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   4065篇
  免费   317篇
  国内免费   152篇
耳鼻咽喉   20篇
儿科学   74篇
妇产科学   38篇
基础医学   554篇
口腔科学   48篇
临床医学   202篇
内科学   586篇
皮肤病学   26篇
神经病学   1139篇
特种医学   76篇
外科学   368篇
综合类   383篇
预防医学   159篇
眼科学   127篇
药学   345篇
中国医学   311篇
肿瘤学   78篇
  2024年   30篇
  2023年   122篇
  2022年   222篇
  2021年   264篇
  2020年   174篇
  2019年   175篇
  2018年   137篇
  2017年   146篇
  2016年   107篇
  2015年   136篇
  2014年   198篇
  2013年   294篇
  2012年   224篇
  2011年   257篇
  2010年   250篇
  2009年   212篇
  2008年   198篇
  2007年   197篇
  2006年   183篇
  2005年   112篇
  2004年   101篇
  2003年   98篇
  2002年   74篇
  2001年   74篇
  2000年   64篇
  1999年   52篇
  1998年   50篇
  1997年   45篇
  1996年   45篇
  1995年   40篇
  1994年   33篇
  1993年   26篇
  1992年   26篇
  1991年   21篇
  1990年   18篇
  1989年   18篇
  1988年   9篇
  1987年   10篇
  1986年   8篇
  1985年   15篇
  1984年   10篇
  1983年   8篇
  1982年   8篇
  1981年   12篇
  1980年   7篇
  1979年   9篇
  1978年   7篇
  1977年   2篇
  1976年   4篇
  1968年   1篇
排序方式: 共有4534条查询结果,搜索用时 31 毫秒
991.
992.
目的探讨"怒"模型大鼠胸腺细胞中T细胞免疫球蛋白和ITIM结构域蛋白(TIGIT)及其配体CD155和血清促肾上腺皮质激素释放激素(CRH)、促肾上腺皮质激素(ACTH)、白细胞介素-2(IL-2)、白细胞介素-10(IL-10)表达情况,以及这些指标与胸腺细胞凋亡的相关性。方法将48只Wistar雄性大鼠随机分成对照组、模型7 d组、模型14 d组、模型21 d组,每组12只。除对照组外,其余各组以“社会隔离法”结合足底电击法复制精神应激“怒”模型大鼠。实验后测定大鼠体质量和胸腺指数,以苏木精-伊红(HE)染色观察大鼠胸腺组织的形态学改变,采用免疫印迹法检测各组大鼠胸腺细胞中TIGIT、CD155蛋白的表达水平,采用Tunel法检测胸腺细胞凋亡情况,采用酶联免疫吸附试验测定血清CRH、ACTH、IL-2、IL-10水平。结果实验后,4组大鼠体质量较试验前1 d升高(P<0.05),且“怒”模型各组大鼠体质量均低于对照组(P<0.05);实验后“怒”模型各组大鼠胸腺指数均低于对照组(P<0.05)。HE染色光学显微镜下(×400)可见“怒”模型各组大鼠大鼠胸腺皮质组织结构出现不同程度的损坏,幼稚T细胞布排紊乱无序或呈“条索状”堆积,细胞间隙缩小,细胞数量较对照组降低,细胞核染色变浅,呈淡紫色,并出现不同程度核固缩、核分裂、细胞溶解等凋亡细胞增多现象。4组大鼠胸腺细胞TIGIT蛋白表达水平比较,对照组<模型21 d组<模型14 d组<模型7 d组,其中模型7 d组、14 d组与其他各组胸腺细胞TIGIT蛋白表达水平差异均有统计学意义(P<0.05);“怒”模型各组大鼠胸腺细胞CD155蛋白表达水平高于对照组,差异均有统计学意义(P<0.05)。“怒”模型各组胸腺组织凋亡细胞吸光度高于对照组,差异有统计学意义(P<0.05)。模型7 d组、模型14 d组血清CRH、ACTH水平高于对照组及模型21 d组(P<0.05);“怒”模型各组IL-2水平低于对照组(P<0.05),且模型7 d组、模型14 d组低于模型21 d组(P<0.05);“怒”模型各组IL-10水平高于对照组(P<0.05),且模型14 d组高于模型7 d组及模型21 d组(P<0.05)。Pearson相关分析结果显示,TIGIT表达水平与CD155、ACTH、CRH及胸腺细胞凋亡程度呈正相关(P<0.05),与IL-2呈负相关(P<0.05),与IL-10及胸腺指数无相关性(P>0.05);CD155表达水平与TIGIT及胸腺细胞凋亡程度呈正相关(P<0.05),与IL-2呈负相关(P<0.05),与ACTH、CRH、IL-10及胸腺指数无相关性(P>0.05)。结论“怒”应激状态下,胸腺出现萎缩及凋亡细胞增多现象,可能是TIGIT-CD155与下丘脑-垂体-肾上腺轴、IL-10、IL-2共同作用所致,该研究为“怒”应激致使免疫损伤及疾病发生发展提供理论依据。  相似文献   
993.
The early life period is crucially important to how the individual develops, and environmental and lifestyle challenges during this time can lead to lasting programming effects on the brain and immune system. In particular, poor diet in early development can lead to long-term negative metabolic and cognitive outcomes, with those who over-eat in early development being at risk of obesity and poor learning and memory throughout their adult lives. Current research has identified a neuroinflammatory component to this metabolic and cognitive programming that can potentially be manipulated to restore a healthy phenotype. Thus, early life over-feeding in a rat model leads to microglial priming and an exacerbated microglial response to immune challenge when the rats reach adulthood. Microglial responses to a learning task are also impaired. To specifically investigate the role of microglia in these programming effects our group has developed a novel transgenic rat with a diphtheria toxin receptor insertion in the promoter region for the Cx3cr1 gene, expressed on microglia and monocytes; allowing us to conditionally ablate microglia throughout the brain. With this model we reveal that microglia have a direct role in regulating feeding behavior and modifying cognition, but are not likely to be the sole mechanism by which early life overfeeding confers lasting neuroimmune and cognitive effects. Additional work implicates changes to the hypothalamic-pituitary-adrenal axis in this. Together these data highlight the importance of dietary choices in early life and the potential for positive interventions targeting the neuroimmune and neuroendocrine stress systems to reverse such programming damage.  相似文献   
994.
RFamide-related peptides (RFRPs) have long been identified as inhibitors of the hypothalamus-pituitary-gonad axis in mammals. However, less progress has been made in the detailed roles of RFRPs in the control of LH secretion. Recent studies have suggested that RFRP-3 neurons in the hypothalamus can regulate the secretion of LH at different levels, including kisspeptin neurons, GnRH neurons, and the pituitary. Additionally, conflicting results regarding the effects of RFRP-3 on these levels exist. In this review, we collect the latest evidence related to the effects of RFRP-3 neurons in regulating LH secretion by acting on kisspeptin neurons, GnRH neurons, and the pituitary and discuss the potential role of the timely reduction of RFRP-3 signaling in the modulation of the preovulatory LH surge.  相似文献   
995.
Scolecophidians are small fossorial snakes that exhibit several osteological innovations, most of which driven by their extreme body miniaturization. Considering that data on skull morphology has proven to be relevant in terms of scolecophidian systematics and morphofunctional evolution, herein, we aim to describe in detail the skull, lower jaw, and cervical vertebrae of Amerotyphlops brongersmianus and A. reticulatus. Our results suggest that the investigated osteology of Amerotyphlops resembles several new world typhlopid species, with reduced interspecific variation in the basicranium, lower jaw and cervical vertebrae. Both species exhibit characters states that are typically conserved intragenerically amongst typhlopoids, such as the presence of a single parietal, paired supraoccipitals, and otooccipitals that are in contact medially, and the basioccipital participating in the formation of the foramen magnum. We discuss possible systematically important osteological skull variations among typhlopoids and provide a comprehensive comparison of these taxa based on literature and data gathered herein.  相似文献   
996.
A high incidence of oral squamous cell carcinoma (OSCC) is observed in South‐East Asian countries due to addictions such as chewing tobacco. Local invasion and distant metastases are primary causes of poor prognosis in OSCC. This study aimed to understand the alterations in metastasis biomarkers, such as stromal cell–derived factor‐1α (SDF‐1 or SDF1α) and its receptor C‐X‐C chemokine receptor type 4 (CXCR4), in OSCC patient samples that were stratified based on the history of addiction to chewing tobacco. Targeted immunohistochemical staining and Western blotting were performed on primary tumour and metastatic lymph node (LN) tissues in parallel. Overexpression of hepatocyte growth factor (HGF), activated form of its cognate receptor tyrosine kinase, c‐Met (p‐Met), GRB2‐associated‐binding protein 1 (Gab1), phospho‐protein kinase B (pAkt), nuclear factor kappa B (NF‐κB) and cyclooxygenase‐2 (COX‐2) were observed in primary tumour and metastatic lymph nodes in both chewer and non‐chewer cohorts. Variance analysis showed significant positive correlation between them (P < .0001) indicating upregulation of these biomarkers upon ligand‐induced activation of c‐Met in both tobacco chewers and non‐chewers. Significantly higher expressions of SDF1α and CXCR4 were observed in both primary tumours and metastatic lymph nodes of tobacco chewers (P < .0001) and coincided with overexpressed HGF. In contrast, no significant correlation was observed between expression of HGF and that of SDF1α and CXCR4 in non‐chewers. Together, our findings provide important insights into the association of HGF/c‐Met and the SDF1α/CXCR4 axis in lymph node metastasis and to an aetiological link with the habit of chewing tobacco.  相似文献   
997.
Traumatic brain injuries (TBI) and its sequelae are becoming one of the most pressing public health concerns worldwide. It is one of the leading causes of increased morbidity and mortality. The primary insult to the brain can cause ischemic brain injury, paralysis, concussions, death, and other serious complications. Brain injury also involves other systems through a secondary pathway resulting in multiple complications during and after hospitalization. The focus of our article is to assess the literature available on traumatic brain injury and intestinal dysfunctional to highlight the aspects of epidemiology, pathophysiology, and different diagnostic approaches for early diagnosis of gut dysfunction. We review studies done in both humans and animals, to better understand this underrated topic, as it costs billions of dollars to the healthcare industry because of delayed diagnosis.  相似文献   
998.
《中国现代医生》2020,58(30):14-17+21
目的探讨加味酸枣仁汤治疗卒中后认知障碍伴失眠对患者下丘脑-垂体-肾上腺轴(HPA 轴)功能、睡眠质量及认知功能的影响。方法 选取2018 年1 月~2020 年3 月我院神经内科收治的100 例脑卒中患者,基于随机数字表简单随机分为研究组与对照组,每组各50 例,对照组行常规用药治疗,观察组在对照组基础上另给予酸枣仁汤加减治疗,比较两组临床资料、HPA 功能指标皮质醇(Cor)、促肾上腺皮质激素(ACTH)变化以及睡眠质量与认知功能变化。结果 两组的性别、年龄及分布、BMI、疾病类型、基础病、吸烟史与饮酒史、Cor、ACTH 比较,差异无统计学意义(P>0.05)。时点(治疗1 个疗程、2 个疗程、3 个疗程、4 个疗程)上,研究组Cor 减少量、ACTH 减少量均明显高于对照组(P<0.05)。根据PSQI 评分、Mo CA 评分、NIHSS 评分,治疗前两组比较,差异无统计学意义(P>0.05),治疗4 个疗程,研究组Mo CA 评分明显高于对照组,PSQI 评分、NIHSS 评分均明显低于对照组(P<0.05)。结论 加味酸枣仁汤辅助治疗卒中后认知障碍伴失眠效果显著,可显著提高患者HPA 轴功能,有效改善其睡眠质量,并提升认知功能。  相似文献   
999.
Sex is a critical factor in the diagnosis and development of a number of mental health disorders including autism, schizophrenia, depression, anxiety, Parkinson’s disease, multiple sclerosis, anorexia nervosa and others; likely due to differences in sex steroid hormones and genetics. Recent evidence suggests that sex can also influence the complexity and diversity of microbes that we harbour in our gut; and reciprocally that our gut microbes can directly and indirectly influence sex steroid hormones and central gene activation. There is a growing emphasis on the role of gastrointestinal microbiota in the maintenance of mental health and their role in the pathogenesis of disease. In this review, we introduce mechanisms by which gastrointestinal microbiota are thought to mediate positive health benefits along the gut-brain axis, we report how they may be modulated by sex, the role they play in sex steroid hormone regulation, and their sex-specific effects in various disorders relating to mental health.  相似文献   
1000.
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