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 9d97088..92aee79 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
@@ -227,6 +227,14 @@ public class AntenatalExaminationFacade {
             if (CollectionUtils.isNotEmpty(list)) {
                 return new BaseResponse().setErrorcode(ErrorCodeConstants.DATA_EXIST).setErrormsg("同一天只能建一次复诊");
             }
+
+            // 修改关联券的使用状态，如果已使用，则返回错误码
+            if (StringUtils.isNotBlank(model.getBarCode())) {
+                String code = patientCheckTicketService.updateTicket(model.getBarCode(), 2, model.getHospitalId());
+                if (code != null) {
+                    return new BaseResponse().setErrorcode(ErrorCodeConstants.PARAMETER_ERROR).setErrormsg(code);
+                }
+            }
             Patients patients = patientsService.findOnePatientById(antExAddRequest.getParentId());
             patients.setLastCheckEmployeeId(antExAddRequest.getCheckDoctor());
 
@@ -237,13 +245,7 @@ public class AntenatalExaminationFacade {
             patientsService.updatePatient(patients);
             patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(antExAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(antExAddRequest.getNextCheckTime()));
             antenatalExaminationService.addOneBabyAnt(model);
-            // 修改关联券的使用状态，如果已使用，则返回错误码
-            if (StringUtils.isNotBlank(model.getBarCode())) {
-                String code = patientCheckTicketService.updateTicket(model.getBarCode(), 2, model.getHospitalId());
-                if (code != null) {
-                    return new BaseResponse().setErrorcode(ErrorCodeConstants.PARAMETER_ERROR).setErrormsg(code);
-                }
-            }
+
 
             //修改最后一次检查时间
             setLashCTimes(antExAddRequest.getParentId());
@@ -369,6 +371,13 @@ public class AntenatalExaminationFacade {
             antExChuQuery1.setYn(YnEnums.YES.getId());
             List<AntExChuModel> data1 = antenatalExaminationService.queryAntExChu(antExChuQuery1);
             //初诊只能建一次
+            // 修改关联券的使用状态，如果已使用，则返回错误码
+            if (StringUtils.isNotBlank(antExChuModel.getBarCode())) {
+                String code = patientCheckTicketService.updateTicket(antExChuModel.getBarCode(), 2, antExChuModel.getHospitalId());
+                if (code != null) {
+                    return new BaseResponse().setErrorcode(ErrorCodeConstants.PARAMETER_ERROR).setErrormsg(code);
+                }
+            }
             if (CollectionUtils.isEmpty(data1)) {
                 Patients patients = patientsService.findOnePatientById(excAddRequest.getParentId());
                 PatientsQuery patientsQuery = new PatientsQuery();
@@ -392,13 +401,6 @@ public class AntenatalExaminationFacade {
                 antExChuModel.setYn(YnEnums.YES.getId());
                 antExChuModel.setHospitalId(autoMatchFacade.getHospitalId(userId));
                 antenatalExaminationService.addOneAntEx(antExChuModel);
-                // 修改关联券的使用状态，如果已使用，则返回错误码
-                if (StringUtils.isNotBlank(antExChuModel.getBarCode())) {
-                    String code = patientCheckTicketService.updateTicket(antExChuModel.getBarCode(), 2, antExChuModel.getHospitalId());
-                    if (code != null) {
-                        return new BaseResponse().setErrorcode(ErrorCodeConstants.PARAMETER_ERROR).setErrormsg(code);
-                    }
-                }
                 //修改患者风险等级
 
                 patients.setLastCheckEmployeeId(excAddRequest.getProdDoctor());