全文获取类型
收费全文 | 829篇 |
免费 | 67篇 |
国内免费 | 43篇 |
专业分类
耳鼻咽喉 | 11篇 |
儿科学 | 23篇 |
妇产科学 | 22篇 |
基础医学 | 92篇 |
口腔科学 | 11篇 |
临床医学 | 58篇 |
内科学 | 191篇 |
皮肤病学 | 7篇 |
神经病学 | 58篇 |
特种医学 | 36篇 |
外科学 | 61篇 |
综合类 | 104篇 |
预防医学 | 36篇 |
眼科学 | 33篇 |
药学 | 170篇 |
中国医学 | 15篇 |
肿瘤学 | 11篇 |
出版年
2023年 | 6篇 |
2022年 | 17篇 |
2021年 | 32篇 |
2020年 | 21篇 |
2019年 | 26篇 |
2018年 | 35篇 |
2017年 | 27篇 |
2016年 | 24篇 |
2015年 | 31篇 |
2014年 | 63篇 |
2013年 | 70篇 |
2012年 | 48篇 |
2011年 | 66篇 |
2010年 | 49篇 |
2009年 | 56篇 |
2008年 | 48篇 |
2007年 | 61篇 |
2006年 | 47篇 |
2005年 | 44篇 |
2004年 | 33篇 |
2003年 | 22篇 |
2002年 | 13篇 |
2001年 | 6篇 |
2000年 | 14篇 |
1999年 | 7篇 |
1998年 | 8篇 |
1997年 | 5篇 |
1996年 | 12篇 |
1995年 | 4篇 |
1994年 | 4篇 |
1993年 | 3篇 |
1992年 | 5篇 |
1990年 | 1篇 |
1989年 | 2篇 |
1988年 | 6篇 |
1987年 | 4篇 |
1986年 | 6篇 |
1985年 | 2篇 |
1984年 | 1篇 |
1983年 | 2篇 |
1982年 | 2篇 |
1980年 | 2篇 |
1979年 | 1篇 |
1978年 | 1篇 |
1977年 | 1篇 |
1973年 | 1篇 |
排序方式: 共有939条查询结果,搜索用时 31 毫秒
1.
Haruhito Adam Uchida Yoshio Nakamura Masanobu Kaihara Hisanao Norii Yoshihisa Hanayama Hitoshi Sugiyama Yohei Maeshima Yasushi Yamasaki Hirofumi Makino 《Nephrology, dialysis, transplantation》2006,21(12):3475-3480
BACKGROUND: Decreased plasma adiponectin is associated with impaired endothelial function and, thereby, increased risk for cardiovascular events. Glucocorticoid (GC) affects vascular endothelial cells either favourably or harmfully depending upon the dosages and duration. We examined the effect of GC pulse therapy on vascular endothelial function. METHODS: Fourteen young patients with IgA nephropathy were evaluated for flow-mediated vasodilation (FMD), plasma levels of adiponectin both in high molecular weight (HMW adiponectin) form and in single molecular form (total adiponectin), hepatocyte growth factor (HGF), asymmetric dimethylarginine (ADMA), and high-sensitive C-reactive protein, before and after a course of GC pulse therapy. RESULTS: GC pulse therapy significantly decreased FMD (from 7.2 +/- 2.6 to 5.7 +/- 2.5%, P < 0.01). Meanwhile, plasma adiponectin levels were significantly augmented (total adiponectin: from 10.2 +/- 4.0 to 12.1 +/- 6.3 microg/ml, P < 0.05; HMW: from 6.5 +/- 3.2 to 7.7 +/- 3.3 microg/ml, P < 0.05). In parallel, elevated concentrations of serum HGF (from 0.28 +/- 0.12 to 0.63 +/- 0.38 ng/ml, P < 0.01) and plasma ADMA (from 0.45 +/- 0.07 to 0.53 +/- 0.04 nmol/ml, P < 0.05) were observed. CONCLUSIONS: GC pulse therapy impaired endothelial function while increasing plasma adiponectin levels, which may in turn restore the endothelial function in patients with IgA nephropathy. 相似文献
2.
3.
Ken Dewitte Marc Claeys Emeline Van Craenenbroeck Koen Monsieurs Hein Heidbuchel Vicky Hoymans Tibor Stoop 《Pathophysiology》2019,26(1):53-59
Aims
We explored the effect of remote ischaemic conditioning (RIC) on endothelial function and on circulating mediators.Methods and results
In 20 healthy male volunteers (mean age 31?±?10 years), flow-mediated dilation (FMD) was measured before and after 20?min of arm ischaemia, followed by reperfusion. Remote ischaemic conditioning (RIC) was performed by applying 3 cycles of 5?min of ischaemia of the leg at the onset of index arm ischaemia. Each volunteer underwent the IR-induced vascular injury protocol with and without RIC in a crossover study design.In the control group, IR significantly reduced FMD (5.9?±?2.9% before IR vs. 2.2?±?3.7% after IR; p?<?0.001). This effect was significantly attenuated by performing RIC (FMD of 5.5?±?3.1% before IR vs. 4.0?±?3.4% % after IR; p for interaction?=?0.01). Serum levels of SOD and ADMA increased significantly whereas MCP-1 and VEGF levels decreased significantly.Only changes in SOD levels were significantly related to the degree of RIC induced protection (r²?=?0.34; p?=?0.018).Conclusion
RIC has protective effects against endothelial IR injury. Our biomarker study suggests that anti-oxidative stress mediators, such as SOD, seem to be more involved in the pathogenesis of RIC-induced protection in humans than angiogenesis factors or chemo-attractant cytokines. 相似文献4.
独立准直器位置精度对半野联合处剂量的影响 总被引:1,自引:0,他引:1
目的:介绍在乳腺癌和鼻咽癌放射治疗中的单一等中心半野联合放疗技术,并对独立准直器位置精度对半野联合处剂量的影响进行研究,提出对策.方法:用带独立准直器的直线加速器,以一个等中心,上下半野技术照射体模,用胶片剂量仪分析半野衔接处剂量分布情况,并将研究结果应用于乳腺癌和鼻咽癌病人的放射治疗.结果:受加速器独立准直器位置精度的影响,半野衔接处可能存在最大不超过2mm的过剂量区或欠剂量区.如果消除该系统误差的影响,则半野衔接处可得到均匀的剂量分布.结论:单一等中心半野联合照射,半野衔接处处于照射靶区,必须重视独立准直器位置精度对衔接处剂量的影响,并加以修正. 相似文献
5.
目的探讨冠心病患者不对称二甲基精氨酸(ADMA)和同型半胱氨酸(Hcy)对一氧化氮合酶(NOS)和一氧化氮(NO)的影响。方法冠心病患者60例和健康体检者30例,测定其ADMA、Hcy、NOS和NO以及血糖、血脂等。结果冠心病组和对照组的ADMA分别为(1.30±0.58)μmol/L和(0.57±0.18)μmol/L、Hcy分别为(31.53±13.26)μmol/L和(20.98±6.39)μmol/L、NOS分别为(5.06±1.82)μ/mg蛋白和(7.03±1.37)μ/mg蛋白、NO分别为(2.56±0.95)nmol/L和(4.21±1.12)nmol/L,两组之间的差异显著(P<0.01)。经相关分析,NOS和NO分别与ADMA和Hcy呈负相关(P<0.05)。结论冠心病患者ADMA和Hcy显著增高,NOS活性降低和NO水平下降与ADMA和Hcy增高有关。 相似文献
6.
7.
不对称二甲基精氨酸与动脉粥样硬化@李建芝$暨南大学医学院组胚教研室!广东广州510632
@常青$暨南大学医学院组胚教研室!广东广州510632不对称二甲基精氨酸;;一氧化氮合酶;;一氧化氮;;动脉硬化~~~~ 相似文献
8.
近年来,用聚合物负载的手性催化剂和手性试剂完成的不对称合成反应主要集中在潜手性酮的不对称还原反应;烯烃的不对称双羟基化反应;烯烃的不对称环氧化反应;不对称Diels-Alder反应和饱和碳原子上的不对称取代反应。就近十年来聚合物负载手性催化剂和手性试剂的合成及应用进行了讨论。 相似文献
9.
The teratogenic activities of R( +)- and S( – )-2-n-propyl-4-pentynoic acid (R and S-4-yn-VPA), the enantiomers of the highly teratogenic valproic acid (VPA) analogues (±)-4-yn-VPA, were investigated in mice. The enantiomers were prepared via asymmetric synthesis, each in three steps employing the chiral auxiliaries (4R,5S)-4-methyl-5-phenyl-2-oxazolidinone and S-4-benzyl-2-oxazolidinone. The determination of the absolute configurations and the optical purities is described. R( + )-4-yn-VPA contained 7%, and S( – )-4-yn-VPA 8%, of the respective antipodes. The aqueous solutions of the sodium salts of R- and S-4-yn-VPA were administered as single i.p. injections during early organogenesis in the mouse (day 8 of gestation) using the induction of exencephaly as the teratological end point. Dose/exencephaly curves indicated that S-4-yn-VPA is 7.5 times more teratogenic than its antipode, 1.9 times more teratogenic than (±)-4-yn-VPA and 3.9 times more teratogenic than the parent drug VPA. In contrast, the neurotoxicity (maternal toxicity) of the 4-yn-VPA enantiomers was found to be independent of the stereo-chemical configuration and lower than achieved after VPA administration. Due to its low neurotoxicity and highly Stereoselective neural tube-inducing activity, S-4-yn-VPA should prove an important tool for the investigation of molecular mechanism of the teratogenic action in this class of compounds; R-4-yn-VPA could act as the negative control in these studies. 相似文献
10.
T. S. Ong 《Documenta ophthalmologica. Advances in ophthalmology》1982,52(2):355-361
This Capsular Lens (ONG, type IV, to be called O.C.L.) has been developed for routinely performed extracapsular cataract extraction with lens implantation. The fundamental surgical procedure was based on continuing experience with the bimanual aspiration-irrigation technique and system developed by the author in 1971. The biomechanical properties of the asymmetric partly flexible, haptic loops are designed to give tensionfree fixation in two capsular pockets. The plano-anterior position of the lens ensures well-defined irido-lenticular clearance and proper alignment of the convex side with the posterior capsule. Consequently no iridectomy or iridotomy is needed for proper aqueous flow. 相似文献