diff --git a/pages/message/index.vue b/pages/message/index.vue
index debd6fb..131a069 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -388,6 +388,25 @@ const initTIMCallbacks = async () => {
       nextTick(() => {
         scrollToBottom(true);
       });
+
+      // 立即标记会话为已读，确保未读数为0
+      if (timChatManager.tim && timChatManager.isLoggedIn && chatInfo.value.conversationID) {
+        timChatManager.tim
+          .setMessageRead({
+            conversationID: chatInfo.value.conversationID,
+          })
+          .then(() => {
+            console.log("✓ 收到新消息后已标记为已读");
+            // 触发会话列表更新，确保未读数为0
+            timChatManager.triggerCallback('onConversationListUpdated', {
+              conversationID: chatInfo.value.conversationID,
+              unreadCount: 0
+            });
+          })
+          .catch((error) => {
+            console.error("✗ 标记已读失败:", error);
+          });
+      }
     }
   });
 
@@ -526,21 +545,27 @@ const loadMessageList = async () => {
 
   timChatManager.enterConversation(chatInfo.value.conversationID || "test1");
 
-  // 标记会话为已读
+  // 标记会话为已读 - 确保清空未读数
   if (
     timChatManager.tim &&
     timChatManager.isLoggedIn &&
     chatInfo.value.conversationID
   ) {
+    console.log("标记会话为已读:", chatInfo.value.conversationID);
     timChatManager.tim
       .setMessageRead({
         conversationID: chatInfo.value.conversationID,
       })
       .then(() => {
-        console.log("会话已标记为已读:", chatInfo.value.conversationID);
+        console.log("✓ 会话已标记为已读:", chatInfo.value.conversationID);
+        // 触发会话列表更新回调，通知消息列表页面清空未读数
+        timChatManager.triggerCallback('onConversationListUpdated', {
+          conversationID: chatInfo.value.conversationID,
+          unreadCount: 0
+        });
       })
       .catch((error) => {
-        console.error("标记会话已读失败:", error);
+        console.error("✗ 标记会话已读失败:", error);
       });
   }
 };
diff --git a/pages/message/message.vue b/pages/message/message.vue
index f89ffb2..5a18dd7 100644
--- a/pages/message/message.vue
+++ b/pages/message/message.vue
@@ -9,14 +9,6 @@
       @refresherrefresh="handleRefresh"
       @scrolltolower="handleLoadMore"
     >
-      <!-- 加载状态 -->
-      <view
-        v-if="loading && conversationList.length === 0"
-        class="loading-container"
-      >
-        <text class="loading-text">加载中...</text>
-      </view>
-
       <!-- 消息列表项 -->
       <view
         v-for="conversation in conversationList"
@@ -72,7 +64,7 @@
 </template>
 
 <script setup>
-import { ref } from "vue";
+import { ref, watch } from "vue";
 import { onLoad, onShow, onHide } from "@dcloudio/uni-app";
 import { storeToRefs } from "pinia";
 import useAccountStore from "@/store/account.js";
@@ -82,6 +74,15 @@ import { globalTimChatManager } from "@/utils/tim-chat.js";
 const { account, openid, isIMInitialized } = storeToRefs(useAccountStore());
 const { initIMAfterLogin } = useAccountStore();
 
+// 监听 IM 初始化状态
+watch(isIMInitialized, (newValue) => {
+  console.log("IM初始化状态变化:", newValue);
+  if (newValue) {
+    // IM 已初始化，加载会话列表
+    loadConversationList();
+  }
+});
+
 // 状态
 const conversationList = ref([]);
 const loading = ref(false);
@@ -123,7 +124,6 @@ const initIM = async () => {
 const loadConversationList = async () => {
   if (loading.value) return;
   loading.value = true;
-
   try {
     console.log("开始加载群聊列表");
     if (!globalTimChatManager || !globalTimChatManager.getGroupList) {
@@ -147,7 +147,6 @@ const loadConversationList = async () => {
           patientName: group.patientName,
         }))
         .sort((a, b) => b.lastMessageTime - a.lastMessageTime);
-
       console.log(
         "群聊列表加载成功，共",
         conversationList.value.length,
@@ -171,50 +170,6 @@ const loadConversationList = async () => {
   }
 };
 
-// 提取消息预览文本
-const extractMessagePreview = (message) => {
-  if (!message) return "暂无消息";
-
-  const payload = message.payload;
-  if (!payload) return "暂无消息";
-
-  // 文本消息
-  if (message.type === "TIMTextElem") {
-    return payload.text || "暂无消息";
-  }
-
-  // 图片消息
-  if (message.type === "TIMImageElem") {
-    return "[图片]";
-  }
-
-  // 语音消息
-  if (message.type === "TIMSoundElem") {
-    return "[语音]";
-  }
-
-  // 视频消息
-  if (message.type === "TIMVideoFileElem") {
-    return "[视频]";
-  }
-
-  // 文件消息
-  if (message.type === "TIMFileElem") {
-    return "[文件]";
-  }
-
-  // 自定义消息
-  if (message.type === "TIMCustomElem") {
-    const description = payload.description;
-    if (description === "SYSTEM_NOTIFICATION") {
-      return "[系统消息]";
-    }
-    return "[消息]";
-  }
-
-  return "暂无消息";
-};
-
 // 设置会话列表监听，实时更新列表
 const setupConversationListener = () => {
   if (!globalTimChatManager) return;
@@ -222,59 +177,66 @@ const setupConversationListener = () => {
   // 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;
+      const existingIndex = conversationList.value.findIndex(
+        (conv) => conv.conversationID === conversationID
+      );
+      
+      if (existingIndex !== -1) {
+        // 更新未读数
+        if (eventData.unreadCount !== undefined) {
+          conversationList.value[existingIndex].unreadCount = eventData.unreadCount;
+          console.log(`已清空会话未读数: ${conversationList.value[existingIndex].name}, unreadCount: ${eventData.unreadCount}`);
+        }
+      }
+      return;
+    }
+    
+    // eventData 是一个数组，包含所有更新的会话
+    if (!eventData || !Array.isArray(eventData)) {
+      console.warn("会话列表更新事件数据格式错误");
+      return;
+    }
 
-    // 如果是新消息导致的会话更新
-    if (
-      eventData.reason === "NEW_MESSAGE_RECEIVED_IN_CURRENT_CONVERSATION" ||
-      eventData.reason === "NEW_MESSAGE_RECEIVED"
-    ) {
-      const conversation = eventData.conversation;
-      if (!conversation) return;
+    // 过滤出群聊会话
+    const groupConversations = eventData.filter(
+      (conv) => conv.conversationID && conv.conversationID.startsWith("GROUP")
+    );
 
-      const conversationID = conversation.conversationID;
-      const conversationIndex = conversationList.value.findIndex(
+    console.log(`收到 ${groupConversations.length} 个群聊会话更新`);
+
+    // 更新会话列表 - 使用 tim-chat.js 中的格式化方法
+    groupConversations.forEach((updatedConv) => {
+      const conversationID = updatedConv.conversationID;
+      const existingIndex = conversationList.value.findIndex(
         (conv) => conv.conversationID === conversationID
       );
 
-      if (conversationIndex !== -1) {
+      // 使用 TimChatManager 的格式化方法
+      const conversationData = globalTimChatManager.formatConversationData(updatedConv);
+
+      if (existingIndex !== -1) {
         // 更新现有会话
-        const existingConversation = conversationList.value[conversationIndex];
-        existingConversation.lastMessage =
-          conversation.lastMessage || "暂无消息";
-        existingConversation.lastMessageTime =
-          conversation.lastMessageTime || Date.now();
-        existingConversation.unreadCount = conversation.unreadCount || 0;
-
-        // 将该会话移到顶部
-        const [updatedConversation] = conversationList.value.splice(
-          conversationIndex,
-          1
-        );
-        conversationList.value.unshift(updatedConversation);
-
-        console.log("已更新会话:", existingConversation.name);
+        conversationList.value[existingIndex] = conversationData;
+        console.log(`已更新会话: ${conversationData.name}, unreadCount: ${conversationData.unreadCount}`);
       } else {
-        // 新会话，添加到列表顶部
-        conversationList.value.unshift({
-          conversationID: conversationID,
-          groupID: conversation.groupID || conversationID.replace("GROUP", ""),
-          name: conversation.name || "问诊群聊",
-          avatar: conversation.avatar || "/static/default-avatar.png",
-          lastMessage: conversation.lastMessage || "暂无消息",
-          lastMessageTime: conversation.lastMessageTime || Date.now(),
-          unreadCount: conversation.unreadCount || 0,
-        });
-
-        console.log("已添加新会话");
+        // 添加新会话
+        conversationList.value.push(conversationData);
+        console.log(`已添加新会话: ${conversationData.name}`);
       }
-    }
+    });
+    // 按最后消息时间排序（最新的在前）
+    conversationList.value.sort((a, b) => b.lastMessageTime - a.lastMessageTime);
   });
 
   // 监听消息接收事件（用于更新未读数）
   globalTimChatManager.setCallback("onMessageReceived", (message) => {
     console.log("消息列表页面收到新消息:", message);
 
-    // 找到对应的会话并更新未读数
+    // 找到对应的会话
     const conversationID = message.conversationID;
     const conversationIndex = conversationList.value.findIndex(
       (conv) => conv.conversationID === conversationID
@@ -282,9 +244,21 @@ const setupConversationListener = () => {
 
     if (conversationIndex !== -1) {
       const conversation = conversationList.value[conversationIndex];
-      // 只更新未读数，其他信息由 onConversationListUpdated 事件处理
+      
+      // 检查当前页面栈，判断用户是否正在查看该会话
+      const pages = getCurrentPages();
+      const currentPage = pages[pages.length - 1];
+      const isViewingConversation = currentPage?.route === 'pages/message/index';
+      
+      // 如果用户正在查看该会话，不增加未读数
+      if (isViewingConversation) {
+        console.log("用户正在查看该会话，不增加未读数");
+        return;
+      }
+      
+      // 只在用户不在聊天页面时才增加未读数
       conversation.unreadCount = (conversation.unreadCount || 0) + 1;
-      console.log("已更新会话未读数:", conversation.name);
+      console.log("已更新会话未读数:", conversation.name, "unreadCount:", conversation.unreadCount);
     }
   });
 };
@@ -335,6 +309,15 @@ const formatMessageTime = (timestamp) => {
 const handleClickConversation = (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
   uni.navigateTo({
     url: `/pages/message/index?conversationID=${conversation.conversationID}&groupID=${conversation.groupID}`,
@@ -355,7 +338,6 @@ const handleLoadMore = () => {
 // 下拉刷新
 const handleRefresh = async () => {
   refreshing.value = true;
-
   try {
     await loadConversationList();
   } finally {
@@ -379,7 +361,7 @@ onShow(async () => {
     }
 
     // 先加载初始会话列表
-    await loadConversationList();
+    // await loadConversationList();
 
     // 再设置监听器，后续通过事件更新列表
     setupConversationListener();
diff --git a/store/account.js b/store/account.js
index 6badbd8..136fae2 100644
--- a/store/account.js
+++ b/store/account.js
@@ -54,6 +54,7 @@ export default defineStore("accountStore", () => {
           // 登录成功后初始化腾讯IM
 
           await getDoctorInfo(openid.value);
+          await initIMAfterLogin();
           return res.data
         }
       }
@@ -71,21 +72,20 @@ export default defineStore("accountStore", () => {
         weChatOpenId: account.value.openid,
       });
       doctorInfo.value = res?.data || null;
-      await initIMAfterLogin();
+
     } catch (e) {
       console.error('获取医生信息失败:', e);
     }
   }
   async function initIMAfterLogin() {
-    if (isIMInitialized.value) {
-      return true;
-    }
+    if (isIMInitialized.value) return true;
+    if (!doctorInfo.value) return;
     try {
+
       const userID = doctorInfo.value.userid;
-      console.log('开始初始化腾讯IM，userID:', userID);
+      if (!userID) await getDoctorInfo();
       await initGlobalTIM(userID);
       isIMInitialized.value = true;
-      console.log('腾讯IM初始化成功');
       return true;
     } catch (error) {
       console.error('IM初始化失败:', error);
diff --git a/utils/tim-chat.js b/utils/tim-chat.js
index 4ed5d28..d13f231 100644
--- a/utils/tim-chat.js
+++ b/utils/tim-chat.js
@@ -2488,32 +2488,22 @@ class TimChatManager {
 		return message
 	}
 
+	// 格式化最后一条消息（支持更多消息类型）
 	formatLastMessage(message) {
 		try {
 			switch (message.type) {
 				case 'TIMTextElem':
-					return message.payload.text || '[文本消息]'
+					return message.payload?.text || '[文本消息]'
 				case 'TIMImageElem':
 					return '[图片]'
 				case 'TIMSoundElem':
 					return '[语音]'
+				case 'TIMVideoFileElem':
+					return '[视频]'
+				case 'TIMFileElem':
+					return '[文件]'
 				case 'TIMCustomElem':
-					try {
-						const customData = JSON.parse(message.payload.data)
-						if (customData.messageType === 'symptom') {
-							return '[病情描述]'
-						} else if (customData.messageType === 'prescription') {
-							return '[处方单]'
-						} else if (customData.messageType === 'refill') {
-							return '[续方申请]'
-						} else if (customData.messageType === 'survey') {
-							return '[问卷调查]'
-						} else {
-							return customData.content || '[自定义消息]'
-						}
-					} catch (error) {
-						return '[自定义消息]'
-					}
+					return this.formatCustomMessage(message.payload)
 				default:
 					return '[未知消息类型]'
 			}
@@ -2523,6 +2513,85 @@ class TimChatManager {
 		}
 	}
 
+	// 格式化自定义消息
+	formatCustomMessage(payload) {
+		try {
+			if (!payload || !payload.data) {
+				return '[自定义消息]'
+			}
+
+			const customData = typeof payload.data === 'string' 
+				? JSON.parse(payload.data) 
+				: payload.data
+
+			const messageType = customData.messageType || customData.type
+
+			const messageTypeMap = {
+				system_message: '[系统消息]',
+				symptom: '[病情描述]',
+				prescription: '[处方单]',
+				refill: '[续方申请]',
+				survey: '[问卷调查]',
+				article: '[文章]',
+				consult_pending: '患者向团队发起咨询，请在1小时内接诊',
+				consult_rejected: '咨询已被拒绝',
+				consult_timeout: '咨询已超时自动关闭',
+				consult_accepted: '已接诊，会话已开始',
+				consult_ended: '已结束当前会话',
+			}
+
+			return messageTypeMap[messageType] || customData.content || '[自定义消息]'
+		} catch (error) {
+			console.error('格式化自定义消息失败:', error)
+			return '[自定义消息]'
+		}
+	}
+
+	// 格式化会话数据（用于会话列表）
+	formatConversationData(conversation) {
+		try {
+			const conversationID = conversation.conversationID
+			const groupName = conversation.groupProfile?.name || ''
+			const [doctorId, patientName] = groupName.split('|')
+			const groupID = conversationID.replace('GROUP', '')
+
+			// 解析最后一条消息
+			let lastMessage = '暂无消息'
+			let lastMessageTime = Date.now()
+
+			if (conversation.lastMessage) {
+				const msg = conversation.lastMessage
+				lastMessageTime = (msg.lastTime || msg.time || 0) * 1000
+				lastMessage = this.formatLastMessage(msg)
+			}
+
+			return {
+				conversationID,
+				groupID,
+				name: patientName ? `${patientName}的问诊` : groupName || '问诊群聊',
+				avatar: '/static/default-avatar.png',
+				lastMessage,
+				lastMessageTime,
+				unreadCount: conversation.unreadCount || 0,
+				doctorId,
+				patientName,
+			}
+		} catch (error) {
+			console.error('格式化会话数据失败:', error)
+			return {
+				conversationID: conversation.conversationID,
+				groupID: conversation.conversationID?.replace('GROUP', '') || '',
+				name: '问诊群聊',
+				avatar: '/static/default-avatar.png',
+				lastMessage: '暂无消息',
+				lastMessageTime: Date.now(),
+				unreadCount: 0,
+				doctorId: '',
+				patientName: '',
+			}
+		}
+	}
+
 	getImageUrl(imageFile) {
 		// 处理 tempFiles 数组格式
 		if (imageFile?.tempFiles?.length > 0) {
@@ -2600,7 +2669,10 @@ class TimChatManager {
 
 	// 标记会话为已读
 	markConversationAsRead(conversationID) {
-		if (!this.tim || !this.isLoggedIn) return
+		if (!this.tim || !this.isLoggedIn) {
+			console.log('⚠️ TIM未初始化或未登录，无法标记会话已读');
+			return;
+		}
 
 		try {
 			let formattedConversationID = conversationID
@@ -2608,18 +2680,22 @@ class TimChatManager {
 				formattedConversationID = `GROUP${conversationID}`
 			}
 
+			console.log('📖 标记会话为已读:', formattedConversationID);
+
 			this.tim.setMessageRead({
 				conversationID: formattedConversationID
 			}).then(() => {
+				console.log('✓ 会话已标记为已读:', formattedConversationID);
+				// 触发会话列表更新回调，通知消息列表页面清空未读数
 				this.triggerCallback('onConversationListUpdated', {
 					conversationID: formattedConversationID,
 					unreadCount: 0
 				})
 			}).catch(error => {
-				console.error('标记会话已读失败:', error)
+				console.error('✗ 标记会话已读失败:', error)
 			})
 		} catch (error) {
-			console.error('标记会话已读异常:', error)
+			console.error('✗ 标记会话已读异常:', error)
 		}
 	}