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91.
经鼻蝶窦手术动物模型神经内镜手术训练 总被引:1,自引:1,他引:0
目的建立一种活体动物的神经内镜经鼻蝶手术模拟训练方法。方法选择大鼠,建立一套训练计划,完成内镜图像导引下的内镜操作,电凝止血、冲洗和吸引、活检等神经内镜经鼻蝶手术的基本技巧。结果利用大鼠颅脑进行模仿内镜经鼻蝶手术,如在内镜图像导引下操作内镜的方法;熟悉内镜系统、电凝系统、冲洗和吸引设备的使用;熟悉了神经内镜经鼻蝶手术的步骤。结论作为神经内镜实验室训练的重要组成部分,通过利用大鼠颅脑进行模拟神经内镜手术,训练者可以从中获得神经内镜操作基本技巧的练习。 相似文献
92.
An operating theatre fire and the steps taken to deal with it are described; the difficulties encountered in evacuating anaesthetised patients are highlighted. Measures which might be taken to prevent recurrence of these problems, and recommendations on the institution of fire drills for the safety of patients and staff are given. 相似文献
93.
对医学工程技术人员岗位培训方式的探讨 总被引:1,自引:0,他引:1
本文对如何开展医学工程技术人员的培训进行了分析,并提出了一些具体的办法。 相似文献
94.
实施人才强院战略铸造医院核心竞争力 总被引:2,自引:0,他引:2
介绍绍兴市人民医院实施人才强院战略,打造医院核心竞争力的经验和成效创新人才观念,改革内部用人机制;制定育才引才并举的人才策略;创新人才管理体制,构建科学的人才激励机制. 相似文献
95.
Crofts JF Ellis D Draycott TJ Winter C Hunt LP Akande VA 《BJOG : an international journal of obstetrics and gynaecology》2007,114(12):1534-1541
Objectives To explore the effect of obstetric emergency training on knowledge. Furthermore, to assess if acquisition of knowledge is influenced by the training setting or teamwork training.
Design A prospective randomised controlled trial.
Setting Training was completed in six hospitals in the South West of England, UK and at the Bristol Medical Simulation Centre, UK.
Population Midwives and obstetric doctors working for the participating hospitals were eligible for inclusion in the study. A total of 140 participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were studied.
Methods Participants were randomised to one of four obstetric emergency training interventions: (1) 1-day course at local hospital, (2) 1-day course at simulation centre, (3) 2-day course with teamwork training at local hospital and (4) 2-day course with teamwork training at simulation centre.
Main outcome measures Change in knowledge was assessed by a 185 question Multiple-Choice Questionnaire (MCQ) completed up to 3 weeks before and 3 weeks after the training intervention.
Results There was a significant increase in knowledge following training; mean MCQ score increased by 20.6 points (95% CI 18.1–23.1, P < 0.001). Overall, 123/133 (92.5%) participants increased their MCQ score. There was no significant effect on the MCQ score of either the location of training (two-way analysis of variants P = 0.785) or the inclusion of teamwork training ( P = 0.965).
Conclusions Practical, multiprofessional, obstetric emergency training increased midwives' and doctors' knowledge of obstetric emergency management. Furthermore, neither the location of training, in a simulation centre or in local hospitals, nor the inclusion of teamwork training made any significant difference to the acquisition of knowledge in obstetric emergencies. 相似文献
Design A prospective randomised controlled trial.
Setting Training was completed in six hospitals in the South West of England, UK and at the Bristol Medical Simulation Centre, UK.
Population Midwives and obstetric doctors working for the participating hospitals were eligible for inclusion in the study. A total of 140 participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were studied.
Methods Participants were randomised to one of four obstetric emergency training interventions: (1) 1-day course at local hospital, (2) 1-day course at simulation centre, (3) 2-day course with teamwork training at local hospital and (4) 2-day course with teamwork training at simulation centre.
Main outcome measures Change in knowledge was assessed by a 185 question Multiple-Choice Questionnaire (MCQ) completed up to 3 weeks before and 3 weeks after the training intervention.
Results There was a significant increase in knowledge following training; mean MCQ score increased by 20.6 points (95% CI 18.1–23.1, P < 0.001). Overall, 123/133 (92.5%) participants increased their MCQ score. There was no significant effect on the MCQ score of either the location of training (two-way analysis of variants P = 0.785) or the inclusion of teamwork training ( P = 0.965).
Conclusions Practical, multiprofessional, obstetric emergency training increased midwives' and doctors' knowledge of obstetric emergency management. Furthermore, neither the location of training, in a simulation centre or in local hospitals, nor the inclusion of teamwork training made any significant difference to the acquisition of knowledge in obstetric emergencies. 相似文献
96.
通过问卷调查和访谈分析,调查了云南罗平医院194名员工对医院的认同度,调查对象包括行政、临床和后勤人员,从医院管理模式、医院绩效考核、医院薪酬待遇等方面用描述统计方法分析了数据,显示了医院员工的认同度情况及管理中存在的问题,并分析了不同因素对医院员工的认同度影响,为进一步改善医院管理状况,提高管理水平提供了参考。 相似文献
97.
Dr Robert M. Lynd-Stevenson Stuart Byrne Sue Dolman Michael Harrison Brian Williams 《Clinical Psychologist》2007,11(2):45-49
The present paper outlines the development and evaluation of an allocation committee to distribute community placements on an equitable basis between universities. Although based on our experience in South Australia with the University Placement Allocation Committee (UPAC), the primary goal is to outline the steps that would be useful if placement coordinators at other universities in Australia decided to establish and maintain an allocation committee. A survey of field supervisors was also conducted and field supervisors endorsed UPAC as a constructive mechanism for allocating community placements. 相似文献
98.
"11.24"海难援救军人的心理健康状况分析 总被引:4,自引:1,他引:3
目的 探讨海难后军队应激援救人员的心理健康特点,为建立特定人群的心理健康评定体系提供科学依据。方法 采用症状自评量表和自行编制的调查表对39名1999-11-24烟台“大禹”海难1mo后的善后援救军人进行了心理健康测试,并将调查结果与对照军人和国内军人常模进行了比较。结果 接受调查的应激人群的SCL-90总分79.5%(31/39)的人评定为正常,总分≥160分为8例,占20.5%。SCL-90总分、射体化、焦虑、恐怖与精神病性因子与国内军人常模比较无显差异,但阳性项目数、强迫症状、人际敏感、抑郁、敌对及偏执因子分均显低于国内军人常模(P<0.05-0.01);而阳性症状均分显高于国内军人常模(P<0.05)。应激人群的阳性项目数明显低于对照人群,而阳性症状的痛苦水平明显高于对照人群(P<0.01);阳性症状均分仍显高于对照人群(P<0.05)。结论 提示受调查的应激人群的阳性症状均分显高于国内军人常模,改善婚姻状况和与同胸关系、完善上级领导工作方法和善后处理可以改善SCL-90结果,减少生活事件的刺激量可望改善其心理健康状况。 相似文献
99.
100.
Effect of Psoas Training on Postmenopausal Lumbar Bone Loss: A 3-Year Follow-Up Study 总被引:4,自引:0,他引:4
M. A. Mayoux-Benhamou F. Bagheri C. Roux G. R. Auleley J. P. Rabourdin M. Revel 《Calcified tissue international》1997,60(4):348-353
The present study completed a previous randomized trial that demonstrated the protective effect of 1-year psoas training
on lumbar bone loss in postmenopausal women. Computerized tomography had been carried out at the beginning (CT1) and at the
end (CT2) of this trial. In the present study, 67 women having completed the first trial were asked to practice psoas exercises
(60 hip flexions in sitting position with a 5 kg weight on the knee) for 2 additional years with a third CT control at the
end of this period (CT3). The aim of this complementary study was to assess the compliance rate and long-term effect on bone
of daily psoas muscle training over a longer period. Twenty-one women performed this daily psoas training for 3 years from
CT1 to CT3, and 14 acted as controls during the same period. Fourteen women were controls during the first year (from CT1
to CT2) but practiced psoas training during the following 2 years (from CT2 to CT3). Four women were psoas trained during
the first year (from CT1 to CT2) and subsequently crossed over to the control group for the last 2 years. The compliance rate
was 42%, with an attendance rate of 88%. The lumbar bone loss was lower in the 21 women trained over the 3 years (−3.26 ±
28.45 mg/cm3) than in the 14 untrained women (−16.79 ± 8.51 mg/cm3) (P= 0.02). The bone loss was not significantly reduced between the two periods of the study in the 12 women having been controls
from CT1 to CT2 and having crossed over to the active training group from CT2 to CT3. Psoas training may be effective against
lumbar bone loss. We conclude that specific training may play a contributing role in the preventive strategy to avoid osteoporosis.
Received: 23 February 1996 / Accepted: 25 October 1996 相似文献