diff --git a/platform-biz-service/src/main/java/com/lyms/platform/permission/dao/master/MasterMysqlAntexcMapper.java b/platform-biz-service/src/main/java/com/lyms/platform/permission/dao/master/MasterMysqlAntexcMapper.java
index fb7c453..9c502db 100644
--- a/platform-biz-service/src/main/java/com/lyms/platform/permission/dao/master/MasterMysqlAntexcMapper.java
+++ b/platform-biz-service/src/main/java/com/lyms/platform/permission/dao/master/MasterMysqlAntexcMapper.java
@@ -126,7 +126,7 @@ public interface MasterMysqlAntexcMapper {
     List<Map<String,String>>  getIsYgbmkyCheckCount(Map param);
     List<Map<String,String>>  getHasYgbmkyCheckCount(Map param);
 
-    List<Map<String,String>>  getMatdeliverCount(Map param);
+    List<Map<String,String>>  getLisMatdeliverCount(Map param);
     List<Map<String,String>>  getMatdeliverHivktCheckCount(Map param);
     List<Map<String,String>>  getMatdeliverHivktCheckzqCount(Map param);
     List<Map<String,String>>  getHasMatdeliverHivktCheckzqCount(Map param);
diff --git a/platform-biz-service/src/main/java/com/lyms/platform/permission/model/ReportMatdeliver.java b/platform-biz-service/src/main/java/com/lyms/platform/permission/model/ReportMatdeliver.java
index 29f8e9f..45d8cf5 100644
--- a/platform-biz-service/src/main/java/com/lyms/platform/permission/model/ReportMatdeliver.java
+++ b/platform-biz-service/src/main/java/com/lyms/platform/permission/model/ReportMatdeliver.java
@@ -15,6 +15,16 @@ public class ReportMatdeliver {
     private String fmHospital;
     private String hospitalId;
     private String sourceId;
+    //末次月经
+    private Date lastMenses;
+
+    public Date getLastMenses() {
+        return lastMenses;
+    }
+
+    public void setLastMenses(Date lastMenses) {
+        this.lastMenses = lastMenses;
+    }
 
     public String getSourceId() {
         return sourceId;
diff --git a/platform-biz-service/src/main/java/com/lyms/platform/permission/service/MysqlAntexcService.java b/platform-biz-service/src/main/java/com/lyms/platform/permission/service/MysqlAntexcService.java
index 23207f2..87b68bb 100644
--- a/platform-biz-service/src/main/java/com/lyms/platform/permission/service/MysqlAntexcService.java
+++ b/platform-biz-service/src/main/java/com/lyms/platform/permission/service/MysqlAntexcService.java
@@ -130,7 +130,7 @@ public interface MysqlAntexcService {
     List<Map<String,String>>  getIsYgbmkyCheckCount(Map param);
     List<Map<String,String>>  getHasYgbmkyCheckCount(Map param);
 
-    List<Map<String,String>>  getMatdeliverCount(Map param);
+    List<Map<String,String>>  getLisMatdeliverCount(Map param);
     List<Map<String,String>>  getMatdeliverHivktCheckCount(Map param);
     List<Map<String,String>>  getMatdeliverHivktCheckzqCount(Map param);
     List<Map<String,String>>  getHasMatdeliverHivktCheckzqCount(Map param);
diff --git a/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/MysqlAntexcServiceImpl.java b/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/MysqlAntexcServiceImpl.java
index a7aea75..f03e1ea 100644
--- a/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/MysqlAntexcServiceImpl.java
+++ b/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/MysqlAntexcServiceImpl.java
@@ -362,8 +362,8 @@ public class MysqlAntexcServiceImpl implements MysqlAntexcService {
     }
 
     @Override
-    public List<Map<String,String>>  getMatdeliverCount(Map param){
-        return masterMysqlAntexcMapper.getMatdeliverCount(param);
+    public List<Map<String,String>>  getLisMatdeliverCount(Map param){
+        return masterMysqlAntexcMapper.getLisMatdeliverCount(param);
     }
     @Override
     public  List<Map<String,String>>  getMatdeliverHivktCheckCount(Map param){
diff --git a/platform-biz-service/src/main/resources/mainOrm/master/MasterMysqlAntexc.xml b/platform-biz-service/src/main/resources/mainOrm/master/MasterMysqlAntexc.xml
index 1e9c054..400740e 100644
--- a/platform-biz-service/src/main/resources/mainOrm/master/MasterMysqlAntexc.xml
+++ b/platform-biz-service/src/main/resources/mainOrm/master/MasterMysqlAntexc.xml
@@ -1222,7 +1222,8 @@
             created,
             fmHospital,
             hospitalId,
-            sourceId
+            sourceId,
+            lastMenses
         ) VALUES (
             #{mid},
             #{parentId},
@@ -1231,7 +1232,8 @@
             #{created},
             #{fmHospital},
             #{hospitalId},
-            #{sourceId}
+            #{sourceId},
+            #{lastMenses}
         )
 
     </insert>
@@ -2458,7 +2460,7 @@
 
 
 
-    <select id="getMatdeliverCount"  resultType="java.util.Map" parameterType="java.util.Map">
+    <select id="getLisMatdeliverCount"  resultType="java.util.Map" parameterType="java.util.Map">
         SELECT count(f.id) as matdeliverCount ,o.id as hospitalId from report_matdeliver f INNER JOIN organization o on f.fmHospital = o.id
         <if test="hospitalId != null and hospitalId != ''">
             and o.id = #{hospitalId,jdbcType=VARCHAR}
@@ -2515,10 +2517,17 @@
 
 
     <select id="getMatdeliverHivktCheckzqCount"  resultType="java.util.Map" parameterType="java.util.Map">
+
         SELECT count(f.id) as matdeliverHivktCheckzqCount ,o.id as hospitalId from report_matdeliver f INNER JOIN organization o on f.fmHospital = o.id
-        INNER JOIN report_antexchu c on c.sourceId= f.sourceId
-        INNER JOIN report_patients p on p.patientId = c.sourceId
-        where c.hivkt is not null and c.type =1 and DATEDIFF(p.lastMenses,c.checkTime) <![CDATA[ <= ]]> 83
+        INNER JOIN (select a.sourceId,a.checkTime from report_antexchu  a where a.type =1 and  a.hivkt is not null
+        <if test="startDate != null">
+            and a.checkTime >= #{startDate}
+        </if>
+        <if test="endDate != null">
+            and a.checkTime <![CDATA[ <= ]]> #{endDate}
+        </if>
+        ) c on c.sourceId= f.sourceId
+        where   DATEDIFF(f.lastMenses,c.checkTime)   <=   83
         <if test="hospitalId != null and hospitalId != ''">
             and f.fmHospital = #{hospitalId,jdbcType=VARCHAR}
         </if>
@@ -2531,23 +2540,22 @@
         <if test="areaId != null and areaId != ''">
             and o.area_id = #{areaId,jdbcType=VARCHAR}
         </if>
-
-        <if test="startDate != null">
-            and c.checkTime >= #{startDate}
-        </if>
-        <if test="endDate != null">
-            and c.checkTime <![CDATA[ <= ]]> #{endDate}
-        </if>
-        group by o.id
+        GROUP BY o.id
 
     </select>
 
 
     <select id="getHasMatdeliverHivktCheckzqCount"  resultType="java.util.Map" parameterType="java.util.Map">
         SELECT count(f.id) as hasMatdeliverHivktCheckzqCount ,o.id as hospitalId from report_matdeliver f INNER JOIN organization o on f.fmHospital = o.id
-        INNER JOIN report_antexchu c on c.sourceId= f.sourceId
-        INNER JOIN report_patients p on p.patientId = c.sourceId
-        where c.hivkt='yang' and c.type =1 and DATEDIFF(p.lastMenses,c.checkTime) <![CDATA[ <= ]]> 83
+        INNER JOIN (select a.sourceId,a.checkTime from report_antexchu  a where a.type =1 and  a.hivkt ='yang'
+        <if test="startDate != null">
+            and a.checkTime >= #{startDate}
+        </if>
+        <if test="endDate != null">
+            and a.checkTime <![CDATA[ <= ]]> #{endDate}
+        </if>
+        ) c on c.sourceId= f.sourceId
+        where   DATEDIFF(f.lastMenses,c.checkTime)   <=   83
         <if test="hospitalId != null and hospitalId != ''">
             and f.fmHospital = #{hospitalId,jdbcType=VARCHAR}
         </if>
@@ -2560,15 +2568,7 @@
         <if test="areaId != null and areaId != ''">
             and o.area_id = #{areaId,jdbcType=VARCHAR}
         </if>
-
-        <if test="startDate != null">
-            and c.checkTime >= #{startDate}
-        </if>
-        <if test="endDate != null">
-            and c.checkTime <![CDATA[ <= ]]> #{endDate}
-        </if>
-        group by o.id
-
+        GROUP BY o.id
     </select>
 
 
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientSyncMysqlFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientSyncMysqlFacade.java
index ab868b7..5d02fb7 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientSyncMysqlFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientSyncMysqlFacade.java
@@ -1569,6 +1569,7 @@ public class PatientSyncMysqlFacade {
                 ReportMatdeliver reportMatdeliver =  new ReportMatdeliver();
                 reportMatdeliver.setSourceId(StringUtils.isNotEmpty(pat.getSource()) ? pat.getSource() : maternalDeliverModel.getParentId());
                 reportMatdeliver.setMid(maternalDeliverModel.getId());
+                reportMatdeliver.setLastMenses(pat.getLastMenses());
                 try {
                     ConvertUtils.register(new DateLocaleConverter(), Date.class);
                     BeanUtils.copyProperties(reportMatdeliver,maternalDeliverModel);
@@ -2380,7 +2381,7 @@ public class PatientSyncMysqlFacade {
         List<Map<String,String>> isYgbmkyCheckCounts = mysqlAntexcService.getIsYgbmkyCheckCount(param);
         List<Map<String,String>> hasYgbmkyCheckCounts = mysqlAntexcService.getHasYgbmkyCheckCount(param);
 
-        List<Map<String,String>> matdeliverCounts = mysqlAntexcService.getMatdeliverCount(param);
+        List<Map<String,String>> matdeliverCounts = mysqlAntexcService.getLisMatdeliverCount(param);
         List<Map<String,String>> matdeliverHivktCheckCounts = mysqlAntexcService.getMatdeliverHivktCheckCount(param);
         List<Map<String,String>> matdeliverHivktCheckzqCounts = mysqlAntexcService.getMatdeliverHivktCheckzqCount(param);
         List<Map<String,String>> hasMatdeliverHivktCheckzqCounts = mysqlAntexcService.getHasMatdeliverHivktCheckzqCount(param);