The present invention discloses a device and method for monitoring a human breathing state based on an image, which realize real-time monitoring of the human breathing state. The device comprises: a breathing state detecting module, configured to detect a light offset image of a human breathing state and transmit the light offset image to an image processing module; and the image processing module, configured to process the light offset image of the human breathing state, generate a breathing signal waveform, calculate a human breathing frequency, compare the human breathing frequency with a set threshold, and alarm when an abnormal state occurs.