The invention provides a seat backrest massage mechanism which comprises a sliding base arranged on a backrest framework, a first sliding assembly, a second sliding assembly and a third sliding assembly, the first sliding assembly, the second sliding assembly and the third sliding assembly are sequentially arranged on the sliding base in a sliding mode, and a first driving assembly is arranged between the first sliding assembly and the sliding base. A second driving assembly is arranged between the third sliding assembly and the sliding base, a massage assembly with a massage head is hinged in the second sliding assembly, a linkage assembly is hinged between the first sliding assembly and the massage assembly, a connecting assembly is arranged between the second sliding assembly and the third sliding assembly, and when the first sliding assembly or the third sliding assembly slides, the linkage assembly is hinged to the massage assembly. When the third sliding assembly slides, the linkage assembly can drive the massage assembly to turn over, and when the third sliding assembly slides, the connecting assembly can drive the second sliding assembly to slide synchronously. According to the seat backrest massage mechanism, the massage head can be turned over by different heights and can also move along the sliding base, so that massage in various modes can be realized, and the seat backrest massage mechanism has a better use effect.