In order to study the durability degradation characteristics of concrete box girder under load and carbonation and chloride ion erosion, a scale model of concrete box girder was made for experimental research. According to the test results, the diffusion characteristics of chloride ions in the concrete box girder under the coupling effect of load and carbon dioxide were analyzed. By revising the calculation formula of the existing chloride ion concentration considering multiple factors, a calculation model of chloride ion concentration considering the influence of carbonation was proposed, and the test results were verified. The results show that the chloride concentration of the box girder on the same cross section is non-uniformly distributed due to the shear lag effect and the spatial structure. After considering the effect of carbonation, the difference rate of the improved model proposed in this paper is generally within 10%. Compared with the original model, the difference rate is reduced by a maximum of 19%.