diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
index d4cba14b6..0a55610b0 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
@@ -178,7 +178,8 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         inpatientAdviceParam.setEncounterIds(null);
         Integer exeStatus = inpatientAdviceParam.getExeStatus();
         inpatientAdviceParam.setExeStatus(null);
-        // requestStatus由前端tab控制，后端SQL已通过CASE条件处理校对状态过滤，无需再作为SQL条件
+        // requestStatus由前端tab控制，需在后端过滤
+        Integer requestStatus = inpatientAdviceParam.getRequestStatus();
         inpatientAdviceParam.setRequestStatus(null);
         // 构建查询条件
         QueryWrapper<InpatientAdviceParam> queryWrapper
@@ -292,6 +293,16 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 inpatientAdvicePage.setTotal(filteredList.size());
             }
         }
+
+        // 按请求状态（tab切换）过滤医嘱
+        if (requestStatus != null) {
+            List<InpatientAdviceDto> statusFilteredList = inpatientAdvicePage.getRecords().stream()
+                    .filter(advice -> requestStatus.equals(advice.getRequestStatus()))
+                    .collect(Collectors.toList());
+            inpatientAdvicePage.setRecords(statusFilteredList);
+            inpatientAdvicePage.setTotal(statusFilteredList.size());
+        }
+
         return R.ok(inpatientAdvicePage);
     }