diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
index db9e868e..3ad41540 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
@@ -61,11 +61,11 @@ namespace IRaCIS.Core.Application.Service
 		{
 			var existsQuery = _readingMedicineSystemQuestionRepository
 			   .WhereIf(inDto.Id != null, x => x.Id != inDto.Id)
-			   .Where(x => x.QuestionName == inDto.QuestionName ||x.ShowOrder == inDto.ShowOrder);
+			   .Where(x =>x.ShowOrder == inDto.ShowOrder);
 
 			if (await existsQuery.AnyAsync())
 			{
-				return ResponseOutput.NotOk("当前问题名称或序号存在重复");
+				return ResponseOutput.NotOk("当前问题序号存在重复");
 			}
 			var entity = await _readingMedicineSystemQuestionRepository.InsertOrUpdateAsync(inDto);
 			await _readingMedicineSystemQuestionRepository.SaveChangesAsync();
@@ -162,11 +162,11 @@ namespace IRaCIS.Core.Application.Service
 			var existsQuery = _readingMedicineTrialQuestionRepository
 		   .WhereIf(inDto.Id != null, x => x.Id != inDto.Id)
 		   .Where(x => x.TrialId==inDto.TrialId)
-		   .Where(x => x.QuestionName == inDto.QuestionName || x.ShowOrder == inDto.ShowOrder);
+		   .Where(x =>  x.ShowOrder == inDto.ShowOrder);
 
 			if (await existsQuery.AnyAsync())
 			{
-				return ResponseOutput.NotOk("当前问题名称或序号存在重复");
+				return ResponseOutput.NotOk("当前问题序号存在重复");
 			}
 			var entity = await _readingMedicineTrialQuestionRepository.InsertOrUpdateAsync(inDto);
 			await _readingMedicineTrialQuestionRepository.SaveChangesAsync();
@@ -213,10 +213,14 @@ namespace IRaCIS.Core.Application.Service
 		{
 			// 直接写??
 			var systemList = await _readingMedicineSystemQuestionRepository.Where(x => inDto.SystemQuestionIds.Contains(x.Id)).ToListAsync();
-			var needList= systemList.Select(x => new ReadingMedicineTrialQuestion()
+
+			var maxOrder = await _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId).OrderByDescending(x => x.ShowOrder).Select(x => x.ShowOrder).FirstOrDefaultAsync();
+				
+
+		   var needList= systemList.Select(x => new ReadingMedicineTrialQuestion()
 				{
 					Id = NewId.NextGuid(),
-					ShowOrder = x.ShowOrder,
+					ShowOrder = maxOrder++,
 					IsEnable = x.IsEnable,
 					IsRequired = x.IsRequired,
 					QuestionName = x.QuestionName,
@@ -226,6 +230,8 @@ namespace IRaCIS.Core.Application.Service
 					TrialId=inDto.TrialId,
 				}).ToList();
 
+			
+
 			 await _readingMedicineTrialQuestionRepository.AddRangeAsync(needList);
 			 var result = await _readingMedicineTrialQuestionRepository.SaveChangesAsync();
 			 return ResponseOutput.Result(result);