INSERT INTO lab_patfee (jyrq, yq, ybh, sqh)values(#{jyrq},#{yq},#{ybh},#{sqh}) delete from lab_patfee WHERE jyrq = #{jyrq} and yq = #{yq} and ybh = #{ybh} update lab_patfee set sqh=#{sqh} where jyrq = #{jyrq} and yq = #{yq} and ybh = #{ybh}