全文获取类型
收费全文 | 529808篇 |
免费 | 48123篇 |
国内免费 | 14193篇 |
专业分类
耳鼻咽喉 | 5512篇 |
儿科学 | 10914篇 |
妇产科学 | 11406篇 |
基础医学 | 41523篇 |
口腔科学 | 9879篇 |
临床医学 | 51965篇 |
内科学 | 60816篇 |
皮肤病学 | 5829篇 |
神经病学 | 19921篇 |
特种医学 | 13499篇 |
外国民族医学 | 277篇 |
外科学 | 63343篇 |
综合类 | 74633篇 |
现状与发展 | 50篇 |
一般理论 | 32篇 |
预防医学 | 44092篇 |
眼科学 | 5375篇 |
药学 | 43476篇 |
499篇 | |
中国医学 | 34591篇 |
肿瘤学 | 94492篇 |
出版年
2024年 | 1725篇 |
2023年 | 9504篇 |
2022年 | 17601篇 |
2021年 | 23600篇 |
2020年 | 21942篇 |
2019年 | 26417篇 |
2018年 | 24071篇 |
2017年 | 21495篇 |
2016年 | 19669篇 |
2015年 | 20753篇 |
2014年 | 35425篇 |
2013年 | 36802篇 |
2012年 | 30580篇 |
2011年 | 32263篇 |
2010年 | 24941篇 |
2009年 | 23870篇 |
2008年 | 23700篇 |
2007年 | 23524篇 |
2006年 | 20670篇 |
2005年 | 17493篇 |
2004年 | 14345篇 |
2003年 | 12329篇 |
2002年 | 9961篇 |
2001年 | 8996篇 |
2000年 | 7448篇 |
1999年 | 6451篇 |
1998年 | 5271篇 |
1997年 | 4894篇 |
1996年 | 4095篇 |
1995年 | 3935篇 |
1994年 | 3564篇 |
1993年 | 2834篇 |
1992年 | 2735篇 |
1991年 | 2410篇 |
1990年 | 2051篇 |
1989年 | 1832篇 |
1988年 | 1687篇 |
1987年 | 1448篇 |
1985年 | 4120篇 |
1984年 | 5061篇 |
1983年 | 3521篇 |
1982年 | 3978篇 |
1981年 | 3714篇 |
1980年 | 3301篇 |
1979年 | 3003篇 |
1978年 | 2597篇 |
1977年 | 1953篇 |
1976年 | 2195篇 |
1975年 | 1656篇 |
1974年 | 1432篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
131.
L. J. Jacobsson M. Westerberg S. Söderberg J. Lexell 《Acta neurologica Scandinavica》2009,120(6):389-395
Objectives – To assess long‐term functioning and disability after traumatic brain injury (TBI). Material and methods – Individuals (n = 88) in Norrbotten, northern Sweden, who had been transferred for neurosurgical care were assessed with internationally established TBI outcome measures 6–15 years post‐injury. Results – There was an improvement in overall outcome from discharge from inpatient rehabilitation to follow‐up. Many individuals had a high degree of motor and cognitive functioning, which enabled them to live independently in their own home without assistance, but there remained a disability related to community reintegration and social participation. This affected their productivity and to some degree their marital stability. The remaining disability and reduced productivity were related to the age at injury and the injury severity. Conclusions – Our data showed that individuals with a TBI can achieve and maintain a high degree of functioning many years after the injury. Increasing age and a greater injury severity contributed to their long‐term disability. 相似文献
132.
133.
134.
Lucio Lucchin Amleto D’Amicis Maria Gabriella Gentile Nino Carlo Battistini Maria Antonia Fusco Augusta Palmo Maurizio Muscaritoli Franco Contaldo Emanuele Cereda 《Mediterranean journal of nutrition and metabolism》2009,2(3):171-179
Aim and methods Nutrition, unhealthy lifestyles and cancer appear to be strictly related, but few authors have analysed the interest in dietary
information of cancer patients and their families. This survey was conducted in the Veneto area (Italy) to investigate the
concern of cancer patients and their family members about diet as a health tool before and after diagnosis of cancer.
Results Seven hundred and four questionnaires were collected: 380 from cancer patients and 324 from family members of cancer subjects.
Breast cancer (BC) was the most frequent disease for patients (61.8%) as well as families (26.5%). Generally, the importance
of having precise diet information after diagnosis is recognised by 40.3% of patients, with significant differences between
the various types of cancer: gastric and colon/rectum cancer (GCC) patients were more concerned than BC women about precise
information concerning a diet to follow immediately after diagnosis (p = 0.000, ODs = 3.10, CI 1.68–5.71) or during treatments (p = 0.001, ODs = 2.67, CI 1.46–4.89). The nutritional information is supplied to patients in 34% of cases and to relatives
in 30.3%, often from non-medical sources. In total healthcare workers (family doctor, oncologist, surgeon, dietician) represented
the exclusive source of dietary information for 24.9% of patients and 22.9% of family members. Diet after diagnosis changes
in 69.1% of GCC patients and in 39.2% of BC women. Relatives, particularly women, report difficulties preparing patients’
meals in 30.7% of cases, changes in the eating habits of the entire family in 29.9% and discontent connected with patients
diet in 13.9%. The concern about proper nutrition after diagnosis increases more in GCC subjects (p < 0.025) when compared to BC subjects and in patients with more recent diagnosis (p < 0.041) when compared with patients with diagnosis >5 years ago, while in family members the interest in diet after diagnosis
increases more in women than in men (p < 0.030) without other differences regarding the degree of relationship, type of cancer or diagnosis time. Relatives (92.7%)
have more interest in nutritional education than patients (74.9%). Cancer patients <65 years were more interested in educational
initiatives concerning nutrition (p = 0.000, ODs = 4.46, CI 2.6–7.4) than older patients (>65 years) and female subjects were more concerned than male patients
(p = 0.008, ODs = 2.11, CI 1.2–3.6).
Conclusions The interest in the dietary knowledge and in educational initiatives concerning nutrition is high in cancer patients and their
relatives, although it decreases with the age. The poor attention paid to nutrition of cancer patients by various healthcare
workers deserves consideration, since the psychophysical wellbeing and perhaps also survival of cancer patients can be improved
by correct dietary management, as well as, naturally, by the principal treatments themselves. 相似文献
135.
136.
While much time has been spent deliberating about the definition of play, little emphasis has been placed on what children themselves perceive as play. The aim of the present study was to examine social context as a cue for children's perceptions of play and learning. Ninety-two children aged between four and six years (mean four years nine months) participated in the study and completed the Activity Apperception Story Procedure. Children were asked to sort photographic stimuli into those they believed depicted play/not play and learning/not learning. Each of the stimuli were identified by independent raters as containing one of the following social cues; teacher absence (solitary activity, parallel activity or cooperative activity) or teacher presence (teacher involved activity or teacher directed activity). Findings revealed that children associated teacher absence with play. More specifically, children made links between play and the presence of peers (parallel and cooperative activity). Findings are discussed in relation to play in the early years curriculum, differences in children's early educational experiences and the importance of understanding children's perceptions of play. 相似文献
137.
Central Sensitization Theory of Migraine: Clinical Implications 总被引:4,自引:2,他引:2
The clinical science of migraine headache continues to evolve. Theories of the pathophysiology of migraine have progressed from the early vascular basis of migraine to more complex current theories that emphasize the centrality of neuronal dysfunction. The most recently articulated theory of migraine is the central sensitization hypothesis, which proposes that altered processing of sensory input in the brainstem, principally the trigeminal nucleus caudalis, could account for many of the temporal and symptomatic features of migraine, as well as its poor response to triptan therapy when such treatment is initiated hours after the onset of pain. Both preclinical and clinical data support the central sensitization theory. A critical clinical implication of this theory is that drugs that are capable of either aborting or arresting the process of central sensitization, most prominently dihydroergotamine, may have a unique role in the treatment of migraine. An additional, and highly practical, implication is based upon the finding that cutaneous allodynia—pain arising from innocuous stimulation of the skin, as in hair brushing or the application of cosmetics—is an easily identifiable marker of central sensitization. Thus, the presence or absence of cutaneous allodynia can be integrated into the routine clinical assessment of migraine and utilized as a determinant of treatment. Future basic and clinical research on central sensitization is likely to be of ongoing importance to the field. 相似文献
138.
M. P. Gosselink J. J. Busschbach† C. M. Dijkhuis§ L. P. Stassen¶ W. C. Hop‡ W. R. Schouten 《Colorectal disease》2006,8(1):15-22
BACKGROUND: After total mesorectal excision for rectal cancer, many surgeons try to avoid an abdominoperineal resection (APR) by performing a transanally double stapled low colo-rectal anastomosis (LRA), frequently without a pouch. This policy is mainly based on the assumption that the quality of life after such LRA is higher than after APR. It has been suggested that a better functional outcome and therefore a higher quality of life might be achieved by a colo-anal J-pouch anastomosis (CPA). The aim of this study was to assess quality of life among disease-free survivors after APR, LRA and CPA. METHODS: The charts of 301 consecutive patients who had undergone surgery for cancer in the middle or lower third of the rectum were analysed. Two hundred four patients were eligible for inclusion. The quality of life among these patients was assessed using one generic (EQ-5D) and two disease-specific questionnaires (EORTC QLQ-C30 and EORTC QLQ-CR38). RESULTS: The response rate was 82%. The median follow-up was 31 months. Overall, quality of life was good but CPA patients had better quality of life scores than APR and LRA patients. This difference was not only due to the better functional outcome but also to the lower incidence of disturbed micturition and sexual problems in the CPA group. CONCLUSION: The quality of life after colo-anal J-pouch anastomosis is better than after abdominoperineal resection (APR) and low colo-rectal anastomosis (LRA). The quality of life after APR is similar to that after LRA. 相似文献
139.
邹清如 《中华现代妇产科学杂志》2005,2(9):789-790
目的探讨第一产程胎心监护异常的相关因素,提示处理措施。方法2004年1月1日。12月31日对我院226例第一产程胎心监护异常的相关因素进行回顾性分析。结果第一产程胎心监护异常为综合因素所致,胎儿高危因素为91.59%,母体高危因素为65.49%,产程处理因素为42.92%。结论第一产程胎心监护异常主要与胎儿因素、母体因素有关,提高产前检查质量、加强产程监护、正确选择分娩方式极为重要。 相似文献
140.
本文应用核磁共振法(NMR)测定了几种混合体系的 HLB 值与混合体系中各组分的 HLB 值。实验结果表明,混合体系中各组分在核磁共振图谱中的积分曲线高度也具有加和性。混合体系的 HLB 值是体系中各组分 HLB 值的加权平均值。因此,对混合体系的 HLB 值可以应用 NMR 法直接测定,也可应用 NMR 法测定各组分的 HLB值,通过计算求得,计算值与实测值完全一致。 相似文献