The optimization and operational control of ventilation systems on the offshore platforms is of great significance for improving cabin environmental quality and ensuring occupant health. In response to the current lack of a comprehensive design standard system for offshore platform ventilation, domestic and international specifications for shipboard and land-based ventilation systems were systematically classified and summarized to establish a dedicated design standard framework tailored to offshore platforms. Ventilation rate models, indoor dynamic models, air quality models, and energy consumption models were analyzed. Furthermore, an overview of ventilation optimization methods was provided for three critical areas: living areas, equipment areas, and storage areas. Current challenges and technical difficulties in system design and operation were analyzed, and feasible future development strategies for ventilation system design and optimization were proposed. The research results provide scientific basis and technical guidance for the design, operation, and energy-saving measures of offshore platform ventilation systems.