Focusing on the problem that the Retrieval Matching Question and Answer (RMQA) model has weak adaptability to Chinese corpus and the neglection of semantic information of the sentence, a Chinese text semantic matching model based on Convolutional neural network Latent Semantic Model (CLSM) was proposed. Firstly, the word- N-gram layer and letter- N-gram layer of CLSM were removed to enhance the adaptability of the model to Chinese corpus. Secondly, with the focus on vector information of input Chinese words, an entity attention layer model was established based on the attention mechanism algorithm to strengthen the weight information of the core words in sentence. Finally, Convolutional Neural Network (CNN) was used to capture the input sentence context structure information effectively and the pool layer was used to reduce the dimension of semantic information. In the experiments based on a medical question and answer dataset, compared with the traditional semantic models, traditional translation models and deep neural network models, the proposed model has 4-10 percentage points improvement in Normalized Discount Cumulative Gain (NDCG).