diff --git a/app/Services/PatientOrderService.php b/app/Services/PatientOrderService.php
index b69b090..20c0a64 100644
--- a/app/Services/PatientOrderService.php
+++ b/app/Services/PatientOrderService.php
@@ -1999,6 +1999,11 @@ class PatientOrderService extends BaseService
             $order_prescription = OrderPrescription::getWithPage($params, ['*'], $page, $per_page);
             if (!empty($order_prescription['data'])) {
                 foreach ($order_prescription['data'] as &$item) {
+                    // 将模型对象转换为数组，避免间接修改重载元素错误
+                    if (is_object($item)) {
+                        $item = $item->toArray();
+                    }
+
                     //处理抄方情况
                     $params = array();
                     $params['order_inquiry_id'] = $item['order_inquiry_id'];
@@ -2013,14 +2018,18 @@ class PatientOrderService extends BaseService
 
                             $UserDoctor = UserDoctor::getOne($params, $fields);
                             if (!empty($UserDoctor)) {
-                                $item['UserDoctor']['doctor_title'] = DoctorTitleCode::getMessage($UserDoctor['doctor_title']);
-                            }
-                        }else{
-                            if (!empty($item['UserDoctor'])) {
-                                $item['UserDoctor']['doctor_title'] = DoctorTitleCode::getMessage($item['UserDoctor']['doctor_title']);
+                                $item['UserDoctor'] = $UserDoctor->toArray();
                             }
                         }
                     }
+
+                    if (!empty($item['UserDoctor'])) {
+                        // 确保 UserDoctor 也是数组格式
+                        if (is_object($item['UserDoctor'])) {
+                            $item['UserDoctor'] = $item['UserDoctor']->toArray();
+                        }
+                        $item['UserDoctor']['doctor_title'] = DoctorTitleCode::getMessage($item['UserDoctor']['doctor_title']);
+                    }
                 }
             }