diff --git a/crates/erp-health/src/service/article_service.rs b/crates/erp-health/src/service/article_service.rs
index 225453c..eabcbea 100644
--- a/crates/erp-health/src/service/article_service.rs
+++ b/crates/erp-health/src/service/article_service.rs
@@ -15,6 +15,7 @@ use crate::entity::article;
 use crate::entity::article_article_tag;
 use crate::entity::article_tag;
 use crate::error::{HealthError, HealthResult};
+use crate::service::validation;
 use crate::state::HealthState;
 
 /// 文章列表（管理端，支持状态/分类/标签/关键词筛选）
@@ -130,9 +131,7 @@ pub async fn submit_article(
     let next_ver = check_version(expected_version, model.version)
         .map_err(|_| HealthError::VersionMismatch)?;
 
-    if model.status != "draft" && model.status != "rejected" {
-        return Err(HealthError::InvalidStatusTransition(format!("无法从 {} 提交审核", model.status)));
-    }
+    validation::validate_article_status_transition(&model.status, "pending_review")?;
 
     let mut active: article::ActiveModel = model.into();
     active.status = Set("pending_review".into());
@@ -164,9 +163,7 @@ pub async fn approve_article(
     let next_ver = check_version(expected_version, model.version)
         .map_err(|_| HealthError::VersionMismatch)?;
 
-    if model.status != "pending_review" {
-        return Err(HealthError::InvalidStatusTransition(format!("无法从 {} 审核通过", model.status)));
-    }
+    validation::validate_article_status_transition(&model.status, "published")?;
 
     let now = Utc::now();
     let mut active: article::ActiveModel = model.into();
@@ -203,9 +200,7 @@ pub async fn reject_article(
     let next_ver = check_version(expected_version, model.version)
         .map_err(|_| HealthError::VersionMismatch)?;
 
-    if model.status != "pending_review" {
-        return Err(HealthError::InvalidStatusTransition(format!("无法从 {} 审核拒绝", model.status)));
-    }
+    validation::validate_article_status_transition(&model.status, "rejected")?;
 
     let now = Utc::now();
     let mut active: article::ActiveModel = model.into();
@@ -240,9 +235,7 @@ pub async fn unpublish_article(
     let next_ver = check_version(expected_version, model.version)
         .map_err(|_| HealthError::VersionMismatch)?;
 
-    if model.status != "published" {
-        return Err(HealthError::InvalidStatusTransition(format!("无法从 {} 撤回发布", model.status)));
-    }
+    validation::validate_article_status_transition(&model.status, "draft")?;
 
     let mut active: article::ActiveModel = model.into();
     active.status = Set("draft".into());
diff --git a/crates/erp-health/src/service/dialysis_service.rs b/crates/erp-health/src/service/dialysis_service.rs
index 6598510..4bda989 100644
--- a/crates/erp-health/src/service/dialysis_service.rs
+++ b/crates/erp-health/src/service/dialysis_service.rs
@@ -15,6 +15,7 @@ use erp_core::types::PaginatedResponse;
 use crate::dto::dialysis_dto::*;
 use crate::entity::{dialysis_record, patient};
 use crate::error::{HealthError, HealthResult};
+use crate::service::validation;
 use crate::state::HealthState;
 
 pub async fn list_dialysis_records(
@@ -221,6 +222,8 @@ pub async fn review_dialysis_record(
     let next_ver = check_version(expected_version, model.version)
         .map_err(|_| HealthError::VersionMismatch)?;
 
+    validation::validate_dialysis_status_transition(&model.status, "reviewed")?;
+
     let mut active: dialysis_record::ActiveModel = model.into();
     active.status = Set("reviewed".to_string());
     active.reviewed_by = Set(Some(reviewer_id));
diff --git a/crates/erp-health/src/service/health_data_service.rs b/crates/erp-health/src/service/health_data_service.rs
index fafebc5..9bfa3e1 100644
--- a/crates/erp-health/src/service/health_data_service.rs
+++ b/crates/erp-health/src/service/health_data_service.rs
@@ -16,7 +16,7 @@ use erp_core::types::PaginatedResponse;
 use crate::dto::health_data_dto::*;
 use crate::entity::{doctor_profile, health_record, lab_report, patient, patient_doctor_relation, vital_signs};
 use crate::error::{HealthError, HealthResult};
-use crate::service::validation::validate_record_type;
+use crate::service::validation::{validate_record_type, validate_lab_report_status_transition};
 use crate::state::HealthState;
 
 // ---------------------------------------------------------------------------
@@ -512,6 +512,8 @@ pub async fn review_lab_report(
     let next_ver = check_version(expected_version, model.version)
         .map_err(|_| HealthError::VersionMismatch)?;
 
+    validate_lab_report_status_transition(&model.status, "reviewed")?;
+
     let mut active: lab_report::ActiveModel = model.into();
     active.status = Set("reviewed".to_string());
     active.reviewed_by = Set(Some(reviewer_id));
diff --git a/crates/erp-health/src/service/validation.rs b/crates/erp-health/src/service/validation.rs
index 4b5f993..4231461 100644
--- a/crates/erp-health/src/service/validation.rs
+++ b/crates/erp-health/src/service/validation.rs
@@ -141,8 +141,7 @@ pub fn validate_article_status(value: &str) -> HealthResult<()> {
 
 /// article.status 状态转换
 /// draft → pending_review, rejected → pending_review
-/// pending_review → approved / rejected
-/// approved → published
+/// pending_review → published / rejected（审核通过直接发布，或拒绝）
 /// published → draft (下架)
 pub fn validate_article_status_transition(current: &str, new: &str) -> HealthResult<()> {
     if current == new {
@@ -150,8 +149,7 @@ pub fn validate_article_status_transition(current: &str, new: &str) -> HealthRes
     }
     let allowed = match current {
         "draft" => matches!(new, "pending_review"),
-        "pending_review" => matches!(new, "approved" | "rejected"),
-        "approved" => matches!(new, "published"),
+        "pending_review" => matches!(new, "published" | "rejected"),
         "rejected" => matches!(new, "pending_review"),
         "published" => matches!(new, "draft"),
         _ => false,
@@ -369,19 +367,17 @@ mod tests {
     #[test]
     fn art_draft_to_published_fails() { assert!(validate_article_status_transition("draft", "published").is_err()); }
     #[test]
-    fn art_pending_review_to_approved() { assert!(validate_article_status_transition("pending_review", "approved").is_ok()); }
+    fn art_pending_review_to_published() { assert!(validate_article_status_transition("pending_review", "published").is_ok()); }
     #[test]
     fn art_pending_review_to_rejected() { assert!(validate_article_status_transition("pending_review", "rejected").is_ok()); }
     #[test]
     fn art_pending_review_to_draft_fails() { assert!(validate_article_status_transition("pending_review", "draft").is_err()); }
     #[test]
-    fn art_approved_to_published() { assert!(validate_article_status_transition("approved", "published").is_ok()); }
-    #[test]
     fn art_rejected_to_pending_review() { assert!(validate_article_status_transition("rejected", "pending_review").is_ok()); }
     #[test]
     fn art_published_to_draft() { assert!(validate_article_status_transition("published", "draft").is_ok()); }
     #[test]
-    fn art_published_to_approved_fails() { assert!(validate_article_status_transition("published", "approved").is_err()); }
+    fn art_published_to_pending_fails() { assert!(validate_article_status_transition("published", "pending_review").is_err()); }
     #[test]
     fn art_same_status_ok() { assert!(validate_article_status_transition("draft", "draft").is_ok()); }