insert into t_question_hospital(id, question_id, hospital_id, fill_type) values (#{item.id}, #{item.questionId}, #{item.hospitalId}, #{item.fillType}) update t_question_hospital set rec_status = 2 where (question_id = #{delItem.questionId} and hospital_id in #{item} and rec_status = 0 ) select id from t_hospital where rec_status = 0 and hospital_type = #{type}