diff --git a/handler/escort_record.js b/handler/escort_record.js
index 6526826..452b304 100644
--- a/handler/escort_record.js
+++ b/handler/escort_record.js
@@ -36,7 +36,7 @@ class HandlerEscortRecord {
 
   async _listRecords(ctx, forceSelf) {
     try {
-      const { page = 1, pageSize = 20, status, userId, appointmentDate } = ctx.request.query;
+      const { page = 1, pageSize = 20, status, userId, appointmentDate, healthProfileId } = ctx.request.query;
       const effectiveUserId = forceSelf ? ctx.state.user?._id : userId;
 
       // status解析成数组
@@ -51,6 +51,7 @@ class HandlerEscortRecord {
         status: statusArray,
         userId: effectiveUserId,
         appointmentDate,
+        healthProfileId,
       });
 
       return ResponseUtil.success(ctx, { records }, "查询成功");
diff --git a/models/schema/escort_record.js b/models/schema/escort_record.js
index e117233..12e50d1 100644
--- a/models/schema/escort_record.js
+++ b/models/schema/escort_record.js
@@ -166,7 +166,7 @@ const EscortRecordSchema = mongoose.Schema(
  * @returns {Promise<Array>} 陪诊记录列表（按预约日期倒序）
  */
 EscortRecordSchema.statics.findRecords = async function (options = {}, cb) {
-  const { page = 1, pageSize = 20, status, userId, appointmentDate } = options;
+  const { page = 1, pageSize = 20, status, userId, appointmentDate, healthProfileId } = options;
   const filter = {};
 
   if (status && Array.isArray(status) && status.length > 0) {
@@ -177,6 +177,10 @@ EscortRecordSchema.statics.findRecords = async function (options = {}, cb) {
     filter.userId = userId;
   }
 
+  if (healthProfileId) {
+    filter.healthProfileId = healthProfileId;
+  }
+
   if (appointmentDate) {
     const start = new Date(appointmentDate);
     const end = new Date(start);