全文获取类型
收费全文 | 7574篇 |
免费 | 883篇 |
国内免费 | 279篇 |
专业分类
耳鼻咽喉 | 132篇 |
儿科学 | 272篇 |
妇产科学 | 41篇 |
基础医学 | 2246篇 |
口腔科学 | 28篇 |
临床医学 | 699篇 |
内科学 | 886篇 |
皮肤病学 | 209篇 |
神经病学 | 96篇 |
特种医学 | 57篇 |
外国民族医学 | 3篇 |
外科学 | 405篇 |
综合类 | 632篇 |
现状与发展 | 8篇 |
预防医学 | 182篇 |
眼科学 | 27篇 |
药学 | 654篇 |
1篇 | |
中国医学 | 23篇 |
肿瘤学 | 2135篇 |
出版年
2024年 | 17篇 |
2023年 | 268篇 |
2022年 | 248篇 |
2021年 | 607篇 |
2020年 | 510篇 |
2019年 | 439篇 |
2018年 | 424篇 |
2017年 | 384篇 |
2016年 | 361篇 |
2015年 | 299篇 |
2014年 | 367篇 |
2013年 | 882篇 |
2012年 | 322篇 |
2011年 | 383篇 |
2010年 | 271篇 |
2009年 | 263篇 |
2008年 | 268篇 |
2007年 | 245篇 |
2006年 | 271篇 |
2005年 | 208篇 |
2004年 | 215篇 |
2003年 | 169篇 |
2002年 | 160篇 |
2001年 | 164篇 |
2000年 | 119篇 |
1999年 | 107篇 |
1998年 | 89篇 |
1997年 | 88篇 |
1996年 | 85篇 |
1995年 | 70篇 |
1994年 | 59篇 |
1993年 | 44篇 |
1992年 | 36篇 |
1991年 | 37篇 |
1990年 | 34篇 |
1989年 | 24篇 |
1988年 | 24篇 |
1987年 | 13篇 |
1986年 | 20篇 |
1985年 | 23篇 |
1984年 | 28篇 |
1983年 | 14篇 |
1982年 | 14篇 |
1981年 | 12篇 |
1980年 | 12篇 |
1979年 | 10篇 |
1978年 | 7篇 |
1977年 | 12篇 |
1976年 | 8篇 |
1972年 | 1篇 |
排序方式: 共有8736条查询结果,搜索用时 31 毫秒
1.
2.
目的 评估不同严重程度变应性鼻炎(allergic rhinitis,AR)患儿进行规范化舌下特异性免疫治疗(sublingual immunotherapy, SLIT)的疗效。方法 选取2017年5—12月首都儿科研究所附属儿童医院耳鼻喉科就诊的3~14岁对粉尘螨过敏的AR患儿181例, 按治疗方式不同分为对照组(n=92, 给予常规药物治疗)和SLIT组(n=89, 给予尘螨特异性免疫治疗); 采用AR评分标准, 根据患儿鼻部症状总评分(total nasal symptoms score, TNSS), 将对照组分为轻度组(n=35)、中度组(n=28)和重度组(n=29);将SLIT分为轻度组(n=27)、中度组(n=33)和重度组(n=29)。收集第6个月、 1年、 2年的随访数据, 分别对患儿进行TNSS、 鼻炎用药评分(total rhinitis medication scores, TRMS)和视觉模拟量表(visual analogue scale,VAS)评分。结果 (1)治疗2年后, SLIT组与对照组患儿TNSS评分分别为0.61±0.73、 1.61±1.17, TRMS分别为0.21±0.41、 0.59±0.70, VAS分别为0.63±0.70、 1.53±1.24, 两组间差异有统计学意义, Z值分别为6.269、 4.139、5.174, P值均<0.05; (2)轻度组(n=62)组内分析: SLIT组(n=27)与对照组(n=35)比较, 治疗6个月、 1年, 两组的TNSS、 TRMS、 VAS差异均无统计学意义(Z值分别为-0.108、 0.232、 0.788, 0.774、 0.033、 -0.718; P值均>0.05); 治疗2年时两组的TRMS、 VAS差异无统计学意义(Z值分别为0.230、 1.255, P>0.05), TNSS在两组间差异有统计学意义(Z值为2.528, P值均<0.05); (3)中度组(n=61)组内分析: 与对照组(n=28)比较, SLIT组(n=33)治疗6个月, TRMS、 VAS在两组间差异均无统计学意义(Z值分别为-0.413、 0.412, P值均>0.05), 但两组的TNSS差异有统计学意义(Z值为2.397, P<0.05); 治疗1年、2年的TNSS、 TRMS、 VAS两组间比较, 差异均有统计学意义(Z值分别为4.952、 2.740、 3.293; 4.743、 2.505、 3.330; P值均<0.05); (4)重度组(n=58)组内分析: 与对照组(n=29)比较, SLIT组(n=29)治疗6个月、 1年、 2年的TNSS、 TRMS、 VAS在两组间差异均有统计学意义(Z值分别为2.567、 2.086、 2.781, 4.996、 4.264、 2.756, 4.253、 4.480、 4.515, P值均<0.05)。结论 采用标准化粉尘螨滴剂舌下治疗尘螨致敏AR患儿, 治疗2年可获得较单纯药物治疗更佳的疗效, 尤其在病情严重患儿,其获益更大。 相似文献
3.
4.
5.
6.
《药学学报(英文版)》2020,10(3):414-433
The T cell co-stimulatory molecule OX40 and its cognate ligand OX40L have attracted broad research interest as a therapeutic target in T cell-mediated diseases. Accumulating preclinical evidence highlights the therapeutic efficacy of both agonist and blockade of the OX40–OX40L interaction. Despite this progress, many questions about the immuno-modulator roles of OX40 on T cell function remain unanswered. In this review we summarize the impact of the OX40–OX40L interaction on T cell subsets, including Th1, Th2, Th9, Th17, Th22, Treg, Tfh, and CD8+ T cells, to gain a comprehensive understanding of anti-OX40 mAb-based therapies. The potential therapeutic application of the OX40–OX40L interaction in autoimmunity diseases and cancer immunotherapy are further discussed; OX40–OX40L blockade may ameliorate autoantigen-specific T cell responses and reduce immune activity in autoimmunity diseases. We also explore the rationale of targeting OX40–OX40L interactions in cancer immunotherapy. Ligation of OX40 with targeted agonist anti-OX40 mAbs conveys activating signals to T cells. When combined with other therapeutic treatments, such as anti-PD-1 or anti-CTLA-4 blockade, cytokines, chemotherapy, or radiotherapy, the anti-tumor activity of agonist anti-OX40 treatment will be further enhanced. These data collectively suggest great potential for OX40-mediated therapies. 相似文献
7.
Sebastian P. Mondaca MD Dazhi Liu PharmD BCOP Jessica R. Flynn Sandy Badson Stefan Hamaway BS Mrinal M. Gounder MD Danny N. Khalil MD PhD Alexander E. Drilon MD Bob T. Li MD MPH Komal L. Jhaveri MD Alison M. Schram MD Katherine E. Kargus RN Mary Kate Kasler DNP MSN Natalie M. Blauvelt Neil H. Segal MD PhD Marinela Capanu PhD Margaret K. Callahan MD PhD David M. Hyman MD Maya Gambarin-Gelwan MD James J. Harding MD 《Cancer》2020,126(22):4967-4974
8.
Jie Qian Wei Nie Jun Lu Lele Zhang Yanwei Zhang Bo Zhang Shuyuan Wang Minjuan Hu Jianlin Xu Yuqing Lou Yu Dong Yanjie Niu Bo Yan Runbo Zhong Wei Zhang Tianqing Chu Hua Zhong Baohui Han 《International journal of cancer. Journal international du cancer》2020,146(11):3124-3133
This study aimed to compare the differences in characteristics and prognoses between Asian and white patients receiving immunotherapy for nonsmall cell lung cancer (NSCLC). We studied 390 patients who received atezolizumab as part of the POPLAR or OAK trial, and analyzed the differences in baseline characteristics, outcomes and genetic mutations in blood samples between Asian and white patients. Overall survival (OS) was longer in Asian compared to white patients (median OS: 18.7 vs. 11.1 months; p = 0.005). Race was identified as an independent prognostic factor for OS (Asian vs. white: hazard ratio 0.647, 95% confidence interval 0.447–0.936, p = 0.021), together with performance status, histology, baseline sum of the longest tumor diameters (BLSLD) and number of metastatic sites. The two groups also differed in terms of characteristics including smoking history, BLSLD, epidermal growth factor receptor (EGFR) mutation frequency, programmed death-ligand 1 expression and blood-based tumor-mutation burden. Blood mutations of STK11, EGFR, KEAP1, POLE, GRM3, ATM and STAG2 were associated with treatment response, and TP53, KEAP1, APC, RB1, CREBBP, EPHA5 and STAG2 mutations were associated with OS. The blood-based mutation profiles differentiated between Asian and white patients, especially in relation to EGFR (23.8 vs. 8.5%), TP53 (30.2 vs. 46.9%) and STK11 (1.6 vs. 12.3%) mutations (all p < 0.05). The different clinicopathological features and mutation profiles in Asian and white patients may explain the superior outcome following atezolizumab treatment in Asian patients with NSCLC. The results of this study have important implications for further studies on racial disparities in relation to immunotherapy. 相似文献
9.
10.
《Allergologia et immunopathologia》2019,47(4):357-364
IntroductionAmaranthus retroflexus (Redroot Pigweed) is one of the main sources of allergenic pollens in temperate areas. Polcalcin is a well-known panallergen involved in cross-reactivity between different plants. The aim of this study was the molecular cloning and expression of polcalcin, as well as evaluating its IgE-reactivity with A. retroflexus sensitive patients’ sera.MethodsAllergenic extract was prepared from A. retroflexus pollen and the IgE-reactivity profile was determined by ELISA and immunoblotting using sera from twenty A. retroflexus sensitive patients. Polcalcin-coding sequence was amplified by conventional PCR method and the product was inserted into pET-21b(+) vector. The recombinant protein was expressed in E. coli BL21 and purified by metal affinity chromatography. The IgE-binding capability of the recombinant protein was analyzed by ELISA and immunoblotting assays, and compared with crude extract.ResultsOf 20 skin prick test positive patients, 17 patients were positive in IgE-specific ELISA. Western blotting confirmed that approximately 53% of ELISA positive patients reacted with 10 kDa protein in crude extract. The A. retroflexus polcalcin gene, encoding to 80 amino acid residues was cloned and expressed as a soluble protein and designated as Ama r 3. The recombinant polcalcin showed rather identical IgE-reactivity in ELISA and western blotting with 10 kDa protein in crude extract. These results were confirmed by inhibition methods, too.ConclusionThe recombinant form of A. retroflexus polcalcin (Ama r 3) could be easily produced in E. coli in a soluble form and shows rather similar IgE-reactivity with its natural counterpart. 相似文献