perf(database): 优化数据库查询性能和前端请求处理

- 优化ActivityDefinitionManageMapper.xml中的分页查询，减少JOIN操作并使用索引友好的写法
- 修复purchaseinventory组件中API调用的数据传递格式问题
- 将前端请求超时时间从60秒增加到120秒以配合后端超时设置
- 在手术申请页面添加远程搜索防抖功能，避免频繁API调用
- 重构SurgeryAppServiceImpl中的名称字段填充逻辑，使用批量查询减少数据库访问次数
- 优化SurgeryMapper.xml中的分页查询，使用子查询预加载关联数据并减少不必要的JOIN

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java

@@ -533,94 +533,94 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
 
     /**
      * 填充手术记录中的名称字段
-     * 根据ID反向查询用户表、机构表、手术室表、患者表、就诊表,填充对应的名称字段
+     * 优化：使用批量查询减少数据库访问次数
      *
      * @param surgery 手术实体对象
      */
     private void fillSurgeryNameFields(Surgery surgery) {
+        // 收集所有需要查询的ID
+        Set<Long> practitionerIds = new HashSet<>();
+        Set<Long> orgIds = new HashSet<>();
+        Set<Long> otherIds = new HashSet<>();
+
+        // 收集Practitioner IDs
+        if (surgery.getMainSurgeonId() != null) practitionerIds.add(surgery.getMainSurgeonId());
+        if (surgery.getAnesthetistId() != null) practitionerIds.add(surgery.getAnesthetistId());
+        if (surgery.getAssistant1Id() != null) practitionerIds.add(surgery.getAssistant1Id());
+        if (surgery.getAssistant2Id() != null) practitionerIds.add(surgery.getAssistant2Id());
+        if (surgery.getScrubNurseId() != null) practitionerIds.add(surgery.getScrubNurseId());
+        if (surgery.getApplyDoctorId() != null) practitionerIds.add(surgery.getApplyDoctorId());
+
+        // 收集Organization IDs
+        if (surgery.getOrgId() != null) orgIds.add(surgery.getOrgId());
+        if (surgery.getApplyDeptId() != null) orgIds.add(surgery.getApplyDeptId());
+
+        // 批量查询并缓存结果
+        Map<Long, String> practitionerNameMap = new HashMap<>();
+        Map<Long, String> orgNameMap = new HashMap<>();
+
+        // 批量查询Practitioner
+        if (!practitionerIds.isEmpty()) {
+            List<com.openhis.administration.domain.Practitioner> practitioners = practitionerService.listByIds(practitionerIds);
+            for (com.openhis.administration.domain.Practitioner p : practitioners) {
+                practitionerNameMap.put(p.getId(), p.getName());
+            }
+        }
+
+        // 批量查询Organization
+        if (!orgIds.isEmpty()) {
+            List<Organization> orgs = organizationService.listByIds(orgIds);
+            for (Organization o : orgs) {
+                orgNameMap.put(o.getId(), o.getName());
+            }
+        }
+
         // 填充患者姓名
-        if (surgery.getPatientId() != null) {
+        if (surgery.getPatientId() != null && surgery.getPatientName() == null) {
             Patient patient = patientService.getById(surgery.getPatientId());
             if (patient != null) {
                 surgery.setPatientName(patient.getName());
             }
         }
 
-        // 填充主刀医生姓名（使用practitionerId查询Practitioner表）
-        if (surgery.getMainSurgeonId() != null) {
-            com.openhis.administration.domain.Practitioner mainSurgeon = practitionerService.getById(surgery.getMainSurgeonId());
-            if (mainSurgeon != null) {
-                surgery.setMainSurgeonName(mainSurgeon.getName());
+        // 使用缓存填充名称
+        if (surgery.getMainSurgeonId() != null && surgery.getMainSurgeonName() == null) {
+            surgery.setMainSurgeonName(practitionerNameMap.get(surgery.getMainSurgeonId()));
         }
+        if (surgery.getAnesthetistId() != null && surgery.getAnesthetistName() == null) {
+            surgery.setAnesthetistName(practitionerNameMap.get(surgery.getAnesthetistId()));
         }
-
-        // 填充麻醉医生姓名（使用practitionerId查询Practitioner表）
-        if (surgery.getAnesthetistId() != null) {
-            com.openhis.administration.domain.Practitioner anesthetist = practitionerService.getById(surgery.getAnesthetistId());
-            if (anesthetist != null) {
-                surgery.setAnesthetistName(anesthetist.getName());
+        if (surgery.getAssistant1Id() != null && surgery.getAssistant1Name() == null) {
+            surgery.setAssistant1Name(practitionerNameMap.get(surgery.getAssistant1Id()));
         }
+        if (surgery.getAssistant2Id() != null && surgery.getAssistant2Name() == null) {
+            surgery.setAssistant2Name(practitionerNameMap.get(surgery.getAssistant2Id()));
         }
-
-        // 填充助手1姓名（使用practitionerId查询Practitioner表）
-        if (surgery.getAssistant1Id() != null) {
-            com.openhis.administration.domain.Practitioner assistant1 = practitionerService.getById(surgery.getAssistant1Id());
-            if (assistant1 != null) {
-                surgery.setAssistant1Name(assistant1.getName());
-            }
-        }
-
-        // 填充助手2姓名（使用practitionerId查询Practitioner表）
-        if (surgery.getAssistant2Id() != null) {
-            com.openhis.administration.domain.Practitioner assistant2 = practitionerService.getById(surgery.getAssistant2Id());
-            if (assistant2 != null) {
-                surgery.setAssistant2Name(assistant2.getName());
-            }
-        }
-
-        // 填充巡回护士姓名（使用practitionerId查询Practitioner表）
-        if (surgery.getScrubNurseId() != null) {
-            com.openhis.administration.domain.Practitioner scrubNurse = practitionerService.getById(surgery.getScrubNurseId());
-            if (scrubNurse != null) {
-                surgery.setScrubNurseName(scrubNurse.getName());
+        if (surgery.getScrubNurseId() != null && surgery.getScrubNurseName() == null) {
+            surgery.setScrubNurseName(practitionerNameMap.get(surgery.getScrubNurseId()));
         }
+        if (surgery.getApplyDoctorId() != null && surgery.getApplyDoctorName() == null) {
+            surgery.setApplyDoctorName(practitionerNameMap.get(surgery.getApplyDoctorId()));
         }
 
         // 填充手术室名称
-        if (surgery.getOperatingRoomId() != null) {
+        if (surgery.getOperatingRoomId() != null && surgery.getOperatingRoomName() == null) {
             OperatingRoom operatingRoom = operatingRoomService.getById(surgery.getOperatingRoomId());
             if (operatingRoom != null) {
                 surgery.setOperatingRoomName(operatingRoom.getName());
             }
         }
 
-        // 填充执行科室名称
-        if (surgery.getOrgId() != null) {
-            Organization org = organizationService.getById(surgery.getOrgId());
-            if (org != null) {
-                surgery.setOrgName(org.getName());
+        // 使用缓存填充组织名称
+        if (surgery.getOrgId() != null && surgery.getOrgName() == null) {
+            surgery.setOrgName(orgNameMap.get(surgery.getOrgId()));
         }
+        if (surgery.getApplyDeptId() != null && surgery.getApplyDeptName() == null) {
+            surgery.setApplyDeptName(orgNameMap.get(surgery.getApplyDeptId()));
         }
 
-        // 填充申请科室名称(如果还没有设置)
-        if (surgery.getApplyDeptId() != null && (surgery.getApplyDeptName() == null || surgery.getApplyDeptName().isEmpty())) {
-            Organization applyDept = organizationService.getById(surgery.getApplyDeptId());
-            if (applyDept != null) {
-                surgery.setApplyDeptName(applyDept.getName());
-            }
-        }
-
-        // 填充申请医生姓名(如果还没有设置) - 使用practitionerId查询Practitioner表
-        if (surgery.getApplyDoctorId() != null && (surgery.getApplyDoctorName() == null || surgery.getApplyDoctorName().isEmpty())) {
-            com.openhis.administration.domain.Practitioner applyDoctor = practitionerService.getById(surgery.getApplyDoctorId());
-            if (applyDoctor != null) {
-                surgery.setApplyDoctorName(applyDoctor.getName());
-            }
-        }
-
-        log.info("填充手术名称字段完成 - patientName: {}, mainSurgeonName: {}, anesthetistName: {}, assistant1Name: {}, assistant2Name: {}, scrubNurseName: {}, operatingRoomName: {}, orgName: {}",
-            surgery.getPatientName(), surgery.getMainSurgeonName(), surgery.getAnesthetistName(), surgery.getAssistant1Name(),
-            surgery.getAssistant2Name(), surgery.getScrubNurseName(), surgery.getOperatingRoomName(), surgery.getOrgName());
+        log.debug("填充手术名称字段完成 - patientName: {}, mainSurgeonName: {}, orgName: {}",
+            surgery.getPatientName(), surgery.getMainSurgeonName(), surgery.getOrgName());
     }
 
     /**

openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml

@@ -189,13 +189,124 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
         LEFT JOIN adm_organization apply_dept ON s.apply_dept_id = apply_dept.id
     </sql>
 
+    <!-- 优化版分页查询：减少JOIN，使用子查询预加载关联数据 -->
     <select id="getSurgeryPage" parameterType="com.baomidou.mybatisplus.core.conditions.query.QueryWrapper" resultMap="SurgeryResult">
-        <include refid="selectSurgeryVo"/>
+        SELECT
+            s.id,
+            s.surgery_no,
+            s.patient_id,
+            s.patient_name,
+            s.encounter_id,
+            s.apply_doctor_id,
+            s.apply_doctor_name,
+            s.apply_dept_id,
+            s.apply_dept_name,
+            s.surgery_name,
+            s.surgery_code,
+            s.surgery_type_enum,
+            s.surgery_level,
+            s.status_enum,
+            s.planned_time,
+            s.actual_start_time,
+            s.actual_end_time,
+            s.main_surgeon_id,
+            s.main_surgeon_name,
+            s.assistant_1_id,
+            s.assistant_1_name,
+            s.assistant_2_id,
+            s.assistant_2_name,
+            s.anesthetist_id,
+            s.anesthetist_name,
+            s.scrub_nurse_id,
+            s.scrub_nurse_name,
+            s.anesthesia_type_enum,
+            s.body_site,
+            s.incision_level,
+            s.healing_level,
+            s.operating_room_id,
+            s.operating_room_name,
+            s.org_id,
+            s.org_name,
+            s.surgery_indication,
+            s.preoperative_diagnosis,
+            s.postoperative_diagnosis,
+            s.surgery_description,
+            s.postoperative_advice,
+            s.complications,
+            s.surgery_fee,
+            s.anesthesia_fee,
+            s.total_fee,
+            s.remark,
+            s.create_time,
+            s.update_time,
+            s.emergency_flag,
+            s.implant_flag,
+            s.operating_room_confirm_time,
+            s.operating_room_confirm_user,
+            <!-- 患者信息：只查询必要字段 -->
+            p.gender_enum as patient_gender,
+            p.birth_date,
+            <!-- 就诊编号 -->
+            e.bus_no as encounter_no,
+            <!-- 字典文本：使用CASE WHEN避免额外JOIN -->
+            CASE s.surgery_type_enum
+                WHEN 1 THEN '门诊手术'
+                WHEN 2 THEN '住院手术'
+                WHEN 3 THEN '急诊手术'
+                WHEN 4 THEN '择期手术'
+                ELSE '未知'
+            END as surgery_type_enum_dictText,
+            CASE s.surgery_level
+                WHEN 1 THEN '一级手术'
+                WHEN 2 THEN '二级手术'
+                WHEN 3 THEN '三级手术'
+                WHEN 4 THEN '四级手术'
+                WHEN 5 THEN '特级手术'
+                ELSE '未知'
+            END as surgery_level_dictText,
+            CASE s.status_enum
+                WHEN 0 THEN '待排期'
+                WHEN 1 THEN '已排期'
+                WHEN 2 THEN '手术中'
+                WHEN 3 THEN '已完成'
+                WHEN 4 THEN '已取消'
+                WHEN 5 THEN '暂停'
+                ELSE '未知'
+            END as status_enum_dictText,
+            CASE s.anesthesia_type_enum
+                WHEN 0 THEN '无麻醉'
+                WHEN 1 THEN '局部麻醉'
+                WHEN 2 THEN '区域麻醉'
+                WHEN 3 THEN '全身麻醉'
+                WHEN 4 THEN '脊椎麻醉'
+                WHEN 5 THEN '硬膜外麻醉'
+                WHEN 6 THEN '表面麻醉'
+                ELSE '未知'
+            END as anesthesia_type_enum_dictText,
+            CASE s.incision_level
+                WHEN 1 THEN 'I级切口'
+                WHEN 2 THEN 'II级切口'
+                WHEN 3 THEN 'III级切口'
+                WHEN 4 THEN 'IV级切口'
+                ELSE '未知'
+            END as incision_level_dictText,
+            CASE s.healing_level
+                WHEN 1 THEN '甲级愈合'
+                WHEN 2 THEN '乙级愈合'
+                WHEN 3 THEN '丙级愈合'
+                ELSE '未知'
+            END as healing_level_dictText,
+            <!-- 计算年龄 -->
+            EXTRACT(YEAR FROM AGE(p.birth_date)) as patient_age
+        FROM cli_surgery s
+        <!-- 只JOIN必要的表：患者和就诊 -->
+        LEFT JOIN adm_patient p ON s.patient_id = p.id
+        LEFT JOIN adm_encounter e ON s.encounter_id = e.id
         <where>
             s.delete_flag = '0'
             <if test="ew.sqlSegment != null and ew.sqlSegment != ''">
                 <![CDATA[
-                AND ${ew.sqlSegment.replace('tenant_id', 's.tenant_id').replace('create_time', 's.create_time').replace('surgery_no', 's.surgery_no').replace('surgery_name', 's.surgery_name').replace('patient_name', 'p.name').replace('main_surgeon_name', 's.main_surgeon_name').replace('anesthetist_name', 's.anesthetist_name').replace('org_name', 'o.name').replace('status_enum', 's.status_enum').replace('planned_time', 's.planned_time')}
+                AND ${ew.sqlSegment.replace('tenant_id', 's.tenant_id').replace('create_time', 's.create_time').replace('surgery_no', 's.surgery_no').replace('surgery_name', 's.surgery_name').replace('patient_name', 's.patient_name').replace('main_surgeon_name', 's.main_surgeon_name').replace('anesthetist_name', 's.anesthetist_name').replace('org_name', 's.org_name').replace('status_enum', 's.status_enum').replace('planned_time', 's.planned_time')}
                 ]]>
             </if>
         </where>

openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/ActivityDefinitionManageMapper.xml

@@ -1,41 +1,10 @@
 <?xml version="1.0" encoding="UTF-8" ?>
 <!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
 <mapper namespace="com.openhis.web.datadictionary.mapper.ActivityDefinitionManageMapper">
+    <!-- 优化后的分页查询：减少JOIN，使用索引友好的写法 -->
     <select id="getDiseaseTreatmentPage" parameterType="java.util.Map"
             resultType="com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto">
 
-        SELECT
-        T3.id,
-        T3.category_code,
-        T3.bus_no,
-        T3.name,
-        T3.py_str,
-        T3.wb_str,
-        T3.type_enum,
-        T3.permitted_unit_code,
-        T3.org_id,
-        T3.location_id,
-        T3.yb_flag,
-        T3.yb_no,
-        T3.yb_match_flag,
-        T3.status_enum,
-        T3.body_site_code,
-        T3.specimen_code,
-        T3.description_text,
-        T3.rule_id,
-        T3.tenant_id,
-        T3.item_type_code,
-        T3.yb_type,
-        T3.price_code,
-        T3.retail_price,
-        T3.maximum_retail_price,
-        T3.chrgitm_lv,
-        T3.children_json,
-        T3.pricing_flag,
-        T3.sort_order,
-        T3.service_range
-        FROM
-        (
         SELECT
             T1.id,
             T1.category_code,
@@ -57,22 +26,26 @@
             T1.rule_id,
             T1.tenant_id,
             T1.chrgitm_lv,
+            T1.children_json,
+            T1.pricing_flag,
+            T1.sort_order,
+            T1.service_range,
             T2.type_code as item_type_code,
             T2.yb_type,
             T2.price_code,
             T2.price as retail_price,
-        T4.amount as maximum_retail_price,
-        T1.children_json,
-        T1.pricing_flag,
-        T1.sort_order,
-        T1.service_range
+            T4.amount as maximum_retail_price
         FROM wor_activity_definition T1
-        LEFT JOIN adm_charge_item_definition T2 ON T1.id = T2.instance_id
-        LEFT JOIN adm_charge_item_definition T5 ON T5.instance_id = T1.id AND T5.instance_table = 'wor_activity_definition'
-        LEFT JOIN adm_charge_item_def_detail T4 ON T4.definition_id = T5.id AND T4.condition_code = '4'
+        /* 只JOIN必要的价格表，使用INNER JOIN避免笛卡尔积 */
+        INNER JOIN adm_charge_item_definition T2
+            ON T1.id = T2.instance_id
+            AND T2.instance_table = 'wor_activity_definition'
+        /* 最高零售价使用LEFT JOIN，因为可能不存在 */
+        LEFT JOIN adm_charge_item_def_detail T4
+            ON T4.definition_id = T2.id
+            AND T4.condition_code = '4'
         <where>
             T1.delete_flag = '0'
-            AND T2.instance_table = 'wor_activity_definition'
             <if test="ew.customSqlSegment != null and ew.customSqlSegment != ''">
                 <choose>
                     <when test="ew.customSqlSegment.contains('tenant_id')">
@@ -84,9 +57,7 @@
                 </choose>
             </if>
         </where>
-        ORDER BY T1.bus_no DESC
-        ) T3
-
+        ORDER BY T1.id DESC
     </select>
 
     <select id="getDiseaseTreatmentOne" resultType="com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto">

openhis-ui-vue3/src/utils/request.js

@@ -22,7 +22,7 @@ axios.defaults.headers['Request-Method-Name'] = 'login'
 // 创建axios实例
 const service = axios.create({
   baseURL: import.meta.env.VITE_APP_BASE_API,
-  timeout: 60000,
+  timeout: 120000,  // 增加到120秒，配合后端超时设置
   // 新增：重写响应解析逻辑，大数字自动转字符串（移到这里！）
   transformResponse: [
     function (data) {

openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue

@@ -556,6 +556,10 @@ const anesthesiaNameList = ref([])
 const surgeryLoading = ref(false)
 const anesthesiaLoading = ref(false)
 
+// 防抖定时器
+let surgerySearchTimer = null
+let anesthesiaSearchTimer = null
+
 // 计算总费用
 const totalCalculatedFee = computed(() => {
   const surgeryFee = parseFloat(form.value.surgeryFee || 0)
@@ -868,8 +872,18 @@ function handleRefresh() {
   proxy.$modal.msgSuccess('刷新成功')
 }
 
-// 远程搜索手术项目
+// 远程搜索手术项目（添加300ms防抖）
 function remoteSearchSurgery(query) {
+  if (surgerySearchTimer) {
+    clearTimeout(surgerySearchTimer)
+  }
+  surgerySearchTimer = setTimeout(() => {
+    doSearchSurgery(query)
+  }, 300)
+}
+
+// 实际执行手术搜索
+function doSearchSurgery(query) {
   surgeryLoading.value = true
   getDiagnosisTreatmentList({
     searchKey: query || '',
@@ -900,8 +914,18 @@ function remoteSearchSurgery(query) {
   })
 }
 
-// 远程搜索麻醉项目
+// 远程搜索麻醉项目（添加300ms防抖）
 function remoteSearchAnesthesia(query) {
+  if (anesthesiaSearchTimer) {
+    clearTimeout(anesthesiaSearchTimer)
+  }
+  anesthesiaSearchTimer = setTimeout(() => {
+    doSearchAnesthesia(query)
+  }, 300)
+}
+
+// 实际执行麻醉搜索
+function doSearchAnesthesia(query) {
   anesthesiaLoading.value = true
   getDiagnosisTreatmentList({
     searchKey: query || '',

openhis-ui-vue3/src/views/medicationmanagement/purchaseinventory/components/purchaseinventory.js

@@ -58,7 +58,7 @@ export function submitApproval(busNo) {
   return request({
     url: '/inventory-manage/purchase/submit-approval',
     method: 'put',
-    data: busNo
+    data: { busNo: busNo }
   })
 }
 
@@ -67,7 +67,7 @@ export function withdrawApproval(busNo) {
   return request({
     url: '/inventory-manage/purchase/withdraw-approval',
     method: 'put',
-    data: busNo
+    data: { busNo: busNo }
   })
 }
 
@@ -127,7 +127,7 @@ export function submitApprovalReturn(busNo) {
   return request({
     url: '/inventory-manage/return/return-submit-approval',
     method: 'put',
-    data: busNo
+    data: { busNo: busNo }
   })
 }