diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingQuestionService.cs
index 41d62e890..659c0750a 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingQuestionService.cs
@@ -13,6 +13,9 @@ namespace IRaCIS.Core.Application.Contracts
     {
         Task<IResponseOutput> SetSystemCriterionDisable(Guid dictionaryId, Guid? parentId);
 
-      
+        Task<bool> VerifyeCriterionNeedSynchronize(VerifyeCriterionNeedSynchronizeInDto inDto);
+
+
+
     }
 }
\ No newline at end of file
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
index cb53d2263..2501a56fe 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
@@ -112,7 +112,9 @@ namespace IRaCIS.Application.Services
                 var systemCriterion = await _readingQuestionCriterionSystemRepository.Where(x => x.Id == trialCriterion.ReadingQuestionCriterionSystemId).FirstNotNullAsync();
                 if (systemCriterion.ConfirmTime > trialCriterion.SynchronizeTime)
                 {
+                    await SynchronizeCriterion(inDto.TrialCriterionId);
                     return true;
+                  
                 }
                 else
                 {
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index 839c4b8df..0c3043662 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -10,6 +10,7 @@ using Microsoft.AspNetCore.Authorization;
 using IRaCIS.Core.Application.Auth;
 using Panda.DynamicWebApi.Attributes;
 using IRaCIS.Core.Infra.EFCore.Common;
+using IRaCIS.Core.Application.Service.Reading.Dto;
 
 namespace IRaCIS.Core.Application
 {
@@ -25,6 +26,7 @@ namespace IRaCIS.Core.Application
         private readonly IEasyCachingProvider _provider;
 
         private readonly IRepository<TaskAllocationRule> _taskAllocationRuleRepository;
+        private readonly IReadingQuestionService iReadingQuestionService;
 
         public TrialConfigService(IRepository<Trial> trialRepository,
             IRepository<TrialQCQuestion> trialQCQuestionRepository,
@@ -33,11 +35,13 @@ namespace IRaCIS.Core.Application
             IRepository<ClinicalDataTrialSet> clinicalDataTrialSetRepository,
             IRepository<ReadingCriterionPage> readingCriterionPageRepository,
             IRepository<TaskAllocationRule> taskAllocationRuleRepository,
+            IReadingQuestionService iReadingQuestionService,
             IEasyCachingProvider provider
             )
         {
             _trialRepository = trialRepository;
             _taskAllocationRuleRepository = taskAllocationRuleRepository;
+            this.iReadingQuestionService = iReadingQuestionService;
             this._trialQCQuestionRepository = trialQCQuestionRepository;
             this._readingQuestionCriterionTrialRepository = readingQuestionCriterionTrialRepository;
             this._readingQuestionTrialRepository = readingQuestionTrialRepository;
@@ -234,7 +238,11 @@ namespace IRaCIS.Core.Application
                 result.FormType = trialCriterion.FormType;
                 result.IsFromSystem = trialCriterion.ReadingQuestionCriterionSystemId != null;
 
-
+                // 验证并同步
+                await iReadingQuestionService.VerifyeCriterionNeedSynchronize(new VerifyeCriterionNeedSynchronizeInDto()
+                {
+                    TrialCriterionId = trialCriterion.Id
+                });
             };
 
             result.TrialQuestionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrial.IsConfirm && x.TrialId == inDto.TrialId&&x.ReadingQuestionCriterionTrialId == result.TrialCriterionId