diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
index b323a0128..5932546de 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
@@ -536,36 +536,35 @@ public class PatientexamlistController {
 
     @GetMapping("/getECGStatistics")
     @Operation(summary = "获取心电图统计数据")
-    @PreAuthorize("@ss.hasPermission('tblist:patientexamlist:query')")
-    public CommonResult<ECGStatisticsRespVO> getECGStatistics(@RequestParam("orgId") String orgId) {
+    public CommonResult<ECGStatisticsRespVO> getECGStatistics() {
         ECGStatisticsRespVO statistics = new ECGStatisticsRespVO();
-        
-        // 构建基础查询条件
+        AdminUserDO user = userService.getUser(getLoginUserId());
+        String orgId = user.getOrgId();
+
+        // 使用一个查询获取所有统计数据
         QueryWrapper<PatientexamlistDO> queryWrapper = new QueryWrapper<>();
-        queryWrapper.eq("deviceType", "ECG")
-                    .eq("orgId", orgId);
-        
-        // 获取总数
-        int totalCount = patientexamlistMapper.selectCount(queryWrapper).intValue();
-        statistics.setTotalCount(totalCount);
-        
-        // 获取已分析数量(reviewDate不为空)
-        QueryWrapper<PatientexamlistDO> analyzedWrapper = new QueryWrapper<>();
-        analyzedWrapper.eq("deviceType", "ECG")
-                      .eq("orgId", orgId)
-                      .isNotNull("reviewDate");
-        int analyzedCount = patientexamlistMapper.selectCount(analyzedWrapper).intValue();
-        statistics.setAnalyzedCount(analyzedCount);
-        
-        // 获取未分析数量
-        statistics.setUnanalyzedCount(totalCount - analyzedCount);
+        queryWrapper.select(
+                "COUNT(*) as totalCount",
+                "SUM(CASE WHEN reviewDate IS NOT NULL THEN 1 ELSE 0 END) as analyzedCount",
+                "SUM(CASE WHEN reviewDate IS NULL THEN 1 ELSE 0 END) as unanalyzedCount",
+                "SUM(CASE WHEN applicationDate IS NOT NULL THEN 1 ELSE 0 END) as appliedCount",
+                "SUM(CASE WHEN warning = '1' THEN 1 ELSE 0 END) as criticalCount"
+        )
+        .eq("deviceType", "ECG")
+        .eq("orgId", orgId);
+
+        Map<String, Object> counts = patientexamlistMapper.selectMaps(queryWrapper).get(0);
         
+        statistics.setTotalCount(((Number) counts.get("totalCount")).intValue());
+        statistics.setAnalyzedCount(((Number) counts.get("analyzedCount")).intValue());
+        statistics.setUnanalyzedCount(((Number) counts.get("unanalyzedCount")).intValue());
+        statistics.setAppliedCount(((Number) counts.get("appliedCount")).intValue());
+        statistics.setCriticalCount(((Number) counts.get("criticalCount")).intValue());
+
         // 获取阳性数量
         int positiveCount = 0;
-        // 1. 获取所有阳性关键词配置
         List<Map<String, Object>> positivestatisticsDict = positivestatisticsMapper.selectList_usable(orgId);
         if (positivestatisticsDict != null && !positivestatisticsDict.isEmpty()) {
-            // 2. 收集所有关键词
             List<String> allKeywords = new ArrayList<>();
             for (Map<String, Object> dict : positivestatisticsDict) {
                 if (dict.get("keyWord") != null && dict.get("keyWord").toString().trim().length() > 0) {
@@ -574,35 +573,17 @@ public class PatientexamlistController {
                 }
             }
             
-            // 3. 一次性查询所有符合任意关键词的记录
             if (!allKeywords.isEmpty()) {
                 positiveCount = ecganalysisparasMapper.selectList_positive(
-                    orgId,           // 机构ID
-                    null,           // 不限制开始时间
-                    null,           // 不限制结束时间
+                    orgId,
+                    null,
+                    null,
                     allKeywords.toArray(new String[0])
                 ).size();
             }
         }
-        
         statistics.setPositiveCount(positiveCount);
         
-        // 获取上级申请数量(applicationDate不为空)
-        QueryWrapper<PatientexamlistDO> appliedWrapper = new QueryWrapper<>();
-        appliedWrapper.eq("deviceType", "ECG")
-                      .eq("orgId", orgId)
-                      .isNotNull("applicationDate");
-        int appliedCount = patientexamlistMapper.selectCount(appliedWrapper).intValue();
-        statistics.setAppliedCount(appliedCount);
-        
-        // 获取危急值数量(warning = 1)
-        QueryWrapper<PatientexamlistDO> criticalWrapper = new QueryWrapper<>();
-        criticalWrapper.eq("deviceType", "ECG")
-                      .eq("orgId", orgId)
-                      .eq("warning", "1");
-        int criticalCount = patientexamlistMapper.selectCount(criticalWrapper).intValue();
-        statistics.setCriticalCount(criticalCount);
-        
         return success(statistics);
     }