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1.
电刺激疗法治疗脑卒中后吞咽障碍的疗效研究   总被引:6,自引:0,他引:6  
目的探讨电刺激疗法治疗脑卒中所致吞咽障碍的临床疗效。方法75例脑卒中后吞咽障碍患者分为电刺激组,针灸组及康复训练组各25例,前两组在接受常规药物治疗及康复训练基础上分别加用电刺激治疗和针灸。三组治疗前、治疗第1周及第2周以吞咽障碍程度分级评分评定疗效。结果三组治疗后吞咽障碍程度分级评分均明显高于治疗前(P〈0.01);电刺激组评分明显高于针灸组和康复训练组(P〈0.01);电刺激组治疗第1、第2周后有效率明显高于针灸组和康复训练组(P〈0.05)。结论电刺激疗法可明显改善脑卒中所致吞咽障碍,配合针灸,康复训练等综合疗法可加强治疗效果。  相似文献
2.
社交技能训练改善精神分裂症患者阴性症状   总被引:4,自引:0,他引:4  
目的 探讨社交技能训练对精神分裂症患者阴性症状、情绪表达的影响.方法 将140例恢复期精神分裂症患者随机分为干预组(74例)和对照组(66例).对干预组进行小组式社交技能训练,于训练前及训练后12个月采用阴性症状量表(SANS)、Montgomery-Asberg抑郁量表(MADRS)评定.结果 在训练后12个月时干预组的SANS总分(35.5)低于对照组(39.0)(Z=-2.684,P<0.05),对照组12个月时N4评分大于入组时评分(Z=-3.652,P<0.05);在MADRS评分中,除内心紧张、自杀观念外,干预组的其余评分和总分低于对照组(Z总分=-4.125,Z2=-2.389,Z7=-2.290,Z8=-2.992,Z9=-2.350,P<0.05),对照组的入组时和12个月相比,总分差异无统计学意义(P>0.05).结论 在药物治疗的基础上,系统而规则的社交技能训练可改善精神分裂症患者的阴性症状,延缓或阻止其社交退缩的发生,促进患者的情绪表达.  相似文献
3.
减重步行训练对早期脑梗死偏瘫患者的疗效观察   总被引:4,自引:0,他引:4  
目的比较减重步行训练结合常规康复治疗与常规康复治疗对早期脑梗死后偏瘫患者的临床疗效。方法68例脑梗死后偏瘫患者,随机分为2组:①减重步行训练结合常规康复治疗组(减重步行训练组,36例);②常规康复治疗组(32例)。脑梗死后偏瘫患者入选后分别在治疗前,治疗后的2周、4周、6周进行以下评定:①功能性步行量表(Functional Ambulation Category,FAC);②运动功能评定量表(Fugl-Meyer量表);③日常生活行为Bar-thel指数量表(Activity of Daily Life,ADL)。2组患者入组后开始为期6周的康复治疗。结果两组患者的FAC、Fugl-Meyer、Barthel指数评分治疗前差异无统计学意义(P>0.05),治疗后2周、4周、6周组内差异均有统计学意义(P<0.01)。FAC和Fugl-Meyer评分治疗后4周、6周组间差异均有统计学意义(P<0.05)。Barthel指数评分治疗后2周、4周、6周组间差异均有统计学意义(P<0.05)。结论减重步行训练结合常规康复治疗能更好地提高早期脑梗死后偏瘫患者的运动能力。  相似文献
4.
Does finger training increase young children's numerical performance?   总被引:3,自引:0,他引:3  
Butterworth (1999) suggested that fingers are important in representing numerosities. Furthermore, scores on a finger gnosis test are a better predictor of numerical performance up to 3 years later than intellectual measures (Marinthe et al., 2001; No?l, 2005). We hypothesised that training in finger differentiation would increase finger gnosis and might also improve numerical performance. Accordingly, 47 first-grade children were selected and divided into 3 groups: children with poor finger gnosis who followed the finger-differentiation training programme (G1), a control-intervention who were trained in story comprehension (G2), and a group with high finger gnosis scores who just continued with normal school lessons (G3). The finger training consisted of 2 weekly sessions of half an hour each, for 8 weeks. Before the training period, children in G3 performed better in finger gnosis and enumeration than children in the two other groups. After the training period this pattern remained for the children in G2 and G3, but the children in G1 were significantly better than those in G2 at finger gnosis, representation of numerosities with fingers, and quantification tasks; they also tended to be better at the processing of Arabic digits. These results indicate that improving finger gnosis in young children is possible and that it can provide a useful support to learning mathematics. Such an approach could be particularly appropriate for children with a developmental Gerstmann syndrome. Theoretically, these results are important because they suggest a functional link between finger gnosis and number skills.  相似文献
5.
6.
Best Practices in Behavioral Health Workforce Education and Training   总被引:2,自引:2,他引:0  
Dramatic changes have occurred in the delivery of mental health and substance abuse services over the past decade and a half. There is growing concern that education programs have not kept pace with these changes and that reforms are needed to improve the quality and relevance of training efforts. Drawing on the published works of experts and a national initiative to develop a consensus among stakeholders about the nature of needed reforms, this article outlines 16 recommended "best practices" that should guide efforts to improve workforce education and training in the field of behavioral health.  相似文献
7.

Objectives

We performed a systematic review to assess the benefits or risks of physical activity in patients with an acute or previous DVT of the leg.

Data sources

PubMed, EMBASE and Science Citation Index were searched without language restrictions up to July 2007. Bibliographies of retrieved articles and personal files were also searched.

Review methods

Randomized trials and prospective cohort studies that included patients with acute or previous DVT, described an exercise intervention or exercise exposure, and described any related clinical outcome were selected. Data were independently extracted by 2 investigators.

Results

Seven randomized trials and two prospective observational studies were included. Early exercise, compared with bed rest, was associated with a similar short-term risk of pulmonary embolism in patients with acute DVT and led to more rapid resolution of limb pain. In patients with acute DVT, a 6 month daily walking program led to similar degrees of vein recanalization and improvement in quality of life as controls. In patients with previous DVT, 30 min of vigorous treadmill exercise did not worsen venous symptoms and improved calf muscle flexibility; a 6 month exercise training program improved calf muscle strength and pump function; and high levels of physical activity at one month tended to be associated with reduced severity of postthrombotic symptoms during the subsequent 3 months.

Conclusions

Early walking exercise is safe in patients with acute DVT and may help to reduce acute symptoms. Exercise training does not increase leg symptoms acutely in patients with a previous DVT and may help to prevent or improve the postthrombotic syndrome.  相似文献
8.
To distinguish the respective potential of endurance and resistance training to increase the satellite cell pool, we investigated the effects of 14 weeks of concurrent lower body endurance and upper body resistance training (3 sessions/week) on vastus lateralis (VLat) and deltoid (Del) muscles of 10 active elderly men. NCAM+ satellite cells and myonuclear number were assessed in VLat and Del. After 14 weeks of training the NCAM+ satellite cell pool increased similarly (+38%) in both muscles, mainly in type II muscle fibers (P < 0.05). There was no significant change in myonuclear number or myonuclear domain in either muscle. Combining resistance training in the upper limbs with endurance training in the lower limbs is an efficient strategy to enhance the satellite cell pool in upper and lower body muscles in elderly subjects. Our results provide a practical reference for the determination of optimal exercise protocols to improve muscle function and regeneration in the elderly.  相似文献
9.
In this study a teacher training program for Autism Spectrum Disorders (ASD), based on “structured teaching” (Mesibov et al., The TEACCH approach to autism spectrum disorders, 2006) was developed and evaluated within a Pre–Post design. In total, 10 teachers working with 10 students with ASD (mean age 10.0 years) in special education classrooms in Germany were involved in the training, The Pre–Post outcomes measured by teacher questionnaires indicated significant improvement on the Classroom Child Behavioral Symptom Scale as well as on the corresponding Classroom Teachers’ Stress Reaction Scale. In addition, teachers implemented two structured teaching methods on average in their classrooms. These findings provide some first evidence for the clinical and social validity of the training program examined.  相似文献
10.
社交技能训练对精神分裂症患者社会功能的影响   总被引:2,自引:0,他引:2  
目的:探讨社交技能训练对精神分裂症缓解期患者社会功能的影响。方法:将95例缓解期患者随机分为干预组和对照组。对干预组给予小组社交技能训练,于干预前及干预12个月后采用社会功能缺陷筛选表(SDSS)、家庭负担量表(FBS)进行评定。结果:干预组训练前后的SDSS评分及FBS中家庭日常活动、家庭关系等差异均有显著性(P均〈0.05),对照组在治疗前后差异无显著性。结论:在药物治疗的基础上,系统而规则的社交技能训练能有效地改善患者处理家庭关系和家庭日常活动的能力并促进患者的社会功能恢复。  相似文献
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