Disabled care stands as a prominent challenge urgently needing resolution in China’s aging process. Despite the widespread application of digital and intelligent technologies, the current model exhibits the characteristic of “digital stacking”, marked by technical isolation and a lack of synergy, failing to meet the diverse and continuous care needs of disabled elderly. In response to the “digital-intelligent integration”development direction proposed by national policies and international standards, this paper explores the transformation of disabled care from the perspective of paradigm reconstruction. It clarifies the paradigmatic connotations, operational logics, and differences in application scenarios between “digital stacking” and “digital-intelligent integration”; analyzes the internal tensions and practical factors driving the shift from “digital stacking”to “digital-intelligent integration”; and designs the logical reconstruction and paradigm transformation paths for the “digital-intelligent integration”paradigm. The research reveals that, at the level of logical reconstruction, it is necessary to reshape the symbiotic value concept of “human-machine-environment”, reorganize the intelligent-synergetic technical architecture, rebuild the dynamic closed-loop service process of “perception-analysis-response”, and reconstruct the ecological governance mechanism. At the level of transformation paths, efforts should focus on strengthening policy guidance, accelerating technological development, transforming governance methods, and conducting pilot demonstrations.