diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
index 088ded73..ab864629 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -231,29 +231,49 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         // 费用定价主表ID集合
         List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getChargeItemDefinitionId)
                 .collect(Collectors.toList());
-        // 医嘱库存集合
-        List<AdviceInventoryDto> adviceInventoryList = doctorStationAdviceAppMapper.getAdviceInventory(locationId,
-                adviceDefinitionIdList,
-                CommonConstants.SqlCondition.ABOUT_INVENTORY_TABLE_STR, PublicationStatus.ACTIVE.getValue());
-        // 待发放个数信息
-        List<AdviceInventoryDto> adviceDraftInventoryList = doctorStationAdviceAppMapper.getAdviceDraftInventory(
-                CommonConstants.TableName.MED_MEDICATION_DEFINITION, CommonConstants.TableName.ADM_DEVICE_DEFINITION,
-                DispenseStatus.DRAFT.getValue(), DispenseStatus.PREPARATION.getValue());
-        // 预减库存
-        List<AdviceInventoryDto> adviceInventory = adviceUtils.subtractInventory(adviceInventoryList,
-                adviceDraftInventoryList);
-        // 查询取药科室配置
-        List<AdviceInventoryDto> medLocationConfig = doctorStationAdviceAppMapper.getMedLocationConfig(organizationId);
-        // 将配置转为 {categoryCode -> 允许的locationId集合}
-        Map<String, Set<Long>> allowedLocByCategory = new HashMap<>();
-        if (medLocationConfig != null && !medLocationConfig.isEmpty()) {
-            for (AdviceInventoryDto cfg : medLocationConfig) {
-                if (cfg.getCategoryCode() == null || cfg.getLocationId() == null) {
-                    continue;
+
+        // 判断是否包含药品或耗材类型（只有这些类型才需要库存相关查询）
+        boolean hasMedOrDevice = adviceTypes != null
+                && (adviceTypes.contains(1) || adviceTypes.contains(2));
+
+        // 医嘱库存集合 — 仅药品/耗材需要库存查询，手术/诊疗(3,6)无库存概念，跳过以减少数据库开销
+        List<AdviceInventoryDto> adviceInventoryList;
+        List<AdviceInventoryDto> adviceDraftInventoryList;
+        List<AdviceInventoryDto> adviceInventory;
+        if (hasMedOrDevice) {
+            adviceInventoryList = doctorStationAdviceAppMapper.getAdviceInventory(locationId,
+                    adviceDefinitionIdList,
+                    CommonConstants.SqlCondition.ABOUT_INVENTORY_TABLE_STR, PublicationStatus.ACTIVE.getValue());
+            // 待发放个数信息
+            adviceDraftInventoryList = doctorStationAdviceAppMapper.getAdviceDraftInventory(
+                    CommonConstants.TableName.MED_MEDICATION_DEFINITION, CommonConstants.TableName.ADM_DEVICE_DEFINITION,
+                    DispenseStatus.DRAFT.getValue(), DispenseStatus.PREPARATION.getValue());
+            // 预减库存
+            adviceInventory = adviceUtils.subtractInventory(adviceInventoryList, adviceDraftInventoryList);
+        } else {
+            adviceInventoryList = Collections.emptyList();
+            adviceDraftInventoryList = Collections.emptyList();
+            adviceInventory = Collections.emptyList();
+        }
+        // 查询取药科室配置 — 仅药品开单场景需要
+        List<AdviceInventoryDto> medLocationConfig;
+        Map<String, Set<Long>> allowedLocByCategory;
+        if (hasMedOrDevice) {
+            medLocationConfig = doctorStationAdviceAppMapper.getMedLocationConfig(organizationId);
+            // 将配置转为 {categoryCode -> 允许的locationId集合}
+            allowedLocByCategory = new HashMap<>();
+            if (medLocationConfig != null && !medLocationConfig.isEmpty()) {
+                for (AdviceInventoryDto cfg : medLocationConfig) {
+                    if (cfg.getCategoryCode() == null || cfg.getLocationId() == null) {
+                        continue;
+                    }
+                    allowedLocByCategory.computeIfAbsent(String.valueOf(cfg.getCategoryCode()), k -> new HashSet<>())
+                            .add(cfg.getLocationId());
                 }
-                allowedLocByCategory.computeIfAbsent(String.valueOf(cfg.getCategoryCode()), k -> new HashSet<>())
-                        .add(cfg.getLocationId());
             }
+        } else {
+            medLocationConfig = Collections.emptyList();
+            allowedLocByCategory = Collections.emptyMap();
         }
         // 费用定价子表信息 - 使用分批处理避免大量参数问题
         List<AdvicePriceDto> childCharge = new ArrayList<>();