全文获取类型
收费全文 | 555308篇 |
免费 | 40518篇 |
国内免费 | 11245篇 |
专业分类
耳鼻咽喉 | 7018篇 |
儿科学 | 13080篇 |
妇产科学 | 9124篇 |
基础医学 | 42267篇 |
口腔科学 | 14031篇 |
临床医学 | 73397篇 |
内科学 | 59479篇 |
皮肤病学 | 6807篇 |
神经病学 | 28445篇 |
特种医学 | 13553篇 |
外国民族医学 | 42篇 |
外科学 | 54259篇 |
综合类 | 86453篇 |
现状与发展 | 21篇 |
一般理论 | 52篇 |
预防医学 | 67656篇 |
眼科学 | 7040篇 |
药学 | 52315篇 |
748篇 | |
中国医学 | 49416篇 |
肿瘤学 | 21868篇 |
出版年
2023年 | 9161篇 |
2022年 | 14535篇 |
2021年 | 23165篇 |
2020年 | 22527篇 |
2019年 | 26172篇 |
2018年 | 23583篇 |
2017年 | 20728篇 |
2016年 | 18294篇 |
2015年 | 17637篇 |
2014年 | 36874篇 |
2013年 | 37592篇 |
2012年 | 33678篇 |
2011年 | 36332篇 |
2010年 | 29784篇 |
2009年 | 25629篇 |
2008年 | 24050篇 |
2007年 | 24511篇 |
2006年 | 21216篇 |
2005年 | 17855篇 |
2004年 | 14522篇 |
2003年 | 12618篇 |
2002年 | 9914篇 |
2001年 | 8711篇 |
2000年 | 7226篇 |
1999年 | 6238篇 |
1998年 | 5076篇 |
1997年 | 4684篇 |
1996年 | 3995篇 |
1995年 | 3740篇 |
1994年 | 3542篇 |
1993年 | 2921篇 |
1992年 | 2853篇 |
1991年 | 2515篇 |
1990年 | 2222篇 |
1989年 | 2041篇 |
1988年 | 1921篇 |
1987年 | 1669篇 |
1986年 | 1557篇 |
1985年 | 4822篇 |
1984年 | 5839篇 |
1983年 | 4121篇 |
1982年 | 4839篇 |
1981年 | 4184篇 |
1980年 | 3705篇 |
1979年 | 3425篇 |
1978年 | 2922篇 |
1977年 | 2228篇 |
1976年 | 2526篇 |
1975年 | 1867篇 |
1974年 | 1646篇 |
排序方式: 共有10000条查询结果,搜索用时 31 毫秒
991.
Paroxysmal dyskinesias (PxDs) are involuntary, episodic movements that include paroxysmal kinesigenic (PKD), paroxysmal nonkinesigenic (PNKD), and paroxysmal hypnogenic (PHD) varieties. Although most PxDs are primary (idiopathic or genetic), we found 17 of our 76 patients with PxD (22%) to have an identifiable cause for their PxD (10 men; mean age, 41.4 years). Causes included peripheral trauma (in three patients), vascular lesions (in four), central trauma (in four), kernicterus (in two), multiple sclerosis (in one), cytomegalovirus encephalitis (in one), meningovascular syphilis (in one), and migraine (in one). The latency from insult to symptom onset ranged from days (trauma) to 18 years (kernicterus), with a mean of 3 years. Nine patients had PNKD, two had PKD, five had mixed PKD/PNKD, and one had PHD. Hemidystonia was the most common expression of the paroxysmal movement disorder, present in 11 patients. Both of the patients with PKD had symptom durations of <5 minutes. Symptom duration ranged from 10 seconds to 15 days for PNKD and from 5 minutes to 45 minutes for mixed PKD/PNKD. There were no uniformly effective therapies, but anticonvulsant drugs, clonazepam, and botulinum toxin injections were the most beneficial. Awareness of the variable phenomenology and the spectrum of causes associated with secondary PxD will allow for more timely diagnosis and early intervention. 相似文献
992.
目的 :探讨联合菌苗防治肿瘤的作用。方法采用动物体内实验 ,动物为封闭群KM小鼠 ,菌株为 2 6 0 0 3- 2 1、4 482 4 - 3及 932 0 1- 3,瘤种为S180 。所有实验小鼠接种S180 后 ,按随机对照试验设计分成 5组 ,即三个不同的单价菌苗组、一个联合菌苗组及一个对照组 ,同期观察联合菌苗对S180 增长的影响。结果 :三个不同的单价菌苗组及联合菌苗组的平均瘤重均比对照组低 ,联合菌苗组的平均瘤重比单价菌苗组的更低 ,差异均有高度统计学意义 (P <0 .0 1~ 0 .0 0 1) ;三个不同单价菌苗组的抑瘤率分别为 5 0 .6 %、4 8.3%、4 5 .5 % ,联合菌苗组抑瘤率为 75 .0 %。结论 :实验所选用的菌苗能抑制S180 的增长 ,联合菌苗的效果更好 相似文献
993.
Tie-mei Cao Hong-ni Han Ying-chun Duan Li-zhong Chen Yan-bo Ji Bing Wang Hai-yan Wang 《中国结合医学杂志》2002,8(1):36-40
Ankylosingspondylitis(AS)isarheumaticdiseasewithhighincidence,induc ingdisabilityandinvadingthespinalaxialjointasitschiefcharact 相似文献
994.
海脉冲营养素对小鼠造血功能的影响 总被引:3,自引:3,他引:0
通过与复方阿胶浆,施普端螺旋藻胶囊抗贫血功效的比较,研究了海脉冲营养素对小鼠造血功能的影响。结果表明,小鼠口服HMC500mg/(kg.d),对失血性贫血小鼠有提高,RBC的作用,对苯肼引起的溶血性贫血小鼠有升高Hb,RBC,WBC的作用,能促进由环磷酰胺所致骨髓抑制小鼠的骨髓有核细胞的增殖,增加脾脏重量,升高外周血中网织红细胞和WBC数量。 相似文献
995.
Akihiko Bo Shinichi Imura Hironori Omori Yasuhiro Okumura Masao Ando Hisatoshi Baba Patrick White Al Zarnowski 《Journal of orthopaedic science》1997,2(5):301-312
The fit and fill of the femoral canal are critical to the success of cementless femoral stems in total hip arthroplasty. It
is difficult for conventional stems to provide a good fit and fill for the femora of patients with secondary osteoarthritis.
Based on measurements of 100 femora of these patients, we designed two types of Fukui Medical School (FMS) stems with a proximal
lateral flare that differed in the medial radius. We compared the fit and fill of the FMS stems with those of four conventional
stems, using computer simulation. The mean proximal fit and total fit of the FMS stems were 46% and 53% respectively, a significant
improvement compared with the other stems examined. The mean fill of FMS stems was 82% at the lower end of the lesser trochanter
and 84% at the upper end of the isthmus, values that were significantly higher than those of the other stems. Since September
1995, we have implanted FMS stems in 15 hips with secondary osteoarthritis. Radiographic evaluations showed that the canal
fill of the FMS stems was significantly greater in the proximal femur compared with other stems previously inserted at our
department.
A summary of this paper was presented at the 9th Symposium on Computer-Assisted Radiology; June 1995, Berlin, and at the 8th
International Symposium on Technology in Arthroplasty; September 1995, Puerto Rico. 相似文献
996.
Health-related quality of life assessed before and during chemotherapy predicts for survival in multiple myeloma 总被引:5,自引:0,他引:5
Measurement of health-related quality of life was integrated into a randomized trial (NMSG 4/90) comparing melphalan/prednisone to melphalan/prednisone + interferon α-2b in newly diagnosed multiple myeloma. One of the aims of the study was to assess the prognostic significance of quality-of-life scores, using the EORTC QLQ-C30 questionnaire. Univariate analysis showed a highly significant association with survival from the start of therapy for physical functioning as well as role and cognitive functioning, global quality of life, fatigue and pain. In multivariate analysis, physical functioning and W.H.O. performance status were independent prognostic factors ( P values=0.001 for both) when analysed in a Cox regression model with the somatic variables β-2 microglobulin, skeletal disease and age. The best prediction for survival from the start of therapy was obtained by combining the β-2 microglobulin and physical functioning scores in a variable consisting of three risk factor levels with an estimated median survival of 17, 29 and 49 months, respectively. At a 12 months landmark analysis, the relative risk for patients with physical functioning score 0–20 v 80–100 was 5.63 (99% CI 2.76–11.49), whereas the relative risk for patients without an objective response to chemotherapy compared to those with at least a minor response was 2.32 (99% CI 1.44–3.74). Quality-of-life assessment may be an independent and valuable addition to the known prognostic factors in multiple myeloma. 相似文献
997.
羧乙基锗倍半氧化物对大鼠脑缺血再灌注损伤的保护作用 总被引:7,自引:0,他引:7
采用结扎双侧颈总动脉后再通的方法复制大鼠脑缺血再灌注损伤模型,通过测定再灌注后大鼠海马组织中脂质过氧化产物丙二醛(MDA),超氧化物歧化酶(SOD)与谷胱甘肽过氧化物酶(GSH—Px)及ATPase的活性,观察了有机锗─羧乙基锗倍半氧化物(CGS)对大鼠脑缺血再灌注后大鼠海马组织中MDA水平,明显保护SOD、GSH─Px、Na+K+─ATPase及Ca2+─AT─Pase活性。表明CGS对大鼠脑缺血再灌注损伤具有保护作用。 相似文献
998.
Janet Fricke Carolyn Unsworth Diane Worrell 《Australian Occupational Therapy Journal》1993,40(1):7-15
This paper reports an inter-rater reliability study on the Functional Independence Measure (FIM). The FIM measures inpatient burden of care, as reflected in 18 self care items, rated on a seven point scale from dependent to independent. The subjects were 40 occupational therapists, divided according to experience with the FIM and randomly assigned to a FIM training or non-training group. Subjects rated video tapes of four stroke patients on transfers, bathing, dressing, grooming, toileting and eating items from the FIM. Rater consensus was calculated using the intraclass correlation coefficient (ICC), percentage agreement and a measure of disagreement. Rating accuracy was measured by comparisons with an expert rater. Ratings were most reliable when done by clinicians with no prior FIM experience, from the FIM training group. It is strongly recommended that all clinicians undergo FIM training before using this tool to ensure acceptable reliability. 相似文献
999.
Rosemary Cant 《Australian Occupational Therapy Journal》1993,40(3):113-121
Newer policies of community care for those with disabilities have resulted in the home becoming the usual site of care. Policy makers must now give attention to the needs of those at home giving this care. This article explores the constraints on sociability opportunities of 73 mothers who were caring for children with disabilities. These opportunities are often built into leisure pursuits for women without caring responsibilities. However, choice of out-of-house leisure activity was circumscribed for the mothers in this study and their reported leisure activities revolved around home and neighbourhood. Even these sites offered limited scope for sociability because of the way in which caring affected domestic space and because of the characteristics of the modern Australian suburb. It is argued in this paper that personal time and personal domestic space are needed by care-givers so their sociability needs can be fulfilled. An understanding of the constraints imposed by use of the home as a place of care may make possible the planning of a rearrangement of domestic space to increase sociability opportunities for carers. 相似文献
1000.
T. M. Skerry M.D. M.R.C.V.S. R. Suswillo A. J. El Haj N. N. Ali R. A. Dodds L. E. Lanyon 《Calcified tissue international》1990,46(5):318-326
Summary Previous studies of Alcian blue-induced birefringence in adult avian cortical bone showed that a short period of intermittent
loading rapidly produces an increased level of orientation of proteoglycans within the bone tissue. In the absence of further
loading, this persists for over 24 hours. We have proposed that this phenomenon could provide a means for “capturing” the
effects of transient strains, and so provide a persistent, constantly updated strain-related influence on osteocyte populations
related to the bones' averaged recent strain history, in effect, a “strain memory” in bone tissue. In our present study, we
use the Alcian blue-induced birefringence technique to demonstrate that proteoglycan orientation also occurs after intermittent
loading of both cortical and cancellous mammalian bonein vivo andin vitro. We also show that the change in birefringence is proportional to the magnitude of the applied strain, and that the reorientation
occurs rapidly, reaching a maximal value after only 50 loading cycles. Examination of electron micrographs of bone tissue
after staining with cupromeronic blue allows direct visualization and quantification of the change in proteoglycan orientation
produced by loading. This shows that intermittent loading is associated with a realignment of the proteoglycan protein cores,
bringing them some 5 degrees closer to the direction of collagen fibrils in the bone matrix. 相似文献