The alpine ecosystems of the Qinghai-Tibet Plateau (QTP) provide multiple ecosystem services. In recent decades, these ecosystem services have been profoundly affected by climate change, human activity, and frozen ground degradation. However, related research remains lacking to date in the QTP. To address this gap, the upper reaches of the Shule River, a typical cryospheric-dominated basin in the QTP, was selected. We simultaneously assessed the spatial-temporal patterns and driving factors of ecosystem services, including habitat quality (HQ), net primary productivity (NPP), water conservation (WC), carbon storage (CS), water yield (WY), green space recreation (GSR), and total ecosystem service (TES), by employing the InVEST, CASA, and Noah-MP land surface models in combination with remote sensing and field survey data. Our results showed that: (1) HQ, NPP, WC, CS, WY, and GSR all increased significantly from 2001 to 2020 at rates of 0.004 a(-1), 1.920 g Cm(-2)a(-1), 0.709 mma(-1), 0.237 Mg & sdot;ha(-1)a(-1), 0.212 x 10(8) m(3)a(-1), and 0.038 x 10(9) km(2)a(-1) (P < 0.05), respectively; (2) warm and humid climates, combined with shrinking of barren, contributed to the increases in HQ, NPP, WC, CS, WY, and GSR; (3) frozen ground degradation had promoting effects on HQ, NPP, CS, GSR, and TES, while inhibiting effects were observed on WY and WC (P < 0.05); (4) synergies among ecosystem services were prominent over the past 20 years; (5) the total ecosystem service value increased significantly at a rate of 1.18 x 10(9) CNYa(-1) from 2001 to 2020 (P < 0.05), primarily due to the increase in the provisioning service value.

As a typical cold region, Northeast China is characterized by its unique climate, hydrological conditions, and land systems, which collectively shape the diversity and complexity of regional ecosystem services (ESs). This review systematically examines research on ESs in Northeast China from 1997 to 2025, with particular emphasis on recent advances in service classification and spatiotemporal patterns, trade-offs and synergies among ESs, the identification of driving mechanisms, regulatory pathways, and policy effectiveness. The findings reveal obvious spatial heterogeneity and distinct stage-wise changing patterns in ESs across the region, with particularly pronounced trade-offs between food production and regulating services. The primary driving factors are concentrated in natural and human activities dimensions, whereas region-specific variables and policy-related drivers remain underexplored. Current research predominantly employs methods such as correlation analysis and geographically weighted regression; however, the capacity to uncover causal mechanisms and nonlinear interactions remains limited. Future research should strengthen the simulation of ecological processes in cold regions, improve the balance between ES supply and demand, improve policy scenario assessments, and develop dynamic feedback mechanisms. Compared with previous studies focusing on single services or regions, this review provides a multidimensional perspective by synthesizing multiple ES categories, integrating spatiotemporal comparative analysis, and incorporating modeling strategies specific to cold-region dynamics. These efforts will help shift ES research beyond static description toward more systematic regulation and management, providing both theoretical support and practical guidance for sustainable development and ecological governance in Northeast China.