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991.
YU Yi YAN Kai?ping WANG Yan SUN Shu?qing CHEN Jin LIN Kai?ping YI Jian?wei. 《中华肾脏病杂志》2012,28(11):868-872
Objective To study the relationship between the medial artery calcification and expression of core?binding factor alpha 1 (Cbfα?1) and collagen Ⅱ (ColⅡ) in chronic kidney disease(CKD) stage 5 patients. Methods Pieces of radial arteries were taken from 40 patients with CKD stage 5 during internal arteriovenous fistula operation. Ten patients with subtotal gastrectomy and normal renal function were chosen as control. The vessels were examined for calcification by von Kossa stain and for the presence of Cbfα?1 and ColⅡ by immunohistochemistry. According to von Kossa stain, CKD stage 5 patients were divided into no calcification group, mild?moderate calcification group and severe calcification group. Other related factors including serum calcium,phosphate, intact parathyroid hormone (iPTH), C?reactive protein (CRP), triglyceride(TG), cholesterol(TC) and low?density lipoproteins(LDL) were also detected. Results Seventeen (42.5%) of CKD Stage 5 patients showed vascular calcification, while calcification was not found in controls. Most calcification occurred in medial layer.Positive immunohistochemical staining of core?binding factor and ColⅡ was found in the smooth muscular cell plasma of medial layer in the vessels with calcification. However, above positive staining was also observed in 78.3% of no calcification group. But there was little staining in control group. Positive staining score of Cbfα?1 and ColⅡ in severe calcification group was significantly higher than that in no calcification group. Same findings were obtained in mild?moderate calcification group, but the difference between them was not statistically significant. CRP and Ca×P were positively correlated with staining score of Cbfα?1 and ColⅡ. Serum phosphate was positively correlated with Cbfα?1 (r=0.786, P<0.01) and ColⅡ (r=0.785, P<0.01) respectively. Conclusions 42.5% of CKD stage 5 patients in our group shows vascular calcification, which occurrs mainly in medial layer. High expression of Cbfα?1 and ColⅡ can be observed in vascular calcification of radial arteries, which is earlier than vascular histological changes. Cbfα?1 and ColⅡ may be involved in the development of vascular calcification. 相似文献
992.
目的评价TR-Band压迫时间对桡动脉穿刺术后并发症的预防效果。方法采用系统评价的方法,制定文献检索策略、文献纳入和排除标准,分别对文献质量进行严格评价和资料提取,对纳入的随机对照试验进行Meta分析。结果共纳入10项研究。Meta分析结果显示术后2h首次减压与2h内减压相比并不能更好地预防出血RR=0.83,95%CI(0.38,1.81),2h以后首次减压预防出血效果更好RR=2.01,95%CI(1.27,3.19),压迫持续时间6h以上也不能更好地预防出血RR=2.37,95%CI(0.93,6.06),而术后2h内首次减压对肿胀、疼痛、紫绀、桡动脉闭塞等并发症预防效果较好。结论 TR-Band压迫2h后首次减压、持续6h后完全解除压迫预防出血的效果较好,但是对于肿胀、疼痛、紫绀、桡动脉闭塞等并发症,首次减压时间控制在2h内的预防效果更好。 相似文献
993.
Xinle Cui Zhouhong Cao Goutam Sen Gouri Chattopadhyay Deborah H. Fuller James T. Fuller Dustin M. Snapper Andrew L. Snow James J. Mond Clifford M. Snapper 《Vaccine》2013
Infectious mononucleosis and B-cell transformation in response to infection with Epstein–Barr virus (EBV) is dependent upon binding of the EBV envelope glycoprotein gp350 to CD21 on B-cells. Gp350-specific antibody comprises most of the EBV neutralizing activity in the serum of infected patients, making this protein a promising target antigen for a prophylactic EBV vaccine. We describe a novel, tetrameric gp350-based vaccine that exhibits markedly enhanced immunogenicity relative to its monomeric counterpart. Plasmid DNA was constructed for synthesis, within transfected CHO cells, of a tetrameric, truncated (a.a. 1–470) gp350 protein (gp3501–470). Tetrameric gp3501–470 induced ∼20-fold higher serum titers of gp3501–470-specific IgG and >19-fold enhancements in neutralizing titers at the highest dose, and was >25-fold more immunogenic on a per-weight basis than monomeric gp3501–470. Further, epidermal immunization with plasmid DNA encoding gp3501–470 tetramer induced 8-fold higher serum titers of gp3501–470-specific IgG relative to monomer. Tetrameric gp3501–470 binding to human CD21 was >24-fold more efficient on a per-weight basis than monomer, but neither tetramer nor monomer mediated polyclonal human B-cell activation. Finally, the introduction of strong, universal tetanus toxoid (TT)-specific CD4+ T-cell epitopes into the tetrameric gp3501–470 had no effect on the gp3501–470-specific IgG response in naïve mice, and resulted in suppressed gp3501–470-specific IgG responses in TT-primed mice. Collectively, these data suggest that tetrameric gp3501–470 is a potentially promising candidate for testing as a prophylactic EBV vaccine, and that protein multimerization, using the approach described herein, is likely to be clinically relevant for enhancing the immunogenicity of other proteins of vaccine interest. 相似文献
994.
Sujay Guha Ojas Natarajan Cole G. Murbach Jessica Dinh Ethan C. Wilson Min Cao Sige Zou Yuqing Dong 《Nutrients》2014,6(2):911-921
Consumption of nutraceuticals is a major and potent dietary intervention for delaying aging. As the timing of administration is critical for the efficacy of bioactive compounds in medicine, the effectiveness of nutraceuticals may also be dramatically affected by the timing of supplementation. Cranberry exact (CBE), rich in polyphenols, is consumed as a nutraceutical, and possesses anti-aging properties. Here, we examined the influence of timing on the beneficial effects of CBE supplementation in C. elegans. The prolongevity effect of CBE in different aged worms, young adults, middle-age adults, and aged adults, was determined. Early-start intervention with CBE prolonged the remaining lifespan of worms of different ages more robustly than late-start intervention. The effectiveness of CBE on stress responses and physiological behaviors in different aged worms was also investigated. The early-start intervention prominently promoted motility and resistance to heat shocks and V. cholera infection, especially in aged worms. Together, these findings suggest that the timing of CBE supplementation critically influences its beneficial effects on C. elegans lifespan and healthspan. It is of interest to further investigate whether the similar results would occur in humans. 相似文献
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为了防止器官系统课程教学改革出现教学质量下滑,比较器官系统课程与学科课程体系教授病理生理学总论基础知识的教学效果。器官系统课程教学,课程内容整合符合"循序渐进"教学原则的2011和2012级学生成绩与课程体系教学的学生无差别;相反,课程内容衔接存在不足的2013和2014级,器官系统课程体系教学效果与学科课程体系教学效果相比呈现降低趋势或明显降低;补充课程知识衔接不足后,器官系统教学效果明显改善,好于学科课程体系。总结和反思器官系统课程教学改革的成效,再次验证基础医学教学同样必须遵循医学教育的内在规律,即"循序渐进"的教学原则。 相似文献
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