select b.*,a.yq as instr_yq,a.yqmc,(case when isnull(b.yhdh,'') = '' then '0' else '1' end) as syqx,a.useflag from lab_instr a left join com_usrpower b on (a.yq = b.yq and b.yhdh = #{yhdh} and b.xtdh = 'LIS') and yq = #{yq} insert into com_usrpower (yhdh, yq, xtdh, yhqx) values ( #{yhdh},#{yq},#{xtdh},#{yhqx}) update com_usrpower set yhqx = #{yhqx} where yhdh = #{yhdh} and yq = #{yq} and xtdh = #{xtdh} delete from com_usrpower where yhdh = #{yhdh} and yq = #{yq} and xtdh = #{xtdh}