diff --git a/src/controller/mp.js b/src/controller/mp.js
index 6c0268c..d326d9f 100644
--- a/src/controller/mp.js
+++ b/src/controller/mp.js
@@ -93,7 +93,12 @@ module.exports = class extends Base {
         patient = await this.model('patient')
           .field('id, patient_no, name, phone, status, auth_status')
           .where({ id: user.patient_id, is_deleted: 0 }).find();
-        if (think.isEmpty(patient)) patient = null;
+        if (think.isEmpty(patient)) {
+          // 关联的患者已被删除，清除关联
+          await userModel.where({ id: user.id }).update({ patient_id: 0 });
+          user.patient_id = 0;
+          patient = null;
+        }
       }
       return this.json({ code: 0, data: { token, userInfo: {
         id: user.id, nickname: user.nickname || '', avatar: user.avatar || '',