My setup is really quite simple, I have a Rotel THX 5 channel power amp connected via analogue to a Creative X-Fi Elite Pro.I don't have sky or other external boxes except an old Acoustic Research turntable that I use occasionally which connects straight into the phono stage input on the sound card. Internally I have a single Nebula PCI TV tuner. Externally I have Monitor Audio/REL speakers and a Yamaha DPX1 DLP PJ with a 6' OWL motorised screen, this has it's own 12v trigger from the PJ.
The 12v trigger for the amp is taken from a fan header on the mobo to a 3.5mm mono socket that I attached to the back of the PC by drilling a hole in a spare PCI blanking plate. I then made a short patch cable made of two 3.5mm mono plugs and some 2 core cable and connected PC to amp. If you haven't got an old fan kicking around for you to cut the plug off then you could get something like
this.
A word of caution though, a major problem with this kind of setup is the power on/off popping that a lot of soundcards make, so research your soundcards well or you'll destroy your speakers. I'm happy to say that the X-Fi mutes the speakers during power on/off, unlike my old M-Audio.
The whole MCE2005 system now powers on/off and is controlled via the one MCE remote with a Bluetooth mouse and keyboard tucked away for when we want to surf on the big screen.