diff --git a/commons/basic/src/main/ets/utils/PatientsEntity.ets b/commons/basic/src/main/ets/utils/PatientsEntity.ets
index 5513c84..17f5551 100644
--- a/commons/basic/src/main/ets/utils/PatientsEntity.ets
+++ b/commons/basic/src/main/ets/utils/PatientsEntity.ets
@@ -300,6 +300,24 @@ export class PatientDao {
     }
   }
 
+  async getPatientTypeByUuid(uuid: string): Promise<number | null> {
+    this.checkDatabaseState();
+    if (!this.rdbStore) {
+      throw new Error('数据库连接为空');
+    }
+    const sql = 'SELECT type FROM patients WHERE LOWER(uuid) = LOWER(?)';
+    const resultSet = await this.rdbStore.querySql(sql, [uuid]);
+    if (resultSet.rowCount > 0) {
+      resultSet.goToFirstRow();
+      const typeIndex = resultSet.getColumnIndex('type');
+      const type = typeIndex >= 0 ? resultSet.getDouble(typeIndex) : null;
+      resultSet.close();
+      return type;
+    }
+    resultSet.close();
+    return null;
+  }
+
   // 删除指定专家的所有患者数据
   async deletePatientsByExpertUuid(expertUuid: string): Promise<void> {
     try {
@@ -855,6 +873,16 @@ export class PatientDatabaseManager {
   async addPatient(patient: PatientData): Promise<boolean> {
     return await this.addPatients(patient);
   }
+
+  // 在 PatientDatabaseManager 类内添加
+  async getPatientTypeByUuid(uuid: string): Promise<number | null> {
+    if (!this.isDatabaseReady()) {
+      console.error('数据库未准备好，无法获取患者type');
+      return null;
+    }
+    return await this.getPatientDao().getPatientTypeByUuid(uuid);
+  }
+
 }
 
 // 导出单例实例
diff --git a/localconversationkit_ui/src/main/ets/viewmodel/LocalConversationViewModel.ets b/localconversationkit_ui/src/main/ets/viewmodel/LocalConversationViewModel.ets
index 0a2d67a..1ea1757 100644
--- a/localconversationkit_ui/src/main/ets/viewmodel/LocalConversationViewModel.ets
+++ b/localconversationkit_ui/src/main/ets/viewmodel/LocalConversationViewModel.ets
@@ -236,21 +236,31 @@ export class LocalConversationViewModel {
         }
         this.offset = result.offset
         this.isFinished = result.finished
-        let newConversation = result.conversationList
-        if (this.conversationList.length > 0 && newConversation.length > 0) {
-          this.conversationList =
-            this.conversationList.filter(conversation => !newConversation.find((m) => m.conversationId ===
-            conversation.conversationId))
-        }
-        this.conversationList?.push(...newConversation)
+        // let newConversation = result.conversationList
+        // if (this.conversationList.length > 0 && newConversation.length > 0) {
+        //   this.conversationList =
+        //     this.conversationList.filter(conversation => !newConversation.find((m) => m.conversationId ===
+        //     conversation.conversationId))
+        // }
+        // this.conversationList?.push(...newConversation)
         //异步有问题
-        if (this.conversationList.length > 0 ) {
-            const resultconversationList =await   this.conversationList.filter(async conversation =>
-            await patientDbManager.getPatientByUuid(ChatKitClient.nim.conversationIdUtil.parseConversationTargetId(conversation.conversationId))!=null
-           )
-          this.conversationList =resultconversationList;
-
+        // if (this.conversationList.length > 0 ) {
+        //     const resultconversationList =await   this.conversationList.filter(async conversation =>
+        //     await patientDbManager.getPatientByUuid(ChatKitClient.nim.conversationIdUtil.parseConversationTargetId(conversation.conversationId))!=null
+        //    )
+        //   this.conversationList =resultconversationList;
+        //
+        // }
+        const filteredConversations: V2NIMLocalConversation[] = [];
+        for (const conversation of result.conversationList) {
+          const uuid = ChatKitClient.nim.conversationIdUtil.parseConversationTargetId(conversation.conversationId);
+          // 假设 selectUserStyleWithModel 返回 "1" 表示 type=1
+          const style = await patientDbManager.getPatientTypeByUuid(uuid);
+          if (style == 1) {
+            filteredConversations.push(conversation);
+          }
         }
+        this.conversationList = filteredConversations;
 
         this.conversationList?.sort((a, b) => this.sortConversation(a, b))
         this.isFinishedSyncLoad = true