全文获取类型
收费全文 | 4723篇 |
免费 | 172篇 |
国内免费 | 9篇 |
专业分类
耳鼻咽喉 | 20篇 |
儿科学 | 588篇 |
妇产科学 | 167篇 |
基础医学 | 257篇 |
口腔科学 | 35篇 |
临床医学 | 312篇 |
内科学 | 1191篇 |
皮肤病学 | 27篇 |
神经病学 | 283篇 |
特种医学 | 64篇 |
外科学 | 398篇 |
综合类 | 223篇 |
预防医学 | 1025篇 |
眼科学 | 24篇 |
药学 | 127篇 |
中国医学 | 34篇 |
肿瘤学 | 129篇 |
出版年
2024年 | 1篇 |
2023年 | 54篇 |
2022年 | 69篇 |
2021年 | 117篇 |
2020年 | 139篇 |
2019年 | 406篇 |
2018年 | 467篇 |
2017年 | 216篇 |
2016年 | 141篇 |
2015年 | 105篇 |
2014年 | 541篇 |
2013年 | 387篇 |
2012年 | 231篇 |
2011年 | 390篇 |
2010年 | 267篇 |
2009年 | 284篇 |
2008年 | 267篇 |
2007年 | 288篇 |
2006年 | 139篇 |
2005年 | 135篇 |
2004年 | 87篇 |
2003年 | 48篇 |
2002年 | 40篇 |
2001年 | 27篇 |
2000年 | 16篇 |
1999年 | 12篇 |
1998年 | 10篇 |
1997年 | 7篇 |
1996年 | 2篇 |
1995年 | 2篇 |
1993年 | 4篇 |
1992年 | 1篇 |
1990年 | 1篇 |
1989年 | 1篇 |
1988年 | 1篇 |
1979年 | 1篇 |
排序方式: 共有4904条查询结果,搜索用时 234 毫秒
1.
Kensuke Kudou Hiroshi Saeki Yuichiro Nakashima Shun Sasaki Tomoko Jogo Kosuke Hirose Qingjiang Hu Yasuo Tsuda Koichi Kimura Ryota Nakanishi Nobuhide Kubo Koji Ando Eiji Oki Tetsuo Ikeda Yoshihiko Maehara 《American journal of surgery》2019,217(4):757-763
Background
There were few studies assessed the postoperative sarcopenia in patients with cancers. The objective of present study was to assess whether postoperative development of sarcopenia could predict a poor prognosis in patients with adenocarcinoma of esophagogastric junction, (AEG) and upper gastric cancer (UGC).Methods
Patients with AEG and UGC who were judged as non-sarcopenic before surgery were reassessed the presence of postoperative development of sarcopenia 6 months after surgery. Patients were divided into the development group or non-development group, and clinicopathological factors and prognosis between these two groups were analyzed.Results
The 5-year overall survival rates were significantly poorer in the development group than non-development group (68.0% vs. 92.6%, P?=?0.0118). Multivariate analyses showed that postoperative development of sarcopenia was an independent prognostic factor for poor overall survival (P?=?0.0237).Conclusions
Postoperative development of sarcopenia was associated with a poor prognosis in patients with AEG and UGC. 相似文献2.
3.
4.
Sandesh Parajuli Rachna Tiwari Dana F. Clark Didier A. Mandelbrot Arjang Djamali Kenneth Casey 《Transplantation reviews (Orlando, Fla.)》2019,33(1):9-16
In patients with chronic kidney disease (CKD) and kidney transplant recipients who continue to have some degree of CKD, the prevalence of sleep-related disorders is very high. Common sleep disorders in both groups include insomnia, sleep-disordered breathing (SDB), restless legs syndrome (RLS), excessive daytime sleepiness (EDS), and others. Depending on the kidney graft function, some patients see sleep disorders resolve after kidney transplantation, while others continue to have persistent sleep disorders or develop new ones. Kidney transplant recipients (KTRs) are unique patients due to the presence of a single kidney, the use of immunosuppressive medications, and other comorbidities including obesity, a high risk of cardiovascular disease, malignancy, and the anxiety of losing their allograft. All of these factors contribute to the risk for sleep disorders. CKD and sleep disorders have a bidirectional relationship; that is, CKD may increase the risk of sleep disorders and sleep disorders may increase the risk of CKD. Obstructive sleep apnea (OSA) is the most common form of SDB and is known to alter renal hemodynamics. OSA leads to hypoxemia and sleeps fragmentation, which activates the sympathetic nervous system. This activates the renin-angiotensin-aldosterone system and ultimately alters cardiovascular hemodynamics. Sleep disorders may have deleterious effects on the kidney allograft and proper screening and management are important for both graft and patient survival. 相似文献
5.
Joshua Demb Esther K. Wei Monika Izano Stephen Kritchevsky Helen Swede Anne B. Newman Michael Shlipak Tomi Akinyemiju Steven Gregorich Dejana Braithwaite 《Journal of Geriatric Oncology》2019,10(2):265-271
Objectives
We examined the association between three inflammatory markers (Interleukin (IL)-6, C-reactive protein (CRP), tumor necrosis factor (TNF)-α) and incident lung cancer using baseline, updated, and averaged inflammatory measures in older adults.Methods
We fitted multivariable Cox models to assess whether circulating levels of inflammation markers were associated with incident lung cancers in the Health Aging, Body and Composition (HealthABC) prospective cohort of 3075 older adults aged 70–79?years at baseline. IL-6 and CRP were measured biennially, whereas TNF-α was measured at baseline.Results
Baseline levels of IL-6 were significantly associated with incident lung cancer risk in a model that adjusted for age, gender, race, and site (Model 1) (Hazard RatioT3 vs. T1: 3.34, 95% Confidence Interval: 1.91, 5.85) and in a model adjusted for health factors linked to chronic inflammation (Model 2) (HR T3 vs. T1: 2.57, 95% CI: 1.41, 4.65). The associations observed in time-updated IL-6 (HR T3 vs. T1: 2.47, 95% CI: 1.43, 4.28), cumulatively averaged IL-6 (HR T3 vs. T1: 2.47, 95% CI: 1.43, 4.35), and baseline CRP levels (HR T3 vs. T1: 1.85, 95% CI: 1.11, 3.08) with incident lung cancer in Model 1 were not statistically significant in Model 2.Conclusions
Baseline CRP and IL-6 levels were associated with increased risk of lung cancer in Model 1 and both models, respectively. Chronic IL-6 inflammation, as quantified by repeated measures was associated with incident lung cancer in Model 1, but not Model 2. Further research is needed to understand the role of CRP and IL-6 in lung carcinogenesis. 相似文献6.
7.
《Obstetrics, Gynaecology and Reproductive Medicine》2020,30(10):315-320
The incidence of obesity in the UK is increasing, meaning more women booking for antenatal care are obese. Obesity poses many additional risks to the mother and fetus during pregnancy, labour and the puerperium. Care of obese women should aim to reduce these risks. This article will discuss the risks associated with obesity in pregnancy and the management of obese women, from preconception through to completion of the postnatal period. 相似文献
8.
目的 了解江苏某高校2018级新生体质指数及生活习惯,分析生活习惯对体质指数的影响,为指导大学生养成健康生活习惯、塑造良好身体素质提供依据。方法 入学体检测量新生身高、体重,随机抽取部分专业学生完成生活习惯调查。结果 完成调查问卷的350名新生,体质指数正常、过轻、过重、肥胖者占比分别为57.71%、28%、10.29%和4%。男生体质指数高于女生(P<0.01),男生过重及肥胖检出率高于女生(P<0.05),女生过轻检出率高于男生(P<0.01)。完成调查问卷的新生中,65.43%每日规律三餐饮食,69.14%有每周运动的习惯。规律饮食组体质指数正常检出率高于非规律饮食组(P<0.05),每周运动3次及以上学生体质指数正常检出率高于其他学生(P<0.05)。超重学生睡眠满意度低于其他学生(P<0.05)。结论 新入学大学生体质指数过轻与超重问题并存,饮食及运动习惯有待改善,高校需重视体质指数监测,有针对性开展饮食及运动健康教育。 相似文献
9.
10.
Stéphane Frayon Yolande Cavaloc Guillaume Wattelez Sophie Cherrier Amandine Touitou Paul Zongo 《Ethnicity & health》2020,25(2):289-304
ABSTRACTObjective(s): The prevalence of adolescent obesity is high among the various ethnic groups native to the Pacific region (European, Melanesian and Polynesian). An important factor of weight gain or loss is body size satisfaction; however, little is known about adolescent body self-perception in the Pacific region.Design: Body dissatisfaction was evaluated using the Stunkard Figure Rating Scale in a sample of 699 adolescents from rural and urban areas of New Caledonia. The socio-demographic factors associated with higher body dissatisfaction were determined by multiple linear regression modeling.Results: Our results showed a high rate of body dissatisfaction (over 70%) in the adolescents. Body dissatisfaction was strongly related to the body mass index z-score. Melanesians boys had higher body dissatisfaction scores when they felt ‘too thin’ while Melanesian girls showed lower body dissatisfaction when they felt ‘too fat.’.Conclusion: These results showed that social pressure for thinness or musculature may be different among adolescents living in New Caledonia. These results should be taken into account in education overweight prevention programs. 相似文献