diff --git a/acupuncture-后台/src/utils/request.js b/acupuncture-后台/src/utils/request.js
index 0f4920a7..648cd9da 100644
--- a/acupuncture-后台/src/utils/request.js
+++ b/acupuncture-后台/src/utils/request.js
@@ -160,6 +160,8 @@ export function download1(url, params, filename, config) {
       headers: { "Content-Type": "application/json;charset=utf-8" },
 
       responseType: "blob",
+      data: params, // 确保参数传递给后端
+      ...config, // 合并传入的额外配置
     })
     .then(async (data) => {
       const isBlob = blobValidate(data);
diff --git a/acupuncture-后台/src/views/followFile/index.vue b/acupuncture-后台/src/views/followFile/index.vue
index 59990016..48fd5e51 100644
--- a/acupuncture-后台/src/views/followFile/index.vue
+++ b/acupuncture-后台/src/views/followFile/index.vue
@@ -515,7 +515,7 @@ export default {
       this.download(
         "system/user/export",
         {
-          ...this.queryParams.params,
+          ...this.queryParams.param,
         },
         `患者档案.xlsx`
       );
diff --git a/acupuncture-后台/src/views/followFile/subjects.vue b/acupuncture-后台/src/views/followFile/subjects.vue
index 86e13b61..cd11bba5 100644
--- a/acupuncture-后台/src/views/followFile/subjects.vue
+++ b/acupuncture-后台/src/views/followFile/subjects.vue
@@ -452,7 +452,7 @@ export default {
       this.download(
         "system/user/export",
         {
-          ...this.queryParams.params,
+          ...this.queryParams.param,
         },
         `患者档案.xlsx`
       );
diff --git a/acupuncture-后台/src/views/followFile/work.vue b/acupuncture-后台/src/views/followFile/work.vue
index d3d66dcd..86b59faa 100644
--- a/acupuncture-后台/src/views/followFile/work.vue
+++ b/acupuncture-后台/src/views/followFile/work.vue
@@ -530,7 +530,7 @@ export default {
   created() {
     let { name, phone } = this.$route.query;
     this.queryParams.param.keywords = name || "";
-    this.queryParams.param.phone = phone !== 'null' ? phone : "";
+    this.queryParams.param.phone = phone !== "null" ? phone : "";
     this.getList();
     this.getTenantsList(); // 组织列表
   },
@@ -698,7 +698,7 @@ export default {
       this.download(
         "system/user/export",
         {
-          ...this.queryParams.params,
+          ...this.queryParams.param,
         },
         `患者档案.xlsx`
       );
diff --git a/acupuncture-后台/src/views/medicalFile/index.vue b/acupuncture-后台/src/views/medicalFile/index.vue
index c71e9b0f..00113625 100644
--- a/acupuncture-后台/src/views/medicalFile/index.vue
+++ b/acupuncture-后台/src/views/medicalFile/index.vue
@@ -1325,7 +1325,7 @@ export default {
       this.download1(
         "/admin/treatment/exportTreatment",
         {
-          ...this.queryParams.params,
+          ...this.queryParams.param,
         },
         `诊疗档案.xlsx`
       );
diff --git a/acupuncture-后台/src/views/member/account.vue b/acupuncture-后台/src/views/member/account.vue
index 2cf69881..501b8cf6 100644
--- a/acupuncture-后台/src/views/member/account.vue
+++ b/acupuncture-后台/src/views/member/account.vue
@@ -448,7 +448,7 @@ export default {
       this.download1(
         "/treatment/exportTreatment",
         {
-          ...this.queryParams.params,
+          ...this.queryParams.param,
         },
         `诊疗档案.xlsx`
       );
diff --git a/acupuncture-后台/src/views/patientFile/index.vue b/acupuncture-后台/src/views/patientFile/index.vue
index be986927..47f0e1a9 100644
--- a/acupuncture-后台/src/views/patientFile/index.vue
+++ b/acupuncture-后台/src/views/patientFile/index.vue
@@ -824,7 +824,7 @@ export default {
       this.download1(
         "/admin/patient/export",
         {
-          ...this.queryParams.params,
+          ...this.queryParams.param,
         },
         `患者档案.xlsx`
       );