diff --git a/postdischarge-common/src/main/java/com/xinelu/common/enums/ReleaseStatusEnum.java b/postdischarge-common/src/main/java/com/xinelu/common/enums/ReleaseStatusEnum.java
new file mode 100644
index 00000000..4ee025b0
--- /dev/null
+++ b/postdischarge-common/src/main/java/com/xinelu/common/enums/ReleaseStatusEnum.java
@@ -0,0 +1,34 @@
+package com.xinelu.common.enums;
+
+import lombok.Getter;
+
+/**
+ * 发布状态枚举类
+ *
+ * @author haown
+ * @date 2024-04-08
+ */
+@Getter
+public enum ReleaseStatusEnum {
+
+    /**
+     * 同意
+     */
+    PUBLISHED("PUBLISHED"),
+
+    /**
+     * 不同意
+     */
+    UNPUBLISHED("UNPUBLISHED"),
+
+    /**
+     * 不同意
+     */
+    ALL("ALL"),
+    ;
+    final private String info;
+
+    ReleaseStatusEnum(String info) {
+        this.info = info;
+    }
+}
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/controller/specialdiseaseroute/SpecialDiseaseRouteController.java b/postdischarge-manage/src/main/java/com/xinelu/manage/controller/specialdiseaseroute/SpecialDiseaseRouteController.java
index 364f5363..ef503523 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/controller/specialdiseaseroute/SpecialDiseaseRouteController.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/controller/specialdiseaseroute/SpecialDiseaseRouteController.java
@@ -83,4 +83,12 @@ public class SpecialDiseaseRouteController extends BaseController {
     public AjaxResult departmentRouteCount(String departmentName) {
         return specialDiseaseRouteService.departmentRouteCount(departmentName);
     }
+
+    /**
+     * 发布专病路径信息
+     */
+    @PostMapping("/editReleaseStatus")
+    public AjaxResult editReleaseStatus(@RequestBody SpecialDiseaseRoute specialDiseaseRoute) {
+        return specialDiseaseRouteService.editReleaseStatus(specialDiseaseRoute);
+    }
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/domain/specialdiseasenode/SpecialDiseaseNode.java b/postdischarge-manage/src/main/java/com/xinelu/manage/domain/specialdiseasenode/SpecialDiseaseNode.java
index 3c3b3e89..93ef64ba 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/domain/specialdiseasenode/SpecialDiseaseNode.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/domain/specialdiseasenode/SpecialDiseaseNode.java
@@ -12,8 +12,8 @@ import lombok.NoArgsConstructor;
 import org.apache.commons.lang3.builder.ToStringBuilder;
 import org.apache.commons.lang3.builder.ToStringStyle;
 
+import java.time.LocalDateTime;
 import java.time.LocalTime;
-import java.util.Date;
 
 /**
  * 专病路径-管理节点信息对象 special_disease_node
@@ -307,7 +307,7 @@ public class SpecialDiseaseNode extends BaseEntity {
     @ApiModelProperty(value = "节点审核时间")
     @JsonFormat(pattern = "yyyy-MM-dd")
     @Excel(name = "节点审核时间", width = 30, dateFormat = "yyyy-MM-dd")
-    private Date routeCheckDate;
+    private LocalDateTime routeCheckDate;
 
     /**
      * 节点审核备注信息，存储审核备注信息以及审核不通过原因等信息
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/specialdiseaseroute/SpecialDiseaseRouteMapper.java b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/specialdiseaseroute/SpecialDiseaseRouteMapper.java
index 9d1d04ce..8036fc8f 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/specialdiseaseroute/SpecialDiseaseRouteMapper.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/specialdiseaseroute/SpecialDiseaseRouteMapper.java
@@ -3,6 +3,7 @@ package com.xinelu.manage.mapper.specialdiseaseroute;
 import com.xinelu.manage.domain.specialdiseaseroute.SpecialDiseaseRoute;
 import com.xinelu.manage.vo.department.DepartmentVO;
 import com.xinelu.manage.vo.specialdiseaseroute.SpecialDiseaseRouteVO;
+import org.apache.ibatis.annotations.Param;
 
 import java.util.List;
 
@@ -84,4 +85,13 @@ public interface SpecialDiseaseRouteMapper {
      * @return 专病路径信息
      */
     SpecialDiseaseRouteVO selectSpecialDiseaseRouteAndTriggerById(Long id);
+
+    /**
+     * 查询未审核节点状态
+     *
+     * @param routeId          路径信息
+     * @param routeCheckStatus 节点状态
+     * @return int
+     */
+    int selectRouteCheckStatus(@Param("routeId") Long routeId, @Param("routeCheckStatus") String routeCheckStatus);
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseasenode/impl/SpecialDiseaseNodeServiceImpl.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseasenode/impl/SpecialDiseaseNodeServiceImpl.java
index 73876c1e..c5525fde 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseasenode/impl/SpecialDiseaseNodeServiceImpl.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseasenode/impl/SpecialDiseaseNodeServiceImpl.java
@@ -1,7 +1,6 @@
 package com.xinelu.manage.service.specialdiseasenode.impl;
 
 import com.xinelu.common.core.domain.AjaxResult;
-import com.xinelu.common.enums.RouteCheckStatusEnum;
 import com.xinelu.common.exception.ServiceException;
 import com.xinelu.common.utils.SecurityUtils;
 import com.xinelu.common.utils.bean.BeanUtils;
@@ -19,6 +18,7 @@ import org.springframework.transaction.annotation.Transactional;
 import javax.annotation.Resource;
 import java.time.LocalDateTime;
 import java.util.List;
+import java.util.Objects;
 
 /**
  * 专病路径-管理节点信息Service业务层处理
@@ -115,7 +115,6 @@ public class SpecialDiseaseNodeServiceImpl implements ISpecialDiseaseNodeService
             diseaseNode.setRouteName(specialDiseaseNode.getRouteName());
             diseaseNode.setUpdateTime(LocalDateTime.now());
             diseaseNode.setUpdateBy(SecurityUtils.getUsername());
-            diseaseNode.setRouteCheckStatus(RouteCheckStatusEnum.DISAGREE.getInfo());
         }
         int insertNodeCount = specialDiseaseNodeMapper.insertSpecialDiseaseNodeList(specialDiseaseNode.getSpecialDiseaseNodeList());
         if (insertNodeCount < 0) {
@@ -166,6 +165,10 @@ public class SpecialDiseaseNodeServiceImpl implements ISpecialDiseaseNodeService
      */
     @Override
     public AjaxResult updateRouteCheckStatus(SpecialDiseaseNode specialDiseaseNode) {
+        if (Objects.isNull(specialDiseaseNode) || Objects.isNull(specialDiseaseNode.getId())) {
+            return AjaxResult.error("请选择需要审核的信息！");
+        }
+        specialDiseaseNode.setRouteCheckDate(LocalDateTime.now());
         return AjaxResult.success(specialDiseaseNodeMapper.updateSpecialDiseaseNode(specialDiseaseNode));
     }
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/ISpecialDiseaseRouteService.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/ISpecialDiseaseRouteService.java
index 724c29e8..f6d70fb5 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/ISpecialDiseaseRouteService.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/ISpecialDiseaseRouteService.java
@@ -68,4 +68,12 @@ public interface ISpecialDiseaseRouteService {
      * @return AjaxResult
      */
     AjaxResult departmentRouteCount(String departmentName);
+
+    /**
+     * 专病路径发布
+     *
+     * @param specialDiseaseRoute 路径信息
+     * @return AjaxResult
+     */
+    AjaxResult editReleaseStatus(SpecialDiseaseRoute specialDiseaseRoute);
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/impl/SpecialDiseaseRouteServiceImpl.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/impl/SpecialDiseaseRouteServiceImpl.java
index 6bd890d4..bfa30904 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/impl/SpecialDiseaseRouteServiceImpl.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/specialdiseaseroute/impl/SpecialDiseaseRouteServiceImpl.java
@@ -2,6 +2,8 @@ package com.xinelu.manage.service.specialdiseaseroute.impl;
 
 import com.xinelu.common.constant.Constants;
 import com.xinelu.common.core.domain.AjaxResult;
+import com.xinelu.common.enums.ReleaseStatusEnum;
+import com.xinelu.common.enums.RouteCheckStatusEnum;
 import com.xinelu.common.exception.ServiceException;
 import com.xinelu.common.utils.SecurityUtils;
 import com.xinelu.common.utils.codes.GenerateSystemCodeUtil;
@@ -13,6 +15,7 @@ import com.xinelu.manage.service.specialdiseaseroute.ISpecialDiseaseRouteService
 import com.xinelu.manage.vo.department.DepartmentVO;
 import com.xinelu.manage.vo.specialdiseaseroute.SpecialDiseaseRouteVO;
 import org.apache.commons.collections4.CollectionUtils;
+import org.apache.commons.lang3.StringUtils;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
@@ -20,6 +23,7 @@ import javax.annotation.Resource;
 import java.time.LocalDateTime;
 import java.util.ArrayList;
 import java.util.List;
+import java.util.Objects;
 
 /**
  * 专病路径信息Service业务层处理
@@ -144,4 +148,26 @@ public class SpecialDiseaseRouteServiceImpl implements ISpecialDiseaseRouteServi
         }
         return AjaxResult.success(department);
     }
+
+    /**
+     * 专病路径发布
+     *
+     * @param specialDiseaseRoute 路径信息
+     * @return AjaxResult
+     */
+    @Override
+    public AjaxResult editReleaseStatus(SpecialDiseaseRoute specialDiseaseRoute) {
+        if (Objects.isNull(specialDiseaseRoute) || StringUtils.isBlank(specialDiseaseRoute.getReleaseStatus())) {
+            return AjaxResult.error("请选择需要发布专病路径的信息！");
+        }
+        if (ReleaseStatusEnum.PUBLISHED.getInfo().equals(specialDiseaseRoute.getReleaseStatus())) {
+            int count = specialDiseaseRouteMapper.selectRouteCheckStatus(specialDiseaseRoute.getId(), RouteCheckStatusEnum.AGREE.getInfo());
+            if (count > 0) {
+                return AjaxResult.error("该路径存在未审核的节点，请全部审核后发布！");
+            }
+        }
+        specialDiseaseRoute.setUpdateTime(LocalDateTime.now());
+        specialDiseaseRoute.setUpdateBy(SecurityUtils.getUsername());
+        return AjaxResult.success(specialDiseaseRouteMapper.updateSpecialDiseaseRoute(specialDiseaseRoute));
+    }
 }
diff --git a/postdischarge-manage/src/main/resources/mapper/manage/specialdiseaseroute/SpecialDiseaseRouteMapper.xml b/postdischarge-manage/src/main/resources/mapper/manage/specialdiseaseroute/SpecialDiseaseRouteMapper.xml
index 0fa13398..3c6e1351 100644
--- a/postdischarge-manage/src/main/resources/mapper/manage/specialdiseaseroute/SpecialDiseaseRouteMapper.xml
+++ b/postdischarge-manage/src/main/resources/mapper/manage/specialdiseaseroute/SpecialDiseaseRouteMapper.xml
@@ -385,4 +385,11 @@
                  LEFT JOIN special_disease_trigger_condition sdtc ON sdr.id = sdtc.route_id
         where sdr.id = #{id}
     </select>
+
+    <select id="selectRouteCheckStatus" resultType="java.lang.Integer">
+        select COUNT(1)
+        from special_disease_node
+        where route_id = #{routeId}
+          and route_check_status != #{routeCheckStatus}
+    </select>
 </mapper>
\ No newline at end of file