diff --git a/crates/erp-health/src/service/stats_service.rs b/crates/erp-health/src/service/stats_service.rs
index f6460a8..74332cb 100644
--- a/crates/erp-health/src/service/stats_service.rs
+++ b/crates/erp-health/src/service/stats_service.rs
@@ -96,32 +96,44 @@ pub async fn get_follow_up_statistics(
 ) -> AppResult<FollowUpStatisticsResp> {
     let db = &state.db;
 
-    let total_tasks = follow_up_task::Entity::find()
-        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
-        .filter(follow_up_task::Column::DeletedAt.is_null())
-        .count(db)
-        .await?;
+    // 单次 GROUP BY 查询替代 4 次独立 COUNT
+    let sql = r#"
+        SELECT COALESCE(status, '__total') AS status, COUNT(*) AS cnt
+        FROM follow_up_task
+        WHERE tenant_id = $1 AND deleted_at IS NULL
+        GROUP BY GROUPING SETS ((status), ())
+    "#;
 
-    let completed = follow_up_task::Entity::find()
-        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
-        .filter(follow_up_task::Column::DeletedAt.is_null())
-        .filter(follow_up_task::Column::Status.eq("completed"))
-        .count(db)
-        .await?;
+    #[derive(Debug, sea_orm::FromQueryResult)]
+    struct StatusCount {
+        status: String,
+        cnt: i64,
+    }
 
-    let pending = follow_up_task::Entity::find()
-        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
-        .filter(follow_up_task::Column::DeletedAt.is_null())
-        .filter(follow_up_task::Column::Status.eq("pending"))
-        .count(db)
-        .await?;
+    let rows: Vec<StatusCount> = sea_orm::FromQueryResult::find_by_statement(
+        sea_orm::Statement::from_sql_and_values(
+            sea_orm::DatabaseBackend::Postgres,
+            sql,
+            [tenant_id.into()],
+        ),
+    )
+    .all(db)
+    .await?;
 
-    let overdue = follow_up_task::Entity::find()
-        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
-        .filter(follow_up_task::Column::DeletedAt.is_null())
-        .filter(follow_up_task::Column::Status.eq("overdue"))
-        .count(db)
-        .await?;
+    let mut total_tasks: i64 = 0;
+    let mut completed: i64 = 0;
+    let mut pending: i64 = 0;
+    let mut overdue: i64 = 0;
+
+    for row in &rows {
+        match row.status.as_str() {
+            "__total" => total_tasks = row.cnt,
+            "completed" => completed = row.cnt,
+            "pending" => pending = row.cnt,
+            "overdue" => overdue = row.cnt,
+            _ => {}
+        }
+    }
 
     let completion_rate = if completed + pending + overdue > 0 {
         (completed as f64 / (completed + pending + overdue) as f64) * 100.0
@@ -130,10 +142,10 @@ pub async fn get_follow_up_statistics(
     };
 
     Ok(FollowUpStatisticsResp {
-        total_tasks: total_tasks as i64,
-        completed: completed as i64,
-        pending: pending as i64,
-        overdue: overdue as i64,
+        total_tasks,
+        completed,
+        pending,
+        overdue,
         completion_rate,
     })
 }
@@ -420,36 +432,36 @@ struct AvgFieldResult {
     avg_val: Option<f64>,
 }
 
+macro_rules! avg_field_sql {
+    ($field:literal) => {
+        concat!(
+            "SELECT AVG(", $field, ")::FLOAT8 AS avg_val FROM dialysis_record ",
+            "WHERE tenant_id = $1 AND deleted_at IS NULL AND ", $field, " IS NOT NULL ",
+            "AND created_at >= date_trunc('month', NOW())"
+        )
+    };
+}
+
 async fn compute_avg_field(
     db: &sea_orm::DatabaseConnection,
     tenant_id: uuid::Uuid,
     field: &str,
 ) -> AppResult<Option<f64>> {
-    const ALLOWED_FIELDS: &[&str] = &[
-        "ultrafiltration_volume",
-        "dialysis_duration",
-        "uf_volume",
-        "uf_rate",
-        "blood_flow_rate",
-        "dialysate_flow_rate",
-        "pre_weight",
-        "post_weight",
-        "pre_bp_systolic",
-        "pre_bp_diastolic",
-        "post_bp_systolic",
-        "post_bp_diastolic",
-    ];
-    if !ALLOWED_FIELDS.contains(&field) {
-        return Err(erp_core::error::AppError::Validation(format!(
-            "不允许的字段名: {field}"
-        )));
-    }
-    // field is whitelist-validated, safe to interpolate
-    let sql = format!(
-        "SELECT AVG({field})::FLOAT8 AS avg_val FROM dialysis_record \
-         WHERE tenant_id = $1 AND deleted_at IS NULL AND {field} IS NOT NULL \
-         AND created_at >= date_trunc('month', NOW())"
-    );
+    let sql = match field {
+        "ultrafiltration_volume" => avg_field_sql!("ultrafiltration_volume"),
+        "dialysis_duration" => avg_field_sql!("dialysis_duration"),
+        "uf_volume" => avg_field_sql!("uf_volume"),
+        "uf_rate" => avg_field_sql!("uf_rate"),
+        "blood_flow_rate" => avg_field_sql!("blood_flow_rate"),
+        "dialysate_flow_rate" => avg_field_sql!("dialysate_flow_rate"),
+        "pre_weight" => avg_field_sql!("pre_weight"),
+        "post_weight" => avg_field_sql!("post_weight"),
+        "pre_bp_systolic" => avg_field_sql!("pre_bp_systolic"),
+        "pre_bp_diastolic" => avg_field_sql!("pre_bp_diastolic"),
+        "post_bp_systolic" => avg_field_sql!("post_bp_systolic"),
+        "post_bp_diastolic" => avg_field_sql!("post_bp_diastolic"),
+        _ => return Err(erp_core::error::AppError::Validation(format!("不允许的字段名: {field}"))),
+    };
     let result: Option<AvgFieldResult> = sea_orm::FromQueryResult::find_by_statement(
         sea_orm::Statement::from_sql_and_values(
             sea_orm::DatabaseBackend::Postgres,