diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql
index da7e0dd0f..76463d0c9 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql
@@ -2,8 +2,16 @@
 -- 原因：stopper_name 映射到 update_by 字段，签发时 MyBatis-Plus 自动填充导致错误赋值
 -- 修复：添加专用 stopper_id 字段，仅在停嘱操作时设置
 
--- 药品请求表添加停嘱医生ID字段
-ALTER TABLE med_medication_request ADD COLUMN IF NOT EXISTS stopper_id BIGINT;
+-- 药品请求表添加停嘱医生ID字段（仅当表存在时）
+DO $$ BEGIN
+    ALTER TABLE med_medication_request ADD COLUMN IF NOT EXISTS stopper_id BIGINT;
+EXCEPTION WHEN undefined_table THEN
+    RAISE NOTICE 'med_medication_request table does not exist, skipping';
+END $$;
 
--- 服务请求表添加停嘱医生ID字段
-ALTER TABLE wor_service_request ADD COLUMN IF NOT EXISTS stopper_id BIGINT;
+-- 服务请求表添加停嘱医生ID字段（仅当表存在时）
+DO $$ BEGIN
+    ALTER TABLE wor_service_request ADD COLUMN IF NOT EXISTS stopper_id BIGINT;
+EXCEPTION WHEN undefined_table THEN
+    RAISE NOTICE 'wor_service_request table does not exist, skipping';
+END $$;