The invention discloses a single photoelectric sensor sleep breath multi-physiological parameter monitoring method and device, and aims to obtain five physiological parameters on the basis of detection of a single photoelectric sensor. The single photoelectric sensor sleep breath multi-physiological parameter monitoring method comprises the following steps: 1, acquiring a pulse oximeter signal; 2, pretreating the acquired pulse oximeter signal; 3, judging whether a current measurement moment is in a moving state or not according to a detected peak point, a valley point and base line change information, if the current measurement moment is in the moving state, taking recognized non-movement state data as a normal pulse oximeter signal; 4, when detecting that the current measurement moment is in the moving state, performing body movement time counting; 5, according to the normal pulse oximeter signal, detecting pulse rate information, blood oxygen saturation degree information, breath information and pulse rate variability information; 6, according to the pulse rate, the blood oxygen saturation degree, the breath, the pulse rate variability information and the body movement time information, performing data transmission, displaying and recording.