diff --git a/apps/web/src/pages/health/AiAnalysisList.tsx b/apps/web/src/pages/health/AiAnalysisList.tsx
index 964c844..ce4a9bd 100644
--- a/apps/web/src/pages/health/AiAnalysisList.tsx
+++ b/apps/web/src/pages/health/AiAnalysisList.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import { Table, Select, Tag, Space, message, Typography } from 'antd';
 import { useThemeMode } from '../../hooks/useThemeMode';
 import { analysisApi, type AnalysisItem } from '../../api/ai/analysis';
@@ -69,7 +69,7 @@ export default function AiAnalysisList() {
     }
   };
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '分析类型',
       dataIndex: 'analysis_type',
@@ -112,7 +112,7 @@ export default function AiAnalysisList() {
       width: 170,
       render: (v: string) => (v ? new Date(v).toLocaleString('zh-CN') : '-'),
     },
-  ];
+  ], []);
 
   return (
     <div>
diff --git a/apps/web/src/pages/health/AiPromptList.tsx b/apps/web/src/pages/health/AiPromptList.tsx
index b5dba72..56097eb 100644
--- a/apps/web/src/pages/health/AiPromptList.tsx
+++ b/apps/web/src/pages/health/AiPromptList.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -92,7 +92,7 @@ export default function AiPromptList() {
     }
   };
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '名称',
       dataIndex: 'name',
@@ -161,7 +161,7 @@ export default function AiPromptList() {
         </AuthButton>
       ),
     },
-  ];
+  ], [handleActivate, handleRollback]);
 
   return (
     <div>
diff --git a/apps/web/src/pages/health/AppointmentList.tsx b/apps/web/src/pages/health/AppointmentList.tsx
index ddfcce9..36fcb14 100644
--- a/apps/web/src/pages/health/AppointmentList.tsx
+++ b/apps/web/src/pages/health/AppointmentList.tsx
@@ -1,4 +1,4 @@
-import { useState, useCallback, useEffect } from 'react';
+import { useState, useCallback, useEffect, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -269,7 +269,7 @@ export default function AppointmentList() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '患者',
       dataIndex: 'patient_name',
@@ -362,7 +362,7 @@ export default function AppointmentList() {
         );
       },
     },
-  ];
+  ], [handleStatusChange]);
 
   return (
     <PageContainer
diff --git a/apps/web/src/pages/health/ArticleCategoryManage.tsx b/apps/web/src/pages/health/ArticleCategoryManage.tsx
index 6e75828..0f4399e 100644
--- a/apps/web/src/pages/health/ArticleCategoryManage.tsx
+++ b/apps/web/src/pages/health/ArticleCategoryManage.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -128,7 +128,7 @@ export default function ArticleCategoryManage() {
     .filter((c) => !editingCategory || c.id !== editingCategory.id)
     .map((c) => ({ label: c.name, value: c.id }));
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '分类名称',
       dataIndex: 'name',
@@ -194,7 +194,7 @@ export default function ArticleCategoryManage() {
         </AuthButton>
       ),
     },
-  ];
+  ], [isDark, categories, openEditModal, handleDelete]);
 
   return (
     <div>
diff --git a/apps/web/src/pages/health/ArticleManageList.tsx b/apps/web/src/pages/health/ArticleManageList.tsx
index e20dc87..bdfe37e 100644
--- a/apps/web/src/pages/health/ArticleManageList.tsx
+++ b/apps/web/src/pages/health/ArticleManageList.tsx
@@ -1,4 +1,4 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useMemo } from 'react';
 import { useNavigate } from 'react-router-dom';
 import {
   Table,
@@ -242,7 +242,7 @@ export default function ArticleManageList() {
 
   // ---- 列定义 ----
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '标题',
       dataIndex: 'title',
@@ -351,7 +351,7 @@ export default function ArticleManageList() {
       width: 200,
       render: (_: unknown, record: ArticleListItem) => renderActions(record),
     },
-  ];
+  ], [navigate, renderActions]);
 
   return (
     <PageContainer
diff --git a/apps/web/src/pages/health/ArticleTagManage.tsx b/apps/web/src/pages/health/ArticleTagManage.tsx
index 828ed22..4486797 100644
--- a/apps/web/src/pages/health/ArticleTagManage.tsx
+++ b/apps/web/src/pages/health/ArticleTagManage.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -94,7 +94,7 @@ export default function ArticleTagManage() {
     }
   };
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '标签名称',
       dataIndex: 'name',
@@ -165,7 +165,7 @@ export default function ArticleTagManage() {
         </AuthButton>
       ),
     },
-  ];
+  ], [isDark, openEditModal, handleDelete]);
 
   return (
     <div>
diff --git a/apps/web/src/pages/health/DoctorList.tsx b/apps/web/src/pages/health/DoctorList.tsx
index 2434ad4..16c1d97 100644
--- a/apps/web/src/pages/health/DoctorList.tsx
+++ b/apps/web/src/pages/health/DoctorList.tsx
@@ -1,4 +1,4 @@
-import { useState, useCallback, useRef } from 'react';
+import { useState, useCallback, useRef, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -199,7 +199,7 @@ export default function DoctorList() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '姓名',
       dataIndex: 'name',
@@ -295,7 +295,7 @@ export default function DoctorList() {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEdit, handleDelete]);
 
   return (
     <PageContainer
diff --git a/apps/web/src/pages/health/DoctorSchedule.tsx b/apps/web/src/pages/health/DoctorSchedule.tsx
index ae1e57d..a621305 100644
--- a/apps/web/src/pages/health/DoctorSchedule.tsx
+++ b/apps/web/src/pages/health/DoctorSchedule.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -202,7 +202,7 @@ export default function DoctorSchedule() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '日期',
       dataIndex: 'schedule_date',
@@ -273,7 +273,7 @@ export default function DoctorSchedule() {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEdit]);
 
   // ---- 将日历数据转换为 CalendarView 所需格式 ----
   const calendarScheduleMap: Record<string, ScheduleItem[]> = {};
diff --git a/apps/web/src/pages/health/OfflineEventList.tsx b/apps/web/src/pages/health/OfflineEventList.tsx
index 688d0ae..83a86c3 100644
--- a/apps/web/src/pages/health/OfflineEventList.tsx
+++ b/apps/web/src/pages/health/OfflineEventList.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -166,7 +166,7 @@ export default function OfflineEventList() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '活动名称',
       dataIndex: 'title',
@@ -279,7 +279,7 @@ export default function OfflineEventList() {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEdit, handleCheckin, handleDelete]);
 
   return (
     <Card>
diff --git a/apps/web/src/pages/health/PatientList.tsx b/apps/web/src/pages/health/PatientList.tsx
index 35abe94..14060dc 100644
--- a/apps/web/src/pages/health/PatientList.tsx
+++ b/apps/web/src/pages/health/PatientList.tsx
@@ -1,4 +1,4 @@
-import { useState, useCallback, useRef } from 'react';
+import { useState, useCallback, useRef, useMemo } from 'react';
 import { useNavigate } from 'react-router-dom';
 import {
   Table,
@@ -184,7 +184,7 @@ export default function PatientList() {
 
   // ---- 列定义 ----
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '姓名',
       dataIndex: 'name',
@@ -298,7 +298,7 @@ export default function PatientList() {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEditModal, handleDelete]);
 
   return (
     <PageContainer
diff --git a/apps/web/src/pages/health/PatientTagManage.tsx b/apps/web/src/pages/health/PatientTagManage.tsx
index 3fa76d9..f6d9fe0 100644
--- a/apps/web/src/pages/health/PatientTagManage.tsx
+++ b/apps/web/src/pages/health/PatientTagManage.tsx
@@ -1,4 +1,4 @@
-import { useEffect, useState, useCallback } from 'react';
+import { useEffect, useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -86,7 +86,7 @@ export default function PatientTagManage() {
     );
   };
 
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '患者姓名',
       dataIndex: 'name',
@@ -191,7 +191,7 @@ export default function PatientTagManage() {
         </AuthButton>
       ),
     },
-  ];
+  ], [isDark, allTags, openTagModal]);
 
   return (
     <div>
diff --git a/apps/web/src/pages/health/PointsOrderList.tsx b/apps/web/src/pages/health/PointsOrderList.tsx
index 9f45dec..d1e6ae9 100644
--- a/apps/web/src/pages/health/PointsOrderList.tsx
+++ b/apps/web/src/pages/health/PointsOrderList.tsx
@@ -1,4 +1,4 @@
-import { useState, useCallback } from 'react';
+import { useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -112,7 +112,7 @@ export default function PointsOrderList() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '订单号',
       dataIndex: 'id',
@@ -198,7 +198,7 @@ export default function PointsOrderList() {
       ellipsis: true,
       render: (val: string | null) => val || '-',
     },
-  ];
+  ], [getPatientName]);
 
   return (
     <PageContainer
diff --git a/apps/web/src/pages/health/PointsProductList.tsx b/apps/web/src/pages/health/PointsProductList.tsx
index 2edda70..8d80f2f 100644
--- a/apps/web/src/pages/health/PointsProductList.tsx
+++ b/apps/web/src/pages/health/PointsProductList.tsx
@@ -1,4 +1,4 @@
-import { useState, useCallback } from 'react';
+import { useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -180,7 +180,7 @@ export default function PointsProductList() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '商品名称',
       dataIndex: 'name',
@@ -270,7 +270,7 @@ export default function PointsProductList() {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEdit, handleToggleActive, handleDelete]);
 
   /** 抽屉表单分区 */
   const formSections: FormSection[] = [
diff --git a/apps/web/src/pages/health/PointsRuleList.tsx b/apps/web/src/pages/health/PointsRuleList.tsx
index 734c35e..970d0af 100644
--- a/apps/web/src/pages/health/PointsRuleList.tsx
+++ b/apps/web/src/pages/health/PointsRuleList.tsx
@@ -1,4 +1,4 @@
-import { useState, useCallback } from 'react';
+import { useState, useCallback, useMemo } from 'react';
 import {
   Table,
   Button,
@@ -184,7 +184,7 @@ export default function PointsRuleList() {
   };
 
   // ---- 列定义 ----
-  const columns = [
+  const columns = useMemo(() => [
     {
       title: '规则名称',
       dataIndex: 'name',
@@ -286,7 +286,7 @@ export default function PointsRuleList() {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEdit, handleToggleActive, handleDelete]);
 
   return (
     <PageContainer
diff --git a/apps/web/src/pages/health/components/HealthRecordsTab.tsx b/apps/web/src/pages/health/components/HealthRecordsTab.tsx
index 7c8cee5..f300f6d 100644
--- a/apps/web/src/pages/health/components/HealthRecordsTab.tsx
+++ b/apps/web/src/pages/health/components/HealthRecordsTab.tsx
@@ -1,4 +1,4 @@
-import { useCallback, useState } from 'react';
+import { useCallback, useState, useMemo } from 'react';
 import { Table, Tag, Button, Modal, Form, Select, DatePicker, Input, message, Popconfirm, Space } from 'antd';
 import { PlusOutlined, EditOutlined, DeleteOutlined } from '@ant-design/icons';
 import { dayjs } from '../../../utils/dayjs';
@@ -102,7 +102,7 @@ export function HealthRecordsTab({ patientId }: Props) {
     }
   };
 
-  const columns = [
+  const columns = useMemo(() => [
     { title: '记录类型', dataIndex: 'record_type', key: 'record_type', width: 120, render: (v: string) => <Tag>{RECORD_TYPE_MAP[v] || v}</Tag> },
     { title: '记录日期', dataIndex: 'record_date', key: 'record_date', width: 120 },
     { title: '内容', dataIndex: 'content', key: 'content', ellipsis: true },
@@ -139,7 +139,7 @@ export function HealthRecordsTab({ patientId }: Props) {
         </Space>
       ),
     },
-  ];
+  ], [openEditModal, handleDelete]);
 
   return (
     <div>
diff --git a/apps/web/src/pages/health/components/LabReportsTab.tsx b/apps/web/src/pages/health/components/LabReportsTab.tsx
index 60e42b1..a04b2ca 100644
--- a/apps/web/src/pages/health/components/LabReportsTab.tsx
+++ b/apps/web/src/pages/health/components/LabReportsTab.tsx
@@ -1,4 +1,4 @@
-import { useCallback, useState } from 'react';
+import { useCallback, useState, useMemo } from 'react';
 import { Table, Tag, Button, Modal, Form, Input, DatePicker, message, Popconfirm, Space } from 'antd';
 import { PlusOutlined, EditOutlined, DeleteOutlined } from '@ant-design/icons';
 import { dayjs } from '../../../utils/dayjs';
@@ -88,7 +88,7 @@ export function LabReportsTab({ patientId }: Props) {
     }
   };
 
-  const columns = [
+  const columns = useMemo(() => [
     { title: '报告日期', dataIndex: 'report_date', key: 'report_date', width: 120 },
     { title: '报告类型', dataIndex: 'report_type', key: 'report_type', width: 120, render: (v: string) => <Tag>{v}</Tag> },
     { title: '医生解读', dataIndex: 'doctor_interpretation', key: 'doctor_interpretation', ellipsis: true },
@@ -112,7 +112,7 @@ export function LabReportsTab({ patientId }: Props) {
         </AuthButton>
       ),
     },
-  ];
+  ], [openEditModal, handleDelete]);
 
   return (
     <div>