diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 1c438bd49..94fe5ca00 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -5631,6 +5631,11 @@
             无效的 为True无效
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.ViewModel.GenerateMedicalReviewTaskView.IsGlobalHaveUpdate">
+            <summary>
+            全局是否有更新
+            </summary>
+        </member>
         <member name="T:IRaCIS.Core.Application.ViewModel.TaskMedicalReviewQuery">
             <summary>TaskMedicalReviewQuery  列表查询参数模型</summary>
         </member>
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index ac85e9e55..a345164d1 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -241,6 +241,7 @@ namespace IRaCIS.Core.Application
                 // 清除多余答案
                 var questionQuery = _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId).AsQueryable();
                 var tableQuestionQuery = _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == inDto.TrialReadingCriterionId).AsQueryable();
+
                 await _readingTaskQuestionAnswer.BatchDeleteNoTrackingAsync(x =>x.VisitTask.TrialReadingCriterionId== inDto.TrialReadingCriterionId&& questionQuery.Count(y => y.Id == x.ReadingQuestionTrialId) == 0);
                 await _readingTableAnswerRowInfoRepository.BatchDeleteNoTrackingAsync(x => x.VisitTask.TrialReadingCriterionId == inDto.TrialReadingCriterionId && questionQuery.Count(y => y.Id == x.QuestionId) == 0);
                 await _readingTableQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => x.VisitTask.TrialReadingCriterionId == inDto.TrialReadingCriterionId && tableQuestionQuery.Count(y => y.Id == x.TableQuestionId) == 0);