The invention discloses a massage pillow used for sleeping state management. The massage pillow used for the sleeping state management comprises a pillow body, a sleeping detection device, a controller and a massage device, wherein the sleeping detection device is connected with the controller and used for detecting the sleeping state of a user and sending the sleeping state to the controller; the controller is used for controlling the massage device to work by a preset massage parameter according to the sleeping sate; the massage device is connected with the controller and used for performing massage by the preset massage parameter according to the control of the controller. The invention further discloses a control method of the massage pillow used for sleeping state management. According to the scheme, the sleeping state is detected in real time when the user takes a rest, the work state of the massage pillow is controlled according to the sleeping state, different massage parameters are adopted to perform massage in different states, therefore, the intelligent detection and the adjustment are achieved, the massage effect of the massage pillow is improved, and meanwhile the use experience of the user is improved.