diff --git a/apps/web/src/pages/health/components/VitalSignsChart.tsx b/apps/web/src/pages/health/components/VitalSignsChart.tsx
index f9835f8..d6ddc21 100644
--- a/apps/web/src/pages/health/components/VitalSignsChart.tsx
+++ b/apps/web/src/pages/health/components/VitalSignsChart.tsx
@@ -8,13 +8,14 @@ const { Text } = Typography;
 
 interface Props {
   patientId: string;
+  refreshKey?: number;
 }
 
 const DEFAULT_INDICATOR = 'systolic_bp_morning';
 const UNIT = 'mmHg';
 const LABEL = '收缩压(晨)';
 
-export function VitalSignsChart({ patientId }: Props) {
+export function VitalSignsChart({ patientId, refreshKey }: Props) {
   const [data, setData] = useState<{ date: string; value: number }[]>([]);
   const [loading, setLoading] = useState(true);
   const [error, setError] = useState(false);
@@ -32,7 +33,7 @@ export function VitalSignsChart({ patientId }: Props) {
       })
       .catch(() => setError(true))
       .finally(() => setLoading(false));
-  }, [patientId]);
+  }, [patientId, refreshKey]);
 
   if (loading) {
     return (
diff --git a/apps/web/src/pages/health/components/VitalSignsTab.tsx b/apps/web/src/pages/health/components/VitalSignsTab.tsx
index 91504a6..216441e 100644
--- a/apps/web/src/pages/health/components/VitalSignsTab.tsx
+++ b/apps/web/src/pages/health/components/VitalSignsTab.tsx
@@ -68,6 +68,7 @@ const columns = [
 
 export function VitalSignsTab({ patientId }: Props) {
   const [modalOpen, setModalOpen] = useState(false);
+  const [chartRefreshKey, setChartRefreshKey] = useState(0);
   const [form] = Form.useForm();
   const [submitting, setSubmitting] = useState(false);
 
@@ -108,7 +109,7 @@ export function VitalSignsTab({ patientId }: Props) {
       setModalOpen(false);
       form.resetFields();
       refresh();
-    } catch {
+      setChartRefreshKey((k) => k + 1);    } catch {
       message.error('录入失败');
     } finally {
       setSubmitting(false);
@@ -121,8 +122,8 @@ export function VitalSignsTab({ patientId }: Props) {
   return (
     <div>
       {/* 趋势图 */}
-      <div style={{ marginBottom: 16 }}>
-        <VitalSignsChart patientId={patientId} />
+      <div style={{ marginBottom: 12 }}>
+        <VitalSignsChart patientId={patientId} refreshKey={chartRefreshKey} />
       </div>
 
       {/* 最新记录摘要条 */}
@@ -131,13 +132,13 @@ export function VitalSignsTab({ patientId }: Props) {
           display: 'flex',
           gap: 16,
           marginBottom: 12,
-          padding: '8px 12px',
+          padding: '6px 12px',
           background: 'var(--ant-color-bg-container, #fafafa)',
           borderRadius: 8,
           border: '1px solid var(--ant-color-border-secondary, #f0f0f0)',
           flexWrap: 'wrap',
         }}>
-          <Text type="secondary" style={{ fontSize: 12, lineHeight: '24px' }}>
+          <Text type="secondary" style={{ fontSize: 12, lineHeight: '20px' }}>
             <InfoCircleOutlined style={{ marginRight: 4 }} />
             最新记录（{latest.record_date}）
           </Text>