diff --git a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/IPatientDao.java b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/IPatientDao.java
index 5efc532..35110e2 100644
--- a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/IPatientDao.java
+++ b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/IPatientDao.java
@@ -28,4 +28,6 @@ public interface IPatientDao {
     Patients findLastBuildRecord(String pid, int yn);
 
     void updatePatientByPid(Patients patientUpdate, String pid);
+
+    void findAndModify(MongoQuery query,Patients obj);
 }
diff --git a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/impl/PatientDaoImpl.java b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/impl/PatientDaoImpl.java
index 92d8f41..dfd7f95 100644
--- a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/impl/PatientDaoImpl.java
+++ b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/dal/impl/PatientDaoImpl.java
@@ -14,6 +14,7 @@ import org.springframework.data.mongodb.core.aggregation.AggregationOperation;
 import org.springframework.data.mongodb.core.aggregation.AggregationResults;
 import org.springframework.data.mongodb.core.aggregation.Field;
 import org.springframework.data.mongodb.core.query.Criteria;
+import org.springframework.data.mongodb.core.query.Query;
 import org.springframework.stereotype.Repository;
 
 import java.util.List;
@@ -30,7 +31,9 @@ public class PatientDaoImpl extends BaseMongoDAOImpl<Patients> implements IPatie
     public Patients addPatient(Patients obj) {
         return save(obj);
     }
-
+    public void findAndModify(MongoQuery query,Patients obj){
+        findAndModify(query.convertToMongoQuery(),obj);
+    }
     @Override
     public void updatePatient(Patients obj, String id) {
         update(new MongoQuery(new MongoCondition("id", id, MongoOper.IS)).convertToMongoQuery(), obj);
diff --git a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
index 406360e..038c377 100644
--- a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
+++ b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
@@ -36,8 +36,6 @@ public class PatientsService {
     private IPatientDao iPatientDao;
     @Autowired
     private ISieveDao sieveDao;
-    @Autowired
-    private IAntenatalExaminationDao iAntenatalExaminationDao;
 
     public Patients addPatient(Patients obj) {
         return iPatientDao.addPatient(obj);
@@ -46,7 +44,9 @@ public class PatientsService {
     public void updatePatient(Patients obj) {
         iPatientDao.updatePatient(obj, obj.getId());
     }
-
+    public    void findAndModify(PatientsQuery query,Patients obj){
+        iPatientDao.findAndModify(query.convertToQuery(),obj);
+    }
     public List<Patients> queryPatient(PatientsQuery patientsQuery) {
         MongoQuery query = patientsQuery.convertToQuery();
         if (StringUtils.isNotEmpty(patientsQuery.getNeed())) {
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
index 6419097..5bf9e03 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
@@ -217,10 +217,15 @@ public class AntenatalExaminationFacade {
             }
         } catch (Exception e) {
         }
+        patientsService.updatePatient(patients);
         if (!list.isEmpty()) {
-            patients.setRiskLevelId(JsonUtil.array2JsonString(list));
+            Patients patients1 = new Patients();
+            patients1.setRiskLevelId(JsonUtil.array2JsonString(list));
+            PatientsQuery patientsQuery = new PatientsQuery();
+            patientsQuery.setPid(patients.getPid());
+            patientsQuery.setYn(YnEnums.YES.getId());
+            patientsService.findAndModify(patientsQuery, patients1);
         }
-        patientsService.updatePatient(patients);
     }
 
     /**
@@ -231,24 +236,23 @@ public class AntenatalExaminationFacade {
      * @return
      */
     public HighScoreResult findLastRisk(String pid, boolean needLevel) {
-        HighScoreResult highScoreResult =  getPatLastRiskByDate(pid,needLevel,null);
+        HighScoreResult highScoreResult = getPatLastRiskByDate(pid, needLevel, null);
         return highScoreResult;
     }
 
     /**
      * 查询当前产程孕妇高危因素
+     *
      * @param pid
      * @param needLevel
      * @param date
      * @return
      */
-    public  HighScoreResult getPatLastRiskByDate(String pid, boolean needLevel,Date date)
-    {
-        AntExQuery antExQuery=new AntExQuery();
+    public HighScoreResult getPatLastRiskByDate(String pid, boolean needLevel, Date date) {
+        AntExQuery antExQuery = new AntExQuery();
         antExQuery.setPid(pid);
         antExQuery.setYn(YnEnums.YES.getId());
-        if (date != null)
-        {
+        if (date != null) {
             antExQuery.setStart(date);
         }
         List<AntenatalExaminationModel> list = antenatalExaminationService.queryAntenatalExamination(antExQuery.convertToQuery().addOrder(Sort.Direction.DESC, "modified"));
@@ -308,8 +312,7 @@ public class AntenatalExaminationFacade {
                 //初诊
                 AntExChuQuery antExChuQuery = new AntExChuQuery();
                 antExChuQuery.setPid(pid);
-                if (date != null)
-                {
+                if (date != null) {
                     antExChuQuery.setStart(date);
                 }
                 antExChuQuery.setYn(YnEnums.YES.getId());
@@ -445,7 +448,7 @@ public class AntenatalExaminationFacade {
                             if (null != an.getHospitalId()) {
                                 organization = organizationService.getOrganization(Integer.valueOf(an.getHospitalId()));
                             }
-                            data.add(new AntData(an, null != organization ? organization.getName() : "",patients.getLastMenses()));
+                            data.add(new AntData(an, null != organization ? organization.getName() : "", patients.getLastMenses()));
                         }
                     }
 
@@ -461,7 +464,7 @@ public class AntenatalExaminationFacade {
                             if (null != an.getHospitalId()) {
                                 organization = organizationService.getOrganization(Integer.valueOf(an.getHospitalId()));
                             }
-                            data.add(new AntData(an, null != organization ? organization.getName() : "",patients.getLastMenses()));
+                            data.add(new AntData(an, null != organization ? organization.getName() : "", patients.getLastMenses()));
                         }
                     }
 
@@ -495,7 +498,7 @@ public class AntenatalExaminationFacade {
                         if (null != postReviewModel.getHospitalId()) {
                             organization = organizationService.getOrganization(Integer.valueOf(postReviewModel.getHospitalId()));
                         }
-                        data.add(new AntData(postReviewModel, null != organization ? organization.getName() : "",patients.getFmDate()));
+                        data.add(new AntData(postReviewModel, null != organization ? organization.getName() : "", patients.getFmDate()));
                     }
                 }
 
@@ -660,11 +663,11 @@ public class AntenatalExaminationFacade {
         Organization organization = null;
         if (CollectionUtils.isNotEmpty(antExChulist)) {
             for (AntExChuModel antExChuModel1 : antExChulist) {
-                Patients patients  =patientsService.findOnePatientById(antExChuModel1.getParentId());
+                Patients patients = patientsService.findOnePatientById(antExChuModel1.getParentId());
                 if (null != antExChuModel1.getHospitalId()) {
                     organization = organizationService.getOrganization(Integer.valueOf(antExChuModel1.getHospitalId()));
                 }
-                dataList.add(new AntData(antExChuModel1, null != organization ? organization.getName() : "",patients.getLastMenses()));
+                dataList.add(new AntData(antExChuModel1, null != organization ? organization.getName() : "", patients.getLastMenses()));
             }
         }
         if (CollectionUtils.isNotEmpty(list)) {
@@ -672,8 +675,8 @@ public class AntenatalExaminationFacade {
                 if (null != model.getHospitalId()) {
                     organization = organizationService.getOrganization(Integer.valueOf(model.getHospitalId()));
                 }
-                Patients patients  =patientsService.findOnePatientById(model.getParentId());
-                dataList.add(new AntData(model, null != organization ? organization.getName() : "",patients.getLastMenses()));
+                Patients patients = patientsService.findOnePatientById(model.getParentId());
+                dataList.add(new AntData(model, null != organization ? organization.getName() : "", patients.getLastMenses()));
             }
         }
         return dataList;
@@ -797,7 +800,7 @@ public class AntenatalExaminationFacade {
                         basicConfigQuery.setId(basicConfig.getParentId());
                         List<BasicConfig> basicConfigs2 = basicConfigService.queryBasicConfig(basicConfigQuery);
                         if (CollectionUtils.isNotEmpty(basicConfigs2)) {
-                            for (BasicConfig bc:basicConfigs2) {
+                            for (BasicConfig bc : basicConfigs2) {
                                 String name = bc.getName();
                                 if (name.indexOf("预警") > -1) {
                                     name = name.replace("预警", "");