To face the challenges in preparing hydrogel fibers with complex structures and functions, this study utilized a microfluidic coaxial co-extrusion technique to successfully form functional hydrogel fibers through rapid ionic crosslinking. Functional hydrogel fibers with complex structures, including linear fibers, core-shell structure fibers, embedded helical channels, hollow tubes, and necklaces, were generated by adjusting the composition of internal and external phases. The characteristic parameters of the hydrogel fibers (inner and outer diameter, helix generation position, pitch, etc.) were achieved by adjusting the flow rate of the internal and external phases. As biocompatible materials, hydrogel fibers were endowed with electrical conductivity, temperature sensitivity, mechanical enhancement, and freeze resistance, allowing for their use as temperature sensors for human respiratory monitoring and other biomimetic application developments. The hydrogel fibers had a conductivity of up to 22.71 S/m, a response time to respiration of 37 ms, a recovery time of 1.956 s, and could improve the strength of respiration; the tensile strength at break up to 8.081 MPa, elongation at break up to 159%, and temperature coefficient of resistance (TCR) up to -13.080% °C-1 were better than the existing related research.