diff --git a/src/views/doctor/doctor-examine/index.vue b/src/views/doctor/doctor-examine/index.vue
index b9b7a43..c778149 100644
--- a/src/views/doctor/doctor-examine/index.vue
+++ b/src/views/doctor/doctor-examine/index.vue
@@ -392,7 +392,7 @@
               <a-form-item field="" label="" no-style>
                 <a-space >
                   <a-button type="primary" v-has="'admin:sysDoctorExamine:ok'" @click="handleCheck('ok')" v-if="modalForm.user_ca_cert">审核通过</a-button>
-                  <a-button type="primary" status="danger" v-has="'admin:sysDoctorExamine:deny'"  @click="handleCheck(deny)">审核拒绝</a-button>
+                  <a-button type="primary" status="danger" v-has="'admin:sysDoctorExamine:deny'"  @click="handleCheck(deny)" v-if="!modalForm.user_ca_cert">审核拒绝</a-button>
                 </a-space>
                 <!-- <a-space v-if="modalSatus=='edit'">
                   <a-button type="primary" status="warning">拉黑</a-button>
@@ -435,6 +435,7 @@
     import { getDoctorList,getDoctorDetail,checkDoctor} from '@/api/doctor/examine';
     import {departmentList, decryptCard, hospitalList, expertiseList } from '@/api/doctor/list';
     import { applyCA} from '@/api/doctor/ca';
+    import { Message } from '@arco-design/web-vue';
     import dayjs from 'dayjs'
     import { parseTime } from '@/utils/parseTime';
     // Akiraka 20230210 删除数据
@@ -715,6 +716,7 @@
     applyCA(modalForm.user_doctor_info.user_id).then(data=>{
       if(data.code==200){
        Message.success('证书申请成功');
+       handleDetail({doctor_id:modalForm.doctor_id})
       }
     })
   }
diff --git a/src/views/doctor/doctor-list/index.vue b/src/views/doctor/doctor-list/index.vue
index 35d9bbf..ad7ab54 100644
--- a/src/views/doctor/doctor-list/index.vue
+++ b/src/views/doctor/doctor-list/index.vue
@@ -1066,8 +1066,7 @@ const showCheckedAll=ref(true);
       }
         if(data.doctor_title==0){
           modalForm.doctor_title='';
-        }
-        oldTitle.value=data.doctor_title;
+        };
         if(data.hospital_id==0){
           modalForm.hospital_id='';
         }
@@ -1147,6 +1146,7 @@ const showCheckedAll=ref(true);
       if(data.doctor_title==0){
           modalForm.doctor_title='';
         }
+        oldTitle.value=data.doctor_title;
         if(data.hospital_id==0){
           modalForm.hospital_id='';
         }
@@ -1253,9 +1253,9 @@ const showCheckedAll=ref(true);
 
   const saveBefore=()=>{
     if(oldTitle.value!=modalForm.doctor_title || isChange_license.value || isChange_qualification.value){
-      okStatus=7
+      okStatus.value=7
     }else{
-      okStatus=1
+      okStatus.value=1
     }
     okVisible.value=true;