diff --git a/IRaCIS.Core.Application/Service/WorkLoad/DoctorWorkloadService.cs b/IRaCIS.Core.Application/Service/WorkLoad/DoctorWorkloadService.cs
index f37274b12..4376ce2bb 100644
--- a/IRaCIS.Core.Application/Service/WorkLoad/DoctorWorkloadService.cs
+++ b/IRaCIS.Core.Application/Service/WorkLoad/DoctorWorkloadService.cs
@@ -116,8 +116,18 @@ namespace IRaCIS.Application.Services
             {
                 if (item.Id == null)
                 {
-                    await _enrollReadingCriterionRepository.InsertFromDTOAsync(item);
+                    //配合前端，没有传id的时候，查询数据库判断一下
+                   var find= await _enrollReadingCriterionRepository.FirstOrDefaultAsync(t=>t.TrialReadingCriterionId==item.TrialReadingCriterionId && t.EnrollId==item.EnrollId);
 
+                    if (find == null)
+                    {
+                        await _enrollReadingCriterionRepository.InsertFromDTOAsync(item);
+
+                    }
+                    else
+                    {
+                        find.IsJoinAnalysis = item.IsJoinAnalysis;
+                    }
                 }
                 else
                 {