High N fertilizer and flooding irrigation applied to rice in anthropogenic-alluvial soil often result in N leaching and low use efficiency of applied fertilizer N from the rice field in Ningxia irrigation region in the upper reaches of the Yellow River. Sound N management practices need to be established to improve N use efficiency while sustaining high grain yield levels and minimize fertilizer N loss to the environment. We investigated the effects of Nursery Box Total Fertilization technology (NBTF) on N leaching at different rice growing stages, N use efficiency and rice yield in 2010 and 2011. The four fertilizer N treatments were 300 kg N ha À1 (CU, Conventional treatment of urea at 300 kg N ha À1 ), 120 kg N ha À1 (NBTF120, NBTF treatment of controlled-release N fertilizer at 120 kg N ha À1 ), 80 kgN ha À1 (NBTF80, NBTF treatment of controlled-release N fertilizer at 80 kg N ha À1 ) and no N fertilizer application treatment (CK). The results showed that the NBTF120 treatment increased N use efficiency, maintained crop yields and substantially reduced N losses to the environment. Under the CU treatment, the rice yield was 9634 and 7098 kg ha À1 , the N use efficiency was 31·6% and 34·8% and the leaching losses of TN were 44·51 and 39·89 kg ha À1 ; NH 4 + -N was 5·26 and 5·49 kg ha À1 , and NO 3 À -N was 27·94 and 26·22 kg ha À1 during the rice whole growing period in 2010 and 2011, respectively. Compared with CU, NBTF120 significantly increased the N use efficiency and decreased the N losses from the paddy field. Under NBTF120, the N use efficiency was 56·3% and 51·4%, which was 24·7% and 16·6% higher than that of CU, and the conventional fertilizer application rate could be reduced by 60% without lowering the rice yield while decreasing the leaching losses of TN by 16·27 and 14·36 kg ha À1 , NH 4 + -N by 0·90 and 1·84 kg ha À1 , NO 3 À -N by 110·6 and 10·14 kg ha À1 in 2010 and 2011, respectively. Our results indicate that the CU treatment resulted in relatively high N leaching losses, and that alternative practice of NBTF which synchronized fertilizer application with crop demand substantially reduced these losses. We therefore suggest the NBTF120 be a fertilizer application alternative which leads to high food production but low environmental impact.