diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CourseFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CourseFacade.java
index b2a9ffa..0a0d260 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CourseFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/CourseFacade.java
@@ -1315,6 +1315,7 @@ public class CourseFacade {
         String format = df.format(day);
         reviewModel.setCreateDate(format);
         reviewModel.setYn(YnEnums.YES.getId());
+        reviewModel.setParentId("0");
         reviewModel.setState(0);
 
         courseEvalService.reviewAdd(reviewModel);
@@ -1346,7 +1347,7 @@ public class CourseFacade {
         reviewQuery.setYn(YnEnums.YES.getId());
         reviewQuery.setNeed("true");
         reviewQuery.setCouresId(couresId);
-        reviewQuery.setCouresId(reviewId);
+        reviewQuery.setParentId(reviewId);
         BaseListResponse objectResponse = new BaseListResponse();
 
         List<ReviewModel> models = courseEvalService.reviewList(reviewQuery);
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index b1407bd..6f141b7 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -1528,20 +1528,16 @@ public class PatientFacade extends BaseServiceImpl {
             Criteria criteria1 = Criteria.where("name").is("各类子宫手术史（如剖宫产、宫角妊娠、子宫肌瘤挖除术等）≥2次");
             yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1));
         } else if ("2".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria2 = Criteria.where("name").is("瘢痕子宫（距前次剖宫产不足2年）");
+            Criteria criteria2 = Criteria.where("name").is("剖宫产1次");
             yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria2));
         } else if ("3".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria3 = Criteria.where("name").is("剖宫产1次");
+            Criteria criteria3 = Criteria.where("name").is("剖宫产≥2次");
             yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria3));
-        } else if ("4".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria4 = Criteria.where("name").is("剖宫产≥2次");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria4));
         } else {
             Criteria criteria1 = Criteria.where("name").is("各类子宫手术史（如剖宫产、宫角妊娠、子宫肌瘤挖除术等）≥2次");
-            Criteria criteria2 = Criteria.where("name").is("瘢痕子宫（距前次剖宫产不足2年）");
-            Criteria criteria3 = Criteria.where("name").is("剖宫产1次");
-            Criteria criteria4 = Criteria.where("name").is("剖宫产≥2次");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3, criteria4));
+            Criteria criteria2 = Criteria.where("name").is("剖宫产1次");
+            Criteria criteria3 = Criteria.where("name").is("剖宫产≥2次");
+            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3));
         }
         List <BasicConfig> models = mongoTemplate.find(yn, BasicConfig.class);
         List <String> rFactorList = new ArrayList <>();
@@ -1766,22 +1762,14 @@ public class PatientFacade extends BaseServiceImpl {
             Criteria criteria3 = Criteria.where("name").is("甲状腺功能减退引起相应系统功能障碍，基础代谢率小于-50%");
             yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria3));
         } else if ("4".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria4 = Criteria.where("name").is("甲状腺功能亢进症");
+            Criteria criteria4 = Criteria.where("name").is("甲状腺功能减低(无需药物治疗");
             yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria4));
-        }else if ("5".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria5 = Criteria.where("name").is("甲状腺功能减退症");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria5));
-        }else if ("6".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria6 = Criteria.where("name").is("甲状腺功能亢进并发心脏病、感染、肝功能异常、精神异常等疾病");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria6));
         }else {
             Criteria criteria1 = Criteria.where("name").is("亚临床甲减");
             Criteria criteria2 = Criteria.where("name").is("甲减（需药物治疗）");
             Criteria criteria3 = Criteria.where("name").is("甲状腺功能减退引起相应系统功能障碍，基础代谢率小于-50%");
-            Criteria criteria4 = Criteria.where("name").is("甲状腺功能亢进症");
-            Criteria criteria5 = Criteria.where("name").is("甲状腺功能减退症");
-            Criteria criteria6 = Criteria.where("name").is("甲状腺功能亢进并发心脏病、感染、肝功能异常、精神异常等疾病");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3, criteria4, criteria5, criteria6));
+            Criteria criteria4 = Criteria.where("name").is("甲状腺功能减低(无需药物治疗");
+            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3, criteria4));
         }
         List <BasicConfig> models = mongoTemplate.find(yn, BasicConfig.class);
         List <String> rFactorList = new ArrayList <>();
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/CourseRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/CourseRequest.java
index 5197e4f..b2bbbe6 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/CourseRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/CourseRequest.java
@@ -41,6 +41,16 @@ public class CourseRequest {
     private String hospitalId;
     private String courseEndTime;
 
+    private String courseVideo;
+
+    public String getCourseVideo() {
+        return courseVideo;
+    }
+
+    public void setCourseVideo(String courseVideo) {
+        this.courseVideo = courseVideo;
+    }
+
     public Integer getCourseObjId() {
         return courseObjId;
     }
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/CesareanWorker.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/CesareanWorker.java
index 83a61bf..2b41dc9 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/CesareanWorker.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/CesareanWorker.java
@@ -263,8 +263,7 @@ public class CesareanWorker implements Callable<List<QuanPatientsResult>> {
                         BasicConfig basicConfig = basicConfigService.getOneBasicConfigById(srt);
                         if (null != basicConfig && sb.indexOf(basicConfig.getName()) == -1) {
                             if(basicConfig.getName().contains("各类子宫手术史(如剖宫产、宫角妊娠、子宫肌瘤挖除术等)≥2次") ||
-                                    basicConfig.getName().contains("瘢痕子宫(距前次剖宫产不足2年)") ||
-                                    basicConfig.getName().contains("剖宫产1次")||
+                                    basicConfig.getName().contains("剖宫产1次") ||
                                     basicConfig.getName().contains("剖宫产≥2次")){
                                 sb.append(basicConfig.getName()).append(',');
                             }
@@ -319,20 +318,15 @@ public class CesareanWorker implements Callable<List<QuanPatientsResult>> {
                         data.add(twinsPatientsResult);
                     }
 
-                } else if ("2".equals(twinsType)) {
-                    if (twinsPatientsResult.getrFactor().contains("瘢痕子宫(距前次剖宫产不足2年)")) {
-                        data.add(twinsPatientsResult);
-                    }
-                } else if ("3".equals(twinsType)) {
+                }else if ("2".equals(twinsType)) {
                     if (twinsPatientsResult.getrFactor().contains("剖宫产1次")) {
                         data.add(twinsPatientsResult);
                     }
-                } else if ("4".equals(twinsType)) {
+                } else if ("3".equals(twinsType)) {
                     if (twinsPatientsResult.getrFactor().contains("剖宫产≥2次")) {
                         data.add(twinsPatientsResult);
                     }
                 } else if (twinsPatientsResult.getrFactor().contains("类子宫手术史(如剖宫产、宫角妊娠、子宫肌瘤挖除术等)≥次") ||
-                        twinsPatientsResult.getrFactor().contains("瘢痕子宫(距前次剖宫产不足2年)") ||
                         twinsPatientsResult.getrFactor().contains("剖宫产1次")||
                         twinsPatientsResult.getrFactor().contains("剖宫产≥2次")) {
                     data.add(twinsPatientsResult);
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/HypothyroidismWorker.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/HypothyroidismWorker.java
index 9e6f19c..65ad254 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/HypothyroidismWorker.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/HypothyroidismWorker.java
@@ -265,9 +265,7 @@ public class HypothyroidismWorker implements Callable<List<QuanPatientsResult>>
                             if(basicConfig.getName().contains("亚临床甲减") ||
                                     basicConfig.getName().contains("甲减(需药物治疗)")||
                                     basicConfig.getName().contains("状腺功能减退引起相应系统功能障碍，基础代谢率小于-50%")||
-                                    basicConfig.getName().contains("甲状腺功能亢进症")||
-                                    basicConfig.getName().contains("甲状腺功能减退症")||
-                                    basicConfig.getName().contains("甲状腺功能亢进并发心脏病、感染、肝功能异常、精神异常等疾病")){
+                                    basicConfig.getName().contains("甲状腺功能减低(无需药物治疗)")){
                                 sb.append(basicConfig.getName()).append(',');
                             }
                         }
@@ -330,23 +328,13 @@ public class HypothyroidismWorker implements Callable<List<QuanPatientsResult>>
                         data.add(twinsPatientsResult);
                     }
                 } else if ("4".equals(twinsType)) {
-                    if (twinsPatientsResult.getrFactor().contains("甲状腺功能亢进症")) {
-                        data.add(twinsPatientsResult);
-                    }
-                } else if ("5".equals(twinsType)) {
-                    if (twinsPatientsResult.getrFactor().contains("甲状腺功能减退症")) {
-                        data.add(twinsPatientsResult);
-                    }
-                } else if ("6".equals(twinsType)) {
-                    if (twinsPatientsResult.getrFactor().contains("甲状腺功能亢进并发心脏病、感染、肝功能异常、精神异常等疾病")) {
+                    if (twinsPatientsResult.getrFactor().contains("甲状腺功能减低(无需药物治疗)")) {
                         data.add(twinsPatientsResult);
                     }
                 } else if (twinsPatientsResult.getrFactor().contains("亚临床甲减") ||
                         twinsPatientsResult.getrFactor().contains("甲减(需药物治疗)") ||
                         twinsPatientsResult.getrFactor().contains("状腺功能减退引起相应系统功能障碍，基础代谢率小于-50%") ||
-                        twinsPatientsResult.getrFactor().contains("甲状腺功能亢进症") ||
-                        twinsPatientsResult.getrFactor().contains("甲状腺功能减退症") ||
-                        twinsPatientsResult.getrFactor().contains("甲状腺功能亢进并发心脏病、感染、肝功能异常、精神异常等疾病")) {
+                        twinsPatientsResult.getrFactor().contains("甲状腺功能减低(无需药物治疗)")) {
                     data.add(twinsPatientsResult);
                 }
             }