refactor(mp): 架构重构 — usePageData 统一数据加载 + Store 解耦 + 大页面拆分

新增 usePageData hook（useDidShow 节流 + usePullDownRefresh + loadingRef 防重入 + enabled 条件守卫），
44/58 页面迁移接入，消灭 4 种数据加载模式并存。

- 新增 hooks/usePageData.ts — 统一页面数据加载生命周期
- 新增 stores/index.ts — resetAllStores() 解耦 auth↔health store 依赖
- 新增 pages/index/useHomeData.ts — 首页数据 hook（424→282 行）
- 新增 pages/health/useHealthData.ts — 健康页数据 hook（422→254 行）
- 44 个页面迁移到 usePageData（9 患者端 + 15 医生端 + 20 子包）
- auth store logout 不再直接导入 health store

构建通过，测试 74/75（1 个预存失败）。

apps/miniprogram/src/hooks/usePageData.ts

@@ -0,0 +1,70 @@
+import { useRef, useCallback } from 'react';
+import Taro, { useDidShow, usePullDownRefresh } from '@tarojs/taro';
+
+interface UsePageDataOptions {
+  throttleMs?: number;
+  enablePullDown?: boolean;
+  enabled?: boolean;
+}
+
+interface UsePageDataResult {
+  loading: boolean;
+  refresh: () => Promise<void>;
+  trigger: () => void;
+}
+
+export function usePageData(
+  fetcher: () => Promise<void>,
+  options?: UsePageDataOptions,
+): UsePageDataResult {
+  const throttleMs = options?.throttleMs ?? 5000;
+  const enablePullDown = options?.enablePullDown ?? false;
+  const enabled = options?.enabled ?? true;
+
+  const loadingRef = useRef(false);
+  const lastRunRef = useRef(0);
+  const fetcherRef = useRef(fetcher);
+  fetcherRef.current = fetcher;
+
+  const run = useCallback(async (force = false) => {
+    if (!enabled || loadingRef.current) return;
+    if (!force && Date.now() - lastRunRef.current < throttleMs) return;
+    loadingRef.current = true;
+    lastRunRef.current = Date.now();
+    try {
+      await fetcherRef.current();
+    } finally {
+      loadingRef.current = false;
+    }
+  }, [enabled, throttleMs]);
+
+  useDidShow(() => {
+    run();
+  });
+
+  const trigger = useCallback(() => {
+    run(true);
+  }, [run]);
+
+  const refresh = useCallback(async () => {
+    if (loadingRef.current) return;
+    loadingRef.current = true;
+    lastRunRef.current = Date.now();
+    try {
+      await fetcherRef.current();
+    } finally {
+      loadingRef.current = false;
+    }
+  }, []);
+
+  usePullDownRefresh(async () => {
+    if (!enablePullDown) return;
+    try {
+      await refresh();
+    } finally {
+      Taro.stopPullDownRefresh();
+    }
+  });
+
+  return { loading: loadingRef.current, refresh, trigger };
+}

apps/miniprogram/src/pages/ai-report/detail/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text, RichText } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getAiAnalysisDetail, type AiAnalysisItem } from '@/services/ai-analysis';
 import Loading from '@/components/Loading';
 import { sanitizeHtml } from '@/utils/sanitize-html';
@@ -34,15 +35,21 @@ export default function AiReportDetail() {
   const [analysis, setAnalysis] = useState<AiAnalysisItem | null>(null);
   const [loading, setLoading] = useState(true);
 
-  useEffect(() => {
+  const fetchDetail = useCallback(async () => {
     if (!id) return;
     setLoading(true);
-    getAiAnalysisDetail(id)
-      .then((data) => setAnalysis(data))
-      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
-      .finally(() => setLoading(false));
+    try {
+      const data = await getAiAnalysisDetail(id);
+      setAnalysis(data);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
   }, [id]);
 
+  usePageData(fetchDetail, { throttleMs: 60000 });
+
   if (loading) return <Loading />;
 
   if (!analysis) {

apps/miniprogram/src/pages/ai-report/list/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listAiAnalysis, type AiAnalysisItem } from '@/services/ai-analysis';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
@@ -28,11 +29,7 @@ export default function AiReportList() {
   const [page, setPage] = useState(1);
   const [hasMore, setHasMore] = useState(true);
 
-  useEffect(() => {
-    loadList(1);
-  }, []);
-
-  const loadList = async (p: number) => {
+  const loadList = useCallback(async (p: number) => {
     setLoading(true);
     try {
       const res = await listAiAnalysis(p, 20);
@@ -46,7 +43,9 @@ export default function AiReportList() {
     } finally {
       setLoading(false);
     }
-  };
+  }, []);
+
+  usePageData(async () => { await loadList(1); }, { throttleMs: 5000, enablePullDown: true });
 
   const goDetail = (id: string) => {
     Taro.navigateTo({ url: `/pages/ai-report/detail/index?id=${id}` });

apps/miniprogram/src/pages/appointment/index.tsx

@@ -1,7 +1,7 @@
-import React, { useState, useCallback, useRef } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listAppointments } from '../../services/appointment';
 import type { Appointment } from '../../services/appointment';
 import EmptyState from '../../components/EmptyState';
@@ -31,12 +31,9 @@ export default function AppointmentList() {
   const [page, setPage] = useState(1);
   const [total, setTotal] = useState(0);
   const [loading, setLoading] = useState(false);
-  const loadingRef = useRef(false);
   const modeClass = useElderClass();
 
   const fetchData = useCallback(async (pageNum: number, isRefresh = false) => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
     setLoading(true);
     try {
       const res = await listAppointments(pageNum);
@@ -51,20 +48,14 @@ export default function AppointmentList() {
     } catch {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
-      loadingRef.current = false;
       setLoading(false);
     }
   }, []);
 
-  useThrottledDidShow(() => {
-    fetchData(1, true);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1, true).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(() => fetchData(1, true), [fetchData]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   useReachBottom(() => {
     if (!loading && appointments.length < total) {

apps/miniprogram/src/pages/article/detail/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text, RichText } from '@tarojs/components';
 import Taro, { useRouter, useShareAppMessage } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getArticleDetail, getPublicArticleDetail, Article } from '../../../services/article';
 import { trackEvent } from '@/services/analytics';
 import { sanitizeHtml } from '@/utils/sanitize-html';
@@ -24,17 +25,23 @@ export default function ArticleDetail() {
     };
   });
 
-  useEffect(() => {
+  const fetchArticle = useCallback(async () => {
     if (!id) return;
     setLoading(true);
-    const user = useAuthStore.getState().user;
-    const fetcher = user ? getArticleDetail(id) : getPublicArticleDetail(id);
-    fetcher
-      .then((data) => setArticle(data))
-      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
-      .finally(() => setLoading(false));
+    try {
+      const user = useAuthStore.getState().user;
+      const fetcher = user ? getArticleDetail(id) : getPublicArticleDetail(id);
+      const data = await fetcher;
+      setArticle(data);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
   }, [id]);
 
+  usePageData(fetchArticle, { throttleMs: 60000 });
+
   if (loading) {
     return (
       <View className={`article-detail-page ${modeClass}`}>

apps/miniprogram/src/pages/article/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback, useEffect } from 'react';
 import { View, Text, Image, ScrollView } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listArticles, listCategories, Article, ArticleCategory } from '../../services/article';
 import EmptyState from '../../components/EmptyState';
 import Loading from '../../components/Loading';
@@ -49,15 +49,10 @@ export default function ArticleList() {
     fetchCategories();
   }, [fetchCategories]);
 
-  useThrottledDidShow(() => {
-    fetchData(1, false, null);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1, false, null).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(() => fetchData(1, false, null), [fetchData]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   useReachBottom(() => {
     if (!loading && articles.length < total) {

apps/miniprogram/src/pages/consultation/index.tsx

@@ -1,7 +1,7 @@
-import { useState, useRef } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { useAuthStore } from '@/stores/auth';
 import { listConsultations, ConsultationSession } from '@/services/consultation';
 import Loading from '../../components/Loading';
@@ -41,11 +41,8 @@ export default function Consultation() {
   const modeClass = useElderClass();
   const [page, setPage] = useState(1);
   const [total, setTotal] = useState(0);
-  const loadingRef = useRef(false);
 
-  const loadSessions = async (pageNum: number, isRefresh = false) => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadSessions = useCallback(async (pageNum: number, isRefresh = false) => {
     if (isRefresh) setLoading(true);
     setError('');
     try {
@@ -66,21 +63,17 @@ export default function Consultation() {
       Taro.showToast({ title: '加载失败，下拉重试', icon: 'none' });
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, []);
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '在线咨询' });
-    if (!user) return;
-    loadSessions(1, true);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    loadSessions(1, true).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(async () => {
+      Taro.setNavigationBarTitle({ title: '在线咨询' });
+      if (!user) return;
+      await loadSessions(1, true);
+    }, [user, loadSessions]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   useReachBottom(() => {
     if (!loading && sessions.length < total) {

apps/miniprogram/src/pages/doctor/action-inbox/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
-import Taro, { usePullDownRefresh } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { api } from '@/services/request';
 import {
   listActionItems,
@@ -74,16 +74,13 @@ export default function ActionInboxPage() {
     [],
   );
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '待办事项' });
-    fetchItems(1, activeTab, true);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchItems(1, activeTab, true).then(() =>
-      Taro.stopPullDownRefresh(),
-    );
-  });
+  usePageData(
+    useCallback(async () => {
+      Taro.setNavigationBarTitle({ title: '待办事项' });
+      await fetchItems(1, activeTab, true);
+    }, [fetchItems, activeTab]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   const handleTabChange = (key: string) => {
     setActiveTab(key);

apps/miniprogram/src/pages/doctor/alerts/detail/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, ScrollView, Button } from '@tarojs/components';
 import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import {
   getAlert, acknowledgeAlert, dismissAlert, resolveAlert,
   type Alert,
@@ -29,23 +30,21 @@ export default function AlertDetail() {
   const [loading, setLoading] = useState(true);
   const [actionLoading, setActionLoading] = useState(false);
 
-  useEffect(() => {
-    const params = Taro.getCurrentInstance().router?.params;
-    if (params?.id) {
-      loadAlert(params.id);
-    }
-  }, []);
+  const alertId = Taro.getCurrentInstance().router?.params?.id || '';
 
-  const loadAlert = async (id: string) => {
+  const loadAlert = useCallback(async () => {
+    if (!alertId) return;
     try {
-      const data = await getAlert(id);
+      const data = await getAlert(alertId);
       setAlert(data);
     } catch {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
       setLoading(false);
     }
-  };
+  }, [alertId]);
+
+  usePageData(loadAlert, { throttleMs: 60000, enablePullDown: false, enabled: !!alertId });
 
   const handleAcknowledge = async () => {
     if (!alert) return;

apps/miniprogram/src/pages/doctor/alerts/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect, useMemo, useRef } from 'react';
+import { useState, useEffect, useMemo, useCallback, useRef } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listAlerts, type Alert } from '@/services/doctor/alerts';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
@@ -36,17 +37,11 @@ export default function AlertList() {
   const [activeTab, setActiveTab] = useState('');
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
-  const loadingRef = useRef(false);
+  const mountedRef = useRef(false);
 
   const totalPages = useMemo(() => Math.ceil(total / 20), [total]);
 
-  useEffect(() => {
-    loadAlerts();
-  }, [page, activeTab]);
-
-  const loadAlerts = async () => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadAlerts = useCallback(async () => {
     setLoading(true);
     try {
       const res = await listAlerts({
@@ -60,9 +55,18 @@ export default function AlertList() {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, [activeTab, page]);
+
+  const { trigger } = usePageData(loadAlerts);
+
+  // tab/page 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current) {
+      trigger();
+    }
+    mountedRef.current = true;
+  }, [page, activeTab, trigger]);
 
   const handleTabChange = (value: string) => {
     setActiveTab(value);

apps/miniprogram/src/pages/doctor/consultation/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect, useMemo, useRef } from 'react';
+import { useState, useEffect, useMemo, useCallback, useRef } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listSessions, type ConsultationSession } from '@/services/doctor/consultation';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
@@ -24,17 +25,11 @@ export default function ConsultationList() {
   const [loading, setLoading] = useState(true);
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
-  const loadingRef = useRef(false);
+  const mountedRef = useRef(false);
 
   const totalPages = useMemo(() => Math.ceil(total / 20), [total]);
 
-  useEffect(() => {
-    loadSessions();
-  }, [page, activeTab]);
-
-  const loadSessions = async () => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadSessions = useCallback(async () => {
     setLoading(true);
     try {
       const res = await listSessions({
@@ -48,9 +43,18 @@ export default function ConsultationList() {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, [activeTab, page]);
+
+  const { trigger } = usePageData(loadSessions);
+
+  // tab/page 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current) {
+      trigger();
+    }
+    mountedRef.current = true;
+  }, [page, activeTab, trigger]);
 
   const handleTabChange = (key: string) => {
     setActiveTab(key);

apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import {
   getDialysisRecord, reviewDialysisRecord,
   updateDialysisRecord, deleteDialysisRecord,
@@ -20,11 +21,8 @@ export default function DialysisDetail() {
   const [submitting, setSubmitting] = useState(false);
   const { safeSetTimeout } = useSafeTimeout();
 
-  useEffect(() => {
-    if (id) loadRecord();
-  }, [id]);
-
-  const loadRecord = async () => {
+  const loadRecord = useCallback(async () => {
+    if (!id) return;
     setLoading(true);
     try {
       const r = await getDialysisRecord(id);
@@ -34,7 +32,9 @@ export default function DialysisDetail() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [id]);
+
+  usePageData(loadRecord, { throttleMs: 60000, enablePullDown: false, enabled: !!id });
 
   const handleReview = async () => {
     if (!record) return;

apps/miniprogram/src/pages/doctor/dialysis/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect, useRef } from 'react';
+import { useState, useEffect, useCallback, useRef } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listDialysisRecords, type DialysisRecord } from '@/services/doctor/dialysis';
 import { listPatients } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
@@ -29,15 +30,10 @@ export default function DialysisList() {
   const [loading, setLoading] = useState(false);
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
-  const loadingRef = useRef(false);
+  const mountedRef = useRef(false);
 
-  useEffect(() => {
-    if (currentPatientId) loadRecords(1);
-  }, [currentPatientId, activeTab]);
-
-  const loadRecords = async (p: number) => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadRecords = useCallback(async (p: number) => {
+    if (!currentPatientId) return;
     setLoading(true);
     try {
       const params: { page: number; page_size: number; status?: string } = { page: p, page_size: 20 };
@@ -50,9 +46,21 @@ export default function DialysisList() {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, [currentPatientId, activeTab]);
+
+  usePageData(
+    useCallback(() => loadRecords(1), [loadRecords]),
+    { enabled: !!currentPatientId },
+  );
+
+  // tab/patientId 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current && currentPatientId) {
+      loadRecords(1);
+    }
+    mountedRef.current = true;
+  }, [currentPatientId, activeTab, loadRecords]);
 
   const handleSearch = async () => {
     if (!searchPatient.trim()) return;

apps/miniprogram/src/pages/doctor/followup/detail/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, Textarea, ScrollView, Picker } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import {
   getFollowUpTask, listFollowUpRecords, createFollowUpRecord,
   updateFollowUpTask,
@@ -33,11 +34,8 @@ export default function FollowUpDetail() {
   const [medicalAdvice, setMedicalAdvice] = useState('');
   const [nextDate, setNextDate] = useState('');
 
-  useEffect(() => {
-    if (taskId) loadData();
-  }, [taskId]);
-
-  const loadData = async () => {
+  const loadData = useCallback(async () => {
+    if (!taskId) return;
     setLoading(true);
     try {
       const [t, r] = await Promise.all([
@@ -51,7 +49,9 @@ export default function FollowUpDetail() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [taskId]);
+
+  usePageData(loadData, { throttleMs: 60000, enablePullDown: false, enabled: !!taskId });
 
   const handleSubmit = async () => {
     if (!result.trim()) {

apps/miniprogram/src/pages/doctor/followup/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useCallback, useRef } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listFollowUpTasks, type FollowUpTask } from '@/services/doctor/followup';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
@@ -24,12 +25,9 @@ export default function FollowUpList() {
   const [activeTab, setActiveTab] = useState('');
   const [loading, setLoading] = useState(true);
   const [total, setTotal] = useState(0);
+  const mountedRef = useRef(false);
 
-  useEffect(() => {
-    loadTasks();
-  }, [activeTab, patientId]);
-
-  const loadTasks = async () => {
+  const loadTasks = useCallback(async () => {
     setLoading(true);
     try {
       const res = await listFollowUpTasks({
@@ -45,7 +43,17 @@ export default function FollowUpList() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [activeTab, patientId]);
+
+  const { trigger } = usePageData(loadTasks);
+
+  // tab/patientId 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current) {
+      trigger();
+    }
+    mountedRef.current = true;
+  }, [activeTab, patientId, trigger]);
 
   const formatDate = (dateStr: string) => {
     return new Date(dateStr).toLocaleDateString('zh-CN', { month: 'numeric', day: 'numeric' });

apps/miniprogram/src/pages/doctor/index.tsx

@@ -1,9 +1,9 @@
-import { useState, useEffect, useMemo } from 'react';
+import { useState, useMemo, useCallback } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import { useAuthStore } from '@/stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
-import { useThrottledDidShow } from '../../hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import { getDashboard, type DoctorDashboard } from '@/services/doctor/dashboard';
 import Loading from '@/components/Loading';
 import './index.scss';
@@ -76,19 +76,10 @@ export default function DoctorHome() {
     return primary ? (ROLE_LABELS[primary] || primary) : '医护';
   }, [roles]);
 
-  useEffect(() => {
-    loadDashboard();
-  }, []);
-
-  useThrottledDidShow(() => {
-    loadDashboard();
-  }, 10000);
-
-  const loadDashboard = async () => {
+  const loadDashboard = useCallback(async () => {
     try {
       const data = await getDashboard();
       setDashboard(data);
-      // 从仪表盘数据提取异常体征患者数
       const count = (data as Record<string, unknown>)?.abnormal_vital_count;
       setAlertCount(typeof count === 'number' ? count : 0);
     } catch {
@@ -96,7 +87,9 @@ export default function DoctorHome() {
     } finally {
       setLoading(false);
     }
-  };
+  }, []);
+
+  usePageData(loadDashboard, { throttleMs: 10000 });
 
   const handleCardClick = (card: CardConfig) => {
     Taro.navigateTo({ url: card.route });

apps/miniprogram/src/pages/doctor/patients/detail/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getPatient, getHealthSummary, type PatientDetail, type HealthSummary } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
@@ -14,11 +15,8 @@ export default function PatientDetail() {
   const [summary, setSummary] = useState<HealthSummary | null>(null);
   const [loading, setLoading] = useState(true);
 
-  useEffect(() => {
-    if (patientId) loadData();
-  }, [patientId]);
-
-  const loadData = async () => {
+  const loadData = useCallback(async () => {
+    if (!patientId) return;
     setLoading(true);
     try {
       const [p, s] = await Promise.all([
@@ -32,7 +30,9 @@ export default function PatientDetail() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [patientId]);
+
+  usePageData(loadData, { throttleMs: 60000, enablePullDown: false, enabled: !!patientId });
 
   const getGenderLabel = (g?: string) => (g === 'male' ? '男' : g === 'female' ? '女' : g || '-');
   const calcAge = (bd?: string) => {

apps/miniprogram/src/pages/doctor/patients/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect, useRef } from 'react';
+import { useState, useEffect, useCallback, useRef } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listPatients, listPatientTags, type PatientItem, type PatientTag } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
@@ -16,16 +17,12 @@ export default function PatientList() {
   const [loading, setLoading] = useState(true);
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
-  const loadingRef = useRef(false);
+  const mountedRef = useRef(false);
 
   useEffect(() => {
     loadTags();
   }, []);
 
-  useEffect(() => {
-    loadPatients(1, true);
-  }, [activeTag]);
-
   const loadTags = async () => {
     try {
       const res = await listPatientTags();
@@ -33,9 +30,7 @@ export default function PatientList() {
     } catch { /* ignore */ }
   };
 
-  const loadPatients = async (pageNum: number, isRefresh = false) => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadPatients = useCallback(async (pageNum: number, isRefresh = false) => {
     if (isRefresh) setLoading(true);
     try {
       const res = await listPatients({
@@ -56,15 +51,21 @@ export default function PatientList() {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, [search, activeTag]);
 
-  usePullDownRefresh(() => {
-    loadPatients(1, true).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(() => loadPatients(1, true), [loadPatients]),
+    { enablePullDown: true },
+  );
+
+  // tag 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current) {
+      loadPatients(1, true);
+    }
+    mountedRef.current = true;
+  }, [activeTag, loadPatients]);
 
   useReachBottom(() => {
     if (!loading && patients.length < total) {

apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import {
   getDialysisPrescription, updateDialysisPrescription, deleteDialysisPrescription,
   type DialysisPrescription,
@@ -19,11 +20,8 @@ export default function PrescriptionDetail() {
   const [submitting, setSubmitting] = useState(false);
   const { safeSetTimeout } = useSafeTimeout();
 
-  useEffect(() => {
-    if (id) loadRx();
-  }, [id]);
-
-  const loadRx = async () => {
+  const loadRx = useCallback(async () => {
+    if (!id) return;
     setLoading(true);
     try {
       const data = await getDialysisPrescription(id);
@@ -33,7 +31,9 @@ export default function PrescriptionDetail() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [id]);
+
+  usePageData(loadRx, { throttleMs: 60000, enablePullDown: false, enabled: !!id });
 
   const handleDeactivate = async () => {
     if (!rx) return;

apps/miniprogram/src/pages/doctor/prescription/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect, useRef } from 'react';
+import { useState, useEffect, useCallback, useRef } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listDialysisPrescriptions, type DialysisPrescription } from '@/services/doctor/dialysis';
 import { listPatients } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
@@ -26,15 +27,9 @@ export default function PrescriptionList() {
   const [loading, setLoading] = useState(false);
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
-  const loadingRef = useRef(false);
+  const mountedRef = useRef(false);
 
-  useEffect(() => {
-    loadData(1);
-  }, [currentPatientId, activeTab]);
-
-  const loadData = async (p: number) => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadData = useCallback(async (p: number) => {
     setLoading(true);
     try {
       const res = await listDialysisPrescriptions({
@@ -50,9 +45,20 @@ export default function PrescriptionList() {
       Taro.showToast({ title: '加载失败', icon: 'none' });
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, [currentPatientId, activeTab]);
+
+  usePageData(
+    useCallback(() => loadData(1), [loadData]),
+  );
+
+  // tab/patientId 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current) {
+      loadData(1);
+    }
+    mountedRef.current = true;
+  }, [currentPatientId, activeTab, loadData]);
 
   const handleSearch = async () => {
     if (!searchPatient.trim()) return;

apps/miniprogram/src/pages/doctor/report/detail/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, Textarea, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getLabReport, reviewLabReport, type LabReportDetail } from '@/services/doctor/labReport';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
@@ -16,11 +17,8 @@ export default function ReportDetail() {
   const [doctorNotes, setDoctorNotes] = useState('');
   const [submitting, setSubmitting] = useState(false);
 
-  useEffect(() => {
-    if (patientId && reportId) loadReport();
-  }, [patientId, reportId]);
-
-  const loadReport = async () => {
+  const loadReport = useCallback(async () => {
+    if (!patientId || !reportId) return;
     setLoading(true);
     try {
       const r = await getLabReport(patientId, reportId);
@@ -31,7 +29,9 @@ export default function ReportDetail() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [patientId, reportId]);
+
+  usePageData(loadReport, { throttleMs: 60000, enablePullDown: false, enabled: !!(patientId && reportId) });
 
   const handleReview = async () => {
     if (!report) return;

apps/miniprogram/src/pages/doctor/report/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useCallback, useRef } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listLabReports, type LabReportItem } from '@/services/doctor/labReport';
 import { listPatients } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
@@ -17,12 +18,10 @@ export default function ReportList() {
   const [reports, setReports] = useState<LabReportItem[]>([]);
   const [loading, setLoading] = useState(false);
   const [total, setTotal] = useState(0);
+  const mountedRef = useRef(false);
 
-  useEffect(() => {
-    if (currentPatientId) loadReports();
-  }, [currentPatientId]);
-
-  const loadReports = async () => {
+  const loadReports = useCallback(async () => {
+    if (!currentPatientId) return;
     setLoading(true);
     try {
       const res = await listLabReports(currentPatientId, { page: 1, page_size: 50 });
@@ -33,7 +32,17 @@ export default function ReportList() {
     } finally {
       setLoading(false);
     }
-  };
+  }, [currentPatientId]);
+
+  usePageData(loadReports, { enabled: !!currentPatientId });
+
+  // patientId 变化时重新加载（跳过首次 mount，由 usePageData 的 useDidShow 处理）
+  useEffect(() => {
+    if (mountedRef.current && currentPatientId) {
+      loadReports();
+    }
+    mountedRef.current = true;
+  }, [currentPatientId, loadReports]);
 
   const handleSearch = async () => {
     if (!searchPatient.trim()) return;

apps/miniprogram/src/pages/events/index.tsx

@@ -1,10 +1,11 @@
-import { useState, useEffect } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import * as pointsApi from '@/services/points';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../hooks/useElderClass';
+import { usePageData } from '@/hooks/usePageData';
 import './index.scss';
 
 const STATUS_MAP: Record<string, { label: string; className: string }> = {
@@ -20,11 +21,7 @@ export default function EventsPage() {
   const [loading, setLoading] = useState(true);
   const [registering, setRegistering] = useState<string | null>(null);
 
-  useEffect(() => {
-    loadEvents();
-  }, []);
-
-  const loadEvents = async () => {
+  const loadEvents = useCallback(async () => {
     setLoading(true);
     try {
       const res = await pointsApi.listOfflineEvents({ page: 1, page_size: 50, status: 'published' });
@@ -34,7 +31,9 @@ export default function EventsPage() {
     } finally {
       setLoading(false);
     }
-  };
+  }, []);
+
+  usePageData(loadEvents, { throttleMs: 10000, enablePullDown: true });
 
   const handleRegister = async (event: pointsApi.OfflineEvent) => {
     setRegistering(event.id);

apps/miniprogram/src/pages/followup/detail/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text, Textarea } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getTaskDetail, submitRecord } from '../../../services/followup';
 import type { FollowUpTask } from '../../../services/followup';
 import { TEMPLATE_IDS } from '@/services/wechat-templates';
@@ -21,18 +22,22 @@ export default function FollowUpDetail() {
   const [loading, setLoading] = useState(true);
   const [error, setError] = useState(false);
 
-  useEffect(() => {
+  const fetchTask = useCallback(async () => {
     if (!id) return;
     setLoading(true);
-    getTaskDetail(id)
-      .then((data) => setTask(data))
-      .catch((err) => {
-        console.error('[FollowUpDetail]', err);
-        setError(true);
-      })
-      .finally(() => setLoading(false));
+    try {
+      const data = await getTaskDetail(id);
+      setTask(data);
+    } catch (err) {
+      console.error('[FollowUpDetail]', err);
+      setError(true);
+    } finally {
+      setLoading(false);
+    }
   }, [id]);
 
+  usePageData(fetchTask, { throttleMs: 60000 });
+
   const handleSubmit = async () => {
     if (!content.trim()) {
       Taro.showToast({ title: '请输入内容', icon: 'none' });

apps/miniprogram/src/pages/health/index.tsx

@@ -1,26 +1,14 @@
-import { useState, useEffect, useRef } from 'react';
+import { useState } from 'react';
 import { View, Text, Input } from '@tarojs/components';
-import Taro, { usePullDownRefresh } from '@tarojs/taro';
-import { useHealthStore } from '../../stores/health';
+import Taro from '@tarojs/taro';
 import { useAuthStore } from '../../stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
-import { inputVitalSign, getTrend, getHealthThresholds, findThreshold, DEFAULT_THRESHOLDS, type HealthThreshold } from '../../services/health';
-import { listPendingSuggestions, type AiSuggestionItem } from '../../services/ai-analysis';
+import { findThreshold, inputVitalSign, type HealthThreshold } from '../../services/health';
 import Loading from '../../components/Loading';
 import GuestGuard from '../../components/GuestGuard';
+import { useHealthData, VITAL_TABS, type VitalType } from './useHealthData';
 import './index.scss';
 
-type VitalType = 'blood_pressure' | 'heart_rate' | 'blood_sugar' | 'weight';
-
-const VITAL_TABS: { key: VitalType; label: string }[] = [
-  { key: 'blood_pressure', label: '血压' },
-  { key: 'heart_rate', label: '心率' },
-  { key: 'blood_sugar', label: '血糖' },
-  { key: 'weight', label: '体重' },
-];
-
-/** 根据阈值列表构建参考范围文案 */
 function buildRefRange(t: HealthThreshold[]): Record<VitalType, string> {
   const bpSys = findThreshold(t, 'systolic_bp', 'high')?.threshold_value ?? 140;
   const bpDia = findThreshold(t, 'diastolic_bp', 'high')?.threshold_value ?? 90;
@@ -36,20 +24,14 @@ function buildRefRange(t: HealthThreshold[]): Record<VitalType, string> {
   };
 }
 
-interface TrendPoint {
-  date: string;
-  value: number;
-}
-
 export default function Health() {
-  const todaySummary = useHealthStore((s) => s.todaySummary);
-  const loading = useHealthStore((s) => s.loading);
-  const refreshToday = useHealthStore((s) => s.refreshToday);
-  const fetchTrend = useHealthStore((s) => s.getTrend);
-  const user = useAuthStore((s) => s.user);
   const currentPatient = useAuthStore((s) => s.currentPatient);
   const modeClass = useElderClass();
-  const [activeTab, setActiveTab] = useState<VitalType>('blood_pressure');
+  const {
+    user, todaySummary, loading, activeTab, trendData, trendLoading,
+    aiSuggestions, thresholds, handleTabChange, loadTrend, refreshToday,
+  } = useHealthData();
+
   const [systolic, setSystolic] = useState('');
   const [diastolic, setDiastolic] = useState('');
   const [heartRateVal, setHeartRateVal] = useState('');
@@ -57,67 +39,11 @@ export default function Health() {
   const [sugarPeriod, setSugarPeriod] = useState<'fasting' | 'postprandial'>('fasting');
   const [weightVal, setWeightVal] = useState('');
   const [saving, setSaving] = useState(false);
-  const [trendData, setTrendData] = useState<TrendPoint[]>([]);
-  const [trendLoading, setTrendLoading] = useState(false);
-  const [aiSuggestions, setAiSuggestions] = useState<AiSuggestionItem[]>([]);
-  const [thresholds, setThresholds] = useState<HealthThreshold[]>(DEFAULT_THRESHOLDS);
-  const loadingRef = useRef(false);
-
-  useThrottledDidShow(() => {
-    if (!user || loadingRef.current) return;
-    // 批量发起请求，避免串行 setState 级联重渲染
-    loadingRef.current = true;
-    Promise.allSettled([
-      refreshToday(),
-      loadTrend(activeTab),
-      loadAiSuggestions(),
-      getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); }),
-    ]).finally(() => { loadingRef.current = false; });
-  }, 5000);
-
-  usePullDownRefresh(() => {
-    if (!user) return;
-    Promise.all([refreshToday(true), loadTrend(activeTab), loadAiSuggestions()]).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
 
   if (!user) {
     return <GuestGuard title='请先登录' desc='登录后即可记录和查看健康数据' />;
   }
 
-  const loadAiSuggestions = async () => {
-    try {
-      const items = await listPendingSuggestions();
-      setAiSuggestions(items.slice(0, 3));
-    } catch {
-      setAiSuggestions([]);
-    }
-  };
-
-  const loadTrend = async (type: VitalType) => {
-    setTrendLoading(true);
-    try {
-      const indicatorMap: Record<VitalType, string> = {
-        blood_pressure: 'systolic_bp_morning',
-        heart_rate: 'heart_rate',
-        blood_sugar: 'blood_sugar',
-        weight: 'weight',
-      };
-      const points = await fetchTrend(indicatorMap[type], '7d');
-      setTrendData(points);
-    } catch {
-      setTrendData([]);
-    } finally {
-      setTrendLoading(false);
-    }
-  };
-
-  const handleTabChange = (tab: VitalType) => {
-    setActiveTab(tab);
-    loadTrend(tab);
-  };
-
   const getWarnStatus = (type: VitalType): string | null => {
     if (type === 'blood_pressure') {
       const sys = parseFloat(systolic);
@@ -224,12 +150,10 @@ export default function Health() {
 
   return (
     <View className={`health-page ${modeClass}`}>
-      {/* 页头 */}
       <View className='health-header'>
         <Text className='health-title'>健康数据</Text>
       </View>
 
-      {/* AI 建议卡片 */}
       {aiSuggestions.length > 0 && (
         <View className='ai-suggestion-card' onClick={() => {
           const first = aiSuggestions[0];
@@ -260,7 +184,6 @@ export default function Health() {
         </View>
       )}
 
-      {/* 类型 Tab */}
       <View className='vital-tabs'>
         {VITAL_TABS.map((tab) => {
           const hasData = tab.key === 'blood_pressure' ? !!todaySummary?.blood_pressure
@@ -280,7 +203,6 @@ export default function Health() {
         })}
       </View>
 
-      {/* 录入区 */}
       <View className='input-section'>
         {activeTab === 'blood_pressure' && (
           <View className='input-group'>
@@ -365,7 +287,6 @@ export default function Health() {
         </View>
       </View>
 
-      {/* 趋势图 */}
       <View className='trend-section'>
         <Text className='section-title'>近 7 天趋势</Text>
         {trendLoading ? (
@@ -377,7 +298,6 @@ export default function Health() {
         ) : (
           <View className='trend-chart'>
             <View className='trend-bars'>
-              {/* 阈值标线 */}
               {getThresholdValue(activeTab, thresholds) && (() => {
                 const tv = getThresholdValue(activeTab, thresholds)!;
                 const pct = Math.min(95, (tv / maxTrendValue) * 100);
@@ -407,9 +327,6 @@ export default function Health() {
         )}
       </View>
 
-      {/* BLE 设备同步功能暂缓开放 */}
-
-      {/* 健康资讯入口 */}
       <View
         className='article-entry'
         onClick={() => Taro.navigateTo({ url: '/pages/article/index' })}

apps/miniprogram/src/pages/health/useHealthData.ts

@@ -0,0 +1,96 @@
+import { useState, useRef } from 'react';
+import { useHealthStore } from '@/stores/health';
+import { useAuthStore } from '@/stores/auth';
+import { usePageData } from '@/hooks/usePageData';
+import { getTrend, getHealthThresholds, DEFAULT_THRESHOLDS, type HealthThreshold } from '@/services/health';
+import { listPendingSuggestions, type AiSuggestionItem } from '@/services/ai-analysis';
+
+export type VitalType = 'blood_pressure' | 'heart_rate' | 'blood_sugar' | 'weight';
+
+export const VITAL_TABS: { key: VitalType; label: string }[] = [
+  { key: 'blood_pressure', label: '血压' },
+  { key: 'heart_rate', label: '心率' },
+  { key: 'blood_sugar', label: '血糖' },
+  { key: 'weight', label: '体重' },
+];
+
+export interface TrendPoint {
+  date: string;
+  value: number;
+}
+
+export function useHealthData() {
+  const user = useAuthStore((s) => s.user);
+  const todaySummary = useHealthStore((s) => s.todaySummary);
+  const loading = useHealthStore((s) => s.loading);
+  const refreshToday = useHealthStore((s) => s.refreshToday);
+  const fetchTrend = useHealthStore((s) => s.getTrend);
+
+  const [activeTab, setActiveTab] = useState<VitalType>('blood_pressure');
+  const [trendData, setTrendData] = useState<TrendPoint[]>([]);
+  const [trendLoading, setTrendLoading] = useState(false);
+  const [aiSuggestions, setAiSuggestions] = useState<AiSuggestionItem[]>([]);
+  const [thresholds, setThresholds] = useState<HealthThreshold[]>(DEFAULT_THRESHOLDS);
+
+  const loadTrend = async (type: VitalType) => {
+    setTrendLoading(true);
+    try {
+      const indicatorMap: Record<VitalType, string> = {
+        blood_pressure: 'systolic_bp_morning',
+        heart_rate: 'heart_rate',
+        blood_sugar: 'blood_sugar',
+        weight: 'weight',
+      };
+      const points = await fetchTrend(indicatorMap[type], '7d');
+      setTrendData(points);
+    } catch {
+      setTrendData([]);
+    } finally {
+      setTrendLoading(false);
+    }
+  };
+
+  const loadAiSuggestions = async () => {
+    try {
+      const items = await listPendingSuggestions();
+      setAiSuggestions(items.slice(0, 3));
+    } catch {
+      setAiSuggestions([]);
+    }
+  };
+
+  const fetchData = async () => {
+    await Promise.allSettled([
+      refreshToday(),
+      loadTrend(activeTab),
+      loadAiSuggestions(),
+      getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); }),
+    ]);
+  };
+
+  usePageData(fetchData, {
+    throttleMs: 5000,
+    enablePullDown: true,
+    enabled: !!user,
+  });
+
+  const handleTabChange = (tab: VitalType) => {
+    setActiveTab(tab);
+    loadTrend(tab);
+  };
+
+  return {
+    user,
+    todaySummary,
+    loading,
+    activeTab,
+    trendData,
+    trendLoading,
+    aiSuggestions,
+    thresholds,
+    handleTabChange,
+    loadTrend,
+    refreshToday,
+    fetchTrend,
+  };
+}

apps/miniprogram/src/pages/index/index.tsx

@@ -1,46 +1,36 @@
 import { View, Text, Swiper, SwiperItem, Image } from '@tarojs/components';
-import { useState, useMemo, useRef } from 'react';
-import Taro, { usePullDownRefresh, useDidShow, useDidHide } from '@tarojs/taro';
+import { useState } from 'react';
+import Taro, { useDidShow, useDidHide } from '@tarojs/taro';
 import { useAuthStore } from '../../stores/auth';
 import { useUIStore } from '../../stores/ui';
 import { navigateToLogin } from '../../utils/navigate';
-import { useHealthStore } from '../../stores/health';
-import ProgressRing from '../../components/ProgressRing';
-import Loading from '../../components/Loading';
+import { usePageData } from '@/hooks/usePageData';
 import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
-import { trackPageView } from '@/services/analytics';
-import * as appointmentApi from '@/services/appointment';
-import * as followupApi from '@/services/followup';
-import { listPendingSuggestions, type AiSuggestionItem } from '@/services/ai-analysis';
-import { notificationService } from '@/services/notification';
 import { api } from '@/services/request';
 import type { Article } from '@/services/article';
+import ProgressRing from '../../components/ProgressRing';
+import Loading from '../../components/Loading';
+import { useHomeData, type ReminderItem } from './useHomeData';
 import './index.scss';
 
-interface ReminderItem {
-  id: string;
-  text: string;
-  type: 'ai' | 'appointment' | 'followup';
-  tag: string;
-}
-
 interface PublicBanner {
   id: string;
   title?: string;
   subtitle?: string;
+  desc?: string;
   image_url?: string;
   link_type?: string;
   link_target?: string;
 }
 
-// ─── 访客首页 ───
-
 const FALLBACK_SLIDES = [
   { id: 'slide-1', title: '专业血透中心', desc: '三甲级医护团队全程守护', image_url: '' },
   { id: 'slide-2', title: '智慧健康管理', desc: 'AI 驱动个性化健康方案', image_url: '' },
   { id: 'slide-3', title: '温馨就医环境', desc: '舒适安全的治疗体验', image_url: '' },
 ];
 
+// ─── 访客首页 ───
+
 function GuestHome({ modeClass }: { modeClass: string }) {
   const [banners, setBanners] = useState<PublicBanner[]>([]);
   const [articles, setArticles] = useState<Article[]>([]);
@@ -49,10 +39,6 @@ function GuestHome({ modeClass }: { modeClass: string }) {
   useDidShow(() => { setSwiperAutoplay(true); });
   useDidHide(() => { setSwiperAutoplay(false); });
 
-  useThrottledDidShow(() => {
-    loadPublicData();
-  }, 10_000);
-
   const loadPublicData = async () => {
     let tenantId = Taro.getStorageSync('tenant_id');
     if (!tenantId) {
@@ -92,11 +78,12 @@ function GuestHome({ modeClass }: { modeClass: string }) {
     }
   };
 
+  usePageData(loadPublicData, { throttleMs: 10_000, enablePullDown: true, enabled: true });
+
   const slides = banners.length > 0 ? banners : FALLBACK_SLIDES;
 
   return (
     <View className={`guest-page ${modeClass}`}>
-      {/* 轮播图 */}
       <Swiper
         className='guest-swiper'
         indicatorDots
@@ -124,7 +111,6 @@ function GuestHome({ modeClass }: { modeClass: string }) {
         ))}
       </Swiper>
 
-      {/* 推荐文章（替换原来的"核心功能"区域） */}
       <View className='guest-section'>
         <Text className='guest-section-title'>健康资讯</Text>
         {articles.length > 0 ? (
@@ -165,13 +151,9 @@ function GuestHome({ modeClass }: { modeClass: string }) {
         )}
       </View>
 
-      {/* 底部登录引导 */}
       <View className='guest-login-prompt'>
         <Text className='guest-login-text'>登录后即可使用完整健康管理服务</Text>
-        <View
-          className='guest-login-btn'
-          onClick={navigateToLogin}
-        >
+        <View className='guest-login-btn' onClick={navigateToLogin}>
           <Text className='guest-login-btn-text'>立即登录</Text>
         </View>
       </View>
@@ -182,110 +164,11 @@ function GuestHome({ modeClass }: { modeClass: string }) {
 // ─── 登录后首页 ───
 
 function HomeDashboard({ modeClass }: { modeClass: string }) {
-  const user = useAuthStore((s) => s.user);
-  const currentPatient = useAuthStore((s) => s.currentPatient);
-  const todaySummary = useHealthStore((s) => s.todaySummary);
-  const loading = useHealthStore((s) => s.loading);
-  const refreshToday = useHealthStore((s) => s.refreshToday);
-  const [reminders, setReminders] = useState<ReminderItem[]>([]);
-  const [unreadCount, setUnreadCount] = useState(0);
-  const [remindersLoading, setRemindersLoading] = useState(false);
-  const remindersLoadingRef = useRef(false);
-
-  const { trigger: triggerHomeRefresh } = useThrottledDidShow(() => {
-    refreshToday();
-    loadReminders();
-    loadUnread();
-    trackPageView('home');
-  }, 5000);
-
-  usePullDownRefresh(() => {
-    Promise.all([refreshToday(true), loadReminders(), loadUnread()]).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
-
-  const loadUnread = async () => {
-    try {
-      const res = await notificationService.getUnreadCount() as { data?: { count?: number } | number };
-      const d = res.data;
-      setUnreadCount(typeof d === 'object' && d ? (d.count ?? 0) : 0);
-    } catch {
-      // ignore
-    }
-  };
-
-  const loadReminders = async () => {
-    const patientId = useAuthStore.getState().currentPatient?.id;
-    if (!patientId || remindersLoadingRef.current) return;
-    remindersLoadingRef.current = true;
-    setRemindersLoading(true);
-    try {
-      const items: ReminderItem[] = [];
-      const [apptRes, taskRes, suggestRes] = await Promise.allSettled([
-        appointmentApi.listAppointments(patientId, 1),
-        followupApi.listTasks(patientId, 'pending'),
-        listPendingSuggestions(),
-      ]);
-
-      if (suggestRes.status === 'fulfilled') {
-        for (const s of suggestRes.value.data.slice(0, 1)) {
-          items.push({ id: s.id, text: buildSuggestionText(s), type: 'ai', tag: 'AI 建议' });
-        }
-      }
-      if (apptRes.status === 'fulfilled') {
-        for (const a of apptRes.value.data.slice(0, 1)) {
-          if (a.status === 'pending' || a.status === 'confirmed') {
-            items.push({
-              id: a.id,
-              text: `${a.appointment_date} ${a.start_time} — ${a.doctor_name || '医护'} ${a.department || '门诊'}`,
-              type: 'appointment',
-              tag: '预约',
-            });
-          }
-        }
-      }
-      if (taskRes.status === 'fulfilled') {
-        for (const t of taskRes.value.data.slice(0, 1)) {
-          items.push({
-            id: t.id,
-            text: `${t.follow_up_type} · 截止 ${t.planned_date}`,
-            type: 'followup',
-            tag: '随访',
-          });
-        }
-      }
-      setReminders(items.slice(0, 3));
-    } catch {
-      setReminders([]);
-    } finally {
-      remindersLoadingRef.current = false;
-      setRemindersLoading(false);
-    }
-  };
-
-  const hour = new Date().getHours();
-  const greeting = hour < 12 ? '上午好' : hour < 18 ? '下午好' : '晚上好';
-  const displayName = user?.display_name || currentPatient?.name || user?.username || (user?.phone ? `${user.phone.slice(-4)}` : '') || '用户';
-
-  const summary = todaySummary || {};
-  const indicators = [!!summary.blood_pressure, !!summary.heart_rate, !!summary.blood_sugar, !!summary.weight];
-  const completedCount = indicators.filter(Boolean).length;
-  const progressPercent = Math.round((completedCount / 4) * 100);
-
-  const indicatorCapsules = useMemo(() => [
-    { label: '血压', done: !!summary.blood_pressure },
-    { label: '心率', done: !!summary.heart_rate },
-    { label: '血糖', done: !!summary.blood_sugar },
-    { label: '体重', done: !!summary.weight },
-  ], [summary.blood_pressure, summary.heart_rate, summary.blood_sugar, summary.weight]);
-
-  const healthItems = useMemo(() => [
-    { label: '血压', value: summary.blood_pressure ? `${summary.blood_pressure.systolic}/${summary.blood_pressure.diastolic}` : '—', unit: 'mmHg', status: summary.blood_pressure?.status, indicator: 'systolic_bp_morning' },
-    { label: '心率', value: summary.heart_rate ? `${summary.heart_rate.value}` : '—', unit: 'bpm', status: summary.heart_rate?.status, indicator: 'heart_rate' },
-    { label: '血糖', value: summary.blood_sugar ? `${summary.blood_sugar.value}` : '—', unit: 'mmol/L', status: summary.blood_sugar?.status, indicator: 'blood_sugar' },
-    { label: '体重', value: summary.weight ? `${summary.weight.value}` : '—', unit: 'kg', status: summary.weight?.status, indicator: 'weight' },
-  ], [summary.blood_pressure, summary.heart_rate, summary.blood_sugar, summary.weight]);
+  const {
+    healthItems, indicatorCapsules, completedCount, progressPercent,
+    loading, todaySummary, reminders, remindersLoading, unreadCount,
+    greeting, displayName,
+  } = useHomeData();
 
   const getStatusTag = (status?: string) => {
     if (status === 'high' || status === 'low') return { label: status === 'high' ? '偏高' : '偏低', cls: 'tag-warn' };
@@ -295,7 +178,6 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
 
   return (
     <View className={`home-page ${modeClass}`}>
-      {/* 问候区 */}
       <View className='greeting-section'>
         <View className='greeting-left'>
           <Text className='greeting-text'>{greeting}，{displayName}</Text>
@@ -309,7 +191,6 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
         </View>
       </View>
 
-      {/* 今日体征进度 */}
       <View className='checkin-card' onClick={() => Taro.switchTab({ url: '/pages/health/index' })}>
         <View className='checkin-left'>
           <ProgressRing percent={progressPercent} />
@@ -328,7 +209,6 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
         </View>
       </View>
 
-      {/* 体征 2x2 */}
       <View className='vitals-section'>
         <Text className='section-title'>今日体征</Text>
         {loading && !todaySummary ? (
@@ -359,7 +239,6 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
         )}
       </View>
 
-      {/* 智能提醒卡片 */}
       {!remindersLoading && reminders.length > 0 && (
         <View className='reminder-card'>
           <View className='reminder-header'>
@@ -383,7 +262,6 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
         </View>
       )}
 
-      {/* 快捷操作 */}
       <View className='action-section'>
         <View className='action-btn action-primary' onClick={() => Taro.switchTab({ url: '/pages/health/index' })}>
           <Text className='action-btn-text'>记录体征</Text>
@@ -396,7 +274,7 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
   );
 }
 
-// ─── 首页入口：根据登录状态切换 ───
+// ─── 首页入口 ───
 
 export default function Index() {
   const user = useAuthStore((s) => s.user);
@@ -408,16 +286,3 @@ export default function Index() {
   }
   return <HomeDashboard modeClass={modeClass} />;
 }
-
-function buildSuggestionText(s: AiSuggestionItem): string {
-  const riskMap: Record<string, string> = { high: '高风险', medium: '中风险', low: '低风险' };
-  const typeMap: Record<string, string> = {
-    vital_sign_anomaly: '体征异常',
-    lab_result_anomaly: '化验异常',
-    medication_adherence: '用药提醒',
-    lifestyle: '生活建议',
-  };
-  const risk = riskMap[s.risk_level] || '';
-  const type = typeMap[s.suggestion_type] || '健康建议';
-  return `${type}：发现${risk}指标，建议关注`;
-}

apps/miniprogram/src/pages/index/useHomeData.ts

@@ -0,0 +1,149 @@
+import { useState, useMemo, useRef } from 'react';
+import { useHealthStore } from '@/stores/health';
+import { useAuthStore } from '@/stores/auth';
+import { usePageData } from '@/hooks/usePageData';
+import { trackPageView } from '@/services/analytics';
+import * as appointmentApi from '@/services/appointment';
+import * as followupApi from '@/services/followup';
+import { listPendingSuggestions, type AiSuggestionItem } from '@/services/ai-analysis';
+import { notificationService } from '@/services/notification';
+
+export interface ReminderItem {
+  id: string;
+  text: string;
+  type: 'ai' | 'appointment' | 'followup';
+  tag: string;
+}
+
+function buildSuggestionText(s: AiSuggestionItem): string {
+  const riskMap: Record<string, string> = { high: '高风险', medium: '中风险', low: '低风险' };
+  const typeMap: Record<string, string> = {
+    vital_sign_anomaly: '体征异常',
+    lab_result_anomaly: '化验异常',
+    medication_adherence: '用药提醒',
+    lifestyle: '生活建议',
+  };
+  const risk = riskMap[s.risk_level] || '';
+  const type = typeMap[s.suggestion_type] || '健康建议';
+  return `${type}：发现${risk}指标，建议关注`;
+}
+
+export function useHomeData() {
+  const user = useAuthStore((s) => s.user);
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const todaySummary = useHealthStore((s) => s.todaySummary);
+  const loading = useHealthStore((s) => s.loading);
+  const refreshToday = useHealthStore((s) => s.refreshToday);
+  const [reminders, setReminders] = useState<ReminderItem[]>([]);
+  const [unreadCount, setUnreadCount] = useState(0);
+  const [remindersLoading, setRemindersLoading] = useState(false);
+
+  const fetchData = async () => {
+    const patientId = useAuthStore.getState().currentPatient?.id;
+    if (!patientId) return;
+    refreshToday();
+    loadReminders(patientId);
+    loadUnread();
+    trackPageView('home');
+  };
+
+  const { trigger, refresh } = usePageData(fetchData, {
+    throttleMs: 5000,
+    enablePullDown: true,
+    enabled: !!user,
+  });
+
+  const loadUnread = async () => {
+    try {
+      const res = await notificationService.getUnreadCount() as { data?: { count?: number } | number };
+      const d = res.data;
+      setUnreadCount(typeof d === 'object' && d ? (d.count ?? 0) : 0);
+    } catch { /* ignore */ }
+  };
+
+  const loadReminders = async (patientId: string) => {
+    setRemindersLoading(true);
+    try {
+      const items: ReminderItem[] = [];
+      const [apptRes, taskRes, suggestRes] = await Promise.allSettled([
+        appointmentApi.listAppointments(patientId, 1),
+        followupApi.listTasks(patientId, 'pending'),
+        listPendingSuggestions(),
+      ]);
+
+      if (suggestRes.status === 'fulfilled') {
+        for (const s of suggestRes.value.data.slice(0, 1)) {
+          items.push({ id: s.id, text: buildSuggestionText(s), type: 'ai', tag: 'AI 建议' });
+        }
+      }
+      if (apptRes.status === 'fulfilled') {
+        for (const a of apptRes.value.data.slice(0, 1)) {
+          if (a.status === 'pending' || a.status === 'confirmed') {
+            items.push({
+              id: a.id,
+              text: `${a.appointment_date} ${a.start_time} — ${a.doctor_name || '医护'} ${a.department || '门诊'}`,
+              type: 'appointment',
+              tag: '预约',
+            });
+          }
+        }
+      }
+      if (taskRes.status === 'fulfilled') {
+        for (const t of taskRes.value.data.slice(0, 1)) {
+          items.push({
+            id: t.id,
+            text: `${t.follow_up_type} · 截止 ${t.planned_date}`,
+            type: 'followup',
+            tag: '随访',
+          });
+        }
+      }
+      setReminders(items.slice(0, 3));
+    } catch {
+      setReminders([]);
+    } finally {
+      setRemindersLoading(false);
+    }
+  };
+
+  const summary = todaySummary || {};
+  const indicators = [!!summary.blood_pressure, !!summary.heart_rate, !!summary.blood_sugar, !!summary.weight];
+  const completedCount = indicators.filter(Boolean).length;
+  const progressPercent = Math.round((completedCount / 4) * 100);
+
+  const indicatorCapsules = useMemo(() => [
+    { label: '血压', done: !!summary.blood_pressure },
+    { label: '心率', done: !!summary.heart_rate },
+    { label: '血糖', done: !!summary.blood_sugar },
+    { label: '体重', done: !!summary.weight },
+  ], [summary.blood_pressure, summary.heart_rate, summary.blood_sugar, summary.weight]);
+
+  const healthItems = useMemo(() => [
+    { label: '血压', value: summary.blood_pressure ? `${summary.blood_pressure.systolic}/${summary.blood_pressure.diastolic}` : '—', unit: 'mmHg', status: summary.blood_pressure?.status, indicator: 'systolic_bp_morning' },
+    { label: '心率', value: summary.heart_rate ? `${summary.heart_rate.value}` : '—', unit: 'bpm', status: summary.heart_rate?.status, indicator: 'heart_rate' },
+    { label: '血糖', value: summary.blood_sugar ? `${summary.blood_sugar.value}` : '—', unit: 'mmol/L', status: summary.blood_sugar?.status, indicator: 'blood_sugar' },
+    { label: '体重', value: summary.weight ? `${summary.weight.value}` : '—', unit: 'kg', status: summary.weight?.status, indicator: 'weight' },
+  ], [summary.blood_pressure, summary.heart_rate, summary.blood_sugar, summary.weight]);
+
+  const hour = new Date().getHours();
+  const greeting = hour < 12 ? '上午好' : hour < 18 ? '下午好' : '晚上好';
+  const displayName = user?.display_name || currentPatient?.name || user?.username || (user?.phone ? `${user.phone.slice(-4)}` : '') || '用户';
+
+  return {
+    user,
+    currentPatient,
+    todaySummary: summary,
+    loading,
+    reminders,
+    unreadCount,
+    remindersLoading,
+    indicatorCapsules,
+    healthItems,
+    completedCount,
+    progressPercent,
+    greeting,
+    displayName,
+    trigger,
+    refresh,
+  };
+}

apps/miniprogram/src/pages/mall/index.tsx

@@ -1,7 +1,7 @@
-import React, { useState, useCallback, useRef } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listProducts } from '../../services/points';
 import type { PointsProduct } from '../../services/points';
 import { useAuthStore } from '../../stores/auth';
@@ -37,13 +37,10 @@ export default function Mall() {
   const [loading, setLoading] = useState(false);
   const [checkinLoading, setCheckinLoading] = useState(false);
   const [noProfile, setNoProfile] = useState(false);
-  const loadingRef = useRef(false);
   const modeClass = useElderClass();
 
   const fetchProducts = useCallback(
     async (pageNum: number, type: string, isRefresh = false) => {
-      if (loadingRef.current) return;
-      loadingRef.current = true;
       setLoading(true);
       try {
         const res = await listProducts({
@@ -62,7 +59,6 @@ export default function Mall() {
       } catch {
         Taro.showToast({ title: '加载失败', icon: 'none' });
       } finally {
-        loadingRef.current = false;
         setLoading(false);
       }
     },
@@ -87,16 +83,13 @@ export default function Mall() {
     [currentPatient, loadPatients, refreshPoints, fetchProducts, productType],
   );
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '积分商城' });
-    loadAll();
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    loadAll().finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(async () => {
+      Taro.setNavigationBarTitle({ title: '积分商城' });
+      await loadAll();
+    }, [loadAll]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   useReachBottom(() => {
     if (!loading && products.length < total) {

apps/miniprogram/src/pages/messages/index.tsx

@@ -1,4 +1,4 @@
-import { useState, useRef } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro, { useReachBottom } from '@tarojs/taro';
 import { listConsultations, ConsultationSession } from '../../services/consultation';
@@ -7,7 +7,7 @@ import Loading from '../../components/Loading';
 import GuestGuard from '../../components/GuestGuard';
 import { useAuthStore } from '../../stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import './index.scss';
 
 type MsgTab = 'consultation' | 'notification';
@@ -38,11 +38,8 @@ export default function Messages() {
   const [loading, setLoading] = useState(false);
   const [page, setPage] = useState(1);
   const [total, setTotal] = useState(0);
-  const loadingRef = useRef(false);
 
-  const loadData = async (tab: MsgTab, pageNum: number = 1, isRefresh = false) => {
-    if (loadingRef.current) return;
-    loadingRef.current = true;
+  const loadData = useCallback(async (tab: MsgTab, pageNum: number = 1, isRefresh = false) => {
     setLoading(true);
     try {
       if (tab === 'consultation') {
@@ -73,13 +70,15 @@ export default function Messages() {
       }
     } finally {
       setLoading(false);
-      loadingRef.current = false;
     }
-  };
+  }, []);
 
-  useThrottledDidShow(() => {
-    if (user) loadData(activeTab, 1, true);
-  }, 5000);
+  usePageData(
+    useCallback(async () => {
+      if (user) await loadData(activeTab, 1, true);
+    }, [user, activeTab, loadData]),
+    { throttleMs: 5000, enablePullDown: false },
+  );
 
   const handleTabChange = (tab: MsgTab) => {
     setActiveTab(tab);

apps/miniprogram/src/pages/pkg-health/alerts/index.tsx

@@ -1,7 +1,7 @@
-import React, { useState, useCallback, useRef } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listPatientAlerts, type Alert } from '@/services/alert';
 import { useAuthStore } from '@/stores/auth';
 import Loading from '@/components/Loading';
@@ -30,12 +30,10 @@ export default function PatientAlerts() {
   const [page, setPage] = useState(1);
   const [status, setStatus] = useState('');
   const [loading, setLoading] = useState(false);
-  const loadingRef = useRef(false);
 
   const fetchAlerts = useCallback(
     async (pageNum: number, s: string, isRefresh = false) => {
-      if (!currentPatient || loadingRef.current) return;
-      loadingRef.current = true;
+      if (!currentPatient) return;
       setLoading(true);
       try {
         const res = await listPatientAlerts(currentPatient.id, {
@@ -54,21 +52,19 @@ export default function PatientAlerts() {
       } catch {
         Taro.showToast({ title: '加载失败', icon: 'none' });
       } finally {
-        loadingRef.current = false;
         setLoading(false);
       }
     },
     [currentPatient],
   );
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '健康告警' });
-    fetchAlerts(1, status, true);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchAlerts(1, status, true).finally(() => Taro.stopPullDownRefresh());
-  });
+  usePageData(
+    async () => {
+      Taro.setNavigationBarTitle({ title: '健康告警' });
+      await fetchAlerts(1, status, true);
+    },
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   const handleTabChange = (key: string) => {
     setStatus(key);

apps/miniprogram/src/pages/pkg-health/input/index.tsx

@@ -1,7 +1,7 @@
-import { useState } from 'react';
+import { useState, useCallback } from 'react';
 import { View, Text, Input, Picker } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import { num, validateStr } from '@/utils/validate';
 import { inputVitalSign, getHealthThresholds, findThreshold, DEFAULT_THRESHOLDS, type HealthThreshold } from '../../../services/health';
 import { useAuthStore } from '../../../stores/auth';
@@ -68,9 +68,14 @@ export default function HealthInput() {
   const clearCache = useHealthStore((s) => s.clearCache);
 
   /** 从 storage 中读取设备同步回传的数据并自动填充表单 */
-  useThrottledDidShow(() => {
+  const loadThresholdsAndSync = useCallback(async () => {
     setLoadingThresholds(true);
-    getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); }).finally(() => setLoadingThresholds(false));
+    try {
+      const t = await getHealthThresholds();
+      if (t.length > 0) setThresholds(t);
+    } finally {
+      setLoadingThresholds(false);
+    }
     try {
       const raw = Taro.getStorageSync('device_sync_result');
       if (!raw) return;
@@ -94,7 +99,9 @@ export default function HealthInput() {
     } catch {
       // 解析失败则忽略，不影响正常使用
     }
-  }, 10000);
+  }, []);
+
+  usePageData(loadThresholdsAndSync, { throttleMs: 10000 });
 
   const handleSubmit = async () => {
     if (!currentPatient) {

apps/miniprogram/src/pages/pkg-health/trend/index.tsx

@@ -1,6 +1,7 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { useHealthStore } from '@/stores/health';
 import TrendChart from '@/components/TrendChart';
 import Loading from '@/components/Loading';
@@ -33,13 +34,24 @@ export default function Trend() {
   const [loading, setLoading] = useState(true);
   const getTrend = useHealthStore((s) => s.getTrend);
 
-  useEffect(() => {
+  const fetchTrend = useCallback(async () => {
     setLoading(true);
-    getTrend(indicator, range)
-      .then(setPoints)
-      .catch(() => setPoints([]))
-      .finally(() => setLoading(false));
-  }, [indicator, range]);
+    try {
+      const data = await getTrend(indicator, range);
+      setPoints(data);
+    } catch {
+      setPoints([]);
+    } finally {
+      setLoading(false);
+    }
+  }, [getTrend, indicator, range]);
+
+  usePageData(fetchTrend, { throttleMs: 60000, enablePullDown: true });
+
+  // range 切换时手动触发
+  useEffect(() => {
+    fetchTrend();
+  }, [fetchTrend]);
 
   const meta = INDICATOR_META[indicator] || { label: indicator, unit: '' };
 

apps/miniprogram/src/pages/pkg-mall/detail/index.tsx

@@ -1,7 +1,7 @@
-import React, { useState, useCallback, useRef } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listMyTransactions } from '../../../services/points';
 import type { PointsTransaction } from '../../../services/points';
 import { usePointsStore } from '../../../stores/points';
@@ -25,12 +25,9 @@ export default function PointsDetail() {
   const [page, setPage] = useState(1);
   const [total, setTotal] = useState(0);
   const [loading, setLoading] = useState(false);
-  const loadingRef = useRef(false);
 
   const fetchTransactions = useCallback(
     async (pageNum: number, type: string, isRefresh = false) => {
-      if (loadingRef.current) return;
-      loadingRef.current = true;
       setLoading(true);
       try {
         const res = await listMyTransactions({
@@ -51,7 +48,6 @@ export default function PointsDetail() {
       } catch {
         Taro.showToast({ title: '加载失败', icon: 'none' });
       } finally {
-        loadingRef.current = false;
         setLoading(false);
       }
     },
@@ -66,16 +62,13 @@ export default function PointsDetail() {
     [refreshPoints, fetchTransactions, activeTab],
   );
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '积分明细' });
-    loadAll();
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    loadAll().finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(async () => {
+      Taro.setNavigationBarTitle({ title: '积分明细' });
+      await loadAll();
+    }, [loadAll]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   useReachBottom(() => {
     if (!loading && transactions.length < total) {

apps/miniprogram/src/pages/pkg-mall/exchange/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import {
   listProducts,
   exchangeProduct,
@@ -40,11 +40,6 @@ export default function ExchangeConfirm() {
   const [submitting, setSubmitting] = useState(false);
   const { safeSetTimeout } = useSafeTimeout();
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '确认兑换' });
-    loadData();
-  }, 10000);
-
   const loadData = useCallback(async () => {
     const instance = Taro.getCurrentInstance();
     const productId = instance.router?.params?.product_id;
@@ -75,6 +70,14 @@ export default function ExchangeConfirm() {
     }
   }, [refreshPoints]);
 
+  usePageData(
+    useCallback(async () => {
+      Taro.setNavigationBarTitle({ title: '确认兑换' });
+      await loadData();
+    }, [loadData]),
+    { throttleMs: 10000, enablePullDown: false },
+  );
+
   const balance = account?.balance ?? 0;
   const cost = product?.points_cost ?? 0;
   const insufficient = balance < cost;

apps/miniprogram/src/pages/pkg-mall/orders/index.tsx

@@ -1,7 +1,7 @@
-import React, { useState, useCallback, useRef } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listMyOrders } from '../../../services/points';
 import type { PointsOrder } from '../../../services/points';
 import EmptyState from '../../../components/EmptyState';
@@ -30,12 +30,9 @@ export default function MallOrders() {
   const [page, setPage] = useState(1);
   const [total, setTotal] = useState(0);
   const [loading, setLoading] = useState(false);
-  const loadingRef = useRef(false);
 
   const fetchOrders = useCallback(
     async (pageNum: number, status: string, isRefresh = false) => {
-      if (loadingRef.current) return;
-      loadingRef.current = true;
       setLoading(true);
       try {
         const res = await listMyOrders({
@@ -56,7 +53,6 @@ export default function MallOrders() {
       } catch {
         Taro.showToast({ title: '加载失败', icon: 'none' });
       } finally {
-        loadingRef.current = false;
         setLoading(false);
       }
     },
@@ -71,16 +67,13 @@ export default function MallOrders() {
     [fetchOrders, activeTab],
   );
 
-  useThrottledDidShow(() => {
-    Taro.setNavigationBarTitle({ title: '我的订单' });
-    loadAll();
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    loadAll().finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(
+    useCallback(async () => {
+      Taro.setNavigationBarTitle({ title: '我的订单' });
+      await loadAll();
+    }, [loadAll]),
+    { throttleMs: 10000, enablePullDown: true },
+  );
 
   useReachBottom(() => {
     if (!loading && orders.length < total) {

apps/miniprogram/src/pages/pkg-profile/consents/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listConsents, revokeConsent } from '@/services/consent';
 import type { Consent } from '@/services/consent';
 import EmptyState from '@/components/EmptyState';
@@ -54,11 +54,7 @@ export default function ConsentList() {
     }
   }, []);
 
-  useThrottledDidShow(() => { fetchData(1); }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1).finally(() => Taro.stopPullDownRefresh());
-  });
+  usePageData(async () => { await fetchData(1); }, { throttleMs: 10000, enablePullDown: true });
 
   useReachBottom(() => {
     if (!loading && consents.length < total) {

apps/miniprogram/src/pages/pkg-profile/diagnoses/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listDiagnoses, Diagnosis } from '../../../services/health-record';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -50,15 +50,7 @@ export default function Diagnoses() {
     }
   }, []);
 
-  useThrottledDidShow(() => {
-    fetchData(1);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(async () => { await fetchData(1); }, { throttleMs: 10000, enablePullDown: true });
 
   useReachBottom(() => {
     if (!loading && records.length < total) {

apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getDialysisPrescription } from '@/services/dialysis';
 import type { DialysisPrescription } from '@/services/dialysis';
 import Loading from '@/components/Loading';
@@ -20,15 +21,21 @@ export default function DialysisPrescriptionDetail() {
   const [rx, setRx] = useState<DialysisPrescription | null>(null);
   const [loading, setLoading] = useState(true);
 
-  useEffect(() => {
+  const fetchDetail = useCallback(async () => {
     if (!id) return;
     setLoading(true);
-    getDialysisPrescription(id)
-      .then((data) => setRx(data))
-      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
-      .finally(() => setLoading(false));
+    try {
+      const data = await getDialysisPrescription(id);
+      setRx(data);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
   }, [id]);
 
+  usePageData(fetchDetail, { throttleMs: 60000 });
+
   if (loading) return <View className={`detail-page ${modeClass}`}><Loading /></View>;
   if (!rx) return <View className={`detail-page ${modeClass}`}><View className='empty-state'><Text className='empty-text'>处方不存在</Text></View></View>;
 

apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listDialysisPrescriptions } from '@/services/dialysis';
 import type { DialysisPrescription } from '@/services/dialysis';
 import EmptyState from '@/components/EmptyState';
@@ -45,11 +45,7 @@ export default function DialysisPrescriptionList() {
     }
   }, []);
 
-  useThrottledDidShow(() => { fetchData(1); }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1).finally(() => Taro.stopPullDownRefresh());
-  });
+  usePageData(async () => { await fetchData(1); }, { throttleMs: 10000, enablePullDown: true });
 
   useReachBottom(() => {
     if (!loading && prescriptions.length < total) {

apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getDialysisRecord } from '@/services/dialysis';
 import type { DialysisRecord } from '@/services/dialysis';
 import Loading from '@/components/Loading';
@@ -26,15 +27,21 @@ export default function DialysisRecordDetail() {
   const [record, setRecord] = useState<DialysisRecord | null>(null);
   const [loading, setLoading] = useState(true);
 
-  useEffect(() => {
+  const fetchDetail = useCallback(async () => {
     if (!id) return;
     setLoading(true);
-    getDialysisRecord(id)
-      .then((data) => setRecord(data))
-      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
-      .finally(() => setLoading(false));
+    try {
+      const data = await getDialysisRecord(id);
+      setRecord(data);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
   }, [id]);
 
+  usePageData(fetchDetail, { throttleMs: 60000 });
+
   if (loading) return <View className={`detail-page ${modeClass}`}><Loading /></View>;
   if (!record) return <View className={`detail-page ${modeClass}`}><View className='empty-state'><Text className='empty-text'>记录不存在</Text></View></View>;
 

apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listDialysisRecords } from '@/services/dialysis';
 import type { DialysisRecord } from '@/services/dialysis';
 import EmptyState from '@/components/EmptyState';
@@ -51,11 +51,7 @@ export default function DialysisRecordList() {
     }
   }, []);
 
-  useThrottledDidShow(() => { fetchData(1); }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1).finally(() => Taro.stopPullDownRefresh());
-  });
+  usePageData(async () => { await fetchData(1); }, { throttleMs: 10000, enablePullDown: true });
 
   useReachBottom(() => {
     if (!loading && records.length < total) {

apps/miniprogram/src/pages/pkg-profile/family/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import { listPatients, Patient } from '../../../services/patient';
 import { useAuthStore } from '../../../stores/auth';
 import EmptyState from '../../../components/EmptyState';
@@ -27,9 +27,7 @@ export default function FamilyList() {
     }
   }, []);
 
-  useThrottledDidShow(() => {
-    fetchPatients();
-  }, 10000);
+  usePageData(fetchPatients, { throttleMs: 10000 });
 
   const handleSelect = (patient: Patient) => {
     setCurrentPatient({

apps/miniprogram/src/pages/pkg-profile/followups/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import { listTasks, FollowUpTask } from '../../../services/followup';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -32,9 +32,7 @@ export default function MyFollowUps() {
     }
   }, []);
 
-  useThrottledDidShow(() => {
-    fetchTasks(activeTab);
-  }, 10000);
+  usePageData(async () => { await fetchTasks(activeTab); }, { throttleMs: 10000 });
 
   const handleTabChange = (key: string) => {
     setActiveTab(key);

apps/miniprogram/src/pages/pkg-profile/health-records/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listHealthRecords, HealthRecord } from '../../../services/health-record';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -44,15 +44,7 @@ export default function HealthRecords() {
     }
   }, []);
 
-  useThrottledDidShow(() => {
-    fetchData(1);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(async () => { await fetchData(1); }, { throttleMs: 10000, enablePullDown: true });
 
   useReachBottom(() => {
     if (!loading && records.length < total) {

apps/miniprogram/src/pages/pkg-profile/medication/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect, useCallback } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text, Input, Picker } from '@tarojs/components';
 import Taro from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import EmptyState from '../../../components/EmptyState';
 import {
   listReminders,
@@ -32,7 +33,7 @@ export default function MedicationReminder() {
     }
   }, []);
 
-  useEffect(() => { fetchReminders(); }, [fetchReminders]);
+  usePageData(fetchReminders, { throttleMs: 5000, enablePullDown: true });
 
   const handleToggle = async (r: MedicationReminder) => {
     try {

apps/miniprogram/src/pages/pkg-profile/reports/index.tsx

@@ -1,7 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Taro, { useReachBottom } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { listReports, LabReport } from '../../../services/report';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -38,15 +38,7 @@ export default function MyReports() {
     }
   }, []);
 
-  useThrottledDidShow(() => {
-    fetchData(1);
-  }, 10000);
-
-  usePullDownRefresh(() => {
-    fetchData(1).finally(() => {
-      Taro.stopPullDownRefresh();
-    });
-  });
+  usePageData(async () => { await fetchData(1); }, { throttleMs: 10000, enablePullDown: true });
 
   useReachBottom(() => {
     if (!loading && reports.length < total) {

apps/miniprogram/src/pages/profile/index.tsx

@@ -1,11 +1,11 @@
 import { View, Text } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import { useState } from 'react';
+import { useState, useCallback } from 'react';
 import { useAuthStore } from '../../stores/auth';
 import { usePointsStore } from '../../stores/points';
 import { useUIStore } from '../../stores/ui';
 import { navigateToLogin } from '../../utils/navigate';
-import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { usePageData } from '@/hooks/usePageData';
 import Loading from '../../components/Loading';
 import './index.scss';
 
@@ -90,12 +90,15 @@ export default function Profile() {
   const groups = isGuest ? GUEST_GROUPS : LOGGED_IN_GROUPS;
   const [pointsLoading, setPointsLoading] = useState(false);
 
-  useThrottledDidShow(() => {
+  const fetchPoints = useCallback(async () => {
     if (!isGuest) {
       setPointsLoading(true);
-      refreshPoints().finally(() => setPointsLoading(false));
+      await refreshPoints();
+      setPointsLoading(false);
     }
-  }, 5000);
+  }, [isGuest, refreshPoints]);
+
+  usePageData(fetchPoints, { throttleMs: 5000 });
 
   const handleMenuClick = (item: MenuItem) => {
     if (item.isSwitchTab) {

apps/miniprogram/src/pages/report/detail/index.tsx

@@ -1,6 +1,7 @@
-import React, { useState, useEffect } from 'react';
+import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
+import { usePageData } from '@/hooks/usePageData';
 import { getReportDetail, LabReport } from '../../../services/report';
 import Loading from '../../../components/Loading';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -26,15 +27,21 @@ export default function ReportDetail() {
   const [report, setReport] = useState<LabReport | null>(null);
   const [loading, setLoading] = useState(true);
 
-  useEffect(() => {
+  const fetchReport = useCallback(async () => {
     if (!id || !patientId) return;
     setLoading(true);
-    getReportDetail(patientId, id)
-      .then((data) => setReport(data))
-      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
-      .finally(() => setLoading(false));
+    try {
+      const data = await getReportDetail(patientId, id);
+      setReport(data);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
   }, [id, patientId]);
 
+  usePageData(fetchReport, { throttleMs: 60000 });
+
   const indicators: IndicatorItem[] = React.useMemo(() => {
     if (!report?.indicators || typeof report.indicators !== 'object') return [];
     return Object.entries(report.indicators).map(([name, val]) => ({

apps/miniprogram/src/stores/auth.ts

@@ -3,7 +3,7 @@ import Taro from '@tarojs/taro';
 import * as authApi from '@/services/auth';
 import { secureGet, secureSet, secureRemove } from '@/utils/secure-storage';
 import { clearRequestCache, markLoggingOut, clearLoggingOut, setCachedPatientId } from '@/services/request';
-import { useHealthStore } from './health';
+import { resetAllStores } from './index';
 
 // --- 内存缓存，避免每次 Tab 切换重复 Storage IPC + JSON.parse ---
 let cachedUserJson = '';
@@ -222,7 +222,7 @@ export const useAuthStore = create<AuthState>((set, get) => ({
     Taro.removeStorageSync('current_patient_id');
     Taro.removeStorageSync('analytics_queue');
     Taro.removeStorageSync('edit_patient');
-    useHealthStore.getState().clearCache();
+    resetAllStores();
     set({ user: null, roles: [], currentPatient: null, patients: [] });
     Taro.reLaunch({ url: '/pages/index/index' });
   },

apps/miniprogram/src/stores/index.ts

@@ -0,0 +1,7 @@
+import { useHealthStore } from './health';
+import { usePointsStore } from './points';
+
+export function resetAllStores(): void {
+  useHealthStore.getState().clearCache();
+  usePointsStore.getState().invalidate();
+}

wiki/miniprogram.md

@@ -151,7 +151,11 @@ Taro 4.2 / React 18 / TypeScript / Zustand 5 / Sass / Zod / ECharts 6（按需
 | `apps/miniprogram/src/services/request.ts` | HTTP 请求封装（401 自动刷新、错误处理） |
 | `apps/miniprogram/src/services/auth.ts` | 微信登录/绑定手机号 API |
 | `apps/miniprogram/src/stores/auth.ts` | 认证状态（login/bindPhone/restore） |
-| `apps/miniprogram/src/utils/secure-storage.ts` | token 安全存储（XOR + Base64 混淆） |
+| `apps/miniprogram/src/stores/index.ts` | `resetAllStores()` 统一清理（解耦 store 间依赖） |
+| `apps/miniprogram/src/hooks/usePageData.ts` | **统一页面数据加载 hook**（节流 + 下拉刷新 + 防重入） |
+| `apps/miniprogram/src/pages/index/useHomeData.ts` | 首页数据 hook（从 424 行页面组件中提取） |
+| `apps/miniprogram/src/pages/health/useHealthData.ts` | 健康页数据 hook（从 422 行页面组件中提取） |
+| `apps/miniprogram/src/utils/secure-storage.ts` | token 安全存储（明文存储，保留接口兼容） |
 | `apps/miniprogram/project.config.json` | 微信开发者工具配置（AppID、urlCheck） |
 
 ### 微信登录流程
@@ -270,6 +274,18 @@ POST /auth/wechat/login { code }
 | `pages/events/index` | 线下活动 |
 | `pages/device-sync/index` | 设备数据同步 |
 
+### Hook 层（7 个）
+
+| Hook | 用途 |
+|------|------|
+| `usePageData` | **统一页面数据加载**：`useDidShow` 节流 + `usePullDownRefresh` + `loadingRef` 防重入 + `enabled` 条件守卫。44/58 页面已接入 |
+| `useThrottledDidShow` | 带节流的 `useDidShow`（已迁移页面不再直接使用，保留兼容） |
+| `useSafeTimeout` | 页面隐藏时自动 clearTimeout |
+| `usePageRefresh` | 下拉刷新封装 |
+| `usePagination` | 通用分页逻辑 |
+| `useAuthRequired` | 登录态检查 |
+| `useElderClass` | 长者模式 CSS class |
+
 ### 服务层（10+ 个文件）
 
 | 文件 | 覆盖 |
@@ -477,13 +493,13 @@ secret = "<通过环境变量 ERP__WECHAT__SECRET 设置>"
 | `health/index` loadTrend 无并发保护 | `health/index` | **已修复：** 添加 `loadingRef` 防重入 |
 | `doctor/prescription` handleSearch loading 竞态 | `doctor/prescription` | handleSearch 和 useEffect 的 loadData 可能闪烁 |
 
-#### 架构建议
+#### 架构建议（已完成标注 ✅）
 
-1. **统一数据加载模式**：所有列表页应使用 `useThrottledDidShow` + `loadingRef` 双重保护（当前 appointment/messages 遵循，但 ai-report/events 不遵循）
+1. ~~**统一数据加载模式**~~ ✅ 已完成：所有列表/详情页使用 `usePageData` hook，44/58 页面已接入
 2. **长轮询通用化**：`consultation/detail` 和 `doctor/consultation/detail` 的长轮询逻辑几乎相同，应抽取为 `useLongPolling` hook
-3. **服务端过滤优先**：所有列表页的 Tab 过滤应传参给后端，不在前端做客户端过滤
-4. **BLE 管理器生命周期**：BLE 等硬件相关管理器应通过 Context 或 hook 管理，避免模块级单例
-5. **getStorageSync 出渲染路径**：组件顶层不应有同步 I/O，统一通过 Zustand store 获取
+3. ~~**服务端过滤优先**~~ ✅ 已完成：所有列表页的 Tab 过滤传参给后端
+4. ~~**BLE 管理器生命周期**~~ ✅ 已完成：改为 `useRef` 懒初始化
+5. ~~**getStorageSync 出渲染路径**~~ ✅ 已完成：通过 Zustand store 获取
 
 ### 2026-05-15 患者端登录后卡死深度审查（3 专家组 × 请求链路 + 并发分析 + 端点可达性）
 
@@ -890,6 +906,7 @@ node scripts/audit-pages.mjs --role doctor --batch-size 8
 
 | 日期 | 变更 |
 |------|------|
+| 2026-05-15 | **架构重构：统一页面数据加载 + Store 解耦 + 大页面拆分**：新增 `usePageData` hook（节流+下拉刷新+防重入+条件守卫）；44/58 页面迁移接入；新增 `resetAllStores()` 解耦 store 间依赖（auth 不再直接导入 health）；提取 `useHomeData`/`useHealthData` 将首页 424→282 行、健康页 422→254 行；构建通过 + 测试 74/75 |
 | 2026-05-15 | **患者端登录后卡死深度审查（3 专家组）**：根因 — 全局并发请求超微信 10 限制排队阻塞；端点可达性验证 33/33 全部存在；Tab 切换请求链路分析（最坏 13 并发）；修复 HIGH×3（doRefresh 状态清理 + 401 跳转登录页 + 全局并发限制 MAX_CONCURRENT=8）+ MEDIUM×3（长轮询 generation counter + 首页/健康页 loadingRef 防重入 + refreshToday 去重） |
 | 2026-05-15 | **全量审计修复（第二轮）**：修复 CRITICAL×1（pollingRef 未定义回归，咨询详情页 loadData 引用已删除的 pollingRef → 闭会话时 ReferenceError 崩溃）；HIGH×3 — 401 重试递归占用双 slot 改为循环结构释放后重入、4 个医生端列表页（consultation/alerts/dialysis/prescription）添加 loadingRef 防重入、safeNavigateTo 页栈溢出保护（栈≥9 自动 redirectTo）；新增 `safeNavigateTo` 工具函数（`utils/navigate.ts`） |
 | 2026-05-15 | **setTimeout 无清理修复**：新增 `useSafeTimeout` hook（页面隐藏时自动 clearTimeout）；10 个页面接入 — daily-monitoring（2）、exchange（4）、family-add、health/input、prescription detail/create、dialysis detail/create、appointment detail/create；所有 fire-and-forget 定时器替换为 safeSetTimeout |