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121.
目的:探讨清肝降压胶囊联合厄贝沙坦治疗原发性高血压的临床疗效。方法:收集2014年3月-2016年3月我院收治的86例高血压患者,随机分为对照组和研究组,每组43例。对照组患者采用硝苯地平缓释片治疗,研究组患者采用清肝降压胶囊联合厄贝沙坦治疗。观察并比较两组患者治疗前后收缩压(SBP)、舒张压(DBP)、血清脂联素(Adiponectin)、同型半胱氨酸(Hcy)及血管内皮生成因子(VEGF)水平的变化情况,以及临床疗效。结果:与治疗前相比,两组患者治疗后SBP及DBP水平均降低,差异具有统计学意义(P0.05);与对照组比较,研究组患者治疗后SBP及DBP更接近于正常水平,差异具有统计学意义(P0.05)。与治疗前相比,两组患者治疗后血清脂联素水平均升高,而VEGF及Hcy水平均降低,差异具有统计学意义(P0.05);与对照组比较,研究组患者治疗后血清脂联素水平较高,而VEGF及Hcy水平较低,差异具有统计学意义(P0.05)。研究组患者治疗总有效率显著高于对照组,差异具有统计学意义(P0.05)。结论:清肝降压胶囊联合厄贝沙坦治疗原发性高血压的临床疗效显著,能够升高患者血清脂联素水平,同时降低血管内皮生长因子和同型半胱氨酸水平,值得临床推广应用。  相似文献   
122.
目的:探讨六味地黄丸联合二甲双胍片对2型糖尿病患者血清载脂蛋白的影响及临床疗效。方法:选择106例2型糖尿病患者并依照随机数表法分作对照组与观察组,各53例。对照组行二甲双胍治疗,观察组基于对照组加用六味地黄丸治疗,比较两组治疗前后载脂蛋白A、B(ApoA、ApoB)、ApoA/ApoB、空腹血糖(FPG)、餐后2 h血糖(2h PG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、内皮素-1(ET-1)、一氧化氮(NO)水平的变化,临床疗效和不良反应的发生情况。结果:治疗后,两组ApoA、ApoA/ApoB、NO均较治疗前上升,但观察组ApoA、ApoA/ApoB、NO高于对照组,差异有统计学学意义(P0.05)。两组FPG、2PG、FINS、HOMA-IR、IL-6、hs-CRP、ET-1均较治疗前降低,但观察组FPG、2PG、FINS、HOMA-IR、IL-6、hs-CRP、ET-1低于对照组(P0.05)。观察组总有效率高于对照组(P0.05),两组不良反应的发生率比较差异无统计学学意义(P0.05)。结论:六味地黄丸联合二甲双胍的疗效治疗2型糖尿病患者的疗效较好,且可有效控制血糖、改善内皮功能并调节血清载脂蛋白水平。  相似文献   
123.
Several experimental and epidemiological studies have suggested a role for the use of cyclooxygenase (COX)-2 inhibitors in the prevention of breast cancer. The relative lack of toxicity associated with these compounds favors their use as chemopreventive agents, but the underlying mechanism of their chemopreventive effect remains unclear. We have observed that the COX-2 inhibitor celecoxib inhibits growth and induces apoptosis in the immortalized breast epithelial cell line 184htert. Microarray gene expression analysis of 184htert cells treated with 50 microM celecoxib for 6h revealed the modulation of several genes of interest, including a significant induction of expression of the mRNA encoding insulin-like growth factor binding protein-3 (IGFBP-3). IGFBP-3 is a potent pro-apoptotic protein and growth inhibitor of breast cancer cells, which acts mainly by inhibiting the access of the mitogens IGF-I and IGF-II to their cell surface receptor, but also via IGF-independent effects. Quantitative real-time RT PCR demonstrated that 50 microM celecoxib induced a approximately 3-fold increase in expression of IGFBP-3 mRNA after 6h. Furthermore, ligand blot analysis revealed that celecoxib treatment was associated with the upregulation of IGFBP-3 at the protein level. IGFBP-3 (500 ng/ml) treatment of 184htert cells inhibited IGF-I and serum-induced proliferation, but had no effect on cell growth under serum-free conditions, indicating that IGF-independent effects of IGFBP-3 are not observed in this system. Our results suggest that celecoxib may decrease IGF-I-associated breast cancer risk by a mechanism involving induction of expression of IGFBP-3 and subsequent reduced proliferation of at-risk breast epithelial cells.  相似文献   
124.
The Escherichia coli regulatory protein RfaH contributes to efficient colonization of the mouse gut. Extraintestinal pathogenic (ExPEC) as well as non-pathogenic probiotic E. coli strains rapidly outcompeted their isogenic rfaH mutants following oral mixed infections. LPS-core and O-antigen side-chain as well as capsular polysaccharide synthesis are among the E. coli virulence factors affected by RfaH. In respect of colonization, deep-rough LPS mutants (waaG) but not capsular (kps) mutants were shown to behave similarly to rfaH mutants. Furthermore, alteration in the length of O-antigen side-chains did not modify colonization ability either indicating that it was the regulatory effect of RfaH on LPS-core synthesis, which affected intestinal colonization. Loss of RfaH did not significantly influence adhesion of bacteria to cultured colon epithelial cells. Increased susceptibility of rfaH mutants to bile salts, on the other hand, suggested that impaired in vivo survival could be responsible for the reduced colonization capacity.  相似文献   
125.
Bibionid larvae were extracted from soil samples collected from June 1985 to March 1987. Each larva was identified, weighed and measured for maximum head capsule width. Both Bibio johannis and Dilophus febrilis have six larval instars. Bibio johannis grew slowly in late summer and early autumn but rapidly from October to January. Early and late instar larvae of D. febrilis occurred simultaneously and it was concluded that this species was not bivoltine but may exist as two separate cohorts with distinct flight periods.  相似文献   
126.
Nutrient-encapsulation technique using in vitro grown nodal segments was developed as an alternative method for distribution of potato germplasm. The nodal cuttings of two potato genotypes, Kufri Jyoti and Kufri Lauvkar, were encapsulated in calcium-free Murashige and Skoog's (MS) medium containing either 2 or 3 % sodium alginate and 0, 1, 2 or 3 % saccharose. The encapsulated segments were stored in tubes with or without semisolid MS medium, and incubated in the dark at 25 ± °C for 3 to 6 weeks. Presence of saccharose in the beads was found detrimental for regrowth of new shoots. In absence of saccharose, about 82 % and 53 % encapsulated segments initiated regrowth after 3 and 6 weeks of dark storage, respectively, in tubes containing MS medium. Storage in empty tubes deteriorated the encapsulated segments, and depressed shoot formation. For potato germplasm distribution, the encapsulated segments can be transported in small tubes containing semisolid MS medium. This revised version was published online in July 2006 with corrections to the Cover Date.  相似文献   
127.
摘要 目的:探讨溶栓胶囊联合丁苯酞软胶囊对脑梗死恢复期患者血液流变学、脑血流动力学和神经因子的影响。方法:选取2021年1月-2022年1月期间长治医学院附属和平医院收治的100例脑梗死恢复期患者,按照随机数字表法分为研究组(50例)和对照组(50例),对照组接受丁苯酞软胶囊治疗,研究组接受溶栓胶囊联合丁苯酞软胶囊治疗。对比两组疗效、血液流变学、脑血流动力学、神经因子和不良反应发生情况。结果:研究组90.00%的临床总有效率高于对照组72.00%(P<0.05)。治疗20 d后,两组美国国立卫生院神经功能缺损评分(NIHSS)评分下降,Barthel指数(BI)评分升高,且研究组改善幅度大于对照组(P<0.05)。治疗20 d后,两组全血粘度、血浆粘度、血沉(ESR)、纤维蛋白原(FIB)和红细胞压积(HCT)均下降,且研究组低于对照组(P<0.05)。治疗20 d后,两组平均血流速度(Vm)升高,搏动指数(PI)及阻力指数(RI)均下降,且研究组改善幅度大于对照组(P<0.05)。治疗20 d后,两组神经元特异性烯醇化酶(NSE)下降,神经生长因子(NGF)、神经营养因子(BDNF)升高,且研究组改善幅度大于对照组(P<0.05)。两组不良反应发生率组间对比无差异(P>0.05)。结论:溶栓胶囊联合丁苯酞软胶囊可有效改善脑梗死恢复期患者血液流变学、脑血流动力学,促进神经功能恢复,提高生活活动能力,效果显著。  相似文献   
128.
n-3 polyunsaturated fatty acids (n-3 PUFA) might regulate metabolism by lowering endocannabinoid levels. We examined time-dependent changes in adipose tissue levels of endocannabinoids as well as in parameters of glucose homeostasis induced by n-3 PUFA in dietary-obese mice, and compared these results with the effect of n-3 PUFA intervention in type 2 diabetic (T2DM) subjects. Male C57BL/6J mice were fed for 8, 16 or 24?weeks a high-fat diet alone (cHF) or supplemented with n-3 PUFA (cHF?+?F). Overweight/obese, T2DM patients on metformin therapy were given for 24?weeks corn oil (Placebo; 5?g/day) or n-3 PUFA concentrate as above (Omega-3; 5?g/day). Endocannabinoids were measured by liquid chromatography-tandem mass-spectrometry. Compared to cHF-fed controls, the cHF?+?F mice consistently reduced 2-arachidonoylglycerol (up to ~2-fold at week 24) and anandamide (~2-fold) in adipose tissue, while the levels of endocannabinoid-related anti-inflammatory molecules N-eicosapentaenoyl ethanolamine (EPEA) and N-docosahexaenoyl ethanolamine (DHEA) increased more than ~10-fold and ~8-fold, respectively. At week 24, the cHF?+?F mice improved glucose tolerance and fasting blood glucose, the latter being positively correlated with adipose 2-arachidonoylglycerol levels only in obese cHF-fed controls, like fasting insulin and HOMA-IR. In the patients, n-3 PUFA failed to reduce 2-arachidonoylglycerol and anandamide levels in adipose tissue and serum, but they increased both adipose tissue and serum levels of EPEA and DHEA. In conclusion, the inability of n-3 PUFA to reduce adipose tissue and serum levels of classical endocannabinoids might contribute to a lack of beneficial effects of these lipids on glucose homeostasis in T2DM patients.  相似文献   
129.
摘要 目的:观察温针灸联合塞来昔布胶囊对膝骨关节炎(KOA)患者骨代谢指标和血清白介素-6(IL-6)、白介素-17(IL-17)、白介素-18(IL-18)水平的影响。方法:纳入我院2017年4月~2020年12月间针灸科接收的KOA患者80例,将患者采用信封抽签法分为对照组和研究组,各为40例。对照组给予塞来昔布胶囊进行治疗,研究组给予温针灸联合塞来昔布胶囊进行治疗,均连续治疗8周。观察两组疗效、骨代谢指标[骨保护素(OPG)、降钙素(CT)、骨钙素(BGP)]、炎性因子、量表评分[视觉模拟评分法(VAS)、骨关节炎指数评分表(WOMAC)、Lysholm膝关节评分]等情况,记录治疗期间的不良反应发生率。结果:研究组的临床总有效率高于对照组(P<0.05)。研究组治疗8周后VAS、WOMAC较对照组低,Lysholm膝关节评分较对照组高(P<0.05)。研究组治疗8周后血清OPG、BGP较对照组高(P<0.05)。两组血清CT水平治疗8周后对比差异无统计学意义(P>0.05)。研究组治疗8周后血清IL-6、IL-17、IL-18较对照组低(P<0.05)。两组不良反应总发生率组间对比差异无统计学意义(P>0.05)。结论:温针灸联合塞来昔布胶囊治疗KOA患者,可有效减轻疼痛,促进膝关节功能恢复,同时还可抑制炎症因子,改善骨代谢指标,优化治疗效果。  相似文献   
130.
The gastropod genus Cominella Gray, 1850 consists of approximately 20 species that inhabit a wide range of marine environments in New Zealand and Australia, including its external territory, the geographically isolated Norfolk Island. This distribution is puzzling, however, with apparently closely‐related species occurring either side of the Tasman Sea, even though all species are considered to have limited dispersal abilities. To determine how Cominella attained its current distribution, we derived a dated molecular phylogeny, which revealed a clade comprising all the Australian and Norfolk Island species nested within four clades of solely New Zealand species. This Australian clade diverged well after the vicariant separation of New Zealand from Australia, and implies two long‐distance dispersal events: a counter‐current movement across the Tasman Sea from New Zealand to Australia, occurring at the origination of the clade, followed by the colonization of Norfolk Island. The biology of Cominella suggests that the most likely method of long‐distance dispersal is rafting as egg capsules. Our robust phylogeny also means that the current Cominella classification requires revision. We propose that our clades be recognized as subgenera: Cominella (s.s.), Cominista, Josepha, Cominula, and Eucominia, with each subgenus comprising only of New Zealand or Australian species. © 2015 The Linnean Society of London, Biological Journal of the Linnean Society, 2015, 115 , 315–332.  相似文献   
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