diff --git a/IRaCIS.Core.Application/Helper/CacheHelper.cs b/IRaCIS.Core.Application/Helper/CacheHelper.cs
index 87248465a..f2135ea9b 100644
--- a/IRaCIS.Core.Application/Helper/CacheHelper.cs
+++ b/IRaCIS.Core.Application/Helper/CacheHelper.cs
@@ -31,6 +31,29 @@ namespace IRaCIS.Core.Application.Helper
         public static string UserAutoLoginOut(Guid userId) => $"UserAutoLoginOut:{userId}";
 
         // 你可以为其他实体和模块定义更多的键
+
+        /// <summary>
+        /// 跳过阅片
+        /// </summary>
+        /// <param name="userId"></param>
+        /// <returns></returns>
+        public static string SkipReadingCacheKey(Guid userId) => $"{userId}SkipReadingCache";
+
+
+        /// <summary>
+        /// 开始阅片时间
+        /// </summary>
+        /// <param name="userId"></param>
+        /// <returns></returns>
+        public static string StartReadingTimeKey(Guid userId) => $"{userId}StartReadingTime";
+
+        /// <summary>
+        /// 开始休息时间
+        /// </summary>
+        /// <param name="userId"></param>
+        /// <returns></returns>
+        public static string StartRestTime(Guid userId) => $"{userId}StartRestTime";
+
     }
 
     public static class CacheHelper
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 3017ccdeb..557836326 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -25,6 +25,8 @@ using Microsoft.Extensions.Options;
 using System.Linq;
 using NPOI.SS.Formula.Functions;
 using static Microsoft.EntityFrameworkCore.DbLoggerCategory;
+using IRaCIS.Core.Application.Helper;
+using ZiggyCreatures.Caching.Fusion;
 
 namespace IRaCIS.Application.Services
 {
@@ -54,7 +56,6 @@ namespace IRaCIS.Application.Services
         IRepository<OrganInfo> _organInfoRepository,
         IRepository<TrialDocument> _trialDocumentRepository,
         IRepository<User> _userRepository,
-        IEasyCachingProvider _provider,
         ILuganoCalculateService _luganoCalculateService,
         IRepository<ReadingCustomTag> _readingCustomTagRepository,
         IRepository<ReadingTaskQuestionMark> _readingTaskQuestionMarkRepository,
@@ -2656,8 +2657,8 @@ namespace IRaCIS.Application.Services
         [HttpPost]
         public async Task<bool> ClearSkipReadingCache()
         {
-            var clearSkipReadingCacheKey = _userInfo.Id.ToString() + "SkipReadingCache";
-            _provider.Remove(clearSkipReadingCacheKey);
+
+            await _fusionCache.RemoveAsync(CacheKeys.SkipReadingCacheKey(_userInfo.Id));
             return true;
         }
 
@@ -2670,20 +2671,18 @@ namespace IRaCIS.Application.Services
         [HttpPost]
         public async Task<bool> SetSkipReadingCache(SetSkipReadingCacheInDto inDto )
         {
-            var clearSkipReadingCacheKey = _userInfo.Id.ToString() + "SkipReadingCache";
-            var clearSkipReadingCache = _provider.Get<string>(clearSkipReadingCacheKey).Value;
+            var clearSkipReadingCache = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.SkipReadingCacheKey(_userInfo.Id));
             if (clearSkipReadingCache == null|| clearSkipReadingCache==string.Empty)
             {
                 List<Guid> cacheIds = new List<Guid>();
                 cacheIds.Add(inDto.VisitTaskId);
-
-                _provider.Set(clearSkipReadingCacheKey, JsonConvert.SerializeObject(cacheIds), TimeSpan.FromHours(24));
+                await _fusionCache.SetAsync<string>(CacheKeys.SkipReadingCacheKey(_userInfo.Id), JsonConvert.SerializeObject(cacheIds), TimeSpan.FromHours(24));
             }
             else
             {
                 List<Guid>? cacheIds=JsonConvert.DeserializeObject<List<Guid>>(clearSkipReadingCache);
                 cacheIds.Add(inDto.VisitTaskId);
-                _provider.Set(clearSkipReadingCacheKey, JsonConvert.SerializeObject(cacheIds), TimeSpan.FromHours(24));
+                await _fusionCache.SetAsync<string>(CacheKeys.SkipReadingCacheKey(_userInfo.Id), JsonConvert.SerializeObject(cacheIds), TimeSpan.FromHours(24));
             }
             return true;
         }
@@ -2714,8 +2713,9 @@ namespace IRaCIS.Application.Services
 
 
             #region 跳过阅片
-            var clearSkipReadingCacheKey = _userInfo.Id.ToString() + "SkipReadingCache";
-            var clearSkipReadingCache = _provider.Get<string>(clearSkipReadingCacheKey).Value;
+            var clearSkipReadingCache = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.SkipReadingCacheKey(_userInfo.Id));
+
+         
             List<Guid> cacheSkipIds = new List<Guid>();
             if (clearSkipReadingCache != null && clearSkipReadingCache != string.Empty)
             {
@@ -3014,11 +3014,12 @@ namespace IRaCIS.Application.Services
 
             int readingMinute = _verifyConfig.CurrentValue.ContinuousReadingTimeMin; // 为60整数
             int restMinute = _verifyConfig.CurrentValue.ReadingRestTimeMin; //
-            var startReadingTime = _provider.Get<string>(startReadingTimeKey).Value;
-            var startRestTime = _provider.Get<string>(startRestTimeKey).Value;
+            var startReadingTime = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.StartReadingTimeKey(_userInfo.Id));
+            var startRestTime = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.StartRestTime(_userInfo.Id));
+
             if (startReadingTime == null && startRestTime == null)
             {
-                _provider.Set(startReadingTimeKey, DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
+                await _fusionCache.SetAsync<string>(CacheKeys.StartReadingTimeKey(_userInfo.Id), DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
             }
             else if (startRestTime != null)
             {
@@ -3031,8 +3032,8 @@ namespace IRaCIS.Application.Services
                 else
                 {
                     // 休息时间>10分钟  删除休息时间的缓存  记录开始阅片时间
-                    _provider.Remove(startRestTimeKey);
-                    _provider.Set(startReadingTimeKey, DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
+                    await _fusionCache.RemoveAsync(CacheKeys.StartRestTime(_userInfo.Id));
+                    await _fusionCache.SetAsync<string>(CacheKeys.StartReadingTimeKey(_userInfo.Id), DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
                 }
 
             }
@@ -3044,9 +3045,9 @@ namespace IRaCIS.Application.Services
                 int timespanMin = (DateTime.Now - cacheDate).Minutes;
                 if (timespanMin > readingMinute)
                 {
+                    await _fusionCache.RemoveAsync(CacheKeys.StartReadingTimeKey(_userInfo.Id));
+                    await _fusionCache.SetAsync<string>(CacheKeys.StartRestTime(_userInfo.Id), DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
 
-                    _provider.Remove(startReadingTimeKey);
-                    _provider.Set(startRestTimeKey, DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
                     throw new BusinessValidationFailedException(_localizer["ReadingImage_NeedRest", readingMinute / 60m, restMinute]);
                 }
 
@@ -3068,25 +3069,23 @@ namespace IRaCIS.Application.Services
                 userID = _userInfo.Id;
             }
 
-            var startReadingTimeKey = userID.ToString() + "StartReadingTime";
-            var startRestTimeKey = userID.ToString() + "StartRestTime";
             //int readingMinute = 120; // 为60整数
             int restMinute = 10; //
 
-            var startReadingTime = _provider.Get<string>(startReadingTimeKey).Value;
-            var startRestTime = _provider.Get<string>(startRestTimeKey).Value;
+            var startReadingTime = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.StartReadingTimeKey(_userInfo.Id));
+            var startRestTime = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.StartRestTime(_userInfo.Id));
             if (startRestTime != null)
             {
                 var cacheStartRestTime = DateTime.Parse(startRestTime!.ToString());
                 int timespanMin = (DateTime.Now - cacheStartRestTime).Minutes;
                 if (timespanMin > restMinute)
                 {
-                    _provider.Remove(startRestTimeKey);
+                    await _fusionCache.RemoveAsync(CacheKeys.StartRestTime(_userInfo.Id));
                 }
             }
             else if (startReadingTime != null)
             {
-                _provider.Set(startReadingTimeKey, DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
+                await _fusionCache.SetAsync<string>(CacheKeys.StartReadingTimeKey(_userInfo.Id), DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss"), TimeSpan.FromHours(48));
             }
             return true;
         }