Citation: 李佳微, 韓睿, 陳進, 劉碧翠. 支氣管擴張-慢性阻塞性肺疾病重疊綜合征的病理生理機制與治療進展. Chinese Journal of Respiratory and Critical Care Medicine, 2026, 25(5): 363-370. doi: 10.7507/1671-6205.202601078 Copy
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| 1. | GOLD. Global strategy for prevention, diagnosis and management of COPD: 2025[EB/OL]. [2024-12-16]. https://goldcopd.org/2025-gold-report/. |
| 2. | Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2019, 394(10204): 1145-1158. |
| 3. | Nigro M, Laska IF, Traversi L, et al. Epidemiology of bronchiectasis. Eur Respir Rev, 2024, 33(174): 240091. |
| 4. | Aliberti S, Goeminne PC, O'Donnell AE, et al. Criteria and definitions for the radiological and clinical diagnosis of bronchiectasis in adults for use in clinical trials: international consensus recommendations. Lancet Respir Med, 2022, 10(3): 298-306. |
| 5. | Traversi L, Miravitlles M, Martinez-Garcia MA, et al. ROSE: radiology, obstruction, symptoms and exposure - a Delphi consensus definition of the association of COPD and bronchiectasis by the EMBARC Airways Working Group. ERJ Open Res, 2021, 7(4): 00399-2021. |
| 6. | Alam MA, Mangapuram P, Fredrick FC, et al. Bronchiectasis-COPD Overlap Syndrome: A Comprehensive Review of its Pathophysiology and Potential Cardiovascular Implications. Ther Adv Pulm Crit Care Med, 2024, 19: 29768675241300808. |
| 7. | Balkissoon R. Journal Club - Bronchiectasis/COPD Overlap: Syndrome Versus Treatable Trait? Chronic Obstr Pulm Dis, 2019, 6(2): 193-199. |
| 8. | Polverino E, De Soyza A, Dimakou K, et al. The Association between Bronchiectasis and Chronic Obstructive Pulmonary Disease: Data from the European Bronchiectasis Registry (EMBARC). Am J Respir Crit Care Med, 2024, 210(1): 119-127. |
| 9. | Dai Z, Zhong Y, Cui Y, et al. Analysis of clinical characteristics, prognosis and influencing factors in patients with bronchiectasis-chronic obstructive pulmonary disease overlap syndrome: A prospective study for more than five years. J Glob Health, 2024, 14: 04129. |
| 10. | Chung WS, Lin CL. Acute respiratory events in patients with bronchiectasis-COPD overlap syndrome: A population-based cohort study. Respir Med, 2018, 140: 6-10. |
| 11. | Wang X, Olveira C, Girón R, et al. Blood Neutrophil Counts Define Specific Clusters of Bronchiectasis Patients: A Hint to Differential Clinical Phenotypes. Biomedicines, 2022, 10(5): 1044. |
| 12. | Keir HR, Shoemark A, Dicker AJ, et al. Neutrophil extracellular traps, disease severity, and antibiotic response in bronchiectasis: an international, observational, multicohort study. Lancet Respir Med, 2021, 9(8): 873-884. |
| 13. | Fouka E, Lindén A, Bossios A. The role of T-helper and T regulatory cells in driving neutrophilic and eosinophilic inflammation in bronchiectasis. Front Immunol, 2025, 16: 1598257. |
| 14. | Frija-Masson J, Martin C, Regard L, et al. Bacteria-driven peribronchial lymphoid neogenesis in bronchiectasis and cystic fibrosis. Eur Respir J, 2017, 49(4): 1601873. |
| 15. | Chen J, Wang T, Li X, et al. DNA of neutrophil extracellular traps promote NF-κB-dependent autoimmunity via cGAS/TLR9 in chronic obstructive pulmonary disease. Signal Transduct Target Ther, 2024, 9(1): 163. |
| 16. | He S, Tian R, Zhang X, et al. PPARγ inhibits small airway remodeling through mediating the polarization homeostasis of alveolar macrophages in COPD. Clin Immunol, 2023, 250: 109293. |
| 17. | Qin K, Xu B, Pang M, et al. The functions of CD4 T-helper lymphocytes in chronic obstructive pulmonary disease. Acta Biochim Biophys Sin, 2021, 54(2): 173-178. |
| 18. | Xue W, Ma J, Li Y, et al. Role of CD4+ T and CD8+ T Lymphocytes-Mediated Cellular Immunity in Pathogenesis of Chronic Obstructive Pulmonary Disease. J Immunol Res, 2022, 2022: 1-9. |
| 19. | Louren?o JD, Ito JT, Martins MA, et al. Th17/Treg Imbalance in Chronic Obstructive Pulmonary Disease: Clinical and Experimental Evidence. Front Immunol, 2021, 12: 804919. |
| 20. | Oscullo G, Gómez-Olivas JD, Ingles M, et al. Bronchiectasis-COPD Overlap Syndrome: Role of Peripheral Eosinophil Count and Inhaled Corticosteroid Treatment. J Clin Med, 2023, 12(19): 6417. |
| 21. | Nigro E, Mosella M, Daniele A, et al. Adiponectin Increase in Patients Affected by Chronic Obstructive Pulmonary Disease with Overlap of Bronchiectasis. Life (Basel), 2023, 13(2): 444. |
| 22. | Yu W, Ye T, Ding J, et al. miR-4456/CCL3/CCR5 Pathway in the Pathogenesis of Tight Junction Impairment in Chronic Obstructive Pulmonary Disease. Front Pharmacol, 2021, 12: 551839. |
| 23. | Guo P, Li R, Piao TH, et al. Pathological Mechanism and Targeted Drugs of COPD. Int J Chron Obstruct Pulmon Dis, 2022, 17: 1565-1575. |
| 24. | Vidaillac C, Chotirmall SH. Pseudomonas aeruginosa in bronchiectasis: infection, inflammation, and therapies. Expert Rev Respir Med, 2021, 15(5): 649-662. |
| 25. | Garmendia J, Cebollero-Rivas P. Environmental exposures, the oral-lung axis and respiratory health: The airway microbiome goes on stage for the personalized management of human lung function. Microb Biotechnol, 2024, 17(6): e14506. |
| 26. | Kou Z, Liu K, Qiao Z, et al. The alterations of oral, airway and intestine microbiota in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Front Immunol, 2024, 15: 1407439. |
| 27. | Everaerts S, Lagrou K, Vermeersch K, et al. Aspergillus fumigatus Detection and Risk Factors in Patients with COPD-Bronchiectasis Overlap. Int J Mol Sci, 2018, 19(2): 523. |
| 28. | Wang Y, Xiao J, Yang X, et al. Pulmonary microbiology and microbiota in adults with non-cystic fibrosis bronchiectasis: a systematic review and meta-analysis. Respir Res, 2025, 26(1): 77. |
| 29. | He ZF, Zhang XX, Pan CX, et al. Sputum Microbiota Compositions Correlate With Metabolome and Clinical Outcomes of COPD‐Bronchiectasis Association: A Prospective Cohort Study. Exploration, 2025, 5(4): e20240149. |
| 30. | Yu X, Yu X, Wang Y, et al. Respiratory diseases and the gut microbiota: an updated review. Front Cell Infect Microbiol, 2025, 15: 1629005. |
| 31. | Jiang M, Li Z, Zhang F, et al. Butyrate inhibits iILC2-mediated lung inflammation via lung-gut axis in chronic obstructive pulmonary disease (COPD). BMC Pulm Med, 2023, 23(1): 163. |
| 32. | Narayana JK, Aliberti S, Mac Aogáin M, et al. Microbial Dysregulation of the Gut-Lung Axis in Bronchiectasis. Am J Respir Crit Care Med, 2023, 207(7): 908-920. |
| 33. | Wang LL, Shen X, Xie Y, et al. A gut Eggerthella lenta-derived metabolite impairs neutrophil function to aggravate bacterial lung infection. Sci Transl Med, 2025, 17(787): eadq4409. |
| 34. | Spittle DA, Pye A, Stanka J, et al. Bacterial colonisation doubles the risk of exacerbation in alpha-1 antitrypsin deficiency. Respir Med, 2025, 240: 108025. |
| 35. | Shi L, Wei F, Ma T, et al. Impact of Radiographic Bronchiectasis in COPD. Respir Care, 2020, 65(10): 1561-1573. |
| 36. | Yang J, Xu JF, Liang S. Antibiotic resistance in Pseudomonas aeruginosa: mechanisms and emerging treatment. Crit Rev Microbiol, 2025, 51(5): 841-859. |
| 37. | Qin S, Xiao W, Zhou C, et al. Pseudomonas aeruginosa: pathogenesis, virulence factors, antibiotic resistance, interaction with host, technology advances and emerging therapeutics. Signal Transduct Target Ther, 2022, 7(1): 199. |
| 38. | Choi Y, Shin SH, Lee H, et al. Favorable Response to Long-Term Azithromycin Therapy in Bronchiectasis Patients with Chronic Airflow Obstruction Compared to Chronic Obstructive Pulmonary Disease Patients without Bronchiectasis. Int J Chron Obstruct Pulmon Dis, 2021, 16: 855-863. |
| 39. | Guan WJ, Xu JF, Luo H, et al. A Double-Blind Randomized Placebo-Controlled Phase 3 Trial of Tobramycin Inhalation Solution in Adults With Bronchiectasis With Pseudomonas aeruginosa Infection. Chest, 2023, 163(1): 64-76. |
| 40. | Ding L, Wang J, Cai S, et al. Pulmonary biofilm-based chronic infections and inhaled treatment strategies. Int J Pharm, 2021, 604: 120768. |
| 41. | Ritchie AI, Singayagam A, Mitchell S, et al. The Effect of Inhaled Corticosteroids on Pneumonia Risk in Patients With COPD-Bronchiectasis Overlap: A UK Population-Based Case-Control Study. Chest, 2023, 164(4): 875-884. |
| 42. | Chalmers JD, Shoemark A. Inhaled Corticosteroids in COPD and Bronchiectasis: Use Biomarkers Rather Than Disease Labels. Chest, 2023, 164(4): 809-811. |
| 43. | Hanania NA, Celli BR. Phosphodiesterase Inhibition as a Therapeutic Strategy for Chronic Obstructive Pulmonary Disease: Where We Have Been and What Lies Ahead. Chronic Obstr Pulm Dis, 2025, 12(1): 82-92. |
| 44. | Bhatt SP, Rabe KF, Hanania NA, et al. Dupilumab for COPD with Type 2 Inflammation Indicated by Eosinophil Counts. N Engl J Med, 2023, 389(3): 205-214. |
| 45. | Zahhar JA, Salamatullah HK, Almutairi MB, et al. Influenza vaccine effect on risk of stroke occurrence: a systematic review and meta-analysis. Front Neurol, 2023, 14: 1324677. |
| 46. | Tippett A, Ess G, Hussaini L, et al. Influenza Vaccine Effectiveness Pre-pandemic Among Adults Hospitalized With Congestive Heart Failure or Chronic Obstructive Pulmonary Disease and Older Adults. Clin Infect Dis, 2024, 78(4): 1065-1072. |
| 47. | Platt HL, Bruno C, Buntinx E, et al. Safety, tolerability, and immunogenicity of an adult pneumococcal conjugate vaccine, V116 (STRIDE-3): a randomised, double-blind, active comparator controlled, international phase 3 trial. Lancet Infect Dis, 2024, 24(10): 1141-1150. |
| 48. | O'Grady KF, Cripps AW, Grimwood K. Paediatric and adult bronchiectasis: Vaccination in prevention and management. Respirology, 2019, 24(2): 107-114. |
| 49. | Rochester CL, Alison JA, Carlin B, et al. Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med, 2023, 208(4): e7-e26. |
| 50. | Spinou A, Lee AL, O'Neil B, et al. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects. Eur Respir Rev, 2024, 33(174): 240087. |
| 51. | Hocquigny A, Hugerot H, Ghanem R, et al. Mucoactive drugs and multiple applications in pulmonary disease therapy. Eur J Pharm Biopharm, 2024, 194: 110-117. |
| 52. | Shen Y, Huang S, Kang J, et al. Management of airway mucus hypersecretion in chronic airway inflammatory disease: Chinese expert consensus (English edition). Int J Chron Obstruct Pulmon Dis, 2018, 13: 399-407. |
| 53. | Dhar R, Singh S, Talwar D, et al. Clinical outcomes of bronchiectasis in India: data from the EMBARC/Respiratory Research Network of India registry. Eur Respir J, 2022, 61(1): 2200611. |
| 54. | Xiong T, Bai X, Wei X, et al. Exercise Rehabilitation and Chronic Respiratory Diseases: Effects, Mechanisms, and Therapeutic Benefits. Int J Chron Obstruct Pulmon Dis, 2023, 18: 1251-1266. |
- 1. GOLD. Global strategy for prevention, diagnosis and management of COPD: 2025[EB/OL]. [2024-12-16]. https://goldcopd.org/2025-gold-report/.
- 2. Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2019, 394(10204): 1145-1158.
- 3. Nigro M, Laska IF, Traversi L, et al. Epidemiology of bronchiectasis. Eur Respir Rev, 2024, 33(174): 240091.
- 4. Aliberti S, Goeminne PC, O'Donnell AE, et al. Criteria and definitions for the radiological and clinical diagnosis of bronchiectasis in adults for use in clinical trials: international consensus recommendations. Lancet Respir Med, 2022, 10(3): 298-306.
- 5. Traversi L, Miravitlles M, Martinez-Garcia MA, et al. ROSE: radiology, obstruction, symptoms and exposure - a Delphi consensus definition of the association of COPD and bronchiectasis by the EMBARC Airways Working Group. ERJ Open Res, 2021, 7(4): 00399-2021.
- 6. Alam MA, Mangapuram P, Fredrick FC, et al. Bronchiectasis-COPD Overlap Syndrome: A Comprehensive Review of its Pathophysiology and Potential Cardiovascular Implications. Ther Adv Pulm Crit Care Med, 2024, 19: 29768675241300808.
- 7. Balkissoon R. Journal Club - Bronchiectasis/COPD Overlap: Syndrome Versus Treatable Trait? Chronic Obstr Pulm Dis, 2019, 6(2): 193-199.
- 8. Polverino E, De Soyza A, Dimakou K, et al. The Association between Bronchiectasis and Chronic Obstructive Pulmonary Disease: Data from the European Bronchiectasis Registry (EMBARC). Am J Respir Crit Care Med, 2024, 210(1): 119-127.
- 9. Dai Z, Zhong Y, Cui Y, et al. Analysis of clinical characteristics, prognosis and influencing factors in patients with bronchiectasis-chronic obstructive pulmonary disease overlap syndrome: A prospective study for more than five years. J Glob Health, 2024, 14: 04129.
- 10. Chung WS, Lin CL. Acute respiratory events in patients with bronchiectasis-COPD overlap syndrome: A population-based cohort study. Respir Med, 2018, 140: 6-10.
- 11. Wang X, Olveira C, Girón R, et al. Blood Neutrophil Counts Define Specific Clusters of Bronchiectasis Patients: A Hint to Differential Clinical Phenotypes. Biomedicines, 2022, 10(5): 1044.
- 12. Keir HR, Shoemark A, Dicker AJ, et al. Neutrophil extracellular traps, disease severity, and antibiotic response in bronchiectasis: an international, observational, multicohort study. Lancet Respir Med, 2021, 9(8): 873-884.
- 13. Fouka E, Lindén A, Bossios A. The role of T-helper and T regulatory cells in driving neutrophilic and eosinophilic inflammation in bronchiectasis. Front Immunol, 2025, 16: 1598257.
- 14. Frija-Masson J, Martin C, Regard L, et al. Bacteria-driven peribronchial lymphoid neogenesis in bronchiectasis and cystic fibrosis. Eur Respir J, 2017, 49(4): 1601873.
- 15. Chen J, Wang T, Li X, et al. DNA of neutrophil extracellular traps promote NF-κB-dependent autoimmunity via cGAS/TLR9 in chronic obstructive pulmonary disease. Signal Transduct Target Ther, 2024, 9(1): 163.
- 16. He S, Tian R, Zhang X, et al. PPARγ inhibits small airway remodeling through mediating the polarization homeostasis of alveolar macrophages in COPD. Clin Immunol, 2023, 250: 109293.
- 17. Qin K, Xu B, Pang M, et al. The functions of CD4 T-helper lymphocytes in chronic obstructive pulmonary disease. Acta Biochim Biophys Sin, 2021, 54(2): 173-178.
- 18. Xue W, Ma J, Li Y, et al. Role of CD4+ T and CD8+ T Lymphocytes-Mediated Cellular Immunity in Pathogenesis of Chronic Obstructive Pulmonary Disease. J Immunol Res, 2022, 2022: 1-9.
- 19. Louren?o JD, Ito JT, Martins MA, et al. Th17/Treg Imbalance in Chronic Obstructive Pulmonary Disease: Clinical and Experimental Evidence. Front Immunol, 2021, 12: 804919.
- 20. Oscullo G, Gómez-Olivas JD, Ingles M, et al. Bronchiectasis-COPD Overlap Syndrome: Role of Peripheral Eosinophil Count and Inhaled Corticosteroid Treatment. J Clin Med, 2023, 12(19): 6417.
- 21. Nigro E, Mosella M, Daniele A, et al. Adiponectin Increase in Patients Affected by Chronic Obstructive Pulmonary Disease with Overlap of Bronchiectasis. Life (Basel), 2023, 13(2): 444.
- 22. Yu W, Ye T, Ding J, et al. miR-4456/CCL3/CCR5 Pathway in the Pathogenesis of Tight Junction Impairment in Chronic Obstructive Pulmonary Disease. Front Pharmacol, 2021, 12: 551839.
- 23. Guo P, Li R, Piao TH, et al. Pathological Mechanism and Targeted Drugs of COPD. Int J Chron Obstruct Pulmon Dis, 2022, 17: 1565-1575.
- 24. Vidaillac C, Chotirmall SH. Pseudomonas aeruginosa in bronchiectasis: infection, inflammation, and therapies. Expert Rev Respir Med, 2021, 15(5): 649-662.
- 25. Garmendia J, Cebollero-Rivas P. Environmental exposures, the oral-lung axis and respiratory health: The airway microbiome goes on stage for the personalized management of human lung function. Microb Biotechnol, 2024, 17(6): e14506.
- 26. Kou Z, Liu K, Qiao Z, et al. The alterations of oral, airway and intestine microbiota in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Front Immunol, 2024, 15: 1407439.
- 27. Everaerts S, Lagrou K, Vermeersch K, et al. Aspergillus fumigatus Detection and Risk Factors in Patients with COPD-Bronchiectasis Overlap. Int J Mol Sci, 2018, 19(2): 523.
- 28. Wang Y, Xiao J, Yang X, et al. Pulmonary microbiology and microbiota in adults with non-cystic fibrosis bronchiectasis: a systematic review and meta-analysis. Respir Res, 2025, 26(1): 77.
- 29. He ZF, Zhang XX, Pan CX, et al. Sputum Microbiota Compositions Correlate With Metabolome and Clinical Outcomes of COPD‐Bronchiectasis Association: A Prospective Cohort Study. Exploration, 2025, 5(4): e20240149.
- 30. Yu X, Yu X, Wang Y, et al. Respiratory diseases and the gut microbiota: an updated review. Front Cell Infect Microbiol, 2025, 15: 1629005.
- 31. Jiang M, Li Z, Zhang F, et al. Butyrate inhibits iILC2-mediated lung inflammation via lung-gut axis in chronic obstructive pulmonary disease (COPD). BMC Pulm Med, 2023, 23(1): 163.
- 32. Narayana JK, Aliberti S, Mac Aogáin M, et al. Microbial Dysregulation of the Gut-Lung Axis in Bronchiectasis. Am J Respir Crit Care Med, 2023, 207(7): 908-920.
- 33. Wang LL, Shen X, Xie Y, et al. A gut Eggerthella lenta-derived metabolite impairs neutrophil function to aggravate bacterial lung infection. Sci Transl Med, 2025, 17(787): eadq4409.
- 34. Spittle DA, Pye A, Stanka J, et al. Bacterial colonisation doubles the risk of exacerbation in alpha-1 antitrypsin deficiency. Respir Med, 2025, 240: 108025.
- 35. Shi L, Wei F, Ma T, et al. Impact of Radiographic Bronchiectasis in COPD. Respir Care, 2020, 65(10): 1561-1573.
- 36. Yang J, Xu JF, Liang S. Antibiotic resistance in Pseudomonas aeruginosa: mechanisms and emerging treatment. Crit Rev Microbiol, 2025, 51(5): 841-859.
- 37. Qin S, Xiao W, Zhou C, et al. Pseudomonas aeruginosa: pathogenesis, virulence factors, antibiotic resistance, interaction with host, technology advances and emerging therapeutics. Signal Transduct Target Ther, 2022, 7(1): 199.
- 38. Choi Y, Shin SH, Lee H, et al. Favorable Response to Long-Term Azithromycin Therapy in Bronchiectasis Patients with Chronic Airflow Obstruction Compared to Chronic Obstructive Pulmonary Disease Patients without Bronchiectasis. Int J Chron Obstruct Pulmon Dis, 2021, 16: 855-863.
- 39. Guan WJ, Xu JF, Luo H, et al. A Double-Blind Randomized Placebo-Controlled Phase 3 Trial of Tobramycin Inhalation Solution in Adults With Bronchiectasis With Pseudomonas aeruginosa Infection. Chest, 2023, 163(1): 64-76.
- 40. Ding L, Wang J, Cai S, et al. Pulmonary biofilm-based chronic infections and inhaled treatment strategies. Int J Pharm, 2021, 604: 120768.
- 41. Ritchie AI, Singayagam A, Mitchell S, et al. The Effect of Inhaled Corticosteroids on Pneumonia Risk in Patients With COPD-Bronchiectasis Overlap: A UK Population-Based Case-Control Study. Chest, 2023, 164(4): 875-884.
- 42. Chalmers JD, Shoemark A. Inhaled Corticosteroids in COPD and Bronchiectasis: Use Biomarkers Rather Than Disease Labels. Chest, 2023, 164(4): 809-811.
- 43. Hanania NA, Celli BR. Phosphodiesterase Inhibition as a Therapeutic Strategy for Chronic Obstructive Pulmonary Disease: Where We Have Been and What Lies Ahead. Chronic Obstr Pulm Dis, 2025, 12(1): 82-92.
- 44. Bhatt SP, Rabe KF, Hanania NA, et al. Dupilumab for COPD with Type 2 Inflammation Indicated by Eosinophil Counts. N Engl J Med, 2023, 389(3): 205-214.
- 45. Zahhar JA, Salamatullah HK, Almutairi MB, et al. Influenza vaccine effect on risk of stroke occurrence: a systematic review and meta-analysis. Front Neurol, 2023, 14: 1324677.
- 46. Tippett A, Ess G, Hussaini L, et al. Influenza Vaccine Effectiveness Pre-pandemic Among Adults Hospitalized With Congestive Heart Failure or Chronic Obstructive Pulmonary Disease and Older Adults. Clin Infect Dis, 2024, 78(4): 1065-1072.
- 47. Platt HL, Bruno C, Buntinx E, et al. Safety, tolerability, and immunogenicity of an adult pneumococcal conjugate vaccine, V116 (STRIDE-3): a randomised, double-blind, active comparator controlled, international phase 3 trial. Lancet Infect Dis, 2024, 24(10): 1141-1150.
- 48. O'Grady KF, Cripps AW, Grimwood K. Paediatric and adult bronchiectasis: Vaccination in prevention and management. Respirology, 2019, 24(2): 107-114.
- 49. Rochester CL, Alison JA, Carlin B, et al. Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med, 2023, 208(4): e7-e26.
- 50. Spinou A, Lee AL, O'Neil B, et al. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects. Eur Respir Rev, 2024, 33(174): 240087.
- 51. Hocquigny A, Hugerot H, Ghanem R, et al. Mucoactive drugs and multiple applications in pulmonary disease therapy. Eur J Pharm Biopharm, 2024, 194: 110-117.
- 52. Shen Y, Huang S, Kang J, et al. Management of airway mucus hypersecretion in chronic airway inflammatory disease: Chinese expert consensus (English edition). Int J Chron Obstruct Pulmon Dis, 2018, 13: 399-407.
- 53. Dhar R, Singh S, Talwar D, et al. Clinical outcomes of bronchiectasis in India: data from the EMBARC/Respiratory Research Network of India registry. Eur Respir J, 2022, 61(1): 2200611.
- 54. Xiong T, Bai X, Wei X, et al. Exercise Rehabilitation and Chronic Respiratory Diseases: Effects, Mechanisms, and Therapeutic Benefits. Int J Chron Obstruct Pulmon Dis, 2023, 18: 1251-1266.
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