delete from lab_refused where sqh = #{sqh} insert into lab_refused( refusedtime, refuseder, ksdh, bz, refusetext, bz1, sqh )values( #{refusedtime}, #{refuseder}, #{ksdh}, #{bz}, #{refusetext}, #{bz1}, #{sqh} ) update lab_refused refusedtime= #{refusedtime}, refuseder = #{refuseder}, ksdh = #{ksdh}, bz = #{bz}, refusetext = #{refusetext}, bz1 = #{bz1}, sqh = #{sqh} where sqh = #{sqh}