diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
index e96d43145..9cc2462d7 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
@@ -87,6 +87,11 @@ namespace IRaCIS.Core.Application.Contracts
 
         public Guid TrialId { get; set; }
 
+     
+
+    
+
+        public List<Guid> ClinicalDataTrialSetIds { get; set; } = new List<Guid>();
 
         /// <summary>
         /// QC流程  0 不审，1 单审，2双审  
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index eab48807c..ca760fe8c 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -516,10 +516,29 @@ namespace IRaCIS.Core.Application
 
             trialInfo.UpdateTime = DateTime.Now;
 
+            // 修改临床数据
+            var noconfirmids = await _clinicalDataTrialSetRepository.Where(x => x.TrialId == trialConfig.TrialId && !trialConfig.ClinicalDataTrialSetIds.Contains(x.Id)).Select(x => x.Id).ToListAsync();
+            foreach (var item in trialConfig.ClinicalDataTrialSetIds)
+            {
+                await _clinicalDataTrialSetRepository.UpdatePartialFromQueryAsync(item, x => new ClinicalDataTrialSet()
+                {
 
+                    IsConfirm = true
+                });
+            }
+
+            foreach (var item in noconfirmids)
+            {
+                await _clinicalDataTrialSetRepository.UpdatePartialFromQueryAsync(item, x => new ClinicalDataTrialSet()
+                {
+
+                    IsConfirm = false
+                });
+            }
+
+            // 修改阅片标准
             var cancelConfirmCriterionIds = await _readingQuestionCriterionTrialRepository.Where(x => x.TrialId == trialConfig.TrialId && x.IsConfirm && !trialConfig.TrialCriterionIds.Contains(x.Id)).Select(x => x.Id).ToListAsync();
 
-
             await _readingQuestionCriterionTrialRepository.UpdatePartialFromQueryAsync(x => cancelConfirmCriterionIds.Contains(x.Id), x => new ReadingQuestionCriterionTrial()
             {
                 IsConfirm = false