全文获取类型
收费全文 | 10904篇 |
免费 | 463篇 |
国内免费 | 75篇 |
专业分类
耳鼻咽喉 | 59篇 |
儿科学 | 169篇 |
妇产科学 | 281篇 |
基础医学 | 1712篇 |
口腔科学 | 86篇 |
临床医学 | 2066篇 |
内科学 | 612篇 |
皮肤病学 | 118篇 |
神经病学 | 838篇 |
特种医学 | 123篇 |
外科学 | 381篇 |
综合类 | 2030篇 |
一般理论 | 1篇 |
预防医学 | 1589篇 |
眼科学 | 23篇 |
药学 | 880篇 |
15篇 | |
中国医学 | 235篇 |
肿瘤学 | 224篇 |
出版年
2024年 | 10篇 |
2023年 | 193篇 |
2022年 | 279篇 |
2021年 | 385篇 |
2020年 | 400篇 |
2019年 | 295篇 |
2018年 | 297篇 |
2017年 | 330篇 |
2016年 | 344篇 |
2015年 | 346篇 |
2014年 | 949篇 |
2013年 | 1051篇 |
2012年 | 949篇 |
2011年 | 963篇 |
2010年 | 756篇 |
2009年 | 618篇 |
2008年 | 579篇 |
2007年 | 522篇 |
2006年 | 393篇 |
2005年 | 290篇 |
2004年 | 230篇 |
2003年 | 195篇 |
2002年 | 154篇 |
2001年 | 134篇 |
2000年 | 106篇 |
1999年 | 90篇 |
1998年 | 59篇 |
1997年 | 44篇 |
1996年 | 33篇 |
1995年 | 42篇 |
1994年 | 42篇 |
1993年 | 20篇 |
1992年 | 25篇 |
1991年 | 24篇 |
1990年 | 18篇 |
1989年 | 15篇 |
1988年 | 15篇 |
1987年 | 18篇 |
1986年 | 23篇 |
1985年 | 23篇 |
1984年 | 17篇 |
1983年 | 21篇 |
1982年 | 21篇 |
1981年 | 14篇 |
1980年 | 20篇 |
1979年 | 25篇 |
1978年 | 14篇 |
1977年 | 10篇 |
1975年 | 10篇 |
1973年 | 8篇 |
排序方式: 共有10000条查询结果,搜索用时 31 毫秒
11.
目的探讨全方位护理干预对ERCP围术期患儿及家属应激及心理状况的影响。方法选取2018年1月10日至2019年10月10日行ERCP患儿100例,采用抽签法分为观察组及对照组各50例,分别对两组实施全方位护理及常规护理干预,观察ERCP围术期患儿应激情况和并发症发生率,对患儿家属进行焦虑和抑郁评分。结果观察组患儿轻度应激30例(60.00%)、中度应激20例(40.00%),应激程度低于对照组患儿(P<0.05);观察组患儿并发症发生率为4.00%,低于对照组患儿(P<0.05);观察组患儿家属的焦虑评分14.01±0.11、抑郁评分15.23±1.48,低于对照组患儿家属(P<0.05)。结论全方位护理干预能有效减少ERCP围术期患儿应激,降低并发症发生率,改善患儿家属负面情绪,从而促进患儿早期康复。 相似文献
12.
妊娠合并地中海贫血(thalassemia)是一种发生在妊娠期的单基因组遗传的溶血性疾病。由于血液中血红蛋白的组成比例失衡,妊娠合并地中海贫血患者血液系统发生了改变,可能会影响母体的心脏功能,增加血栓形成风险,损害免疫系统,使内分泌系统紊乱等。以往研究关注妊娠合并地中海贫血的流行病学及发病机制,缺乏对其所带来的并发症的妊娠期管理、遗传咨询及产前诊断的系统性阐述。从病变类型和发病机制入手,深度剖析地中海贫血在妊娠期的特有并发症及相应的处理方式,以期能取得更好的妊娠结局及围生儿结局。 相似文献
13.
14.
15.
16.
Study Design
Case series.Introduction
A salvaged limb is one that has undergone a major traumatic injury, followed by repeated surgical attempts in order to avoid amputation. Psychological recovery for individuals with lower extremity limb salvage has been examined in a number of studies. However, psychosocial reactions for individuals with upper extremity (UE) limb salvage are understudied in the literature.Purpose of the Study
The purpose of this study was to explore the process of psychosocial adaptation for 3 trauma cases after UE limb salvage.Methods
The Reactions to Impairment and Disability Inventory was used to assess psychosocial adaptation. Physical function outcomes (pain, range of motion, edema, sensation, and dexterity) are presented. The Disabilities of the Arm, Shoulder, and Hand measure was used to assess perceived disability. Medical and rehabilitation history are discussed for each case, in order to provide in-depth understanding of the impact of these injuries.Results
Reactions to injury varied across the cases; however, outcomes suggest that psychosocial adaptation may be influenced by the experience of pain, the ability to participate in valued roles and activities, and having a supportive social network.Discussion
For this population, therapists may consider emphasizing pain management, focusing on client-centered goals and interventions, and facilitating peer support. Providers should closely monitor patients for signs of poor adaptation, such as hand-hiding behaviors.Conclusions
This study is among the first to examine psychological outcomes for the UE limb salvage population. Future research would be beneficial to provide deeper understanding of the psychosocial challenges for these individuals. 相似文献17.
目的 探讨赋能心理护理对ICU患者家属心理压力及应对方式的影响。方法 选取2017年1-12月我院收治的120例ICU患者的主要照顾家属为研究对象,采用随机数字表法将其分为观察组及对照组,每组各60例。对照组行常规健康宣教,观察组在对照组基础上行赋能心理干预,比较2组心理压力、自我效能及应对方式。结果 干预后,观察组自我效能评分、积极应对方式评分均明显高于对照组(t=8.477,P<0.001;t=10.845,P<0.001),而消极应对方式评分明显低于对照组(t=8.935,P<0.001)。观察组紧张感、失控感及心理压力总评分均明显低于对照组(P<0.001)。结论 赋能心理干预能有效提高ICU重症患者家属自我效能,使家属能积极面对患者病情,减轻患者家属心理负担。 相似文献
18.
Michela Villani 《Medical anthropology》2020,39(3):269-281
ABSTRACTClitoral reconstructive surgery is not sufficient to restore women’s sexual pleasure after excision. If the surgical technique aims at reconstructing the cut clitoris after type 2 female genital mutilation, the surgery alone cannot reconstruct other dimensions invoked by women in their requests for the procedure. In France, where clitoral reconstructive surgery since 2004 has been entirely covered by national insurance, a multidisciplinary approach precedes the surgery. Ethnographic fieldwork in one public hospital contributes a wider comprehension of the entire process of clitoral reconstruction, as well as the tools elaborated by the medical team. In particular, analysis of the assessments of the psychologist and sex therapist compiled in the medical folders shows how the multidisciplinary medical team developed specific tools. These tools are oriented at reconstructing the patient’s sexual sensibility, at breaking through psychological blocks such as self-esteem and body image, and/or at addressing abusive intimate relationships. 相似文献
19.
20.
《Patient education and counseling》2020,103(2):315-320
ObjectiveTo compare differences in patient-provider communication among patients who, prior to contraceptive counseling, used or did not use a decision support tool (“My Birth Control”) which has educational and interactive modules and produces a provider printout with the patient’s preferences.MethodsAs part of a cluster-randomized trial of the tool in four San Francisco safety net clinics, we collected and thematically analyzed 70 audio recordings of counseling visits (31 pre- and 39 post-tool implementation) from 15 providers randomized to the intervention.ResultsWithout the tool, most providers began by asking participants what method they were considering and focused counseling on that method or on directing patients towards long-acting reversible contraception; with the tool, most focused on reviewing and discussing multiple methods of interest to the participant as indicated on the printout. Discussion of patients’ preferences for specific method features was not observed in pre-implementation recordings but was part of several post-implementation recordings. Several participants explicitly noted they had gained knowledge from the tool.ConclusionObserved counseling differences suggest the tool may have a positive impact on patient-centeredness of contraceptive counseling, consistent with findings from the main study.Practice implicationsMy Birth Control shows potential for improving patient-centeredness in counseling without extensive provider training. 相似文献