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41.
We present a case of a female patient suffering from type I complex regional pain syndrome (CRPS) who developed “mirror imaging” of her CRPS and was successfully treated with dual spinal cord stimulation (SCS) in the paraforaminal epidural space. This patient initially had unilateral pain that was unsuccessfully treated with midline SCS and single‐lead lateral epidural lead placement “paraforaminally.” One year later, because we believed that paraforaminal stimulation would preferentially stimulate primary sensitized afferents innervating the painful area, we reperformed SCS with two leads positioned laterally and paraforaminally close to the roots within the epidural space. After repositioning and after 1 year of paraforaminal stimulation, there was significant improvement in the patient's symptoms, resolving all unilateral and “mirrored” symptoms. We conclude that paraforaminal stimulation may be a valid therapeutic option for the treatment of CRPS. 相似文献
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备用根大鼠脊髓后角提取液中神经营养活性组分的分离及生物活性测定 总被引:1,自引:0,他引:1
制作备用根大鼠脊髓后角提取液,取其分子量大于10kD的组分进行SDS-聚丙烯酰胺凝胶电泳分析,发现手术侧和非手术侧的电泳区带数目大致相同,但手术侧样品的第四条蛋白质区带扫描的吸收峰面积百分比大于非手术侧样品的第四条区带,两者在量上可能有差别。将手术侧样品经交联葡聚精G-75凝胶层析,得到两个洗脱峰.第一峰洗脱液有促进体外培养的背根节神经元存活及其突起生长的作用,其电泳分析显示4条主带,分子量在40~80kD之间.实验结果提示部分去传入纤维支配的脊髓后角组织含有神经营养活性物质,该物质的分子量约在40~78kD之间. 相似文献
44.
45.
Polylactic acid (PLA) root replica in ridge maintenance after loss of a vertically fractured incisor
Abstract A periodontally affected tooth was prepared for a special treatment: Calcium hydroxide was introduced into the apical half of the root canal whereas its cervical part was filled with glass ionomer cement. The tooth was shortened subgingivally. After 6 weeks of epithelization over the residual root a palatal full-thickness flap was mobilized. The root was carefully extracted and chairside copy-milled from the biodegradable polylactic acid (PLA) material. The PLA-replica was implanted immediately into the socket and the flap was sutured. Aim of the treatment was to prevent the ridge collapse of the extraction area. Ridge height could be preserved during the 21 months of observation. With time the radiographic density of the cancellous bone increased in the implanted area, indicating that a PLA-replica is replaced by host's bone tissue. 相似文献
46.
龈下残根修复前正畸治疗五例 总被引:7,自引:0,他引:7
目的 对损坏至龈缘下 1 5~ 3 5mm的前牙牙根在修复前行正畸牵引 ,当损坏平齐龈缘时再桩冠修复的方法进行探讨。方法 3例外伤、2例根面龋的患者 ,共 6个牙根接受完善根管治疗 ,修复前正畸暴露损坏 ,电刀修整牙龈 ,然后桩冠修复。结果 5例患者在修复后均取得了较满意的效果。结论 若前牙牙根损坏位于龈下釉牙骨质交界处 ,在修复前进行正畸治疗 ,既可保留残根 ,又可制作出有较好功能和美观效果的修复体 相似文献
47.
48.
J. König A. Rühling H. Schlemme T. Kocher C. Schwahn H. C. Plagmann 《European journal of dental education》2002,6(4):169-175
The influence of systematic dummy-head training with Periopolishe (PP, group A) and Gracey instruments (GRA, group B) on the effectiveness of root debridement was evaluated by Rühling et al., 2002 (9). Their results indicate that independent of the instrument used, untrained operators were only able to debride root surfaces at low levels of effectiveness. It was possible to increase effectiveness to a high level through systematic training in both groups. The aim of the present study was to assess the role of operator motivation and self-assessment on scaling effectiveness. Before baseline, operators were asked to answer a questionnaire rating the expectation of the instrument performance. Four groups of inexperienced operators (n = 11 each) received 10 weeks dummy-head training. In groups A (GRA) and B (PP), training was combined with a motivational programme. Groups C (GRA) and D (PP) received the same training, but no additional motivational programme. In a dummy-head, 10 test teeth were debrided and operators were asked to estimate their effectiveness of debridement at each test day. Effectiveness was calculated as percentage of debrided root area on 10 test teeth at different time points with an image analysis programme (NIH Image) and ANOVA. Two groups were compared using the Mann-Whitney U-test (unpaired) and the Wilcoxon signed ranks test (paired). Motivated groups (A and B) reached about 25% higher debridement results (p < 0.001) and were able to estimate their effectiveness more precisely compared to groups C and D. In the low motivation groups (C and D), overestimation of more than 20% was evident (p < 0.001). The questionnaires revealed underestimation of the GRA instruments and overestimation of PP instruments. Operator motivation and self-assessment greatly influence learning of effective root debridement. 相似文献
49.
何首乌提取物对人乳腺癌细胞脂肪酸合酶的抑制研究 总被引:2,自引:0,他引:2
目的 研究何首乌提取物对人乳腺癌MCF7细胞脂肪酸合酶(fatty acid synthase,FAS)的抑制作用。方法 MTT法测定人乳腺癌MCF7细胞增殖速度,采用超速离心技术部分纯化人乳腺癌MCF7细胞FAS。不同浓度何首乌提取物与FAS相互作用不同时间后,加入底物,用分光光度法观察何首鸟提取物对FAS的抑制作用。结果 何首鸟提取物对人乳腺癌MCF7细胞的增殖有一定的抑制作用。人乳腺癌MCF7细胞FAS被部分纯化,三种浓度何首乌提取物(0.1,0.5,1g/L)与FAS在催化前相互作用0、5和10min,对FAS活性的抑制率分别为24.60%、27.30%、and42.75%(0.1g/L);43.50%、50.30%、and94.03%(O.5g/L);98.60%、97.30% and97.05%(1g/L)。结论 何首乌提取物对人乳腺癌MCF7细胞FAS具有抑制作用;作用强度既依赖于抑制剂浓度,又依赖于抑制剂与酶相互作用时间。 相似文献
50.
宋晓晶 《大连医科大学学报》2004,26(2):121-122
[目的 ]比较根管预备 3种方法的优缺点并且进行叠加应用 ,观察其对根管治疗术适填率的影响。[方法 ]对 1 0名老年人口腔内的 1 5颗双尖牙进行根管预备 3种方法的叠加应用。 [结果 ]根管预备 3种方法的叠加应用使根管治疗术的适填率达 93.3%。[结论 ]根管预备 3种方法的叠加应用使根管治疗术的适填率得到进一步提高 ,保存了牙根 ,为医生下一步进行缺牙修复创造了有利条件 相似文献