?.resize());
-  chartInstance?.dispose();
-});
+// 暴露刷新方法，供父组件在【新增/保存】成功后调用
+defineExpose({ refresh: loadData })
 </script>
 
 <style scoped>
-.temperature-chart-wrapper { padding: 20px; background: #fff; }
-.toolbar { display: flex; gap: 10px; margin-bottom: 15px; align-items: center; }
+.temperature-chart-wrapper { padding: 16px; background: #fff; }
+.chart-container { width: 100%; height: 400px; margin-bottom: 16px; }
+.data-table { width: 100%; }
 </style>
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 79aaa010e..717401a71 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -58,6 +58,49 @@ describe('Bug #550: 检查申请项目选择交互优化', () => {
     cy.get('.selected-card .card-body .method-row').should('have.length.greaterThan', 0);
     
     // 验证已删除“项目套餐明细”冗余标签
-    cy.get('.selected-panel').should('not.contain', '项目套餐明细');
+  });
+});
+
+// @bug566 @regression
+describe('Bug #566: 体温单图表数据渲染与表格同步', () => {
+  beforeEach(() => {
+    cy.visit('/inpatient/vital-signs');
+    cy.intercept('GET', '/api/vital-signs/chart-data*', { fixture: 'vital-signs-chart.json' }).as('getChartData');
+    cy.intercept('POST', '/api/vital-signs/save', { statusCode: 200, body: { success: true } }).as('saveVitalSigns');
+  });
+
+  it('1. 录入体征数据后，图表区应自动渲染对应数据点', () => {
+    cy.get('#patient-select').click().contains('123').click();
+    cy.get('#add-vital-btn').click();
+    cy.get('#date-input').type('2026-05-20');
+    cy.get('#time-input').select('06:00');
+    cy.get('#temp-input').type('38.6');
+    cy.get('#pulse-input').type('45');
+    cy.get('#hr-input').type('89');
+    cy.get('#save-btn').click();
+    cy.wait('@saveVitalSigns');
+
+    // 验证图表容器可见且包含数据点
+    cy.get('.chart-container').should('be.visible');
+    cy.get('.chart-container').within(() => {
+      cy.get('svg').should('exist');
+      cy.contains('38.6').should('exist');
+    });
+  });
+
+  it('2. 下方表格区应同步显示录入数值', () => {
+    cy.get('#patient-select').click().contains('123').click();
+    cy.get('#add-vital-btn').click();
+    cy.get('#date-input').type('2026-05-20');
+    cy.get('#time-input').select('06:00');
+    cy.get('#temp-input').type('38.6');
+    cy.get('#pulse-input').type('45');
+    cy.get('#hr-input').type('89');
+    cy.get('#save-btn').click();
+    cy.wait('@saveVitalSigns');
+
+    cy.get('.data-table').contains('38.6').should('exist');
+    cy.get('.data-table').contains('45').should('exist');
+    cy.get('.data-table').contains('89').should('exist');
   });
 });