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 32b6803..e8c170a 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
@@ -136,8 +136,8 @@ public class AntenatalExaminationFacade {
             Patients patients = patientsService.findOnePatientById(antExAddRequest.getParentId());
 
             patients.setLastCheckEmployeeId(antExAddRequest.getCheckDoctor());
-            patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(antExAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(antExAddRequest.getNextCheckTime()));
             patientsService.updatePatient(patients);
+            patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(antExAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(antExAddRequest.getNextCheckTime()));
             //修改孕妇高危等级
             updateLastRisk(antExAddRequest.getParentId());
 
@@ -160,12 +160,13 @@ public class AntenatalExaminationFacade {
             }
             Patients patients = patientsService.findOnePatientById(antExAddRequest.getParentId());
             patients.setLastCheckEmployeeId(antExAddRequest.getCheckDoctor());
-            patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(antExAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(antExAddRequest.getNextCheckTime()));
+
             model.setPid(patients.getPid());
             if (StringUtils.isNotEmpty(patients.getEnable()) && "0".equals(patients.getEnable())) {
                 patients.setEnable("1");
             }
             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);
 
             //修改最后一次检查时间
@@ -248,13 +249,14 @@ public class AntenatalExaminationFacade {
 
             Patients patients = patientsService.findOnePatientById(excAddRequest.getParentId());
             patients.setLastCheckEmployeeId(excAddRequest.getProdDoctor());
-            patientsService.updatePatientOneCol(patients.getId(),  com.lyms.platform.common.utils.StringUtils.isEmpty(excAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(excAddRequest.getNextCheckTime()));
+
             if (StringUtils.isNotEmpty(patients.getEnable()) && "0".equals(patients.getEnable())) {
                 patients.setEnable("1");
             }
             //修改患者风险等级
 //            updatePatientRiskLevel(antExChuModel, patients);
             patientsService.updatePatient(patients);
+            patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(excAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(excAddRequest.getNextCheckTime()));
             //修改本系统最后的高危
             updateLastRisk(patients.getId());
             //修改本院最后一次定义高危
@@ -292,10 +294,11 @@ public class AntenatalExaminationFacade {
                 antExChuModel.setHospitalId(autoMatchFacade.getHospitalId(userId));
                 antenatalExaminationService.addOneAntEx(antExChuModel);
                 //修改患者风险等级
-                patientsService.updatePatientOneCol(patients.getId(),  com.lyms.platform.common.utils.StringUtils.isEmpty(excAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(excAddRequest.getNextCheckTime()));
+
                 patients.setLastCheckEmployeeId(excAddRequest.getProdDoctor());
 //                updatePatientRiskLevel(antExChuModel, patients);
                 patientsService.updatePatient(patients);
+                patientsService.updatePatientOneCol(patients.getId(), com.lyms.platform.common.utils.StringUtils.isEmpty(excAddRequest.getNextCheckTime()) == true ? null : DateUtil.parseYMD(excAddRequest.getNextCheckTime()));
                 updateLastRisk(patients.getId());
 
                 //修改本院最后一次定义高危