Objective To explore the differential metabolites of obstructive sleep apnea-hypopnea syndrome (OSA) based on urine metabolomics and provide reference potential biomarkers for predicting the cause. Methods 42 OSA patients were selected as the OSA group; another 40 healthy volunteers were selected as the control (non-OSA) group. Urine samples from the two groups were collected and analyzed by gas chromatography-mass spectrometry (GC-MS). Untargeted metabolomic analysis was performed to screen out differential metabolites and their main metabolic pathways.Results Through mass spectrometry analysis and screening, 22 significantly altered metabolites were identified, and 9 metabolic pathways mainly involved in these differential metabolites of interest. Conclusion The differential metabolites and metabolic athways obtained through urine metabolomic analysis can help to better understand the metabolic characteristics of OSA and can be used as potential urinary biomarkers for the prediction and diagnosis of OSA.