全文获取类型
收费全文 | 30010篇 |
免费 | 2591篇 |
国内免费 | 1250篇 |
学科分类
医药卫生 | 33851篇 |
出版年
2024年 | 79篇 |
2023年 | 492篇 |
2022年 | 680篇 |
2021年 | 1268篇 |
2020年 | 1024篇 |
2019年 | 896篇 |
2018年 | 902篇 |
2017年 | 1008篇 |
2016年 | 1073篇 |
2015年 | 1056篇 |
2014年 | 1544篇 |
2013年 | 2295篇 |
2012年 | 1566篇 |
2011年 | 1538篇 |
2010年 | 1275篇 |
2009年 | 1154篇 |
2008年 | 1270篇 |
2007年 | 1207篇 |
2006年 | 1174篇 |
2005年 | 1039篇 |
2004年 | 937篇 |
2003年 | 859篇 |
2002年 | 728篇 |
2001年 | 783篇 |
2000年 | 658篇 |
1999年 | 532篇 |
1998年 | 508篇 |
1997年 | 526篇 |
1996年 | 511篇 |
1995年 | 463篇 |
1994年 | 430篇 |
1993年 | 405篇 |
1992年 | 389篇 |
1991年 | 345篇 |
1990年 | 304篇 |
1989年 | 290篇 |
1988年 | 251篇 |
1987年 | 252篇 |
1986年 | 199篇 |
1985年 | 262篇 |
1984年 | 282篇 |
1983年 | 150篇 |
1982年 | 194篇 |
1981年 | 158篇 |
1980年 | 146篇 |
1979年 | 135篇 |
1978年 | 119篇 |
1977年 | 107篇 |
1976年 | 106篇 |
1975年 | 79篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
51.
52.
杨黛仙 《中国民族民间医药杂志》2010,19(17):68-69
目的:探讨生活方式治疗在血脂异常人群中的作用,观察其效果。方法:100例在体检中发现的血脂异常者,随机分为实验组和对照组,对实验组进行生活方式治疗,对照组未进行生活方式治疗,两组均未使用药物降脂,随访6—9个月,平均7.6个月,复查血脂,以检测血脂结果是否达到目标值进行对比。结果:经统计学处理,两组血脂在达到目标值方面存在显著性差异(p〈0.01)。结论:生活方式治疗对血脂异常人群具有明显的防治作用。 相似文献
53.
54.
烧伤后机体应激导致代谢紊乱,表现为严重高分解代谢,机体损耗和抵抗力下降,严重影响患者预后。临床上主要采用生理营养指标、实验室诊断指标和能量消耗测定3类检测指标对机体代谢状况进行诊断评估,继而通过药物治疗结合非药物治疗手段加以调理支持,促进烧伤修复。目前,仍有多种诊断治疗方法尚未普及或有待完善。 相似文献
55.
Conjugated linoleic acid (CLA) is a unique lipid that elicits dramatic reductions in adiposity in several animal models when included at < or = 1% of the diet. Despite a flurry of investigations, the precise mechanisms by which conjugated linoleic acid elicits its dramatic effects in adipose tissue and liver are still largely unknown. In vivo and in vitro analyses of physiological modifications imparted by conjugated linoleic acid on protein and gene expression suggest that conjugated linoleic acid exerts its de-lipidating effects by modulating energy expenditure, apoptosis, fatty acid oxidation, lipolysis, stromal vascular cell differentiation and lipogenesis. The purpose of this review shall be to examine the recent advances and insights into conjugated linoleic acid's effects on obesity and lipid metabolism, specifically focused on changes in gene expression and physiology of liver and adipose tissue. 相似文献
56.
男性青少年性腺功能减退症患者短期雄激素替代治疗对血脂和hsCRP水平的影响 总被引:1,自引:0,他引:1
目的 探讨性腺功能低减的青少年男性,短期雄激素替代治疗对血脂和超敏C反应蛋白(hsCRP)的影响。方法 本研究为前瞻性自身对照研究,共纳入33例性腺功能减退青少年男性。行短期(9个月)雄激素替代治疗,比较治疗前后血睾酮水平、第二性征发育程度、身高、握力、血红蛋白、血脂和hsCRP的差异。结果 (1)替代治疗后,睾酮水平明显升高,第二性征明显发育,身高、握力、血红蛋白显著增加(P值均〈0.05);(2)短期雄激素替代治疗后,总胆固醇(TC),低密度脂蛋白(LDL-c),高密度脂蛋白(HDL-c)和甘油三酯(TG)部有所下降,但无统计学差异(P〉0.5)。超敏CRP显著下降(P=0.025)。结论 (1)性腺功能低减的青少年男性,短期雄激素替代治疗,可以促进第二性征发育,增加身高、握力和血红蛋白;(2)短期雄激素替代治疗,对血脂无显著性影响。但是,可以使hsCRP明显下降。 相似文献
57.
瘢痕疙瘩是烧伤外科研究的重要课题,其形成机制尚未完全明确,本文就其在遗传机制、免疫作用、细胞增殖与胶原代谢、细胞因子等方面的研究进展进行综述。 相似文献
58.
Steven Elia Peter Liu Carol Chrusciel Alan Hilgenberg Charrisios Skourtis Demetrios Lappas 《Journal canadien d'anesthésie》1989,36(1):2-8
Global coronary blood flow and metabolism were measured in seven patients on the first postoperative day following coronary
revascularization to test the hypothesis that tracheal extubation produces adverse haemodynamic responses akin to those observed
during tracheal intubation. Regional coronary flow and metabolic measurements were made in five of the seven patients. Extubation
from a continuous positive airway pressure (CPAP) of 5 cm H2O was associated with a statistically significant rise in cardiac index from 3.44 ± 0.23 L · min-1 · m-2 to 3.73 ± 0.15L·min-1 ·m-2 related to an increase in stroke index, without significant changes in heart rate, mean arterial and pulmonary capillary
wedge pressure. Consequently the changes in myocardial oxygen consumption (8.52 ± 0.55 to 8.85 ± 0.93 ml · min-1) and coronary blood flow (172 ± 18 to 179 ± 17 ml·min-1) were less prominent than those reported during intubation, where substantial rises in myocardial oxygen consumption and
coronary flow occurred. Two patients experienced cardiac lactate production but there were no changes in systemic or coronary
haemodynamics, nor were there clinical or electrocardiographic signs of ischaemia. We conclude that extubation does not appear
to be associated with adverse systemic or coronary haemodynamic responses in patients following coronary bypass grafting.
However, the revascularized myocardium may remain vulnerable to anaerobic metabolism in the immediate postoperative period.
Pour savoir si comme ľintubation, ľextubation de la trachée provoque des perturbations hémodynamiques, on a mesuré le métabolisme
et la circulation coronarienne globale chez sept patients, au lendemain ďun pontage aorto-coronarien. On a aussi calculé les
valeurs régionales de ces mêmes variables pour cinq ďentre eux. Ľindex cardiaque de 3.44 ± 0.23 L · min-1 · m-2 sous pression positive en respiration spontanée (CPAP) de 5 cm. H2O s’est élevé à 3.73 ± 0.15 L · min-1 · m-2 post-extubation avec une augmentation significative du volume ďéjection. La fréquence cardiaque et les pressions artérielles
moyennes et capillaires pulmonaires n’ont pas changé. Ainsi ľaugmentation de la consommation ďoxygène du myocarde de 8.52
± 0.55 à 8.85 ± 0.93 ml · min-1 et celle du flot coronarien de 172 ± 18 à 179 ± 17 ml · min-1 ont été moindres que celles, importantes, déjà observées lors de ľintubation. On a noté chez deux patients une production
de lactate par le myocarde, sans changement de ľhémodynamic systémique et coronarienne non plus que de signe clinique ou électrocardiographique
ďischémie. Donc, après un pontage coronarien, ľextubation ne semble pas causer ďeffet néfaste sur les circulations systémique
et coronarienne, toutefois, le myocarde revascularisé peut demeurer sensible au métabolisme anaérobique. 相似文献
59.
Dongsoon Shin 《Nutrition Research And Practice》2009,3(1):31-37
Recently, Korean people are consuming seaweeds almost 3.5 times more now than three decades ago. It is well known that seaweeds contain lots of soluble dietary fiber in addition to micronutrients such as β-carotene, iodine and some bioactive components. Seaweeds are considered to be effective for preventing chronic diseases including obesity, diabetes mellitus, atherosclerosis, cancer or constipation. This study was conducted to investigate the effect of seamustard intake on body weight gain, blood glucose level and lipid profiles in rats fed diets with different energy nutrient composition. Male Sprague-Dawley rats (average initial weight 103.7 g) were divided into groups for two experiments as follows; Control, M2.5 & M5 groups (Exp. I) and M5, M10, HCM5, HCM10, HFM5 & HFM10 groups (Exp. II). The rats were fed diet and water ad libitum for 4 weeks. In general, there was no significant difference in blood glucose and triglyceride concentration among groups. In Exp. I, serum LDL-cholesterol level of rats fed diet with 5% seamustard powder (M5) was significantly lower than that of control group, while HDL-cholesterol level, TC/LDL ratio and weight of adrenal gland were higher. In Exp. II, food intake, body weight gain and EER of high fat diet with 10% seamustard group (HFM10) were the lowest among groups. Except gastrocnemius muscle, all organ weights of HFM10 group were the lowest. Fecal cholesterol excretion and serum LDL-cholesterol concentration of HFM10 group were the highest, while serum HDL-cholesterol level was the lowest among groups. Interestingly, HDL-cholesterol concentration was the highest in HCM5 group among groups. From these results, it was suggested that seamustard intake might be more effective for body weight control, but not for improving blood lipid profiles in high fat diet than in high carbohydrate diet. 相似文献
60.
Improvement of endoneurial lipid abnormalities in experimental diabetic neuropathy by oxygen modification 总被引:1,自引:0,他引:1
Endoneurial hypoxia and a high frequency of closed capillaries have been found in chronic experimental diabetes and human diabetic sural nerve, respectively. These findings have led to the hypothesis that the pathogenesis of diabetic neuropathy is due to endoneurial hypoxia. To evaluate the role of endoneurial hypoxia in experimental diabetic neuropathy, the effects of supplementation and deprivation of oxygen on peripheral nerve lipid biosynthesis were studied in normal control and streptozotocin-induced diabetic rats. Defective lipid biosynthesis in diabetic nerve was partially prevented by oxygen supplementation. When normal rats were placed in a hypoxic chamber, lipid abnormalities similar to those observed in diabetic nerves were demonstrated in the absence of changes in nerve free sugars. These findings suggest that endoneurial hypoxia may underlie some key biochemical abnormalities encountered in experimental diabetic neuropathy. 相似文献