SpO2 monitoring is actually quite reliable.
And either way, SpO2 monitoring is not very useful for sleep apnea monitoring. The problem is not oxygen desaturation but rather arousals[1], which cannot be detected by looking at an SpO2 chart. Some people, even when sleeping with CPAP, have hundreds of arousals per night, wrecking their sleep quality, while their oxygen saturation remains perfectly fine.
[1] If sleep apnea is not treated at all, desaturation may be more prevalent, but even then arousals are a bigger problem unless saturation goes way down (below 85% or so).