全文获取类型
收费全文 | 193802篇 |
免费 | 17086篇 |
国内免费 | 12840篇 |
专业分类
耳鼻咽喉 | 1880篇 |
儿科学 | 2466篇 |
妇产科学 | 1812篇 |
基础医学 | 20603篇 |
口腔科学 | 3492篇 |
临床医学 | 23474篇 |
内科学 | 28492篇 |
皮肤病学 | 2139篇 |
神经病学 | 9934篇 |
特种医学 | 7720篇 |
外国民族医学 | 85篇 |
外科学 | 20944篇 |
综合类 | 35496篇 |
现状与发展 | 56篇 |
一般理论 | 13篇 |
预防医学 | 14298篇 |
眼科学 | 4443篇 |
药学 | 19778篇 |
175篇 | |
中国医学 | 10852篇 |
肿瘤学 | 15576篇 |
出版年
2024年 | 617篇 |
2023年 | 2702篇 |
2022年 | 6678篇 |
2021年 | 8787篇 |
2020年 | 6613篇 |
2019年 | 5566篇 |
2018年 | 5851篇 |
2017年 | 5812篇 |
2016年 | 5534篇 |
2015年 | 8613篇 |
2014年 | 10692篇 |
2013年 | 10283篇 |
2012年 | 15417篇 |
2011年 | 16883篇 |
2010年 | 11999篇 |
2009年 | 9854篇 |
2008年 | 11740篇 |
2007年 | 12007篇 |
2006年 | 11179篇 |
2005年 | 10570篇 |
2004年 | 7321篇 |
2003年 | 6821篇 |
2002年 | 5859篇 |
2001年 | 4129篇 |
2000年 | 3835篇 |
1999年 | 3561篇 |
1998年 | 2360篇 |
1997年 | 2277篇 |
1996年 | 1677篇 |
1995年 | 1473篇 |
1994年 | 1243篇 |
1993年 | 830篇 |
1992年 | 902篇 |
1991年 | 774篇 |
1990年 | 672篇 |
1989年 | 569篇 |
1988年 | 471篇 |
1987年 | 415篇 |
1986年 | 317篇 |
1985年 | 228篇 |
1984年 | 138篇 |
1983年 | 101篇 |
1982年 | 67篇 |
1981年 | 64篇 |
1980年 | 49篇 |
1979年 | 41篇 |
1978年 | 19篇 |
1975年 | 16篇 |
1973年 | 16篇 |
1972年 | 18篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
1.
Feng Wang Dachuan Wang Bingyi Tan Jun Dong Rongjie Feng Zenong Yuan Naiguo Wang 《Medicine》2015,94(39)
The present study aimed at examining the curative effect of modified posterior operation on treatment of Kümmell''s disease.About 30 patients of Kümmell''s disease with complete image and clinical data treated during June 2004 to July 2013 were conducted with anterior and posterior approaches, respectively. Kyphotic Cobb angle, fractured vertebra wedge angle, and the anterior and posterior heights of fractured vertebra were all measured through x-ray before and after operation, and the pain visual analog scale (VAS) was determined for evaluating the effect of operations. The injury and restoration of neurological function were assessed using Frankel classification.Patients in group A were treated with anterior operation, whereas group B was posterior operation. Postoperatively, VAS score, kyphotic Cobb angle, anterior vertebra height, and pathologic vertebra wedge angle were all significantly improved in patients with Kümmell''s disease receiving modified posterior operation (group B). Similar results were also observed in patients with anterior operation. The improvement of VAS and correction rate of kyphotic Cobb angle indicated equivalent effects of posterior and anterior operations. Meanwhile, alleviated neurological function damage was observed in 2 groups. Relevant factor analysis illustrated that there was no significant correlation of the severity and improvement rate of pain symptoms with age, medical history, anterior and posterior vertebra heights, kyphotic Cobb angle, and pathological vertebra wedge angle.Compared with traditional anterior approach, modified posterior operation, adopting transpedicular vertebral body grafting combined with vertebral pedicle screw fixation, could produce equivalent effects on kyphosis correction, pain relief, and improvement of neurological function in patients with Kümmell''s disease. 相似文献
2.
3.
4.
5.
Gui-Qi Zhu Ke-Qing Shi Sha Huang Gui-Qian Huang Yi-Qian Lin Zhi-Rui Zhou Martin Braddock Yong-Ping Chen Ming-Hua Zheng 《Medicine》2015,94(11)
Major ursodeoxycholic acid (UDCA)-based therapies for primary biliary cirrhosis (PBC) include UDCA only, or combined with either methotrexate (MTX), corticosteroids (COT), colchicine (COC), or bezafibrate (BEF). As the optimum treatment regimen is unclear and warrants exploration, we aimed to compare these therapies in terms of patient mortality or liver transplantation (MOLT) and adverse events (AE).PubMed, the Cochrane Library, and Scopus were searched for randomized controlled trials up to August 31, 2014. We estimated the hazard ratios (HRs) for MOLT and odds ratios (ORs) for AE. A sensitivity analysis based on the dose of UDCA was also executed.Thirty-one eligible articles were included. Compared with COT plus UDCA, UDCA (HR 0.38, 95% confidence interval [CI] 0.09–1.39), BEF plus UDCA (HR 0.29, 95% CI 0.02–4.83), COC plus UDCA (HR 0.39, 95% CI 0.07–2.25), MTX plus UDCA (HR 0.28, 95% CI 0.05–1.63), or OBS (HR 0.49, 95% CI 0.11–2.01) all provided an increased risk of MOLT. With respect to drug AE profile, although not differing appreciably, BEF plus UDCA was associated with more AEs compared with UDCA (OR 3.16, 95% CI 0.59–20.67), COT plus UDCA (OR 2.27, 95% CI 0.15–33.36), COC plus UDCA (OR 1.00, 95% CI 0.09–12.16), MTX plus UDCA (OR 2.03, 95% CI 0.23–17.82), or OBS (OR 3.00, 95% CI 0.53–20.75). The results of sensitivity analyses were highly consistent with previous analyses.COT plus UDCA was the optimal UDCA-based regimen for both MOLT and AEs. BEF plus UDCA was most likely to cause AEs, whereas monotherapy with UDCA and coadministriation of COT plus UDCA appeared to be associated with the fewest AEs for PBC treatment. 相似文献
6.
Eric S. Zhou Larissa Nekhlyudov Sharon L. Bober 《Translational andrology and urology》2015,4(2):218-231
There is a large and growing population of long-term cancer survivors. Primary care physicians (PCPs) are playing an increasingly greater role in the care of these patients across the continuum of cancer survivorship. In this role, PCPs are faced with the responsibility of managing a range of medical and psychosocial late effects of cancer treatment. In particular, the sexual side effects of treatment which are common and have significant impact on quality of life for the cancer survivor, often go unaddressed. This is an area of clinical care and research that has received increasing attention, highlighted by the presentation of this special issue on Cancer and Sexual Health. The aims of this review are 3-fold. First, we seek to overview common presentations of sexual dysfunction related to major cancer diagnoses in order to give the PCP a sense of the medical issues that the survivor may present with. Barriers to communication about sexual health issues between patient/PCPs in order are also described in order to emphasize the importance of PCPs initiating this important conversation. Next, we provide strategies and resources to help guide the PCP in the management of sexual dysfunction in cancer survivors. Finally, we discuss case examples of survivorship sexual health issues and highlight the role that a PCP can play in each of these case examples. 相似文献
7.
急性肺血栓栓塞(APTE)是内科的危急重症之一,是以肺部功能障碍及右心室功能不全为主要特征的心血管疾病。其临床表现复杂,但又缺乏特异性表现,因而易与其他疾病相混淆,造成误诊、漏诊。近年来,APTE的发病率以及致死率呈逐年上升的趋势,使患者的生命健康受到严重威胁。该文系统总结了APTE的诱发因素以及病理学特点,详细介绍了实验室检查以及常用的影像学检查等先进手段,并针对APTE的紧急处理以及当前主要的溶栓和抗凝治疗方法进行概述。 相似文献
8.
9.
Melatonin induces apoptosis of colorectal cancer cells through HDAC4 nuclear import mediated by CaMKII inactivation 下载免费PDF全文
Melatonin induces apoptosis in many different cancer cell lines, including colorectal cancer. However, the precise mechanisms involved remain largely unresolved. In this study, we provide evidence to reveal a new mechanism by which melatonin induces apoptosis of colorectal cancer LoVo cells. Melatonin at pharmacological concentrations significantly suppressed cell proliferation and induced apoptosis in a dose‐dependent manner. The observed apoptosis was accompanied by the melatonin‐induced dephosphorylation and nuclear import of histone deacetylase 4 (HDAC4). Pretreatment with a HDAC4‐specific siRNA effectively attenuated the melatonin‐induced apoptosis, indicating that nuclear localization of HDAC4 is required for melatonin‐induced apoptosis. Moreover, constitutively active Ca2+/calmodulin‐dependent protein kinase II alpha (CaMKIIα) abrogated the melatonin‐induced HDAC4 nuclear import and apoptosis of LoVo cells. Furthermore, melatonin decreased H3 acetylation on bcl‐2 promoter, leading to a reduction of bcl‐2 expression, whereas constitutively active CaMKIIα(T286D) or HDAC4‐specific siRNA abrogated the effect of melatonin. In conclusion, the present study provides evidence that melatonin‐induced apoptosis in colorectal cancer LoVo cells largely depends on the nuclear import of HDAC4 and subsequent H3 deacetylation via the inactivation of CaMKIIα. 相似文献
10.