select user_id, post_id, hospital_id from hospital_user_post insert into hospital_user_post user_id, post_id, hospital_id, #{userId}, #{postId}, #{hospitalId}, update hospital_user_post post_id = #{postId}, hospital_id = #{hospitalId}, where user_id = #{userId} delete from hospital_user_post where user_id = #{userId} delete from hospital_user_post where user_id in #{userId} insert into hospital_user_post(user_id, post_id) values (#{item.userId},#{item.postId}) delete from hospital_user_post where user_id=#{userId}