diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
index 980e97ba7..621ca017e 100755
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
@@ -1165,18 +1165,34 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 = activityList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
 
         // ============ 前置校验 ============
-        // 1. 护士站校验：查询药品发放记录，确认护士站是否已执行停止核对（发药）
+        // 1. 护士站校验：确认医嘱请求仍处于"停止"状态，未被护士核对处理
+        //    修正：不再基于 Dispense 历史状态校验，改为直接检查 Request 的当前状态
+        if (!medicineRequestIds.isEmpty()) {
+            List<MedicationRequest> medicineRequestList = iMedicationRequestService.list(
+                    new LambdaQueryWrapper<MedicationRequest>()
+                            .select(MedicationRequest::getId, MedicationRequest::getStatusEnum)
+                            .in(MedicationRequest::getId, medicineRequestIds));
+            for (MedicationRequest mr : medicineRequestList) {
+                if (!RequestStatus.STOPPED.getValue().equals(mr.getStatusEnum())) {
+                    throw new ServiceException("护士站已确认停止该医嘱，无法取消停嘱！");
+                }
+            }
+        }
+        if (!activityRequestIds.isEmpty()) {
+            List<ServiceRequest> activityRequestList = iServiceRequestService.list(
+                    new LambdaQueryWrapper<ServiceRequest>()
+                            .select(ServiceRequest::getId, ServiceRequest::getStatusEnum)
+                            .in(ServiceRequest::getId, activityRequestIds));
+            for (ServiceRequest sr : activityRequestList) {
+                if (!RequestStatus.STOPPED.getValue().equals(sr.getStatusEnum())) {
+                    throw new ServiceException("护士站已确认停止该医嘱，无法取消停嘱！");
+                }
+            }
+        }
+        // 2. 药房端校验：如果已有退药/退费记录，说明药房已处理
         if (!medicineRequestIds.isEmpty()) {
             List<MedicationDispense> dispenseList = iMedicationDispenseService.selectByRequestIdList(medicineRequestIds);
             for (MedicationDispense dispense : dispenseList) {
-                // 如果发放状态 >= COMPLETED(4)，说明护士站已发药/已确认停止
-                if (dispense.getStatusEnum() != null && dispense.getStatusEnum() >= DispenseStatus.COMPLETED.getValue()
-                        && !DispenseStatus.ON_HOLD.getValue().equals(dispense.getStatusEnum())
-                        && !DispenseStatus.STOPPED.getValue().equals(dispense.getStatusEnum())
-                        && !DispenseStatus.CANCELLED.getValue().equals(dispense.getStatusEnum())) {
-                    throw new ServiceException("护士站已确认停止该医嘱，无法取消停嘱！");
-                }
-                // 2. 药房端校验：如果已有退药/退费记录，说明药房已处理
                 if (DispenseStatus.RETURNED.getValue().equals(dispense.getStatusEnum())
                         || DispenseStatus.REFUNDED.getValue().equals(dispense.getStatusEnum())
                         || DispenseStatus.PART_REFUND.getValue().equals(dispense.getStatusEnum())) {