全文获取类型
收费全文 | 87179篇 |
免费 | 7856篇 |
国内免费 | 5366篇 |
专业分类
耳鼻咽喉 | 987篇 |
儿科学 | 1120篇 |
妇产科学 | 1171篇 |
基础医学 | 8601篇 |
口腔科学 | 1954篇 |
临床医学 | 10424篇 |
内科学 | 11928篇 |
皮肤病学 | 1466篇 |
神经病学 | 3855篇 |
特种医学 | 3691篇 |
外国民族医学 | 35篇 |
外科学 | 10028篇 |
综合类 | 16016篇 |
现状与发展 | 17篇 |
一般理论 | 15篇 |
预防医学 | 6723篇 |
眼科学 | 1713篇 |
药学 | 8969篇 |
75篇 | |
中国医学 | 5224篇 |
肿瘤学 | 6389篇 |
出版年
2024年 | 284篇 |
2023年 | 1141篇 |
2022年 | 2725篇 |
2021年 | 3779篇 |
2020年 | 3014篇 |
2019年 | 2502篇 |
2018年 | 2770篇 |
2017年 | 2621篇 |
2016年 | 2316篇 |
2015年 | 3828篇 |
2014年 | 4949篇 |
2013年 | 5182篇 |
2012年 | 7383篇 |
2011年 | 7836篇 |
2010年 | 5903篇 |
2009年 | 4988篇 |
2008年 | 5655篇 |
2007年 | 5226篇 |
2006年 | 5181篇 |
2005年 | 4571篇 |
2004年 | 3238篇 |
2003年 | 2850篇 |
2002年 | 2351篇 |
2001年 | 1762篇 |
2000年 | 1555篇 |
1999年 | 1287篇 |
1998年 | 763篇 |
1997年 | 701篇 |
1996年 | 514篇 |
1995年 | 463篇 |
1994年 | 431篇 |
1993年 | 281篇 |
1992年 | 393篇 |
1991年 | 345篇 |
1990年 | 257篇 |
1989年 | 203篇 |
1988年 | 222篇 |
1987年 | 179篇 |
1986年 | 144篇 |
1985年 | 122篇 |
1984年 | 90篇 |
1983年 | 46篇 |
1982年 | 27篇 |
1981年 | 37篇 |
1980年 | 23篇 |
1979年 | 35篇 |
1978年 | 25篇 |
1977年 | 20篇 |
1975年 | 18篇 |
1973年 | 28篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
41.
J. Rodríguez-Carrio A. Martínez-Zapico I. Cabezas-Rodríguez L. Benavente Á.I. Pérez-Álvarez P. López J.B. Cannata-Andía M. Naves-Díaz A. Suárez 《Nutrition, metabolism, and cardiovascular diseases : NMCD》2019,29(2):135-143
Background and aims
Since accelerated atherosclerosis has been reported in systemic lupus erythematosus (SLE), predictive biomarkers of cardiovascular disease (CVD) are needed. Among non-traditional risk factors, bone mineral density (BMD) has been related to CVD. However, its role in SLE remains controversial. This study aims to analyze the associations of subclinical atherosclerosis with traditional and non-traditional CV risk factors.Methods and results
In a cross-sectional study, atherosclerosis burden was compared between 112 female SLE patients and 31 controls. Plaque number and carotid intima-media wall thickness (cIMT) were assessed by ultrasonography. In a retrospective study, BMD determinations obtained 5-years before the ultrasonography assessment were analyzed in a subgroup of 62 patients. Plaque frequency was increased in SLE, even in patients without CV events or carotid wall thickening. cIMT was increased in patients with CVD, positively correlated with body mass index (BMI). Interestingly, a paradoxical effect of BMI on carotid parameters was observed. Whereas underweight patients (BMI < 20) showed increased prevalence of carotid plaques with low cIMT, those with BMI > 30 showed higher cIMT and plaque burden. Overweight patients (25 < BMI<30) exhibited both elevated cIMT and plaque number. BMI was an independent predictor of BMD. In our retrospective study, patients with either clinical or subclinical CVD exhibited lower BMD levels than their CV-free counterparts. A low lumbar spine BMD independently predicted CVD development after adjusting for confounders.Conclusion
SLE was associated with a higher subclinical atherosclerosis burden, a bimodal effect being observed for BMI. Decreased BMD can be a CV risk biomarker in SLE. 相似文献42.
Yi Su Suey S.Y. Yeung Yu-Ming Chen Jason C.S. Leung Timothy C.Y. Kwok 《Journal of bone and mineral research》2022,37(6):1179-1187
Inflammation, an important contributory factor of muscle and bone aging, is potentially modulated by diet. This study examined the associations of dietary inflammatory index (DII) score with musculoskeletal parameters and related disease outcomes in 3995 community-dwelling Chinese men and women aged ≥65 years in Hong Kong. DII score at baseline was estimated from a food frequency questionnaire. Bone mineral density (BMD) and muscle mass estimated by dual-energy X-ray absorptiometry (DXA), hand grip strength, gait speed, and chair stand test were measured at baseline, year 4, and year 14. The associations of DII score with the longitudinal changes of musculoskeletal parameters, and incidence of osteoporosis, sarcopenia, and fractures were examined by using general linear model, multinomial logistic regression model, and Cox proportional hazards regression model, respectively. After multiple adjustments, each tertile increase in DII score in men was associated with 0.37 (95% confidence interval [CI], 0.10–0.64) kg loss in grip strength and 0.02 (95% CI, 0.01–0.03) m/s loss in gait speed over 4 years. In men, the highest tertile of DII was associated with a higher risk of incident fractures, with adjusted and competing death adjusted hazard ratio (HR) (95% CI) of 1.56 (1.14–2.14) and 1.40 (1.02–1.91), respectively. In women, DII score was not significantly associated with any muscle-related outcomes or incidence of fracture, but a significant association between higher DII score and risk of osteoporosis at year 14 was observed, with the highest tertile of DII score having adjusted odds ratio (OR) (95% CI) of 1.90 (1.03–3.52). In conclusion, pro-inflammatory diet consumption promoted loss of muscle strength and physical function, and increased risk of fractures in older Chinese men. Pro-inflammatory diets had no significant association with muscle related outcomes but increased the long-term risk of osteoporosis in older Chinese women. © 2022 American Society for Bone and Mineral Research (ASBMR). 相似文献
43.
Learning to Discretize: Solving 1D Scalar Conservation Laws via Deep Reinforcement Learning 下载免费PDF全文
Yufei Wang Ziju Shen Zichao Long & Bin Dong 《Communications In Computational Physics》2020,28(5):2158-2179
Conservation laws are considered to be fundamental laws of nature. It has
broad applications in many fields, including physics, chemistry, biology, geology, and
engineering. Solving the differential equations associated with conservation laws is a
major branch in computational mathematics. The recent success of machine learning,
especially deep learning in areas such as computer vision and natural language processing, has attracted a lot of attention from the community of computational mathematics and inspired many intriguing works in combining machine learning with traditional methods. In this paper, we are the first to view numerical PDE solvers as an
MDP and to use (deep) RL to learn new solvers. As proof of concept, we focus on
1-dimensional scalar conservation laws. We deploy the machinery of deep reinforcement learning to train a policy network that can decide on how the numerical solutions should be approximated in a sequential and spatial-temporal adaptive manner.
We will show that the problem of solving conservation laws can be naturally viewed
as a sequential decision-making process, and the numerical schemes learned in such a
way can easily enforce long-term accuracy. Furthermore, the learned policy network
is carefully designed to determine a good local discrete approximation based on the
current state of the solution, which essentially makes the proposed method a meta-learning approach. In other words, the proposed method is capable of learning how to
discretize for a given situation mimicking human experts. Finally, we will provide details on how the policy network is trained, how well it performs compared with some
state-of-the-art numerical solvers such as WENO schemes, and supervised learning
based approach L3D and PINN, and how well it generalizes. 相似文献
44.
目的探讨补骨脂素抗增生性瘢痕的作用机制。方法体外培养成纤维细胞,按随机数字表法分为正常组(培养正常成纤维细胞)、瘢痕组(培养增生性瘢痕成纤维细胞)、TGF-β1组(10 ng/ml TGF-β1处理增生性瘢痕成纤维细胞5 min^12 h)、Smurf2 RNA干扰组[Smad泛素化调节因子2(Smad ubiquitin regulatory factor2,Smurf2)siRNA转染增生性瘢痕成纤维细胞72 h]、补骨脂素组(10μmol/L补骨脂素处理增生性瘢痕成纤维细胞继续培养72 h)、补骨脂素+TGF-β1组(增生性瘢痕成纤维细胞加入补骨脂素培养72 h后加入TGF-β1培养6 h)。采用Western blot法检测Smurf2、α-平滑肌肌动蛋白(α-actin SMA,α-SMA)蛋白表达;RT-PCR法检测Ⅰ型胶原蛋白mRNA表达;ELISA法检测TGF-β1蛋白分泌。结果与正常组比较,瘢痕组Smurf2蛋白[(0.83±0.08)比(0.38±0.07)]表达增加(P<0.05);与瘢痕组比较,Smurf2 RNA干扰组TGF-β1[(2.2±0.18)比(4.2±0.47)]表达降低(P<0.05);TGF-β1组Smurf2[(0.71±0.06)比(0.42±0.04)]、α-SMA[(1.42±0.12)比(0.91±0.09)]蛋白表达增加(P<0.05),Ⅰ型胶原蛋白mRNA[(0.72±0.09)比(0.41±0.07)]表达增加(P<0.05);补骨脂素组Smurf2[(0.05±0.01)比(0.42±0.04)]、α-SMA[(0.71±0.07)比(0.91±0.09)]蛋白表达降低(P<0.05),Ⅰ型胶原蛋白mRNA表达[(0.12±0.04)比(0.41±0.07)]降低(P<0.05)。结论补骨脂素可能通过TGF-β1/Smurf2信号通路抑制α-SMA蛋白表达,从而降低Ⅰ型胶原蛋白表达,起到抑制瘢痕形成的作用。 相似文献
45.
目的观察改良俯卧位对俯卧位通气(PPV)临床疗效及并发症的影响。方法将该院呼吸和危重症医学科行PPV的52例患者随机分为对照组和实验组各26例,对照组应用常规方法进行PPV,实验组采用改良俯卧位进行PPV。比较两组患者PPV的临床效果和并发症发生情况。结果两组间俯卧位前和俯卧位后12 h的氧合指数无明显差异(P>0.05);两组患者俯卧位后12 h的氧合指数均较各组俯卧位前明显改善(P<0.05);两组患者气管插管脱出、血流动力学显著波动、误吸和面部水肿的发生率无显著差异(P>0.05);实验组皮肤压疮的发生率明显低于对照组(P<0.05)。结论改良俯卧位对PPV的临床疗效无显著影响,但可以降低皮肤压疮的发生率。 相似文献
46.
47.
抑郁症患者血浆孤啡肽含量研究 总被引:4,自引:0,他引:4
目的为探讨抑郁症的可能病因,对抑郁症患者血浆孤啡肽(OFQ)含量进行了对照研究。方法抽取29例抑郁症患者和24例正常人的静脉血,用放射免疫(RIA)的方法分别测其血浆中OFQ含量,比较抑郁症患者和正常人血浆OFQ含量有无差异,抑郁症患者OFQ含量与汉密顿抑郁量表(HAMD)评分的相关性,及抑郁症患者血浆OFQ含量的影响因素。结果与正常人比较,抑郁症组OFQ含量明显升高(t=8.70,P<0.0001);OFQ含量与HAMD评分呈正相关(r=0.63,P<0.01);OFQ含量主要与抑郁情绪、夸大、失眠、自卑感、自杀、强迫症状、教育水平、关注身体健康等因素相关,而年龄、性别、职业、病程、曾用药等其他因素与OFQ含量无明显相关。结论通过测量血浆OFQ含量可作为抑郁症诊断的参考指标。 相似文献
48.
动脉栓塞对骨盆肿瘤手术疗效的影响 总被引:15,自引:2,他引:13
[目的]探讨供血动脉栓塞对骨盆肿瘤手术疗效的影响。[方法]本组16例,脊索瘤7例,骨巨细胞瘤3例,骨转移瘤3例,骨肉瘤2例,神经纤维瘤1例。术前1d行肿瘤血管造影并用明胶海绵进行供血动脉栓塞。与对照组(结扎双侧髂内动脉骨盆肿瘤切除术)比较,观察其对术中出血量、手术时间、住院时间、术后下床时间、伤口愈合时间及术后各种功能恢复的影响。[结果]骨盆肿瘤切除术前肿瘤供血动脉栓塞与结扎双侧髂内动脉比较,除术中出血量外(P〉0.05),手术、住院、术后下床及伤口愈合时间在统计学上均有非常显著性差异(P〈0.001),而且结扎双侧髂内动脉可能对患者的性功能、排便功能等存在着不良的影响。[结论]肿瘤供血动脉栓塞骨盆肿瘤切除术可大大缩短手术、住院、术后下床、伤口愈合时间,且能更好地保护盆腔内外各组织器官的血运,从而避免其功能的损害。 相似文献
49.
50.