"Back-to-back nights playing the same team — it was important for us to protect home court," Lillard said.
Both teams were banged up.
Matthews rolled his right ankle in Friday night's loss to Utah. He tested himself in pregame warmups, but about 12 minutes before game time he was replaced in the starting lineup by Victor Claver.
Portland was also without backup point guard Ronnie Price, who had a sprained right ankle.
Meanwhile, Batum played despite a sore right wrist that has been bothering him for several games.
Utah guard Earl Watson left in the first quarter of Friday night's game with a sore right leg, and an MRI on Saturday showed the 12-year veteran's leg was bruised and he has a small stress fracture. It's not immediately known how long he will be out.
Gordon Hayward missed his fourth straight game for the Jazz with a strained right shoulder. And Mo Williams continues to recover from right thumb surgery.
After holding a narrow 46-43 edge at the half, the Jazz went up 60-50 in the third quarter on Foye's 3-pointer.
Babbitt's 3-pointer and Will Barton's reverse layup capped a 9-0 run by Portland that got it within one at 63-62. Lillard's 3 put the Blazers in front.
Smith's 3-pointer gave the Blazers a 79-71 lead early in the fourth quarter, but it didn't last long, and Utah tied it at 79 on Alec Burks' 3, his first field goal of the game.
NOTES: The Jazz swept the Trail Blazers 4-0 last season. ... Claver, making his seventh start of the season, played on the silver medal-winning Spanish Olympic team. ... The Jazz had just four turnovers. ... Portland's victory snapped a five-game Utah winning streak in the series. Utah leads 91-72 overall.