The effect of anammox coupling with heterotrophic denitrification process was investigated in an anaerobic reactor with an influent at the temperature of 35 °C, pH of 7.0, hydraulic detention time of 30h and the influent dilution ratio at 75%, the effects of different concentrations of nitrite on total nitrogen and organic matter removal were studied by changing NO−3NO−3-N/NH+4NH+4-N ratio in the anaerobic reactor with the ammonia concentration of 140±5mg/L and COD of 900±5mg/L. The removal rate of ammonia nitrogen, nitrite, TN, COD were 54.71%, 81.49%, 73.58, 81.61%, respectively, with a NO−2NO−2-N/NH+4NH+4-N ratio of 1.6. The optimum stoichiometric ratio can enhance anaerobic ammonium oxidation and denitrification, improving the removal efficiency of nitrogen carbon simultaneously.