suppose you have items in a list box.
Add save button and in the click event as follows:
for (int i = 0; i < ListBox1.Items.Count; i++)
{
ListItem item= new ListItem();
item.Text = ListBox1.Items[i].Text;
item.Value = ListBox1.Items[i].Value;
SqlCommand cmd=new SqlCommand("insert into tablename(listcolmText,listcolmValue) values('"+item.Text +"',"+ item.Value +")",conn);
cmd.ExecuteNonQuery();
}