insert into lab_reportinstr( bgdh,yq,xh,yljg )values( #{bgdh},#{yq},#{xh},#{yljg} ) delete from lab_reportinstr where bgdh = #{bgdh} and yq = #{yq} and xh = #{xh} update lab_reportinstr bgdh = #{bgdh} where yq = #{yq} and xh = #{xh}