Establishing lucerne field is an efficient way to protect natural steppes, alleviate conflicts between meadows and livestock, and promote the development of animal husbandry. However, problems such as extensive field management, valuing yield over quality, and low resource utilization are endemic in production. Exploring reasonable cultivation patterns can contribute to improving the current situation of artificial grassland production and promoting the high-quality development of husbandry and prataculture. Lucerne the field experiment was carried out in Jingtai, Gansu Province, China in 2021–2022; this study compared and analyzed the effects of three cultivation patterns—ridge tillage with plastic film mulching (PM), ridge tillage with biodegradable film mulching (BM), and traditional flat planting (FP)—on soil water, heat, and fertilizer, as well as lucerne growth, yield, quality, and water and nitrogen use efficiency. The results show that: (1) during the growth period of lucerne, PM and BM treatments augment the average moisture content of the soil layer of 0–120 cm by 31.19% and 24.03% compared to the FP treatment, respectively. In the soil layer of 0–40 cm, PM and BM treatments abate the soil moisture content of the ridges by an average of 19.29% and 7.89% compared to that in the ditches, respectively. In the soil layer of 40–120 cm, PM and BM treatments elevate the soil moisture content of the ridges by 4.40% and 4.65% on average compared to that in the ditches, respectively. The average soil temperature in a soil layer of 5–25 cm shows PM > BM > FP. In contrast with the FP treatment, PM and BM treatments increase the soil temperature of the ridges by an average of 1.87 °C and 0.96 °C and decrease that of the ditches by an average of 0.47 °C and 0.46 °C, respectively. After two years of planting, the three cultivation patterns all promote the soil nutrient content. Compared to the FP treatment, PM and BM treatments increase the organic matter content by 9.94% and 19.94%, respectively. (2) Ridge tillage with film mulching can evidently stimulate the growth of lucerne and enhance yield and quality. Compared to the FP treatment, PM and BM treatments enhance plant height by an average of 15.37% and 4.04%, stem diameter by an average of 34.14% and 14.58%, yield by an average of 21.20% and 14.77%, crude protein content by an average of 13.47% and 7.68%, and relative feed value by an average of 8.71% and 4.41%, respectively. (3) During the two-year growing period, the irrigation amount of lucerne was 508.60–615.30 mm, and the evapotranspiration was 563.70–761.80 mm. Compared to the FP treatment, PM and BM treatments hoist water use efficiency by an average of 43.50% and 17.56%, nitrogen partial factor productivity by an average of 21.20% and 15.22%, and net income by an average of 14.78% and 11.05%, respectively. In summary, in ridge tillage, both ordinary film mulching and biodegradable film mulching can create a favorable soil environment for lucerne growth and heighten production effect. The former has a better effect on advancing the lucerne production effect, and the latter exhibits superior performance in improving soil fertility.