diff --git a/pages/message/chat.scss b/pages/message/chat.scss
index c14e295..fbe22c3 100644
--- a/pages/message/chat.scss
+++ b/pages/message/chat.scss
@@ -15,7 +15,8 @@ $primary-color: #0877F1;
 
 /* 患者信息栏样式 */
 .patient-info-bar {
-  position: relative;
+  position: sticky;
+  top: 0;
   background: #fff;
   border-bottom: 1rpx solid #f0f0f0;
   padding: 20rpx 32rpx;
@@ -112,6 +113,7 @@ $primary-color: #0877F1;
   flex: 1;
   box-sizing: border-box;
   overflow-x: hidden;
+  overflow-y: auto;
   min-height: 0;
 }
 
diff --git a/pages/message/index.vue b/pages/message/index.vue
index bb88ba5..7c4ce07 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -524,6 +524,7 @@ const initTIMCallbacks = async () => {
           })
           .then(() => {
             console.log("✓ 收到新消息后已标记为已读");
+            // 标记为已读后，刷新 tabBar 徽章
           })
           .catch((error) => {
             console.error("✗ 标记已读失败:", error);
@@ -677,6 +678,7 @@ const loadMessageList = async () => {
       })
       .then(() => {
         console.log("✓ 会话已标记为已读:", chatInfo.value.conversationID);
+        // 标记为已读后，刷新 tabBar 徽章
       })
       .catch((error) => {
         console.error("✗ 标记会话已读失败:", error);
@@ -825,6 +827,12 @@ onShow(() => {
     checkLoginAndInitTIM();
   } else if (timChatManager.tim && !timChatManager.isLoggedIn) {
     timChatManager.ensureIMConnection();
+  } else if (timChatManager.tim && timChatManager.isLoggedIn && chatInfo.value.conversationID) {
+
+    messageList.value = [];
+    isCompleted.value = false;
+    lastFirstMessageId.value = "";
+    loadMessageList();
   }
 
   startIMMonitoring(30000);
diff --git a/pages/message/message.vue b/pages/message/message.vue
index 4467ce8..24d6587 100644
--- a/pages/message/message.vue
+++ b/pages/message/message.vue
@@ -1,5 +1,10 @@
 <template>
   <view class="message-page">
+    <!-- 标题栏 -->
+    <view class="message-header">
+      <text class="header-title">咨询</text>
+    </view>
+
     <!-- 消息列表 -->
     <scroll-view
       class="message-list"
@@ -49,7 +54,7 @@
           </view>
           <view class="message-preview">
             <text class="preview-text">{{
-              conversation.lastMessage || "暂无消息"
+              cleanMessageText(conversation.lastMessage) || "暂无消息"
             }}</text>
           </view>
         </view>
@@ -75,7 +80,7 @@
 </template>
 
 <script setup>
-import { ref } from "vue";
+import { ref, computed } from "vue";
 import { onLoad, onShow, onHide } from "@dcloudio/uni-app";
 import { storeToRefs } from "pinia";
 import useAccountStore from "@/store/account.js";
@@ -98,6 +103,57 @@ const refreshing = ref(false);
 // 群聊头像管理
 const { loadGroupAvatars, getAvatarList } = useGroupAvatars();
 
+// 计算总未读消息数
+const totalUnreadCount = computed(() => {
+  return conversationList.value.reduce(
+    (sum, conv) => sum + (conv.unreadCount || 0),
+    0
+  );
+});
+
+// 立即更新未读徽章
+const updateUnreadBadgeImmediately = async () => {
+  try {
+    if (!globalTimChatManager || !globalTimChatManager.tim) {
+      console.warn("TIM实例不存在，无法更新徽章");
+      return;
+    }
+
+    const response = await globalTimChatManager.tim.getConversationList();
+
+    if (!response || !response.data || !response.data.conversationList) {
+      console.warn("获取会话列表返回数据异常");
+      return;
+    }
+
+    // 计算群聊总未读数
+    const totalUnreadCount = response.data.conversationList
+      .filter(
+        (conv) => conv.conversationID && conv.conversationID.startsWith("GROUP")
+      )
+      .reduce((sum, conv) => sum + (conv.unreadCount || 0), 0);
+    try {
+      if (totalUnreadCount > 0) {
+        uni.setTabBarBadge({
+          index: 1,
+          text: totalUnreadCount > 99 ? "99+" : String(totalUnreadCount),
+        });
+        console.log("已更新 tabBar 徽章:", totalUnreadCount);
+      } else {
+        uni.setTabBarBadge({
+          index: 1,
+          text: "",
+        });
+        console.log("已清除 tabBar 徽章");
+      }
+    } catch (badgeError) {
+      console.error("更新TabBar徽章失败:", badgeError);
+    }
+  } catch (error) {
+    console.error("更新未读徽章失败:", error);
+  }
+};
+
 // 初始化IM
 const initIM = async () => {
   console.log("=== message.vue initIM 开始 ===");
@@ -202,11 +258,9 @@ let updateTimer = null;
 // 设置会话列表监听，实时更新列表
 const setupConversationListener = () => {
   if (!globalTimChatManager) return;
-
   // 监听会话列表更新事件
   globalTimChatManager.setCallback("onConversationListUpdated", (eventData) => {
     console.log("会话列表更新事件:", eventData);
-
     // 处理单个会话更新（标记已读的情况）
     if (eventData && !Array.isArray(eventData) && eventData.conversationID) {
       const conversationID = eventData.conversationID;
@@ -395,16 +449,13 @@ const formatMessageTime = (timestamp) => {
 };
 
 // 点击会话
-const handleClickConversation = (conversation) => {
+const handleClickConversation = async (conversation) => {
   console.log("点击会话:", conversation);
-
-  // 立即清空本地未读数（优化用户体验）
   const conversationIndex = conversationList.value.findIndex(
     (conv) => conv.conversationID === conversation.conversationID
   );
   if (conversationIndex !== -1) {
     conversationList.value[conversationIndex].unreadCount = 0;
-    console.log("已清空本地未读数:", conversation.name);
   }
 
   // 跳转到聊天页面
@@ -440,11 +491,15 @@ onLoad(() => {
   console.log("消息列表页面加载");
 });
 
+// 清理消息文本（移除换行符）
+const cleanMessageText = (text) => {
+  if (!text) return "";
+  return text.replace(/[\r\n]+/g, " ").trim();
+};
+
 // 页面显示
 onShow(async () => {
   try {
-    console.log("消息列表页面显示，开始初始化");
-
     // 初始化IM
     const imReady = await initIM();
     if (!imReady) {
@@ -466,8 +521,6 @@ onHide(() => {
     clearTimeout(updateTimer);
     updateTimer = null;
   }
-
-  // 移除消息监听
   if (globalTimChatManager) {
     globalTimChatManager.setCallback("onConversationListUpdated", null);
     globalTimChatManager.setCallback("onMessageReceived", null);
@@ -480,11 +533,46 @@ onHide(() => {
   width: 100%;
   height: 100vh;
   background-color: #f5f5f5;
+  display: flex;
+  flex-direction: column;
+}
+
+.message-header {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 24rpx 32rpx;
+  background-color: #fff;
+  border-bottom: 1rpx solid #f0f0f0;
+}
+
+.header-title {
+  font-size: 36rpx;
+  font-weight: 600;
+  color: #000;
+}
+
+.total-unread-badge {
+  min-width: 40rpx;
+  height: 40rpx;
+  padding: 0 12rpx;
+  background-color: #ff4d4f;
+  border-radius: 20rpx;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+}
+
+.badge-text {
+  font-size: 24rpx;
+  color: #fff;
+  font-weight: 600;
+  line-height: 1;
 }
 
 .message-list {
+  flex: 1;
   width: 100%;
-  height: 100%;
 }
 
 .loading-container,
diff --git a/utils/global-unread-listener.js b/utils/global-unread-listener.js
new file mode 100644
index 0000000..5be30c6
--- /dev/null
+++ b/utils/global-unread-listener.js
@@ -0,0 +1,135 @@
+import { globalTimChatManager } from './tim-chat.js';
+
+/**
+ * 全局未读消息监听管理器
+ * 负责监听会话列表更新和消息接收事件，实时更新 tabBar 徽章
+ */
+class GlobalUnreadListenerManager {
+  constructor() {
+    this.isInitialized = false;
+    this.originalConversationListCallback = null;
+    this.originalMessageReceivedCallback = null;
+  }
+
+  /**
+   * 初始化全局未读消息监听
+   * 监听会话列表更新、消息接收和消息已读事件
+   */
+  setup() {
+    if (this.isInitialized) {
+      console.warn('全局未读消息监听已初始化，跳过重复初始化');
+      return;
+    }
+    if (!globalTimChatManager) {
+      console.warn('globalTimChatManager 未初始化');
+      return;
+    }
+
+    // 保存原始回调（在覆盖前保存）
+    this.originalConversationListCallback = globalTimChatManager.callbacks.onConversationListUpdated;
+    this.originalMessageReceivedCallback = globalTimChatManager.callbacks.onMessageReceived;
+
+    console.log('保存原始回调:', {
+      hasConversationListCallback: !!this.originalConversationListCallback,
+      hasMessageReceivedCallback: !!this.originalMessageReceivedCallback
+    });
+
+    // 监听会话列表更新事件（包括消息接收和已读状态变化）
+    globalTimChatManager.setCallback('onConversationListUpdated', (eventData) => {
+      console.log('onConversationListUpdated 触发，调用原始回调');
+      // 调用原始回调（如果存在）
+      if (this.originalConversationListCallback && typeof this.originalConversationListCallback === 'function') {
+        this.originalConversationListCallback(eventData);
+      }
+      // 更新 tabBar 徽章
+      this.updateTabBarBadge();
+    });
+
+    // 监听消息接收事件
+    globalTimChatManager.setCallback('onMessageReceived', (message) => {
+      console.log('onMessageReceived 触发，调用原始回调');
+      // 调用原始回调（如果存在）
+      if (this.originalMessageReceivedCallback && typeof this.originalMessageReceivedCallback === 'function') {
+        this.originalMessageReceivedCallback(message);
+      }
+      // 更新 tabBar 徽章
+      this.updateTabBarBadge();
+    });
+
+    this.isInitialized = true;
+    console.log('全局未读消息监听已设置');
+  }
+
+  /**
+   * 更新 tabBar 徽章
+   * 获取所有群聊会话的未读数，并更新对应的 tabBar 徽章
+   */
+  async updateTabBarBadge() {
+    try {
+      if (!globalTimChatManager || !globalTimChatManager.tim) {
+        console.warn('globalTimChatManager 或 tim 未初始化');
+        return;
+      }
+
+      const response = await globalTimChatManager.tim.getConversationList();
+
+      if (!response || !response.data || !response.data.conversationList) {
+        console.warn('获取会话列表返回数据异常');
+        return;
+      }
+
+      const totalUnreadCount = this.calculateGroupUnreadCount(response.data.conversationList);
+      this.setTabBarBadge(totalUnreadCount);
+    } catch (error) {
+      console.error('更新 tabBar 徽章失败:', error);
+    }
+  }
+
+  /**
+   * 计算群聊会话的总未读数
+   * @param {Array} conversationList - 会话列表
+   * @returns {number} 总未读数
+   */
+  calculateGroupUnreadCount(conversationList) {
+    return conversationList
+      .filter((conv) => conv.conversationID && conv.conversationID.startsWith('GROUP'))
+      .reduce((sum, conv) => sum + (conv.unreadCount || 0), 0);
+  }
+
+  /**
+   * 设置 tabBar 徽章
+   * @param {number} count - 未读数
+   * @param {number} tabIndex - tabBar 索引，默认为 1（消息页）
+   */
+  setTabBarBadge(count, tabIndex = 1) {
+    if (count > 0) {
+      uni.setTabBarBadge({
+        index: tabIndex,
+        text: count > 99 ? '99+' : String(count)
+      });
+      console.log(`已更新 tabBar 徽章（索引 ${tabIndex}）:`, count);
+    } else {
+      // uni.removeTabBarBadge({
+      //   index: tabIndex
+      // });
+      console.log(`已移除 tabBar 徽章（索引 ${tabIndex}）`);
+    }
+  }
+
+
+  async refreshBadge() {
+    console.log('手动刷新 tabBar 徽章');
+    await this.updateTabBarBadge();
+  }
+
+  /**
+   * 清除监听（可选）
+   */
+  destroy() {
+    this.isInitialized = false;
+    console.log('全局未读消息监听已清除');
+  }
+}
+
+// 导出单例
+export const globalUnreadListenerManager = new GlobalUnreadListenerManager();
diff --git a/utils/tim-chat.js b/utils/tim-chat.js
index 45f723b..f926c02 100644
--- a/utils/tim-chat.js
+++ b/utils/tim-chat.js
@@ -2730,7 +2730,7 @@ class TimChatManager {
 			console.log('⚠️ TIM未初始化或未登录，无法标记会话已读');
 			return;
 		}
-
+		
 		try {
 			let formattedConversationID = conversationID
 			if (!conversationID.startsWith('GROUP')) {
@@ -2740,11 +2740,14 @@ class TimChatManager {
 				conversationID: formattedConversationID,
 				unreadCount: 0
 			})
+
+
 		} catch (error) {
 			console.error('✗ 标记会话已读异常:', error)
 		}
 	}
 
+
 	// 更新会话列表
 	updateConversationListOnNewMessage(message) {
 		try {