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 606e7fc..67ebfb5 100644
--- a/platform-biz-service/src/main/resources/mainOrm/master/BabyPatientExtendEarScreen.xml
+++ b/platform-biz-service/src/main/resources/mainOrm/master/BabyPatientExtendEarScreen.xml
@@ -449,6 +449,12 @@ select id,baby_id,screen_type,check_hospital_id,screen_date,high_risk_cause,oae_
                     OR aabr_left = -1
                     OR abr_left = -1
                     )
+
+                    and (oae_right =1
+                    and aabr_right = 1
+                    and abr_right = 1
+                    )
+
                 </if>
                 <if test="scrIspass == null">
                     and(
@@ -479,6 +485,13 @@ select id,baby_id,screen_type,check_hospital_id,screen_date,high_risk_cause,oae_
                     OR aabr_right = -1
                     OR abr_right = -1
                     )
+
+                    and(
+                    oae_left =1
+                    and aabr_left = 1
+                    and abr_left = 1
+                    )
+
                 </if>
                 <if test="scrIspass == null">
                     and(