20 years old with rheumatoid arthritis need to take general measures, drug treatment, surgical treatment. 1. General measures: usually need to pay attention to rest, avoid overwork, reduce the intensity of labor, and cooperate with the doctor to carry out functional exercise, to a certain extent, can help the local recovery of normal function. At the same time, we need to supplement nutrition, eat more food rich in high quality protein, dietary fiber. 2. Medication: When patients have obvious pain, they need to use non-steroidal anti-inflammatory drugs such as diclofenac sodium and ibuprofen as prescribed by the doctor. Also need to cooperate with the doctor to use methotrexate, leflunomide, elamectin and other anti-rheumatic drugs, if this kind of drug treatment effect is not good, then need to follow the doctor’s advice to use etanercept, tolizumab and other biological agents. 3. Surgical treatment: If the effect of drug treatment is not good and there is joint deformity, it is necessary to consider corrective surgery, or arthroplasty, artificial joint replacement and other surgical treatments. All in all, rheumatoid arthritis patients need to go to the rheumatology and immunology department of regular hospitals in time, and follow the doctor’s instructions for diagnosis and treatment.