The invention discloses an intelligent sleep monitoring system with a small contact surface, which is composed of a physiological signal acquisition module, an MCU control module, a power supply module, a sleeping posture adjustment module and an alarm rescue module. Among them, the physiological signal acquisition module uses an air cushion to balance the force generated by the myocardial contraction, chest contraction and other muscle movements during respiration, and converts physiological signals such as human respiration, heart rate, and displacement into electrical signals through pressure sensors. After filtering and amplifying, it is sent to the MCU for processing to determine whether there are abnormalities such as sleep apnea termination, cardiac arrest, and falling. sound and light alarm. The invention has a small contact area with the measured body, does not need to wear sensors, does not affect sleep, has low cost, and is convenient for operation and maintenance management. A sleep monitoring system that can be used for daily home monitoring of old and young.