diff --git a/Laravel/app/Services/Admin/YeWu/DeptCheckItemService.php b/Laravel/app/Services/Admin/YeWu/DeptCheckItemService.php
index e2a0f81..7598654 100644
--- a/Laravel/app/Services/Admin/YeWu/DeptCheckItemService.php
+++ b/Laravel/app/Services/Admin/YeWu/DeptCheckItemService.php
@@ -192,8 +192,8 @@ public function SyncItemClass()
     //同步检查项目（全量） + 返回当前科室相关统计
     public function SyncCheckItem($userid)
     {
-        // 1. 同步前快照：当前科室所有符合条件的项目 code
-        $beforeCodes = $this->getDeptItemCodes($userid);
+        // 1. 同步前快照：当前科室所有符合条件的项目 code + 关键字段摘要
+        $beforeSnapshot = $this->getDeptItemSnapshot($userid);
 
         // 2. 调用 HIS 同步项目（全量）
         request()->merge(['termClassId' => 155]);
@@ -201,21 +201,35 @@ public function SyncCheckItem($userid)
         $hisController->UpdateCheckItem();
 
         // 3. 同步后快照
-        $afterCodes = $this->getDeptItemCodes($userid);
+        $afterSnapshot = $this->getDeptItemSnapshot($userid);
 
         // 4. 对比统计
+        $beforeCodes = array_keys($beforeSnapshot);
+        $afterCodes = array_keys($afterSnapshot);
         $beforeSet = array_flip($beforeCodes);
         $afterSet = array_flip($afterCodes);
 
+        $addedCodes = array_diff_key($afterSet, $beforeSet);
+        $removedCodes = array_diff_key($beforeSet, $afterSet);
+        $commonCodes = array_intersect_key($beforeSet, $afterSet);
+
+        // 字段级对比：只有真正变化的才算更新
+        $updatedCount = 0;
+        foreach ($commonCodes as $code => $v) {
+            if ($beforeSnapshot[$code] !== $afterSnapshot[$code]) {
+                $updatedCount++;
+            }
+        }
+
         return \Yz::Return(true, '同步完成', [
-            'added'   => count(array_diff_key($afterSet, $beforeSet)),
-            'removed' => count(array_diff_key($beforeSet, $afterSet)),
-            'updated' => count(array_intersect_key($beforeSet, $afterSet)),
+            'added'   => count($addedCodes),
+            'removed' => count($removedCodes),
+            'updated' => $updatedCount,
         ]);
     }
 
-    //获取当前科室所有符合条件的项目 code 列表
-    private function getDeptItemCodes($userid)
+    //获取当前科室所有符合条件的项目快照（code => 字段摘要）
+    private function getDeptItemSnapshot($userid)
     {
         $user = DB::table('users')->where('id', $userid)->first();
         if (!$user || !$user->department_id) return [];
@@ -231,7 +245,7 @@ private function getDeptItemCodes($userid)
 
         if (empty($deptNumbers)) return [];
 
-        return DB::table('s_check_item')
+        $items = DB::table('s_check_item')
             ->where('is_del', 0)
             ->whereNotNull('sheetType')->where('sheetType', '!=', '')
             ->where(function($q) use ($deptNumbers) {
@@ -239,7 +253,19 @@ private function getDeptItemCodes($userid)
                     $q->orWhere('hisExecDepts', 'like', '%"' . $num . '"%');
                 }
             })
-            ->pluck('item_code')
-            ->toArray();
+            ->select('item_code', 'item_name', 'hisExecDepts', 'check_notice', 'sheetType', 'item_class_id')
+            ->get();
+
+        $snapshot = [];
+        foreach ($items as $item) {
+            $snapshot[$item->item_code] = md5(json_encode([
+                'item_name'    => $item->item_name,
+                'hisExecDepts' => $item->hisExecDepts,
+                'check_notice'  => $item->check_notice,
+                'sheetType'    => $item->sheetType,
+                'item_class_id'=> $item->item_class_id,
+            ]));
+        }
+        return $snapshot;
     }
 }
\ No newline at end of file
diff --git a/YiJi-admin/src/views/YeWu/DeptCheckItemConfig.vue b/YiJi-admin/src/views/YeWu/DeptCheckItemConfig.vue
index fdf0198..dfa48ba 100644
--- a/YiJi-admin/src/views/YeWu/DeptCheckItemConfig.vue
+++ b/YiJi-admin/src/views/YeWu/DeptCheckItemConfig.vue
@@ -283,6 +283,12 @@
 		</el-dialog>
 		<el-dialog v-model="syncDialogVisible" title="同步项目" width="480px" :close-on-click-modal="false">
 			<template v-if="!syncDone">
+				<div v-if="syncLoading" style="text-align: center; padding: 12px 0; color: #303133; font-size: 15px; font-weight: 500;">
+					<el-icon class="is-loading" style="vertical-align: middle; margin-right: 4px;">
+						<Loading />
+					</el-icon>
+					{{ syncLoadingText }}
+				</div>
 				<el-steps :active="syncStep" align-center finish-status="success" style="margin-top: 10px;">
 					<el-step title="同步分类" />
 					<el-step title="同步项目" />
@@ -293,15 +299,17 @@
 				<el-result icon="success" title="同步完成">
 					<template #extra>
 						<div style="display: flex; justify-content: space-around; padding: 12px 0;">
-							<div style="text-align: center;">
+							<div style="text-align: center; flex: 1;">
 								<div style="font-size: 28px; font-weight: 700; color: #409eff;">{{ syncResult.added }}</div>
 								<div style="color: #999; font-size: 13px;">新增项目</div>
 							</div>
-							<div style="text-align: center;">
+							<div style="width: 1px; background: #e8e8e8; margin: 0 12px;"></div>
+							<div style="text-align: center; flex: 1;">
 								<div style="font-size: 28px; font-weight: 700; color: #e6a23c;">{{ syncResult.removed }}</div>
 								<div style="color: #999; font-size: 13px;">移除项目</div>
 							</div>
-							<div style="text-align: center;">
+							<div style="width: 1px; background: #e8e8e8; margin: 0 12px;"></div>
+							<div style="text-align: center; flex: 1;">
 								<div style="font-size: 28px; font-weight: 700; color: #67c23a;">{{ syncResult.updated }}</div>
 								<div style="color: #999; font-size: 13px;">更新项目</div>
 							</div>
@@ -345,7 +353,8 @@
 		ElMessageBox
 	} from 'element-plus'
 	import {
-		ArrowRight
+		ArrowRight,
+		Loading
 	} from '@element-plus/icons-vue'
 
 	let loading = ref(false);
@@ -461,6 +470,8 @@
 	let syncStep = ref(0)
 	let syncPercent = ref(0)
 	let syncDone = ref(false)
+	let syncLoading = ref(false)
+	let syncLoadingText = ref('')
 	let syncResult = ref({ added: 0, removed: 0, updated: 0 })
 
 	// 计算链接对话框标题
@@ -528,10 +539,14 @@
 		syncStep.value = 0
 		syncPercent.value = 0
 		syncDone.value = false
+		syncLoading.value = false
 		syncResult.value = { added: 0, removed: 0, updated: 0 }
 
 		// 步骤1：同步分类
+		syncLoadingText.value = '正在同步分类...'
+		syncLoading.value = true
 		const classRes = await DeptSyncItemClass()
+		syncLoading.value = false
 		if (!classRes.status) {
 			ElMessage.error('同步分类失败：' + (classRes.msg || '未知错误'))
 			syncDialogVisible.value = false
@@ -541,7 +556,10 @@
 		syncPercent.value = 50
 
 		// 步骤2：同步项目
+		syncLoadingText.value = '正在同步项目...'
+		syncLoading.value = true
 		const itemRes = await DeptSyncCheckItem()
+		syncLoading.value = false
 		if (!itemRes.status) {
 			ElMessage.error('同步项目失败：' + (itemRes.msg || '未知错误'))
 			syncDialogVisible.value = false