diff --git a/app/Services/PatientFamilyService.php b/app/Services/PatientFamilyService.php
index 2f56dfe..c66a463 100644
--- a/app/Services/PatientFamilyService.php
+++ b/app/Services/PatientFamilyService.php
@@ -588,6 +588,9 @@ class PatientFamilyService extends BaseService
             if ($request_params['is_allergy_history'] != $patient_family_personal['is_allergy_history']){
                 // 是否存在过敏史（0:否 1:是）
                 $data['is_allergy_history'] = $request_params['is_allergy_history'];
+            }
+
+            if ($request_params['allergy_history'] != $patient_family_personal['allergy_history']){
                 $data['allergy_history'] = $request_params['allergy_history'];
             }
         }
@@ -596,6 +599,9 @@ class PatientFamilyService extends BaseService
             if ($request_params['is_family_history'] != $patient_family_personal['is_family_history']){
                 // 是否存在家族病史（0:否 1:是）
                 $data['is_family_history'] = $request_params['is_family_history'];
+            }
+
+            if ($request_params['family_history'] != $patient_family_personal['family_history']){
                 $data['family_history'] = $request_params['family_history'];
             }
         }
@@ -604,6 +610,9 @@ class PatientFamilyService extends BaseService
             if ($request_params['is_pregnant'] != $patient_family_personal['is_pregnant']){
                 // 是否备孕、妊娠、哺乳期（0:否 1:是）
                 $data['is_pregnant'] = $request_params['is_pregnant'];
+            }
+
+            if ($request_params['pregnant'] != $patient_family_personal['pregnant']){
                 $data['pregnant'] = $request_params['pregnant'];
             }
         }
@@ -612,6 +621,9 @@ class PatientFamilyService extends BaseService
             if ($request_params['is_operation'] != $patient_family_personal['is_operation']){
                 // 是否存在手术（0:否 1:是）
                 $data['is_operation'] = $request_params['is_operation'];
+            }
+
+            if ($request_params['operation'] != $patient_family_personal['operation']){
                 $data['operation'] = $request_params['operation'];
             }
         }
@@ -634,6 +646,9 @@ class PatientFamilyService extends BaseService
             if ($request_params['chemical_compound_status'] != $patient_family_personal['chemical_compound_status']){
                 // 化合物状态（1:从不 2:偶尔 3:经常 4:每天）
                 $data['chemical_compound_status'] = $request_params['chemical_compound_status'];
+            }
+
+            if ($request_params['chemical_compound_describe'] != $patient_family_personal['chemical_compound_describe']){
                 $data['chemical_compound_describe'] = $request_params['chemical_compound_describe'];
             }
         }