Since the 1970s, comprehensive control measures on soil erosion in the headwater region of the Loess Plateau have been carried out. Quantitative evaluation of the benefits of soil and water conservation measures during extreme rainstorms is of great significance for the comprehensive management of the catchments. In this study, a systematic modeling methodology for evaluating the effects of soil and water conservation measures on sediment reduction was developed based on a distributed soil erosion model (DSEM). Taking the Chabagou basin in the Loess Plateau as the study area, the tested DSEM was used to simulate soil erosion and sediment yield during an extreme rainstorm under two scenarios, the uncontrolled condition and the controlled condition with soil and water conservation measures implemented. The results showed that DSEM could successfully simulate soil and water losses and evaluate the effects of soil and water conservation measures during extreme storm events. The evaluated results showed that each soil and water conservation measure had the specific function of sediment reduction. And under rainstorm conditions, the effect of engineering measures on sediment reduction was greater than that of forest and grass measures.