diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index 5efa78f..583b60c 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -475,20 +475,22 @@ public class PatientFacade {
                 List<MongoCondition> mongoCondits = new ArrayList<>();
                 //乙肝查询
                 if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.YIGAN.getId())) {
-                    mongoCondits.add(new MongoCondition("ygbmky", true, MongoOper.EXISTS));
-                    mongoCondits.add(new MongoCondition("ygbmkt", true, MongoOper.EXISTS));
-                    mongoCondits.add(new MongoCondition("ygeky", true, MongoOper.EXISTS));
-                    mongoCondits.add(new MongoCondition("ygekt", true, MongoOper.EXISTS));
-                    mongoCondits.add(new MongoCondition("yghxkt", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("ygbmky", true, MongoOper.EXISTS).orCondition(new MongoCondition("ygbmky", "", MongoOper.NE)));
+                    mongoCondits.add(new MongoCondition("ygbmkt", true, MongoOper.EXISTS).orCondition(new MongoCondition("ygbmkt", "", MongoOper.NE)));
+                    mongoCondits.add(new MongoCondition("ygeky", true, MongoOper.EXISTS).orCondition(new MongoCondition("ygeky", "", MongoOper.NE)));
+                    mongoCondits.add(new MongoCondition("ygekt", true, MongoOper.EXISTS).orCondition(new MongoCondition("ygekt", "", MongoOper.NE)));
+                    mongoCondits.add(new MongoCondition("yghxkt", true, MongoOper.EXISTS).orCondition(new MongoCondition("yghxkt", "", MongoOper.NE)));
+
                 }
                 //丙肝查询
                 if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.BINGGAN.getId())) {
-                    mongoCondits.add(new MongoCondition("bg", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("bg", true, MongoOper.EXISTS).orCondition(new MongoCondition("bg","",MongoOper.NE)));
                 }
                 //梅毒查询
                 if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.MEIDU.getId())) {
-                    mongoCondits.add(new MongoCondition("syjg", true, MongoOper.EXISTS));
-                    mongoCondits.add(new MongoCondition("hivkt", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("syjg", true, MongoOper.EXISTS).orCondition(new MongoCondition("syjg", "", MongoOper.NE)));
+                    mongoCondits.add(new MongoCondition("hivkt", true, MongoOper.EXISTS).orCondition(new MongoCondition("hivkt", "", MongoOper.NE)));
+
                 }
                 criteria = criteria.orCondition(mongoCondits.toArray(new MongoCondition[mongoCondits.size()]));