Patients with rheumatic diseases have many unfavorable factors to undergo surgery, mainly including: ① poor general condition, accompanied by anemia, increased white blood cell count, increased sedimentation, abnormal immune indexes, etc.; ② history of long-term high dose of non-steroidal anti-inflammatory drugs, potential peptic ulcer and bleeding tendency, some patients taking long-term hormones, rheumatism, MTX and other immunosuppressive drugs, more delayed wound healing, infection, adrenal (3) Some patients with serious lesions are bedridden and cannot take care of themselves for a long time, which leads to heavy financial burden on the family and abnormal mental and psychological state of the patient, losing confidence in life, and some have suicide attempts or attempts. If a single surgery does not significantly improve function, it is difficult for the patient and his or her family to have the confidence to continue surgical treatment. Many patients with rheumatoid arthritis need to rely on the assistance of others to complete daily activities such as eating, dressing, and going to the bathroom, and this long-term passive dependence makes the patient completely lose the ability and confidence to take care of themselves. This means that patients are more likely to have future complications.