diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index f1891c7cb..542556a00 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -1647,6 +1647,11 @@
             问题名称
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.CriterionOtherQuestionOutDto.TypeValue">
+            <summary>
+            类型值
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.GetTrialCriterionOtherQuestionInDto.Id">
             <summary>
             当前ID
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
index f98055ad5..716b1f1ea 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
@@ -220,6 +220,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// 问题名称
 		/// </summary>
 		public string QuestionName { get; set; }
+
+		/// <summary>
+		/// 类型值
+		/// </summary>
+		public string TypeValue { get; set; }
 	}
 	public class GetTrialCriterionOtherQuestionInDto
 	{
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
index 46ce46cb3..e3c9653a9 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
@@ -191,7 +191,8 @@ namespace IRaCIS.Application.Services
                 .Select(x => new CriterionOtherQuestionOutDto()
                 {
                     QuestionId = x.Id,
-                    QuestionName = x.QuestionName
+                    QuestionName = x.QuestionName,
+                    TypeValue=x.TypeValue,
                 }).ToListAsync();
 
             return questionList;
@@ -413,7 +414,8 @@ namespace IRaCIS.Application.Services
                 .Select(x => new CriterionOtherQuestionOutDto()
                 {
                     QuestionId = x.Id,
-                    QuestionName = x.QuestionName
+                    QuestionName = x.QuestionName,
+                    TypeValue = x.TypeValue,
                 }).ToListAsync();
 
             return questionList;
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index 110dcaa7f..e6d5cd95f 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -16,17 +16,20 @@ namespace IRaCIS.Core.Application
     {
         private readonly IRepository<Trial> _trialRepository;
         private readonly IRepository<TrialQCQuestion> _trialQCQuestionRepository;
+        private readonly IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository;
         private readonly IRepository<ClinicalDataTrialSet> _clinicalDataTrialSetRepository;
         private readonly IEasyCachingProvider _provider;
 
         public TrialConfigService(IRepository<Trial> trialRepository,
             IRepository<TrialQCQuestion> trialQCQuestionRepository,
+              IRepository<ReadingQuestionCriterionTrial> readingQuestionCriterionTrialRepository,
              IRepository<ClinicalDataTrialSet> clinicalDataTrialSetRepository,
             IEasyCachingProvider provider
             )
         {
             _trialRepository = trialRepository;
             this._trialQCQuestionRepository = trialQCQuestionRepository;
+            this._readingQuestionCriterionTrialRepository = readingQuestionCriterionTrialRepository;
             this._clinicalDataTrialSetRepository = clinicalDataTrialSetRepository;
             this._provider = provider;
         }
@@ -332,12 +335,21 @@ namespace IRaCIS.Core.Application
             trialInfo.UpdateTime = DateTime.Now;
 
 
+            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
+            });
+
+            await _readingQuestionCriterionTrialRepository.UpdatePartialFromQueryAsync(x => trialConfig.TrialCriterionIds.Contains(x.Id), x => new ReadingQuestionCriterionTrial()
+            {
+                IsConfirm = true
+            }); ;
+
 
 
-          
 
             return ResponseOutput.Ok(await _repository.SaveChangesAsync());
         }