全文获取类型
收费全文 | 411832篇 |
免费 | 21363篇 |
国内免费 | 14394篇 |
专业分类
耳鼻咽喉 | 3300篇 |
儿科学 | 9534篇 |
妇产科学 | 7812篇 |
基础医学 | 44098篇 |
口腔科学 | 5727篇 |
临床医学 | 42873篇 |
内科学 | 69612篇 |
皮肤病学 | 3466篇 |
神经病学 | 29503篇 |
特种医学 | 17336篇 |
外国民族医学 | 96篇 |
外科学 | 54698篇 |
综合类 | 36082篇 |
现状与发展 | 48篇 |
一般理论 | 45篇 |
预防医学 | 32812篇 |
眼科学 | 9362篇 |
药学 | 33299篇 |
164篇 | |
中国医学 | 11470篇 |
肿瘤学 | 36252篇 |
出版年
2024年 | 711篇 |
2023年 | 3496篇 |
2022年 | 8694篇 |
2021年 | 11439篇 |
2020年 | 8392篇 |
2019年 | 7605篇 |
2018年 | 29140篇 |
2017年 | 23760篇 |
2016年 | 25571篇 |
2015年 | 10949篇 |
2014年 | 13453篇 |
2013年 | 12600篇 |
2012年 | 24200篇 |
2011年 | 39542篇 |
2010年 | 29952篇 |
2009年 | 20546篇 |
2008年 | 31757篇 |
2007年 | 33995篇 |
2006年 | 12826篇 |
2005年 | 14509篇 |
2004年 | 11812篇 |
2003年 | 11832篇 |
2002年 | 9001篇 |
2001年 | 6255篇 |
2000年 | 6509篇 |
1999年 | 6575篇 |
1998年 | 3848篇 |
1997年 | 3872篇 |
1996年 | 2876篇 |
1995年 | 2681篇 |
1994年 | 2325篇 |
1993年 | 1553篇 |
1992年 | 2323篇 |
1991年 | 2075篇 |
1990年 | 1787篇 |
1989年 | 1528篇 |
1988年 | 1317篇 |
1987年 | 1213篇 |
1986年 | 963篇 |
1985年 | 777篇 |
1984年 | 509篇 |
1983年 | 401篇 |
1982年 | 249篇 |
1981年 | 201篇 |
1980年 | 230篇 |
1979年 | 245篇 |
1978年 | 149篇 |
1977年 | 115篇 |
1976年 | 105篇 |
1974年 | 135篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
991.
Lin YS Kuo HL Kuo CF Wang ST Yang BC Chen HI 《Medicine and science in sports and exercise》1999,31(11):1594-1598
PURPOSE: The purpose of this study was to investigate the effect of antioxidant on exercise-induced apoptosis in rat thymocytes. METHODS: After exercise at 13.8 m x min(-1) for 60-90 min x d(-1) on a motor-driven drum exerciser for 2 consecutive days, rat thymocyte apoptosis was monitored by the feature of DNA fragmentation. To study the effect of antioxidant, rats were administered with butylated hydroxyanisole (BHA) for 7 d before exercise. RESULTS: Exercise could induce thymocyte DNA fragmentation as detected on electrophoretic gel and by cell death detection ELISA kit. Further studies indicated that pretreatment with antioxidant BHA to rats resulted in a blockage of exercise-induced DNA fragmentation. The concentrations of glutathione (GSH) were not significantly changed in rat thymocytes after exercise with or without BHA treatment. CONCLUSION: These results suggest that reactive oxygen species may play a role in thymocyte apoptosis induced by exercise. However, changes in GSH levels were not observed in this exercise model. 相似文献
992.
993.
Ove Almkvist Bengt Winblad 《European archives of psychiatry and clinical neuroscience》1999,249(3):S3-S9
Alzheimer’s disease (AD) is common in elderly individuals; it causes distress for the patients and their relatives as well as large costs for the society. With the advent of symptomatic treatment at present and probable etiology-based cures in the future, it will be possible to relieve and put an end to these negative effects. Therefore, it is necessary to diagnose the disease as early as possible. In this review, we briefly summarize the state-of-the-art concerning various available clinical and biochemical methods for identifying AD. Increasing age, heritage, and presence of ApoE e4 allele have been confirmed as risk factors for AD as well as some putative factors (e.g., low education, hypertension, hypotension) based on epidemiological recent research. Selective impairment of episodic memory has been found to be a preclinical marker for future development of AD based on convergent data from asymptomatic AD-related mutation carriers, longitudinal studies of patients with mild cognitive impairment (MCI), and epidemiological studies of incident AD cases. Neurophysiological methods are inexpensive and useful for the identification of changes in brain dysfunction in AD and new promising methods are under development. Using magnetic resonance imaging (MRT), structural measurements of brain atrophy and specific brain structures such as the hippocampus have been reported to detect dementia development early in the course of disease. Similarly, functional measurements of brain activity (e.g., blood flow) have revealed that hypometabolism in bilateral parietotemporal brain areas early in the disease course. Finally, biochemical studies have demonstrated that certain proteins (e.g., tau the Aβ1-42/43 metabolite of the amyloid precursor protein) may be associated with the disease process in AD, although the specificity of these markers remains to be established. It is concluded that still no single marker of AD exists, which makes it necessary to rely on data from multiple sources in order to arrive at the best possible diagnosis of AD. 相似文献
994.
Platelet-activating factor inhibits ionotropic GABA receptor activity in cultured hippocampal neurons 总被引:4,自引:0,他引:4
Platelet-activating factor (PAF), one of the most potent bioactive lipids, has been implicated in modulating long-term potentiation (LTP) and neurotoxicity. In the CNS, glutamate and GABA are the major excitatory and inhibitory neurotransmitters, respectively. Previous work has focused on the effects of PAF on glutamatergic receptor responses. The purpose of the present study was to investigate the possible actions of PAF on ionotropic GABA receptor responses in primary cultured hippocampal neurons using the whole-cell and single channel patch clamp techniques. Extracellular application of PAF induced a reduction of the GABA gated Cl- current in a majority of cells (29 of 44 cells), while it caused an enhancement in 10 of 44 cells. A similar heterogeneous modulation of PAF on the GABA receptor activities was also observed in outside-out patch recordings. Moreover, the cell-attached single channel recordings showed that PAF decreased the GABA channel activity. Therefore, PAF may modulate synaptic activity by inhibiting GABA receptor channels. During seizures and neural injury, when enhanced synthesis of this lipid mediator takes place, the actions of PAF on inhibitory GABA receptors may contribute to synaptic dysfunction. 相似文献
995.
α1-抗糜蛋白酶基因、早老素1基因
与阿尔茨海默病的相关分析 总被引:1,自引:0,他引:1
目的探讨中国汉族人中α1抗糜蛋白酶(AACT)基因、早老素1(PS1)基因多态性与阿尔茨海默病(Alzheimersdisease,AD)的相关情况。方法应用PCRRFLP方法,在123例患者和140例正常人中观察AACT信号肽和PS1基因多态性的分布,进行关联分析。结果1AD患者与PS1基因等位基因1正关联,与等位基因2和基因型2/2负关联,但与1/1基因型无关;2AACT信号肽基因多态性与AD无关联;3在三种PS1基因型中,AACT信号肽基因多态性与AD均无关;4在AACT基因AA、TT基因型中,PS1基因多态性与AD负关联,而TA型中PS1基因与AD无显著相关。结论中国人群中,AD与PS1基因2/2型负关联,而与AACT信号肽基因多态性无关;AACT信号肽和PS1基因多态性之间也无明显的相互影响。 相似文献
996.
显性遗传性运动感觉性神经病Ⅱ型一个家系分析 总被引:1,自引:0,他引:1
目的本文报道一个在老年期发病的遗传性运动感觉性周围神经病Ⅱ型家族。方法对家族成员进行临床和电生理检查,其中1例病人进行腓肠神经活检。结果家族成员在老年期出现四肢无力和感觉减退。老年病人和无症状年轻病人的电生理检查均发现周围神经的诱发电位波幅显著下降。腓肠神经活检证实轴索性周围神经病。结论检查结果符合显性遗传性运动感觉性周围神经病Ⅱ型的诊断,电生理检查可以发现家族中的亚临床病人。 相似文献
997.
Chiu HJ Tsai SJ Chen JY Lin CY Bai YM Song HL Lai HC Hong CJ 《Psychiatry research》1999,87(2-3):245-248
We investigated the association between schizophrenic psychosis and an intronic polymorphism of the presenilin-1 (PS1) gene in a Chinese population. Schizophrenic and control groups had similar PS1 genotype distributions and allele frequencies, indicating that this polymorphism may not be involved in the development of schizophrenia. 相似文献
998.
Xu H Lu YF Partilla JS Zheng QX Wang JB Brine GA Carroll FI Rice KC Chen KX Chi ZQ Rothman RB 《Synapse (New York, N.Y.)》1999,32(1):23-28
Previous data obtained with the cloned rat mu opioid receptor demonstrated that the "super-potent" opiates, ohmefentanyl (RTI-4614-4) and its four enantiomers, differ in binding affinity, potency, efficacy, and intrinsic efficacy. Molecular modeling (Tang et al., 1996) of fentanyl derivatives binding to the mu receptor suggests that Asp147, Tyr148, Trp318, and His319 are important residues for binding. According to this model, Asp147 interacts with the positively charged opiate agonist to form potent electrostatic and hydrogen-bonding interactions. In this study, the role of weak electrostatic and hydrogen-bonding "pi-pi" interactions of the O atom of the carbonyl group and the phenyl ring structures of RTI-4614-4 and its four enantiomers with residues Tyr148, Trp318, and His319 were explored via site-directed mutagenesis. Tyr148 (in transmembrane helix 3 {TMH3}), Trp318 (TMH7), and His319 (TMH7) were individually replaced with phenylalanine or alanine. Receptors transiently expressed in COS-7 cells were labeled with [125I]IOXY according to published procedures. Mutation of Tyr148 to phenylalanine reduced the binding affinities of some mu-selective agonists (2-7 fold) but did not alter the affinities of DAMGO, naloxone, and the non-selective opiates etorphine and buprenorphine. In contrast, this mutation significantly increased the binding affinities (decreased the Kd values) of [D-Ala2,D-Leu5]enkephalin, IOXY, and dermorphin. Mutation of Trp318 decreased opioid receptor binding to almost undetectable levels. Substitution of alanine for His319 significantly reduced binding affinities for the opioid ligands tested (1.3- to 48-fold), but did not alter the affinities of naloxone and bremazocine. These results indicate the importance of Tyrl48 and His319 for the binding of fentanyl derivatives to the mu receptor. Functional studies using the mutant receptors will provide additional insight into the mechanism of action of RTI-4614-4 and its four enantiomers. 相似文献
999.
Effect of muscle activity immediately after botulinum toxin injection for writer's cramp. 总被引:1,自引:0,他引:1
R Chen B I Karp S R Goldstein W Bara-Jimenez Z Yaseen M Hallett 《Movement disorders》1999,14(2):307-312
Animal and human studies have shown that nerve stimulation enhances some effects of botulinum toxin (btx A) injection. Voluntary muscle activity might work similarly and would focus the effect of an injection into the active muscles. We studied the effects of exercise immediately after btx A injection in eight patients with writer's cramp with established response to btx A over two injection cycles with a single-blinded, randomized, crossover design. Immediately after the first study injection, they were randomly assigned to write continuously for 30 min or have their hand and forearm immobilized for 30 min. Following the second injection, they were assigned the alternate condition. Patients were assessed just before each injection, and at 2 weeks, 6 weeks, and 3 months post-injection. Assessment included objective strength testing, self-reported rating of benefit and weakness, and blinded evaluation of videotapes and writing samples of the patients writing a standard passage. Strength testing showed that the maximum weakness occurred at 2 weeks post-injection, but the benefit was maximum at 6 weeks post-injection. The "write" condition resulted in greater reduction in strength than the "rest" condition. Btx A treatment led to improvement in self-reported ratings, writer's cramp rating scale scores by blinded raters, and reduction in writing time, but the differences between the "write" and "rest" conditions were not significant. We conclude that voluntary muscle activity immediately after btx A injection leads to greater reduction in muscle strength. Our findings raise the possibility that voluntary muscle activation may allow reduction of btx A doses and favorably alter the balance of benefit and side effects of btx A injections. 相似文献
1000.