首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   3546篇
  免费   195篇
  国内免费   132篇
耳鼻咽喉   6篇
儿科学   49篇
妇产科学   82篇
基础医学   648篇
口腔科学   52篇
临床医学   354篇
内科学   576篇
皮肤病学   21篇
神经病学   337篇
特种医学   147篇
外科学   481篇
综合类   386篇
预防医学   57篇
眼科学   60篇
药学   488篇
  2篇
中国医学   114篇
肿瘤学   13篇
  2023年   29篇
  2022年   36篇
  2021年   96篇
  2020年   78篇
  2019年   101篇
  2018年   99篇
  2017年   81篇
  2016年   66篇
  2015年   72篇
  2014年   156篇
  2013年   183篇
  2012年   143篇
  2011年   164篇
  2010年   151篇
  2009年   136篇
  2008年   173篇
  2007年   164篇
  2006年   179篇
  2005年   133篇
  2004年   132篇
  2003年   122篇
  2002年   121篇
  2001年   78篇
  2000年   78篇
  1999年   61篇
  1998年   88篇
  1997年   78篇
  1996年   69篇
  1995年   81篇
  1994年   57篇
  1993年   55篇
  1992年   60篇
  1991年   62篇
  1990年   48篇
  1989年   51篇
  1988年   43篇
  1987年   46篇
  1986年   27篇
  1985年   40篇
  1984年   33篇
  1983年   23篇
  1982年   34篇
  1981年   30篇
  1980年   24篇
  1979年   19篇
  1978年   26篇
  1977年   13篇
  1976年   12篇
  1975年   10篇
  1973年   5篇
排序方式: 共有3873条查询结果,搜索用时 31 毫秒
1.
2.
BackgroundIschemia reperfusion (I/R) play an imperative role in the expansion of cardiovascular disease. Sinomenine (SM) has been exhibited to possess antioxidant, anticancer, anti-inflammatory, antiviral and anticarcinogenic properties. The aim of the study was scrutinized the cardioprotective effect of SM against I/R injury in rat.MethodsRat were randomly divided into normal control (NC), I/R control and I/R + SM (5, 10 and 20 mg/kg), respectively. Ventricular arrhythmias, body weight and heart weight were estimated. Antioxidant, inflammatory cytokines, inflammatory mediators and plasmin system indicator were accessed.ResultsPre-treated SM group rats exhibited the reduction in the duration and incidence of ventricular fibrillation, ventricular ectopic beat (VEB) and ventricular tachycardia along with suppression of arrhythmia score during the ischemia (30 and 120 min). SM treated rats significantly (P < 0.001) altered the level of antioxidant parameters. SM treatment significantly (P < 0.001) repressed the level of creatine kinase MB (CK-MB), creatine kinase (CK) and troponin I (Tnl). SM treated rats significantly (P < 0.001) repressed the tissue factor (TF), thromboxane B2 (TXB2), plasminogen activator inhibitor 1 (PAI-1) and plasma fibrinogen (Fbg) and inflammatory cytokines and inflammatory mediators.ConclusionOur result clearly indicated that SM plays anti-arrhythmia effect in I/R injury in the rats via alteration of oxidative stress and inflammatory reaction.  相似文献   
3.

Objective

Hypertonic saline (HTS) has potent immune and vascular effects. We assessed recipient pretreatment with HTS on allograft function in a porcine model of heart transplantation and hypothesized that HTS infusion would limit endothelial and left ventricular (LV) dysfunction following transplantation.

Methods

Heart transplants were performed after 6 hours of cold ischemic storage. Recipient pigs were randomized to treatment with or without HTS (7.5% NaCl) before cardiopulmonary bypass (CPB). Using a myograft apparatus, coronary artery endothelial-dependent (Edep) and -independent (Eind) relaxation was assessed. LV performance was determined using pressure-volume loop analysis. Pulmonary interleukin (IL)-2, IL-6, and tumor necrosis factor (TNF)-α expression was measured.

Results

Weaning from CPB and LV performance after transplantation were improved in HTS-treated animals. Successful weaning from CPB was greater in the HTS-treated hearts (8 of 8 vs 2 of 8; P < .05). Mean LV functional recovery was improved in the HTS-treated animals, as assessed by preload recruitable stroke work (65 ± 10% vs 27 ± 10%; P < .001) and end-systolic elastance (55 ± 7% vs 37 ± 4%; P < .001). Treatment with HTS resulted in improved Edep (mean maximum elastance [Emax], 56 ± 5% vs 37 ± 7%; P < .001) and Eind (mean Emax%, 77 ± 6% vs 52 ± 4%; P < .001) vasorelaxation compared with control. Pulmonary expression of IL-2, IL-6, and TNF-α increased following transplantation, whereas HTS therapy attenuated IL production (P < .001). Transplantation increased plasma TNF-α levels and LV TNF-α expression, whereas HTS prevented this up-regulation (P < .001).

Conclusions

Recipient HTS pretreatment preserves allograft vasomotor and LV function, and HTS therapy limits CPB-induced injury. HTS may be a novel recipient intervention to prevent graft dysfunction.  相似文献   
4.
Fibroblasts incorporated within collagen gels induce a cell-mediated contraction of the gel to form a three-dimensional, tissue-like structure by a mechanism thought to mimic wound contraction in vivo . In this study a gel contraction model was used to investigate the ability of fibroblasts derived from adult gingiva, adult skin and fetal skin to organise a collagen matrix. In addition the effects of interleukin-1β (IL-1β) on the contraction process was also investigated. Over the concentration range 5-50 U/ml, IL-1β induced a statistically significant inhibition of gel contraction in all fibroblast cell types ( P <0.05), although fetal fibroblasts appeared least responsive and gingival fibroblasts most responsive to the inhibitory effects of this cytokine. Comparison of gel contraction by the different fibroblast strains indicated that fetal and gingival fibroblasts shared similar contraction kinetics. For the adult skin fibroblasts, three of five strains studied showed significantly diminished levels of gel contraction compared to fetal and gingival cells. This apparent difference in fibroblast phenotype may, at least in part, explain the fetal-like wound healing pattern seen in the oral mucosa.  相似文献   
5.
6.
本实验采用枸椽酸钠等静脉输入复制家兔低血钙。实验动物血钙显著下降,同时出现骨骼肌抽搐和心肌收缩性下降。测定骨骼肌匀浆钙含量在低血钙前、后均比心肌匀浆高。认为这两种肌肉细胞内固有钙含量的差异,是低血钙时骨骼肌收缩亢进和心肌收缩性下降的原因之一,其次为神经肌肉的兴奋性改变。  相似文献   
7.
8.
目的 以培养的人肝星状细胞(HSC)为研究对象,观察内皮素-1(ET-1)对HSC的收缩作用及丹参酚酸B盐(SA-B)对ET-1的抑制作用,并探讨SA B抑制HSC收缩的作用环节和可能作用机制。 方法 采用酶消化、Nycodenz密度梯度离心的方法分离人HSC,以胶原凝胶收缩法观察ET-1对于传代HSC的收缩作用,以及低、中、高3种剂量的SA B对其不同的干预作用;将ET-1、SA-B直接添加于传代HSC的无血清培养液中,以激光共聚焦显微镜技术观测HSC内钙离子浓度的变化。 结果 胶原凝胶收缩实验显示,ET-1可诱导HSC收缩(P<0.01);3种剂量的SA-B可明显抑制ET-1诱导的HSC收缩(均P<0.01);加入ET-1后,HSC形态学改变明显,细胞数量减少,但SA B对这些改变也有抑制。激光共聚焦显微镜下观察,ET-1可刺激细胞内钙离子短暂迅速增加,加入SA-B后,该作用被明显抑制。 结论 SA-B能显著抑制ET-1诱导的HSC收缩,其抑制收缩的机制与降低HSC内的钙离子浓度有关。SA-B的抑制HSC收缩作用可能是其抗肝纤维化及门脉高压的机制之一。  相似文献   
9.
目的总结等长收缩运动治疗单纯颈伸肌劳损的疗效。方法随机将56例单纯颈伸肌劳损分为两组,一组应用等长收缩运动进行治疗,另一组应用手法治疗,对比两组患者疗效。结果治疗1周后,两组患者的总有效率均为100%(P〉0.05)。结论等长收缩运动治疗单纯颈伸肌劳损的疗效与手法治疗相近,但该法具有更安全、经济、且不受条件、时间限制,更有主动巩固疗效和积极预防的作用。  相似文献   
10.
BACKGROUND: Renal fibroblasts are important effector cells in tubulointerstitial fibrosis, with experimental antifibrotic strategies focusing on the functional down-regulation of these cells. Several experimental models of fibrosis have provided evidence for the effectiveness of the polypeptide hormone relaxin as a potential antifibrotic agent. This study was conducted to further elucidate the antifibrotic mechanisms of relaxin on renal fibroblasts in vitro. METHODS: Rat cortical fibroblasts were obtained from outgrowth culture of renal tissue isolated from kidneys 3 days post-unilateral ureteric obstruction and constituted 100% of cells studied. A relaxin radio-receptor assay was used to establish binding of relaxin to renal fibroblasts in vitro. Functional studies then examined the effects of H2 relaxin (0, 1, 10 and 100 ng/ml) on fibroblast kinetics, expression of alpha-smooth muscle actin (alpha-SMA), total collagen synthesis, collagenase production and collagen-I lattice contraction. CTGF mRNA expression was also measured by northern analysis. RESULTS: H2 relaxin bound with high affinity to rat renal fibroblasts, but receptor numbers were low. Consistent with its previously reported bimodal effect, transforming growth factor (TGF-beta 1) reduced fibroblast proliferation, an effect abrogated by H2 relaxin. Fibroblasts exposed to H2 relaxin (100 ng/ml) for 24 h demonstrated decreased immunostaining for alpha-SMA and reduced alpha-SMA protein expression compared with controls. There was a trend for a relaxin-mediated reduction in total collagen synthesis and alpha 1(I) mRNA expression with large dose-related increases in collagenase protein expression being observed. TGF-beta 1-stimulated collagen-I lattice contraction was significantly inhibited following co-incubation with 100 ng/ml relaxin. Incremental doses of H2 relaxin had no significant effect on CTGF mRNA expression. CONCLUSIONS: The findings of this study suggest that the antifibrotic effects of relaxin involve down-regulation of fibroblast activity, increase in collagenase synthesis and restructuring of collagen-I lattices, which are consistent with its known physiological role of matrix remodelling. Although there appears to be an interaction between TGF-beta 1 and H2 relaxin, this does not appear to involve a reduction in CTGF mRNA expression.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号