diff --git a/platform-job-index/src/main/java/com/lyms/platform/job/index/service/SyncDataService.java b/platform-job-index/src/main/java/com/lyms/platform/job/index/service/SyncDataService.java
index 00d7bb2..d514493 100644
--- a/platform-job-index/src/main/java/com/lyms/platform/job/index/service/SyncDataService.java
+++ b/platform-job-index/src/main/java/com/lyms/platform/job/index/service/SyncDataService.java
@@ -746,8 +746,8 @@ public class SyncDataService {
         }
         if (map.get("FE_LBLOODPRESSURE") != null || map.get("FE_HBLOODPRESSURE") != null) {
             Map<String, String> bpmap = new HashMap<>();
-            bpmap.put("szy", map.get("FE_LBLOODPRESSURE") == null ? "" : DataUtil.getString(map.get("FE_LBLOODPRESSURE")));
-            bpmap.put("ssy", map.get("FE_HBLOODPRESSURE") == null ? "" : DataUtil.getString(map.get("FE_HBLOODPRESSURE")));
+            bpmap.put("szy",  map.get("FE_LBLOODPRESSURE") == null ? "" : DataUtil.getString(map.get("FE_LBLOODPRESSURE")));
+            bpmap.put("ssy",  map.get("FE_HBLOODPRESSURE") == null ? "" : DataUtil.getString(map.get("FE_HBLOODPRESSURE")));
             chuModel.setBp(JsonUtil.obj2Str(bpmap));
         }
 
@@ -831,7 +831,15 @@ public class SyncDataService {
             antxModel.setCheckDate(DataUtil.getDate(map.get("CHECKDATE")));
             antxModel.setNextCheckTime(DataUtil.getDate(map.get("NEXTCHECKTIME")));
             antxModel.setYn(DataUtil.getInteger(map.get("YN")));
-            antxModel.setCreated(DataUtil.getDate(map.get("CREATED")));
+            if (map.get("CREATED") == null)
+            {
+                antxModel.setCreated(DataUtil.getDate(map.get("CHECKDATE")));
+            }
+            else
+            {
+                antxModel.setCreated(DataUtil.getDate(map.get("CREATED")));
+            }
+
             antxModel.setModified(DataUtil.getDate(map.get("MODIFIED")));
 
             String hid = DataUtil.getString(map.get("HOSPITALID"));
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 f5e32a6..4481974 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
@@ -248,6 +248,7 @@ public class AntenatalExaminationFacade {
             Patients patients = patientsService.findOnePatientById(antExAddRequest.getParentId());
 
             patients.setLastCheckEmployeeId(antExAddRequest.getCheckDoctor());
+            patientsService.updateNextCheckTime(antExAddRequest.getNextCheckTime(), patients.getId());
             patientsService.updatePatient(patients);
             patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(antExAddRequest.getNextCheckTime())? null : DateUtil.parseYMD(antExAddRequest.getNextCheckTime()));
             //修改孕妇高危等级
@@ -257,7 +258,7 @@ public class AntenatalExaminationFacade {
             updateLastRhTime(patients.getId(), hospitalId);
             //修改最后一次检查时间
             setLashCTimes(antExAddRequest.getParentId());
-            patientsService.updateNextCheckTime(antExAddRequest.getNextCheckTime(), patients.getId());
+
 
             //修改数据
             syncMaster(antExAddRequest.getParentId(),antExAddRequest.getNextCheckTime());
@@ -301,9 +302,10 @@ public class AntenatalExaminationFacade {
             if (StringUtils.isNotEmpty(patients.getEnable()) && "0".equals(patients.getEnable())) {
                 patients.setEnable("1");
             }
+            patientsService.updateNextCheckTime(antExAddRequest.getNextCheckTime(), patients.getId());
             patientsService.updatePatient(patients);
 //            patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(antExAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(antExAddRequest.getNextCheckTime()));
-            patientsService.updateNextCheckTime(antExAddRequest.getNextCheckTime(), patients.getId());
+
             antenatalExaminationService.addOneBabyAnt(model);
 
             /** 验证产检券是否可用 可用就改为已使用状态 */
@@ -437,8 +439,9 @@ public class AntenatalExaminationFacade {
             }
             //修改患者风险等级
 //            updatePatientRiskLevel(antExChuModel, patients);
-            patientsService.updatePatient(patients);
             patientsService.updateNextCheckTime(excAddRequest.getNextCheckTime(),patients.getId());
+            patientsService.updatePatient(patients);
+
 
             //修改本系统最后的高危
             updateLastRisk(patients.getId());
@@ -509,9 +512,9 @@ public class AntenatalExaminationFacade {
                 //修改患者风险等级
 
                 patients.setLastCheckEmployeeId(excAddRequest.getProdDoctor());
-
-                patientsService.updatePatient(patients);
                 patientsService.updateNextCheckTime(excAddRequest.getNextCheckTime(), patients.getId());
+                patientsService.updatePatient(patients);
+
                 updateLastRisk(patients.getId());
 
                 //修改本院最后一次定义高危