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 c58159946..305efdecf 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
@@ -2343,21 +2343,52 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 .map(UpdateGroupDto::getRequestId).collect(Collectors.toList());
 
         if (!idsToSetNull.isEmpty()) {
-            // 创建更新条件
-            UpdateWrapper<MedicationRequest> updateWrapper = new UpdateWrapper<>();
-            updateWrapper.set("group_id", null).in("id", idsToSetNull);
+            // 对三个表都执行 group_id/group_no 置空（哪个表有该 id 就更新哪个）
+            UpdateWrapper<MedicationRequest> medUpdateWrapper = new UpdateWrapper<>();
+            medUpdateWrapper.set("group_id", null).in("id", idsToSetNull);
+            iMedicationRequestService.update(medUpdateWrapper);
 
-            // 执行更新
-            iMedicationRequestService.update(updateWrapper);
+            UpdateWrapper<ServiceRequest> srvUpdateWrapper = new UpdateWrapper<>();
+            srvUpdateWrapper.set("group_id", null).in("id", idsToSetNull);
+            iServiceRequestService.update(srvUpdateWrapper);
+
+            // DeviceRequest 使用 group_no（String 类型）
+            UpdateWrapper<DeviceRequest> devUpdateWrapper = new UpdateWrapper<>();
+            devUpdateWrapper.set("group_no", null).in("id", idsToSetNull);
+            iDeviceRequestService.update(devUpdateWrapper);
         }
 
-        // 处理非null的情况
-        List<MedicationRequest> medicationRequestList = groupList.stream().filter(dto -> dto.getGroupId() != null)
-                .map(dto -> new MedicationRequest().setId(dto.getRequestId()).setGroupId(dto.getGroupId()))
-                .collect(Collectors.toList());
-
-        if (!medicationRequestList.isEmpty()) {
-            iMedicationRequestService.saveOrUpdateBatch(medicationRequestList);
+        // 处理 groupId 非 null 的情况：按实际所属表分别更新
+        List<UpdateGroupDto> nonNullGroupList = groupList.stream()
+                .filter(dto -> dto.getGroupId() != null).collect(Collectors.toList());
+        if (!nonNullGroupList.isEmpty()) {
+            for (UpdateGroupDto dto : nonNullGroupList) {
+                Long reqId = dto.getRequestId();
+                Long grpId = dto.getGroupId();
+                // 先尝试药品表（med_medication_request → group_id）
+                MedicationRequest medReq = iMedicationRequestService.getById(reqId);
+                if (medReq != null) {
+                    UpdateWrapper<MedicationRequest> uw = new UpdateWrapper<>();
+                    uw.set("group_id", grpId).eq("id", reqId);
+                    iMedicationRequestService.update(uw);
+                    continue;
+                }
+                // 再尝试诊疗表（wor_service_request → group_id）
+                ServiceRequest srvReq = iServiceRequestService.getById(reqId);
+                if (srvReq != null) {
+                    UpdateWrapper<ServiceRequest> uw = new UpdateWrapper<>();
+                    uw.set("group_id", grpId).eq("id", reqId);
+                    iServiceRequestService.update(uw);
+                    continue;
+                }
+                // 最后尝试耗材表（wor_device_request → group_no, String 类型）
+                DeviceRequest devReq = iDeviceRequestService.getById(reqId);
+                if (devReq != null) {
+                    UpdateWrapper<DeviceRequest> uw = new UpdateWrapper<>();
+                    uw.set("group_no", grpId != null ? grpId.toString() : null).eq("id", reqId);
+                    iDeviceRequestService.update(uw);
+                }
+            }
         }
     }