select instrid,jyrq,yq,ybh,jzbz,jgbz,dybz,brly,brdh,brxm,brxb,nl,nldw,ksdh,jymd,yljg,alarmflag,finish,fslx,autojgbz,lstd,shcs,yblx,sqh,yhdh,ch,zjf from lab_pat
insert into xm_inter (yq, tdh, xmdh, xmid)
values (#{yq}, #{tdh}, #{xmdh},#{xmid})
update xm_inter
xmdh = #{xmdh},
xmid = #{xmid},
where yq=#{yq} and tdh=#{tdh}