refactor(miniprogram): 体征阈值改用动态 API — 替代硬编码参考范围

- health.ts 新增 getHealthThresholds/findThreshold/DEFAULT_THRESHOLDS
- 24h storage 缓存 + 降级到内置默认值
- health/index.tsx: REF_RANGES → buildRefRange(thresholds)
- pkg-health/input: WARN_THRESHOLDS → getWarnForIndicator(thresholds)

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

@@ -3,7 +3,7 @@ import { View, Text, Input } from '@tarojs/components';
 import Taro, { useDidShow } from '@tarojs/taro';
 import { useHealthStore } from '../../stores/health';
 import { useAuthStore } from '../../stores/auth';
-import { inputVitalSign, getTrend } from '../../services/health';
+import { inputVitalSign, getTrend, getHealthThresholds, findThreshold, DEFAULT_THRESHOLDS, type HealthThreshold } from '../../services/health';
 import { listPendingSuggestions, type AiSuggestionItem } from '../../services/ai-analysis';
 import Loading from '../../components/Loading';
 import './index.scss';
@@ -17,12 +17,21 @@ const VITAL_TABS: { key: VitalType; label: string }[] = [
   { key: 'weight', label: '体重' },
 ];
 
-const REF_RANGES: Record<VitalType, { range: string; warn: string }> = {
-  blood_pressure: { range: '收缩压 90-140 / 舒张压 60-90 mmHg', warn: '血压偏高，确认提交？' },
-  heart_rate: { range: '60-100 bpm', warn: '心率异常，确认提交？' },
-  blood_sugar: { range: '空腹 3.9-6.1 / 餐后 <7.8 mmol/L', warn: '血糖偏高，确认提交？' },
-  weight: { range: '根据 BMI 18.5-24 计算', warn: '' },
-};
+/** 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;
+  const hrHigh = findThreshold(t, 'heart_rate', 'high')?.threshold_value ?? 100;
+  const hrLow = findThreshold(t, 'heart_rate', 'low')?.threshold_value ?? 60;
+  const bsFasting = findThreshold(t, 'blood_sugar_fasting', 'high')?.threshold_value ?? 6.1;
+  const bsPp = findThreshold(t, 'blood_sugar_postprandial', 'high')?.threshold_value ?? 7.8;
+  return {
+    blood_pressure: `收缩压 90-${bpSys} / 舒张压 60-${bpDia} mmHg`,
+    heart_rate: `${hrLow}-${hrHigh} bpm`,
+    blood_sugar: `空腹 3.9-${bsFasting} / 餐后 <${bsPp} mmol/L`,
+    weight: '根据 BMI 18.5-24 计算',
+  };
+}
 
 interface TrendPoint {
   date: string;
@@ -43,11 +52,13 @@ export default function Health() {
   const [trendData, setTrendData] = useState<TrendPoint[]>([]);
   const [trendLoading, setTrendLoading] = useState(false);
   const [aiSuggestions, setAiSuggestions] = useState<AiSuggestionItem[]>([]);
+  const [thresholds, setThresholds] = useState<HealthThreshold[]>(DEFAULT_THRESHOLDS);
 
   useDidShow(() => {
     refreshToday();
     loadTrend(activeTab);
     loadAiSuggestions();
+    getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); });
   });
 
   const loadAiSuggestions = async () => {
@@ -86,18 +97,29 @@ export default function Health() {
     if (type === 'blood_pressure') {
       const sys = parseFloat(systolic);
       const dia = parseFloat(diastolic);
-      if (sys > 140 || dia > 90) return REF_RANGES.blood_pressure.warn;
+      const sysMax = findThreshold(thresholds, 'systolic_bp', 'high')?.threshold_value ?? 140;
+      const diaMax = findThreshold(thresholds, 'diastolic_bp', 'high')?.threshold_value ?? 90;
+      if (sys > sysMax || dia > diaMax) return '血压偏高，确认提交？';
     } else if (type === 'heart_rate') {
       const val = parseFloat(heartRateVal);
-      if (val > 100 || val < 60) return REF_RANGES.heart_rate.warn;
+      const hrHigh = findThreshold(thresholds, 'heart_rate', 'high')?.threshold_value ?? 100;
+      const hrLow = findThreshold(thresholds, 'heart_rate', 'low')?.threshold_value ?? 60;
+      if (val > hrHigh || val < hrLow) return '心率异常，确认提交？';
     } else if (type === 'blood_sugar') {
       const val = parseFloat(sugarVal);
-      if (sugarPeriod === 'fasting' && val > 6.1) return REF_RANGES.blood_sugar.warn;
-      if (sugarPeriod === 'postprandial' && val > 7.8) return REF_RANGES.blood_sugar.warn;
+      if (sugarPeriod === 'fasting') {
+        const bsMax = findThreshold(thresholds, 'blood_sugar_fasting', 'high')?.threshold_value ?? 6.1;
+        if (val > bsMax) return '血糖偏高，确认提交？';
+      } else {
+        const bsMax = findThreshold(thresholds, 'blood_sugar_postprandial', 'high')?.threshold_value ?? 7.8;
+        if (val > bsMax) return '血糖偏高，确认提交？';
+      }
     }
     return null;
   };
 
+  const refRanges = buildRefRange(thresholds);
+
   const handleSave = async () => {
     const patientId = currentPatient?.id;
     if (!patientId) {
@@ -245,7 +267,7 @@ export default function Health() {
               value={diastolic}
               onInput={(e) => setDiastolic(e.detail.value)}
             />
-            <Text className='input-ref'>{REF_RANGES.blood_pressure.range}</Text>
+            <Text className='input-ref'>{refRanges.blood_pressure}</Text>
           </View>
         )}
 
@@ -259,7 +281,7 @@ export default function Health() {
               value={heartRateVal}
               onInput={(e) => setHeartRateVal(e.detail.value)}
             />
-            <Text className='input-ref'>{REF_RANGES.heart_rate.range}</Text>
+            <Text className='input-ref'>{refRanges.heart_rate}</Text>
           </View>
         )}
 
@@ -287,7 +309,7 @@ export default function Health() {
                 <Text className='period-btn-text'>餐后 2h</Text>
               </View>
             </View>
-            <Text className='input-ref'>{REF_RANGES.blood_sugar.range}</Text>
+            <Text className='input-ref'>{refRanges.blood_sugar}</Text>
           </View>
         )}
 
@@ -301,7 +323,7 @@ export default function Health() {
               value={weightVal}
               onInput={(e) => setWeightVal(e.detail.value)}
             />
-            <Text className='input-ref'>{REF_RANGES.weight.range}</Text>
+            <Text className='input-ref'>{refRanges.weight}</Text>
           </View>
         )}