Porous thermal insulation materials (PTIMs) are a class of materials characterized by low thermal conductivity, low bulk density and high porosity. The low thermal conductivity of the gas enclosed in their pores allows them to achieve efficient thermal insulation, and are they among the most widely used and effective materials in thermal insulation material systems. Among the PTIMs, polyurethane foam (PUF) stands out as particularly promising. Its appeal comes from its multiple beneficial features, such as low density, low thermal conductivity and superior mechanical properties. Such attributes have propelled its broad application across domains encompassing construction, heterogeneous chemical equipment, water conservation and hydropower, and the aviation and aerospace fields. First, this article outlines the structure and properties of porous thermal insulation PUF materials. Next, it explores the methods of preparing porous thermal insulation PUF materials, evaluating the associated advantages and disadvantages of each technique. Following this, the mechanical properties, thermal conductivity, thermal stability, and flame-retardant characteristics of porous thermal insulation PUF materials are characterized. Lastly, the article provides insight into the prospective development trends pertaining to porous thermal insulation PUF materials.