diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index 0586d4a5b..e6fce89b6 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -1578,6 +1578,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// </summary>
 		public decimal? JudgeDifferenceValue { get; set; }
 
+		/// <summary>
+		/// 裁判百分比或绝对值的相差值匹配规则
+		/// </summary>
+		public JudgeDifferenceType? JudgeDifferenceType { get; set; }
+
 		public bool IsHaveChange { get; set; } = false;
 
         public string VisitAnswer { get; set; } = string.Empty;
@@ -1820,6 +1825,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// </summary>
 		public decimal? JudgeDifferenceValue { get; set; }
 
+		/// <summary>
+		/// 裁判百分比或绝对值的相差值匹配规则
+		/// </summary>
+		public JudgeDifferenceType? JudgeDifferenceType { get; set; }
+
 
 		public List<AnswerCombinationDto> AnswerCombination { get; set; }
 
@@ -1837,6 +1847,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// </summary>
 		public decimal? JudgeDifferenceValue { get; set; }
 
+		/// <summary>
+		/// 裁判百分比或绝对值的相差值匹配规则
+		/// </summary>
+		public JudgeDifferenceType? JudgeDifferenceType { get; set; }
+
 		public string QuestionName { get; set; }
 
 
@@ -2276,6 +2291,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// 裁判百分比或绝对值的相差值
 		/// </summary>
 		public decimal? JudgeDifferenceValue { get; set; }
+
+		/// <summary>
+		/// 裁判百分比或绝对值的相差值匹配规则
+		/// </summary>
+		public JudgeDifferenceType? JudgeDifferenceType { get; set; }
 		public string AnswerGroup { get; set; }
 
 
@@ -2325,6 +2345,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// 裁判百分比或绝对值的相差值
 		/// </summary>
 		public decimal? JudgeDifferenceValue { get; set; }
+
+		/// <summary>
+		/// 裁判百分比或绝对值的相差值匹配规则
+		/// </summary>
+		public JudgeDifferenceType? JudgeDifferenceType { get; set; }
 	}
 
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
index 17036a9c9..9dda8fac0 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
@@ -47,7 +47,8 @@ namespace IRaCIS.Application.Services
                     DictionaryCode=x.DictionaryCode,
                     JudgeType = x.JudgeType,
                     ReadingQuestionTrialId = x.Id,
-					JudgeDifferenceValue= x.JudgeDifferenceValue
+					JudgeDifferenceValue= x.JudgeDifferenceValue,
+                    JudgeDifferenceType=x.JudgeDifferenceType,
                 }).ToListAsync();
 
 
@@ -72,7 +73,7 @@ namespace IRaCIS.Application.Services
                 AnswerGroup = JsonConvert.SerializeObject(inDto.AnswerGroup),
                 AnswerCombination = JsonConvert.SerializeObject(inDto.AnswerCombination),
                 JudgeDifferenceValue= inDto.JudgeDifferenceValue,
-
+                JudgeDifferenceType=inDto.JudgeDifferenceType,
 				JudgeType = inDto.JudgeType,
             });
 
@@ -617,6 +618,7 @@ namespace IRaCIS.Application.Services
                                                                    JudgeType = question.JudgeType,
                                                                    QuestionId = question.Id,
                                                                    JudgeDifferenceValue=question.JudgeDifferenceValue,
+                                                                   JudgeDifferenceType=question.JudgeDifferenceType,
                                                                    VisitTaskId = questionAnswer.VisitTaskId,
                                                                };
                                 var globalVisitAnswerlist = await globalVisitQuestionQuery.ToListAsync();
@@ -625,14 +627,15 @@ namespace IRaCIS.Application.Services
 
                                 foreach (var item in taskNums)
                                 {
-                                    List<GroupTaskAnswerDto> groupTasks = globalVisitAnswerlist.Where(x => x.VisitTaskNum == item).GroupBy(x => new {x.JudgeDifferenceValue, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
+                                    List<GroupTaskAnswerDto> groupTasks = globalVisitAnswerlist.Where(x => x.VisitTaskNum == item).GroupBy(x => new {x.JudgeDifferenceValue,x.JudgeDifferenceType, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
                                     {
                                         QuestionId = x.Key.QuestionId,
                                         AnswerGroup = x.Key.AnswerGroup,
                                         AnswerCombination = x.Key.AnswerCombination,
                                         JudgeType = x.Key.JudgeType,
                                         JudgeDifferenceValue=x.Key.JudgeDifferenceValue,
-                                        TaskAnswerList = x.Select(y => y.Answer).ToList(),
+										JudgeDifferenceType = x.Key.JudgeDifferenceType,
+										TaskAnswerList = x.Select(y => y.Answer).ToList(),
                                     }).ToList();
                                     noteEqual = noteEqual || ComputeJudgeResult(groupTasks);
                                 }
@@ -650,19 +653,21 @@ namespace IRaCIS.Application.Services
                                                 JudgeType = question.JudgeType,
                                                 QuestionId = question.Id,
                                                 JudgeDifferenceValue=question.JudgeDifferenceValue,
-                                                VisitTaskId = questionAnswet.VisitTaskId,
+												JudgeDifferenceType = question.JudgeDifferenceType,
+												VisitTaskId = questionAnswet.VisitTaskId,
                                             };
                                 var questionAnswerlist = await query.ToListAsync();
 
                                 // 将答案进行分组
-                                List<GroupTaskAnswerDto> groupTasks = questionAnswerlist.GroupBy(x => new {x.JudgeDifferenceValue, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
+                                List<GroupTaskAnswerDto> groupTasks = questionAnswerlist.GroupBy(x => new {x.JudgeDifferenceValue,x.JudgeDifferenceType, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
                                 {
                                     QuestionId = x.Key.QuestionId,
                                     AnswerGroup = x.Key.AnswerGroup,
                                     AnswerCombination = x.Key.AnswerCombination,
                                     JudgeType = x.Key.JudgeType,
                                     JudgeDifferenceValue=x.Key.JudgeDifferenceValue,
-                                    TaskAnswerList = x.Select(y => y.Answer).ToList(),
+									JudgeDifferenceType = x.Key.JudgeDifferenceType,
+									TaskAnswerList = x.Select(y => y.Answer).ToList(),
                                 }).ToList();
                                 noteEqual = ComputeJudgeResult(groupTasks);
                             }
@@ -703,7 +708,7 @@ namespace IRaCIS.Application.Services
                                             twoItem.AfterQuestionList.Where(x => x.QuestionId != null && x.IsJudgeQuestion).ToList()
                                             ).ToList();
 
-                                        List<GroupTaskAnswerDto> globalGroupTasks = newlist.GroupBy(x => new { x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination,x.JudgeDifferenceValue }).Select(x => new GroupTaskAnswerDto
+                                        List<GroupTaskAnswerDto> globalGroupTasks = newlist.GroupBy(x => new { x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination,x.JudgeDifferenceValue,x.JudgeDifferenceType }).Select(x => new GroupTaskAnswerDto
                                         {
                                             QuestionId = x.Key.QuestionId!.Value,
                                             AnswerGroup = x.Key.AnswerGroup,
@@ -711,6 +716,7 @@ namespace IRaCIS.Application.Services
                                             JudgeType = x.Key.JudgeType,
                                             TaskAnswerList = x.Select(y => y.Answer).ToList(),
 											JudgeDifferenceValue= x.Key.JudgeDifferenceValue,
+											JudgeDifferenceType = x.Key.JudgeDifferenceType,
 										}).ToList();
                                         noteEqual = noteEqual || ComputeJudgeResult(globalGroupTasks);
                                     }
@@ -755,7 +761,8 @@ namespace IRaCIS.Application.Services
                                             JudgeType = question.JudgeType,
                                             QuestionId = question.Id,
                                             JudgeDifferenceValue=question.JudgeDifferenceValue,
-                                        };
+											JudgeDifferenceType = question.JudgeDifferenceType,
+										};
 
                             var visitTaskQuestions = await query.ToListAsync();
 
@@ -763,14 +770,15 @@ namespace IRaCIS.Application.Services
                                             lastTask.AfterQuestionList.Where(x => x.QuestionId != null).ToList()
                                             ).ToList();
 
-                            List<GroupTaskAnswerDto> globalGroupTasks = newlist.GroupBy(x => new {x.JudgeDifferenceValue, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
+                            List<GroupTaskAnswerDto> globalGroupTasks = newlist.GroupBy(x => new {x.JudgeDifferenceValue,x.JudgeDifferenceType, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
                             {
                                 QuestionId = x.Key.QuestionId!.Value,
                                 AnswerGroup = x.Key.AnswerGroup,
                                 AnswerCombination = x.Key.AnswerCombination,
                                 JudgeType = x.Key.JudgeType,
                                 JudgeDifferenceValue=x.Key.JudgeDifferenceValue,
-                                TaskAnswerList = x.Select(y => y.Answer).ToList(),
+								JudgeDifferenceType = x.Key.JudgeDifferenceType,
+								TaskAnswerList = x.Select(y => y.Answer).ToList(),
                             }).ToList();
                             noteEqual = noteEqual || ComputeJudgeResult(globalGroupTasks);
                         }
@@ -937,11 +945,24 @@ namespace IRaCIS.Application.Services
                                     deffaultValue =0 -deffaultValue;
 
 								}
-                                if (deffaultValue >= item.JudgeDifferenceValue)
+
+                                if (item.JudgeDifferenceType == JudgeDifferenceType.Greater)
                                 {
-									noteEqual = true;
+                                    if (deffaultValue > item.JudgeDifferenceValue)
+                                    {
+                                        noteEqual = true;
+                                    }
+                                }
+                                else if(item.JudgeDifferenceType == JudgeDifferenceType.AboveOrEqual)
+                                {
+									if (deffaultValue >= item.JudgeDifferenceValue)
+									{
+										noteEqual = true;
+									}
 								}
 
+                              
+
 								break;
 							case JudgeTypeEnum.PercentageDifference:
                                 var value1 = taskAnswer1.IsNullOrEmptyReturn0();
@@ -952,15 +973,33 @@ namespace IRaCIS.Application.Services
                                 }
                                 else
                                 {
-                                    if (value1 < value2)
-                                    {
-                                        noteEqual = (value2 - value1)*100 / value1 >= item.JudgeDifferenceValue;
 
-                                    }
-                                    else
-                                    {
-										noteEqual = (value1 - value2)*100 / value2 >= item.JudgeDifferenceValue;
+									if (item.JudgeDifferenceType == JudgeDifferenceType.Greater)
+									{
+										if (value1 < value2)
+										{
+											noteEqual = (value2 - value1) * 100 / value1 > item.JudgeDifferenceValue;
+
+										}
+										else
+										{
+											noteEqual = (value1 - value2) * 100 / value2 > item.JudgeDifferenceValue;
+										}
 									}
+									else if (item.JudgeDifferenceType == JudgeDifferenceType.AboveOrEqual)
+									{
+										if (value1 < value2)
+										{
+											noteEqual = (value2 - value1) * 100 / value1 >= item.JudgeDifferenceValue;
+
+										}
+										else
+										{
+											noteEqual = (value1 - value2) * 100 / value2 >= item.JudgeDifferenceValue;
+										}
+									}
+
+									
                                 }
 								
 
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 2bec0137a..12726985c 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -17,10 +17,28 @@ namespace IRaCIS.Core.Domain.Share
     }
 
 
-    /// <summary>
-    /// GetClinicalType
-    /// </summary>
-    public enum GetClinicalType
+	/// <summary>
+	/// 裁判匹配类型
+	/// </summary>
+	public enum JudgeDifferenceType
+	{
+		/// <summary>
+		/// >
+		/// </summary>
+		Greater = 0,
+
+		/// <summary>
+		/// ≥
+		/// </summary>
+		AboveOrEqual = 1,
+
+	}
+
+
+	/// <summary>
+	/// GetClinicalType
+	/// </summary>
+	public enum GetClinicalType
     {
 
         /// <summary>
diff --git a/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs b/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs
index 79b2d00b5..a650ec003 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs
@@ -137,7 +137,12 @@ namespace IRaCIS.Core.Domain.Models
 		/// <summary>
 		/// 裁判百分比或绝对值的相差值
 		/// </summary>
-		public decimal? JudgeDifferenceValue { get; set; } 
+		public decimal? JudgeDifferenceValue { get; set; }
+
+		/// <summary>
+		/// 裁判百分比或绝对值的相差值匹配规则
+		/// </summary>
+		public JudgeDifferenceType? JudgeDifferenceType { get; set; }
 
 		/// <summary>
 		/// 创建人