select * from xm_medgroup and ywzmc = #{ywzmc} and xh = #{xh} insert into xm_medgroup( ywdh, bz, nymic, zjmic, ywzmc, xh )values( #{ywdh}, #{bz}, #{nymic}, #{zjmic}, #{ywzmc}, #{xh} ) update xm_medgroup set ywdh = #{ywdh}, bz = #{bz}, nymic = #{nymic}, ywzmc = #{ywzmc} where ywzmc = #{ywzmc} and xh = #{xh} delete from xm_medgroup where ywzmc = #{ywzmc} and xh = #{xh}