Assessing the impact of varied rainfall patterns on soil and water loss within a hilly watershed over an extended temporal scope holds paramount importance in comprehending regional runoff and sediment traits. This study utilized continuous rainfall and sediment data spanning from 2013 to 2021, and the K-means clustering method was employed to analyze rainfall types. Subsequently, the rain-type characteristics underwent further analysis through LSD, and a multiple linear regression equation was formulated. The result showed that: within the Qiaotou small basin, rainfall, maximum rainfall intensity within 30 min (I30), and rainfall erosivity exhibited notable effects on sediment yield and loss. The water-sediment attributes of 305 rainfall events were characterized by rainfall below 100 mm, I30 of less than 35 mm/h, a runoff coefficient below 0.5, and sediment content under 0.6 g/L. According to the characteristics of different rainfall types and the degree of influence on water and sediment in small watersheds, 305 rainfall events in the basin were divided into three types by the K-means clustering analysis method: A (heavy rainfall, moderate rain), B (small rainfall, light rain), and C (medium rainfall, heavy rain). The most frequent rain type observed was B, followed by C, while A had the lowest frequency. Despite the lower intensity of B-type rainfall, it holds significant regional importance. Conversely, C-type rainfall, although intense and short, serves as the primary source of sediment production. The multiple regression equation effectively models both sediment yield modulus and flood peak discharge, exhibiting an R2 coefficient exceeding 0.80, signifying significance. This equation enables the quantitative calculation of pertinent indicators. Sediment yield modulus primarily relies on sediment concentration, runoff depth, and rainfall, while peak discharge is significantly influenced by runoff depth, sediment concentration, and I30. Furthermore, the efficacy of various soil and water conservation measures for flow and sediment reduction correlates with I30. Overall, the impact of different measures on reducing flow and sediment increases with a higher I30, accompanied by a reduced fluctuation range.