全文获取类型
收费全文 | 24869篇 |
免费 | 1777篇 |
国内免费 | 291篇 |
专业分类
耳鼻咽喉 | 113篇 |
儿科学 | 765篇 |
妇产科学 | 318篇 |
基础医学 | 1926篇 |
口腔科学 | 582篇 |
临床医学 | 3716篇 |
内科学 | 2385篇 |
皮肤病学 | 185篇 |
神经病学 | 2250篇 |
特种医学 | 302篇 |
外科学 | 1329篇 |
综合类 | 3489篇 |
现状与发展 | 1篇 |
预防医学 | 6132篇 |
眼科学 | 109篇 |
药学 | 1515篇 |
45篇 | |
中国医学 | 584篇 |
肿瘤学 | 1191篇 |
出版年
2024年 | 90篇 |
2023年 | 504篇 |
2022年 | 871篇 |
2021年 | 1160篇 |
2020年 | 1089篇 |
2019年 | 933篇 |
2018年 | 869篇 |
2017年 | 908篇 |
2016年 | 886篇 |
2015年 | 854篇 |
2014年 | 1863篇 |
2013年 | 2052篇 |
2012年 | 1789篇 |
2011年 | 1834篇 |
2010年 | 1432篇 |
2009年 | 1379篇 |
2008年 | 1351篇 |
2007年 | 1243篇 |
2006年 | 930篇 |
2005年 | 723篇 |
2004年 | 584篇 |
2003年 | 533篇 |
2002年 | 410篇 |
2001年 | 347篇 |
2000年 | 315篇 |
1999年 | 247篇 |
1998年 | 211篇 |
1997年 | 172篇 |
1996年 | 144篇 |
1995年 | 161篇 |
1994年 | 119篇 |
1993年 | 102篇 |
1992年 | 93篇 |
1991年 | 80篇 |
1990年 | 72篇 |
1989年 | 69篇 |
1988年 | 65篇 |
1987年 | 46篇 |
1986年 | 36篇 |
1985年 | 69篇 |
1984年 | 49篇 |
1983年 | 33篇 |
1982年 | 36篇 |
1981年 | 30篇 |
1980年 | 26篇 |
1979年 | 28篇 |
1978年 | 19篇 |
1977年 | 16篇 |
1976年 | 14篇 |
1975年 | 14篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
61.
目的了解基层公共卫生人员心身健康状况及影响因素,为提高其健康水平和工作质量提供科学依据。方法应用中国心身健康量表,采用分层整群抽样的方式,抽取胶州、嘉祥、兖州和邹城疾病预防控制中心及下属防保站的公共卫生人员584名进行问卷调查。结果基层公共卫生人员心身障碍发生率为39.43%,其中最高为骨骼系统14.17%,其次为神经系统12.73%;呼吸系统、心血管系统、焦虑、抑郁、精神病性5项因子评分小于全国常模;运用二分类Logistic逐步回归分析显示,从事本行业年限的增加是引起眼和耳疾病的危险性因素(OR=1.067),职务的增高是导致心血管系统(OR=1.878)、消化系统(OR=1.675)、精神病性(OR=1.841)疾患的危险性因素;核心家庭(OR=0.136)、扩展家庭(OR=0.143)是降低抑郁发生的保护性因素。结论相关部门应采取综合措施,从工作和家庭环境等方面入手,提高基层公共卫生人员的心身健康水平。 相似文献
62.
目的探讨围手术期患者的心理状态及干预措施。方法对2009年1月至2010年1月间在我院接受手术治疗的患者92进行心理评估,分析心理状态及干预措施。结果6项心理测试中得0分者以焦虑最多,恐惧次之,再次为孤独、抑郁、疼痛及依赖等因子。本组0~4分者占9.8%,5~8分者占79.3%,9~11分者占10.9%,无0分及无满分者。结论围手术期患者均存在一定的心理问题,需及时给予心理干预措施。 相似文献
63.
64.
Birgitte Lidegaard Frederiksen Merete Osler Henrik Harling Steen Ladelund Torben Jørgensen 《Social science & medicine (1982)》2009
This paper investigates the association between individually measured socioeconomic status (SES) and all-cause survival in colorectal cancer patients, and explores whether factors related to the patient, the disease, or the surgical treatment mediate the observed social gradient. 相似文献
65.
Rachel Anderson Lynell Clancy Neil Flynn Alex Kral Ricky Bluthenthal 《The International journal on drug policy》2003,14(5-6):461
An important operational aspect of Syringe Exchange Programmes (SEPs) is the venue of service delivery. This report describes the programmatic features of the Sacramento Area Needle Exchange (SANE), an illegal SEP operating in California, USA. SANE utilises “satellite exchangers” to distribute the bulk of its syringes and HIV risk reduction supplies. Advantages of relying primarily on Designated Exchangers (DE) for delivery of SEP services are that it: (1) allows for coverage of a large geographical area; (2) keeps operational cost low; (3) provides syringes to clients who may not want to or cannot use fixed site programmes; (4) limits the possibility of detection of programme personnel and clients by law enforcement. Limitations are that: (1) it is not as conducive as fixed sites to providing a wide range of ancillary services; (2) it may not be optimal for drug users who do not want to be reliant on other people for access to syringes; (3) those who receive services from a satellite exchanger may not derive as much counselling and referral services as direct exchangers. The lack of legal status, political support and adequate funding threatens the programme’s existence. 相似文献
66.
Hy De Lee Euy Young Soh Hoon Sang Chi Byong Ro Kim Kyong Sik Lee Kyung Soon Song Hyun Joo Jung 《Surgery today》1990,20(2):180-185
The relationship between primary tumor proliferative activity and clinical and pathologic characteristics was analyzed in
relation to menopausal status in 32 patients with malignant or benign breast disease. The thymidine labeling index (TLI) showed
significantly higher median values in the cancer patients (3.48 per cent) than in the patients with benign diseases (1.02
per cent). TLI was not significantly affected by delayed incubation at room temperature for about 1 hour. In the breast cancer
patients, TLI did not significantly correlate to tumor size, the presence of axillary lymph node metastasis or pathologic
nuclear grading. The only significant difference was limited to the breast cancer patients without axillary lymph node metastasis
in relation to menopausal status; the TLI in the premenopausal patients (5.10 per cent) was significantly higher (p<0.05)
than that in the postmenopausal patients (2.28 per cent). These data thus suggest that among premenopausal patients without
axillary lymph node metastasis, those with a high TLI could be potential candidates for adjuvant chemotherapy. 相似文献
67.
Turrell 《Journal of human nutrition and dietetics》1998,11(2):135-149
Background: Studies have shown that socioeconomic groups differ in their dietary behaviours, and it has been suggested that these differences partly account for health inequalities between social groups. To-date, however, we have a limited understanding of why socioeconomic groups differ in their dietary behaviours. This paper addresses this issue by examining the relationship between socioeconomic status, food preference (likes and dislikes) and the purchase of 'healthy' food (i.e. food consistent with dietary guideline recommendations). Methods: This study was based on a dual-sample, dual-method research design. One sample was systematically selected from the Australian Commonwealth electoral roll and the data collected using a mail-survey methodology (81% response rate, n =403). The second consisted of a convenience sample of economically disadvantaged people recruited via welfare agencies (response rate unknown, n =70). A mail survey methodology was deemed inappropriate for this sample, so the data were collected by personally delivering the questionnaire to each respondent. Results: Socioeconomic groups differed significantly in their food purchasing choices and preferences. The food choices of respondents in the welfare sample were the least consistent with dietary guideline recommendations, and they reported liking fewer healthy foods (all results were independent of age and sex). Notably, socioeconomic differences in preference explained approximately 10% of the socioeconomic variability in healthy food purchasing behaviour. Conclusion: Whilst it is not clear why socioeconomic groups differ in their food preferences, possible reasons include: reporting bias, differential exposure to healthy food as a consequence of the variable impact of health promotion campaigns, structural and economic barriers to the procurement of these foods, and subculturally specific beliefs, values, meanings, etc. 相似文献
68.
男性不育患者的心理健康状况及相关因素探讨 总被引:3,自引:1,他引:2
目的 探讨男性不育患者的精神状况及与之相关的因素。方法 对 90例男性不育患者和 93例已婚有子女的健康男性进行症状自评量表和一般情况问卷调查。结果 男性不育患者的心理刺激重 ,症状多。不育患者的精神压力与职业、文化程度、每周性生活次数密切相关。农民、文化层次较低及性生活次数多的男性不育患者精神负担重 ,主要表现为人际关系敏感、抑郁、焦虑或偏执等症状。结论 建议在对不育男性尤其是农民不育患者进行不育治疗的同时给予心理健康服务和生育知识指导 ,以缓解患者的精神压力。 相似文献
69.
Psychological Disturbance and its Associations in the Children of the Gujarati Community 总被引:1,自引:1,他引:0
Latha Hackett Richard Hackett David C. Taylor 《Journal of child psychology and psychiatry, and allied disciplines》1991,32(5):851-856
The infrequent referral of Asian children to child psychiatry clinics was noted. By administering Rutter's scale A2 to samples of Gujarati and English parents with children between the ages of 4 and 7 years a lower rate of disturbance was demonstrated among the Asian sample providing an explanation for the original observation. Family and child-rearing factors associated with disturbance were identified. 相似文献
70.
Nicotine discrimination and self-administration in humans as a function of smoking status 总被引:2,自引:2,他引:0
Nicotine’s discriminative stimulus effects may be critical to understanding reinforcement of tobacco smoking. It is not known
whether regular nicotine exposure produces tolerance or sensitivity to these effects. In this study, male and female smokers
(n = 11) and never-smokers (n = 10) were trained to discriminate 20 μg/kg nicotine by nasal spray from placebo (0) on day 1. On day 2, both groups were
tested on generalization of this discrimination across intermittent presentations of 0, 3, 6, 12, and 20 μg/kg nicotine in
random order. Quantitative and quantal behavioral discrimination tasks, used in previous research, were employed. On day 3,
subjects were instructed to self-administer sprays from the 20 μg/kg nicotine versus 0 bottles in a concurrent-choice procedure.
All but one subject (female smoker) learned reliably to discriminate 20 μg/kg nicotine from placebo (≥ 80% correct) on day 1. Nicotine-appropriate responding on day 2 was attenuated in smokers versus never-smokers at 20 μg/kg
on the quantitative task and at 12 μg/kg on the quantal task, suggesting tolerance. There was no difference in responding
at other doses. Smokers also showed attenuated responses on the subjective measure of “head rush”, which was associated with
discrimination responding in both groups. Nicotine self-administration was significantly greater in smokers versus never-smokers,
who self-administered nicotine below chance levels, and was inversely related to discrimination behavior in never-smokers
but unrelated in smokers. Women smokers showed less change in nicotine-appropriate responding across generalization doses,
reported less confidence in discriminating training doses during acquisition on day 1, and tended to self-administer less
nicotine on day 3. These results indicate that smokers may become tolerant to the discriminative stimulus effects of nicotine,
perhaps promoting increased use.
Received: 1 October 1996/Final version: 28 January 1997 相似文献