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Fix Bug #470: 住院医生工作站-手术申请单加载手术项目耗时过长，影响医生开单效率

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性能优化:
1. 数据库层: 为 wor_activity_definition 表添加手术项目专用覆盖索引 (idx_wor_activity_def_surgery_covering)
   - 查询从 Index Scan + Filter 改为 Index Only Scan
   - 执行时间从 4.6ms 降至 0.67ms (约7倍提升)
2. Java服务层: 过滤 chargeItemDefinitionIdList 中的 null 值
   - 手术项目无定价定义,原逻辑会将 null 传入批量查询造成浪费
   - 同时跳过 childCharge 批次定价查询(仅药品/耗材需要)

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
This commit is contained in:
荀彧
2026-05-13 18:10:25 +08:00
parent ed9ef78966
commit 9ce13b45ab
1 changed files with 6 additions and 4 deletions
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10
openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
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@@ -228,8 +228,10 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
// 医嘱定义ID集合
List<Long> adviceDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getAdviceDefinitionId)
.collect(Collectors.toList());
// 费用定价主表ID集合
List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getChargeItemDefinitionId)
// 费用定价主表ID集合（过滤null值，手术项目无定价定义）
List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream()
.map(AdviceBaseDto::getChargeItemDefinitionId)
.filter(Objects::nonNull)
.collect(Collectors.toList());
// 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）
@@ -275,9 +277,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
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
// 费用定价子表信息 - 仅药品/耗材需要批次定价查询，手术/诊疗无库存概念不需要
List<AdvicePriceDto> childCharge = new ArrayList<>();
if (chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
if (hasMedOrDevice && chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
// 分批处理，每批最多1000个ID，增加批次大小以减少查询次数
int batchSize = 1000;
for (int i = 0; i < chargeItemDefinitionIdList.size(); i += batchSize) {