insert into lab_instr( yqmc, yqdl, jbs, csbg, dnmc, bgdh, bgtt, zcm, zzdx, zzfx, zzcd, zzkd, sjl, zjl, yjl, xjl, qtzzdx, qtzzfx, qtsjl, qtzjl, qtyjl, qtxjl, myhs, pcdyms, txjg, sdtfx1, sdtfx2, posflag, weakflag, upflag, lowflag, errflag, yqxh, lisgroup, myhs1, userpt2cnt, billingmode, instrid, wjzflag, backgpmd, yljg, useflag, yq )values( #{yqmc}, #{yqdl}, #{jbs}, #{csbg}, #{dnmc}, #{bgdh}, #{bgtt}, #{zcm}, #{zzdx}, #{zzfx}, #{zzcd}, #{zzkd}, #{sjl}, #{zjl}, #{yjl}, #{xjl}, #{qtzzdx}, #{qtzzfx}, #{qtsjl}, #{qtzjl}, #{qtyjl}, #{qtxjl}, #{myhs}, #{pcdyms}, #{txjg}, #{sdtfx1}, #{sdtfx2}, #{posflag}, #{weakflag}, #{upflag}, #{lowflag}, #{errflag}, #{yqxh}, #{lisgroup}, #{myhs1}, #{userpt2cnt}, #{billingmode}, #{instrid}, #{wjzflag}, #{backgpmd}, #{yljg}, #{useflag}, #{yq} ) update lab_instr yqmc = #{yqmc}, yqdl = #{yqdl}, jbs = #{jbs}, csbg = #{csbg}, dnmc = #{dnmc}, bgdh = #{bgdh}, bgtt = #{bgtt}, zcm = #{zcm}, zzdx = #{zzdx}, zzfx = #{zzfx}, zzcd = #{zzcd}, zzkd = #{zzkd}, sjl = #{sjl}, zjl = #{zjl}, yjl = #{yjl}, xjl = #{xjl}, qtzzdx = #{qtzzdx}, qtzzfx = #{qtzzfx}, qtsjl = #{qtsjl}, qtzjl = #{qtzjl}, qtyjl = #{qtyjl}, qtxjl = #{qtxjl}, myhs = #{myhs}, pcdyms = #{pcdyms}, txjg = #{txjg}, sdtfx1 = #{sdtfx1}, sdtfx2 = #{sdtfx2}, posflag = #{posflag}, weakflag = #{weakflag}, upflag = #{upflag}, lowflag = #{lowflag}, errflag = #{errflag}, yqxh = #{yqxh}, lisgroup = #{lisgroup}, myhs1 = #{myhs1}, userpt2cnt = #{userpt2cnt}, billingmode = #{billingmode}, instrid = #{instrid}, wjzflag = #{wjzflag}, backgpmd = #{backgpmd}, yljg = #{yljg}, useflag = #{useflag}, yq = #{yq} where yq = #{yq} delete from lab_instr where yq = #{yq}