diff --git a/platform-common/src/main/java/com/lyms/platform/common/enums/HighRiskEnum.java b/platform-common/src/main/java/com/lyms/platform/common/enums/HighRiskEnum.java
index 7d67ede..fb0a4aa 100644
--- a/platform-common/src/main/java/com/lyms/platform/common/enums/HighRiskEnum.java
+++ b/platform-common/src/main/java/com/lyms/platform/common/enums/HighRiskEnum.java
@@ -19,6 +19,7 @@ public enum HighRiskEnum {
     TWMGY(10, "体外膜给氧"),
     JXTQCG(11, "机械通气超过48小时"),
     MQYQTNB(12, "母亲孕期糖尿病、妊高症或曾使用过耳毒性药物或袢利尿剂、或滥用药物和酒精"),
+    LCSCZ(13, "临床上存在或怀疑有与听力障碍有关的综合征或遗传病"),
     M1(14, "听力异常家族史"),
     M2(15, "宫内感染史"),
     M3(16, "极低体重儿"),
@@ -31,8 +32,8 @@ public enum HighRiskEnum {
     M10(23, "耳毒性药物使用史"),
     M11(24, "早产儿"),
     M12(25, "II型神经纤维瘤和神经衰退性疾病"),
-    M13(26, "其他"),
-    LCSCZ(13, "临床上存在或怀疑有与听力障碍有关的综合征或遗传病");
+    M13(26, "其他");
+
 
     private int id;
     private String name;
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientCourseController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientCourseController.java
index 75fec7f..c01c58c 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientCourseController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientCourseController.java
@@ -103,13 +103,12 @@ public class PatientCourseController extends BaseController {
      */
     @RequestMapping(method = RequestMethod.GET, value = "/signCourse")
     @ResponseBody
-    @TokenRequired
     public BaseResponse signCourse(
             @RequestParam(required = true) String patientCourseId,
             @RequestParam(required = true) String courseId,
             HttpServletRequest request) {
 
-        return patientCourseFacade.signCourse(patientCourseId, courseId, getUserId(request));
+        return patientCourseFacade.signCourse(patientCourseId, courseId);
     }
 
 
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientCourseFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientCourseFacade.java
index 3ebce62..ebae1e7 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientCourseFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientCourseFacade.java
@@ -394,7 +394,7 @@ public class PatientCourseFacade {
         return objectResponse;
     }
 
-    public BaseResponse signCourse(String patientCourseId,String courseId, Integer userId) {
+    public BaseResponse signCourse(String patientCourseId,String courseId) {
 
         BaseResponse objectResponse = new BaseResponse();
         CourseQuery query = new CourseQuery();
@@ -598,6 +598,7 @@ public class PatientCourseFacade {
                 //孕妇与课程的状态   0未预约 1预约，2签到
                 result.put("patientCourseStatus",String.valueOf(patientStatus));
 
+                result.put("patientCourseId",String.valueOf(patientStatus));
                 results.add(result);
             }
         }