In order to achieve speed control of high-speed permanent magnet synchronous motor with high precision, the sliding mode control (SMC) is usually adopted. However, the inherent chattering phenomenon affects the speed control performance. In order to solve this problem, a composite speed regulator is proposed in this paper, which is made up of two parts: the adaptive full-order SMC and extended state observer (ESO). Switching gain adaption law is proposed for minimizing chattering as much as possible while ensuring the robustness of sliding mode control. The total disturbance is estimated by the ESO and through feedforward, thus improving the system anti-disturbance ability. Finally, the effectiveness of the proposed speed regulator has been validated in the test bench.