diff --git a/Laravel/app/Services/ComboItemGroupService.php b/Laravel/app/Services/ComboItemGroupService.php
index 23b04c9..d1eb68d 100644
--- a/Laravel/app/Services/ComboItemGroupService.php
+++ b/Laravel/app/Services/ComboItemGroupService.php
@@ -97,7 +97,47 @@ class ComboItemGroupService
           }
         }
       }
-      return \Yz::Return(true, '操作完成', ['success_count' => $successCount, 'combos_count' => count($combos)]);
+
+    }
+
+    if(isset($res['变更收费项目'])){
+      $items=$res['变更收费项目'];
+      foreach ($items as $item){
+        if($item['变更类别']=='删除'){
+          DB::table('items')->where(['item_id'=>$item['Id']])->delete();
+        }
+        if($item['变更类别']=='修改' || $item['变更类别']=='新增'){
+          $item_sex=null;
+          if (isset($v['性别限制'])) {
+            $item_sex_array = ['全部' => 0, '男' => 1, '女' => 2];
+            $item_sex = $item_sex_array[$item['性别限制']] >= 0 ? $item_sex_array[$item['性别限制']] : null;
+          }
+          $ItemData=[
+            'item_id'=>$item['Id'],
+            'sex'=>$item_sex,
+            'can_qian_hou'=>$item['餐前餐后'],
+            'name'=>$item['名称'],
+            'pinyin'=>$item['拼音'],
+            'price'=>$item['价格'],
+            'is_choose'=>$item['可选']===false ? "0" : "1",
+            'keshi_id'=>$item['科室Id'],
+            'keshi_name'=>$item['科室名称'],
+            'beizhu'=>$item['备注'],
+            'jianjie'=>$item['简介'],
+            'status'=>1,
+            'updated_at'=>date('Y-m-d H:i:s'),
+          ];
+          $cha= DB::table('items')->where(['item_id'=>$item['Id']])->get();
+          if(count($cha)>0){
+            DB::table('items')->where(['item_id'=>$item['Id']])->update($ItemData);
+          }else{
+            DB::table('items')->insert($ItemData);
+          }
+        }
+
+      }
+
     }
+    return \Yz::Return(true, '操作完成', []);
   }
 }