diff --git a/platform-biz-service/src/main/resources/mainOrm/master/BabyPatientExtendEarScreen.xml b/platform-biz-service/src/main/resources/mainOrm/master/BabyPatientExtendEarScreen.xml
index 0efdb4d..606e7fc 100644
--- a/platform-biz-service/src/main/resources/mainOrm/master/BabyPatientExtendEarScreen.xml
+++ b/platform-biz-service/src/main/resources/mainOrm/master/BabyPatientExtendEarScreen.xml
@@ -438,6 +438,10 @@ select id,baby_id,screen_type,check_hospital_id,screen_date,high_risk_cause,oae_
                     and aabr_left = 1
                     and abr_left = 1
                     )
+                    and (oae_right =-1
+                    OR aabr_right = -1
+                    OR abr_right = -1
+                    )
                 </if>
                 <if test="scrIspass != null and scrIspass ==2">
                     and(
@@ -462,6 +466,12 @@ select id,baby_id,screen_type,check_hospital_id,screen_date,high_risk_cause,oae_
                     and aabr_right = 1
                     and abr_right = 1
                     )
+
+                    and(
+                    oae_left =-1
+                    OR aabr_left = -1
+                    OR abr_left = -1
+                    )
                 </if>
                 <if test="scrIspass != null and scrIspass ==2">
                     and(